Question

Difficulty: MediumHigh Risk Behaviors

A nurse at a community outreach center is speaking with a young adult client who actively injects illicit substances. The client states, "I know sharing needles is dangerous, so I only share the water, cookers, and cotton filters with my closest friends." Which response by the nurse is the most appropriate?

  1. A
    Why do you continue to share the preparation equipment when you already know it is dangerous?
  2. Sharing any preparation equipment, including water or cotton, can still transmit infections like hepatitis C and HIV.Answer
  3. C
    As long as you are using a new, sterile needle each time, your risk for contracting an infection is removed.
  4. D
    I must report this behavior to the health department so they can monitor your risk for infectious diseases.

Answer

The most appropriate response is to inform the client that sharing any preparation equipment, including water or cotton, can still transmit infections like hepatitis C and HIV.
The correct response directly addresses the client's knowledge deficit by providing objective, factual harm-reduction education. Hepatitis C and HIV can be transmitted through microscopic amounts of blood present in shared drug preparation equipment, such as water, cookers, and cotton filters, even if a new needle is used.

Step-by-Step Solution

1
Analyze the client's statement to identify the knowledge deficit and high-risk behavior.
The client incorrectly believes that only sharing needles transmits disease, while sharing preparation equipment (water, cookers, cotton) is safe.
Identifying the specific misconception is necessary to provide targeted, effective harm-reduction education.
2
Evaluate the nursing responses for therapeutic communication and factual accuracy.
The response providing factual information about the risks of sharing preparation equipment is both accurate and non-judgmental.
Therapeutic communication in harm reduction focuses on providing objective health education to empower the client to make safer choices without feeling alienated.

Key Concept

Harm Reduction and Injection Safety
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