A public health nurse is developing protocols to use in emergency shelters following a disaster. Which of the following interventions should the nurse include as a secondary prevention strategy for clients who survive a disaster?

The correct answer is Choice D because, "State health departments report selected STIs to the National Institutes of Health." This is the correct answer because state health departments are responsible for reporting selected STIs to the National Institutes of Health, which is an important regulation regarding STIs.

Choice A is wrong because, "Clients who have STIs are legally required to provide a list of sexual partners," is

not the correct answer because while clients who have STIs are strongly encouraged to provide a list of sexual partners for partner notification and treatment purposes, there is no legal requirement for them to do so.

Choice B is wrong because, "Congress mandates the requirements for STI reporting," is not the correct answer because STI reporting requirements are set by public health agencies, not by Congress.

Choice C is wrong because, "Nurses should withhold the name of the client who has an STI during partner notification," is not the correct answer because while nurses are required to maintain confidentiality of their clients, they are also obligated to report certain communicable diseases, including STIs, to public health authorities, who may need to conduct partner notification and treatment efforts.

The correct answer is Choice B because it "Examines the prevalence of childhood obesity in the community." The nurse should gather data on the extent of the problem in the community before planning interventions. Promoting the placement of healthy food choices in the community (Choice A is wrong because), providing nutritional education to children and their families (Choice C is wrong because), and establishing goals for the community to decrease childhood obesity (Choice D is wrong because) are all important steps in addressing the issue, but should be based on an understanding of the extent and nature of the problem.

Choice A is wrong because: Promoting the placement of healthy food choices in the community is an important step in addressing childhood obesity, but should be based on an understanding of the extent and nature of the problem.

Choice C is wrong because Providing nutritional education to children and their families is an important step in addressing childhood obesity, but should be based on an understanding of the extent and nature of the problem.

Choice D is wrong because Establishing goals for the community to decrease childhood obesity is an important step in addressing childhood obesity, but should be based on an understanding of the extent and nature of the problem.