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?

Choice B is correctbecause: Understanding the client's perspective on their living situation will help the nurse determine whether the client is aware of risks (such as unsafe living conditions or being at risk of harm) and if they need immediate interventions, like a safe place to stay or healthcare.

Developing client teaching using a variety of strategies (Choice A is wrong because) may be important for the client's long-term success, but it is not the priority at this time. While securing shelter is essential, the first step is to determine if the client recognizes their need for shelter, and whether they are ready or able to develop those goals themselves. Discussing the risks of being homeless with the client (Choice D is wrong because) can be done once the client's immediate need for shelter is met.

Choice A is wrong because: Developing client teaching using a variety of strategies is not the first priority in this situation.

Choice B is wrong because: Determining the client's understanding of her living situation is not the first priority in this situation.

Choice D is wrong because: Discussing the risks of being homeless with the client is not the first priority in this situation.

The correct answer is Choice A because, "An adult client who is short of breath." Shortness of breath may indicate a life-threatening condition that requires immediate medical attention. The other clients should also receive care as soon as possible, but the client who is short of breath should be the priority.

Choice B is wrong because, "An infant client who is crying," is not the correct answer because crying is a normal behavior for infants and does not necessarily indicate a lifethreatening condition.

Choice C is wrong because, "An older adult client who has a fractured arm," is not the correct answer because a fractured arm is not a life-threatening condition and can be treated after the more urgent needs of other clients are addressed.

Choice D is wrong because, "A school-age client who has a head abrasion," is not the correct answer because a head abrasion is not a life-threatening condition and can be treated after the more urgent needs of other clients are addressed.