The public health nurse is working with an at-risk adolescent.
Which statement made by the adolescent demonstrates internal locus of control?

Choice A rationale

It is scientifically incorrect to suggest that infants exposed to tobacco smoke will develop tolerance. Tobacco smoke contains harmful chemicals such as nicotine and carbon monoxide, which can damage developing lungs and increase the risk of respiratory illnesses and sudden infant death syndrome (SIDS). Tolerance does not mitigate these risks.

Choice B rationale

Chewing tobacco still contains nicotine and carcinogens. Although it reduces exposure to sidestream smoke, it still poses risks for nicotine addiction and poisoning, particularly through secondhand exposure and accidental ingestion by children. This recommendation is not supported by scientific evidence.

Choice C rationale

Fetal nicotine syndrome, also known as neonatal nicotine withdrawal, can result from prenatal tobacco exposure. However, this syndrome primarily affects babies exposed to nicotine in utero. Postnatal exposure to tobacco smoke is linked to other complications such as respiratory infections and SIDS, which are immediate concerns.

Choice D rationale

Sidestream smoke, emitted from the burning end of a cigarette, contains higher concentrations of carcinogens and toxins compared to mainstream smoke inhaled by the smoker. Infants exposed to secondhand smoke are at greater risk for respiratory conditions, SIDS, and developmental issues due to these higher concentrations.

Choice A rationale

Taking breaks is a form of self-care promoting stress relief but does not involve professional assessment or intervention aimed at limiting stress, thus not qualifying as secondary prevention.

Choice B rationale

Delegating activities to others can reduce workload but lacks systematic assessment or professional guidance to address stress, making it unsuitable as a secondary prevention measure.

Choice C rationale

Support groups provide emotional support and coping strategies, which are tertiary prevention approaches focused on managing existing stress rather than early detection or intervention.

Choice D rationale

Secondary prevention involves systematic assessment to detect issues early, including identifying caregiver stress levels and intervening promptly to mitigate potential negative impacts.