A 17-year-old female presents to the emergency department with bruises, a disheveled appearance, and signs of malnutrition. She is reluctant to provide information about her situation and appears fearful. During the assessment, she reveals that she was brought to the city by someone she referred to as her "employer" who promised her a job but has since taken her identification documents and restricted her freedom. Which of the following actions should the nurse prioritize to ensure the safety and well-being of this patient?
Contact the patient's employer to verify the legitimacy of the job offer and the patient's current situation.
Encourage the patient to return to her home town and report her situation to local law enforcement there.
Provide the patient with a list of local job agencies to help her find new employment opportunities.
Assess the patient for immediate medical needs and ensure that she is not in immediate danger.
The Correct Answer is D
Rationale:
A. Contacting the employer could potentially put the patient at further risk if the trafficker becomes aware of her location or intentions.
B. Encouraging the patient to return to her home town might not address immediate safety concerns and could place her at greater risk.
C. Providing job agency information does not address the immediate safety and health needs of the patient.
D. Ensuring the patient's immediate safety and addressing any urgent medical needs is the top priority. This includes assessing for immediate threats and providing necessary medical care.
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Correct Answer is A
Explanation
Rationale:
A. Tertiary prevention is correct as it involves managing and improving the quality of life for individuals who already have a chronic disease or disability. Rehabilitation and strength training aim to help the client live better despite the existing condition.
B. Primary prevention aims to prevent the onset of disease, which is not the focus here.
C. Workplace prevention is not a specific level of prevention; it may include aspects of primary and secondary prevention.
D. Secondary prevention involves early detection and intervention to prevent the progression of a disease, but since the client already has the condition, tertiary prevention is more applicable.
Correct Answer is A
Explanation
Rationale:
A. CAGE is a well-validated screening tool for alcohol use disorders, assessing issues related to drinking and its impact on a person’s life.
B. FAST is not as commonly used as CAGE for alcohol addiction screening.
C. STAT is not a recognized tool for alcohol screening.
D. PACE is not specifically known for alcohol addiction screening; it is more related to adolescent substance use assessments.