Preventing intimate partner violence (IPV) and recurrence of violence requires targeting efforts at all three levels of prevention: primary, secondary, and tertiary. What is an appropriate tertiary prevention strategy?

Rationale:

A. Assisted living facility is correct. Assisted living facilities provide a combination of independence and supportive care tailored to older adults who can perform some activities of daily living (ADLs) but may need assistance with others, such as medication management, bathing, or mobility. These facilities often offer onsite nursing support, communal dining, social and recreational activities, and a safe environment, which aligns with the client’s preferences for nursing availability and community engagement while still maintaining some autonomy.

B. Nursing home (skilled nursing facility) provides 24-hour nursing care for individuals with significant medical needs or who are unable to perform most ADLs. The client in this scenario is still largely independent, so a nursing home would likely be more restrictive than necessary.

C. Apartment near a hospital may provide proximity to medical services but does not guarantee onsite nursing care or structured support. The client would still need to arrange for personal care or community services separately.

D. Independent living in a senior living facility is designed for older adults who are fully independent in ADLs and do not require regular nursing assistance. While it offers social and recreational opportunities, it lacks the onsite nursing support the client desires.

Rationale:

A. Part-time care refers to the frequency or duration of services but does not specify the level or type of care provided. While the nurse is providing care part-time in terms of hours, the defining factor here is the nature of the care, not just the schedule.

B. Skilled care is correct. Skilled care involves services that require the expertise of a licensed nurse or therapist, such as wound care, intravenous therapy, medication management, or assessment and monitoring of a complex condition. Medicare covers skilled care when it is medically necessary and provided on a planned schedule. In this scenario, the nurse is providing care over two hours per day, three days a week, for 60 days, meeting criteria for skilled nursing services in a home health setting.

C. Interdisciplinary care involves collaboration among multiple healthcare professionals, such as nurses, physicians, physical therapists, and social workers, to manage a patient’s care. While interdisciplinary care may occur in this context, the scenario specifically describes nursing services provided to the client, making skilled care the more precise answer.

D. Telehealth refers to the remote delivery of healthcare services via telecommunications technology. The scenario describes in-person nursing care, not remote monitoring or consultation, so telehealth is not applicable.