Primary prevention activities a nurse can perform related to substance abuse include (Select all that apply)

a. education to prevent substance abuse.
b. focusing on relapse prevention.
c. identification of risk factors for abuse.
d. medical detoxification.
e. referral to support and self-help groups.


A, C
Primary prevention actions are those taken in order to prevent the problem from occurring. Op-tions a and c clearly do this. Option e might be primary prevention if the self-help or support group was a group a client could join to reduce a stressful situation before the client turns to drug abuse. Secondary prevention includes screening and early detection for prompt treatment. Refer-ral to a support group might be considered secondary if a client screened positive for substance abuse and the client agreed to start attending a group. Tertiary prevention includes rehabilitative strategies and would include options b and d, and possibly e if the support group focused on staying clean and returning to a functioning role in society.

Nursing

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