A first response team is working at the location of a bombing incident. A nurse triaging a group of clients should give treatment priority to which of the following clients?

Choice A reason: Conducting counseling for at-risk parents is not a primary prevention strategy, as it is a secondary prevention strategy. Secondary prevention aims to stop violence from recurring after it happens, by identifying and intervening with those who are at risk of being victims or perpetrators of violence. Counseling for at-risk parents may help them cope with stress, resolve conflicts, and improve their relationships, but it does not prevent violence from happening in the first place.

Choice B reason: Assessing a family for marital discord is not a primary prevention strategy, as it is a secondary prevention strategy. Secondary prevention aims to stop violence from recurring after it happens, by identifying and intervening with those who are at risk of being victims or perpetrators of violence. Assessing a family for marital discord may help the nurse detect signs of abuse, neglect, or violence, and refer the family to appropriate services, but it does not prevent violence from happening in the first place.

Choice C reason: Teaching parenting techniques to new parents is a primary prevention strategy, as it aims to prevent violence from ever happening in the first place. Primary prevention works by addressing the underlying causes of violence, such as gender inequality, social norms, and power imbalances, and promoting positive attitudes and behaviors across the whole population. Teaching parenting techniques to new parents may help them develop skills, knowledge, and confidence to raise their children in a healthy, safe, and supportive environment, and prevent child abuse and neglect.

Choice D reason: Providing treatment for a young adult who has a substance use disorder is not a primary prevention strategy, as it is a tertiary prevention strategy. Tertiary prevention aims to respond to the long-term impacts of violence, by providing care and support to those who have experienced or perpetrated violence, and reducing the consequences and recurrence of violence. Providing treatment for a young adult who has a substance use disorder may help them recover from their addiction, improve their mental and physical health, and reduce their involvement in violence, but it does not prevent violence from happening in the first place.

Choice A reason: Scheduling bone density screening is an appropriate outcome for the program, as it helps to detect and prevent osteoporosis, a common condition among postmenopausal women. Bone density screening is recommended for women aged 65 years and older, or younger women with risk factors.

Choice B reason: Arranging for mammograms every 3 years is not an appropriate outcome for the program, as it does not follow the current guidelines for breast cancer screening. The American Cancer Society recommends that women aged 45 to 54 years should have mammograms every year, and women aged 55 years and older should have mammograms every 2 years, or continue yearly screening if they prefer.

Choice C reason: Starting hormone replacement therapy is not an appropriate outcome for the program, as it is not a universal recommendation for postmenopausal women. Hormone replacement therapy may have benefits and risks depending on the individual's health history, symptoms, and preferences. It should be discussed with a health care provider before starting.

Choice D reason: Significantly decreasing caloric intake is not an appropriate outcome for the program, as it may lead to nutritional deficiencies and other health problems. Postmenopausal women should maintain a balanced diet that meets their nutritional needs and supports their weight management. A moderate reduction in caloric intake may be advised for overweight or obese women, but not a drastic one.