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A community health nurse is working with a group of homeless veterans who have posttraumatic stress disorder. Which of the following interventions should the nurse implement?
- A. Provide coffee and snacks during the meetings
- B. Avoid discussing the traumatic events experienced by the veterans
- C. Change the meeting sites frequently
- D. Teach the clients to practice deep breathing exercises
Correct Answer: D
Rationale: The correct answer is D: Teach the clients to practice deep breathing exercises. This intervention is appropriate because deep breathing exercises are a proven technique to help manage anxiety and stress, common symptoms of posttraumatic stress disorder. By teaching the veterans this skill, the nurse can empower them to cope with their symptoms effectively. Providing coffee and snacks (A) may be comforting but does not address the core issue. Avoiding discussing traumatic events (B) can hinder the therapeutic process. Changing meeting sites frequently (C) may disrupt the sense of safety and trust.
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A nurse is serving on a state task force for disaster planning. The nurse is engaging in disaster preparedness efforts when performing which of the following actions?
- A. Implementing a disaster triage plan with a local medical facility
- B. Functioning as a manager at a temporary shelter
- C. Assisting with the identification of a biological agent
- D. Organizing a mass casualty drill for community members
Correct Answer: D
Rationale: The correct answer is D: Organizing a mass casualty drill for community members. This is the correct action for disaster preparedness as it helps in testing response procedures and identifying areas for improvement. Implementing a disaster triage plan (A) is important but doesn't involve community participation. Functioning as a manager at a temporary shelter (B) is a crucial role during a disaster but doesn't directly relate to preparedness efforts. Assisting with the identification of a biological agent (C) is more about response to an ongoing disaster rather than preparedness. Overall, organizing a mass casualty drill involves proactive planning and community involvement, making it the most suitable choice for disaster preparedness efforts.
A newly hired occupational health nurse is assessing hazards in the work environment. Which of the following actions will help the nurse detect potential physical hazards?
- A. Track rates of illness caused by infection among employees
- B. Survey workers about job-related emotional stress
- C. Identify industrial toxins that are present in the environment
- D. Measure noise levels at various locations in the facility
Correct Answer: D
Rationale: The correct answer is D: Measure noise levels at various locations in the facility. This action will help the nurse detect potential physical hazards because excessive noise can lead to hearing loss and other health issues. By measuring noise levels, the nurse can identify areas where noise levels exceed safe limits and implement control measures.
Choice A is incorrect as it focuses on illness caused by infections, not physical hazards. Choice B is incorrect as it pertains to emotional stress, not physical hazards. Choice C is incorrect as it focuses on industrial toxins, which are chemical hazards, not physical hazards.
A newly hired occupational health nurse is assessing hazards in the work environment. Which of the following actions will help the nurse detect potential physical hazards?
- A. Survey workers about job-related emotional stress.
- B. Measure the noise levels at various locations in the facility.
- C. Identify industrial toxins that are present in the environment.
Correct Answer: B
Rationale: The correct answer is B: Measure the noise levels at various locations in the facility. This action will help the nurse detect potential physical hazards because excessive noise can lead to hearing damage and other health issues. By measuring noise levels, the nurse can identify areas where noise levels exceed safe limits and implement control measures.
Surveying workers about emotional stress (Choice A) is important for psychological well-being but does not directly address physical hazards. Identifying industrial toxins (Choice C) is important for chemical hazards, not physical hazards related to noise. The other choices are not provided, but measuring noise levels is the most relevant action for detecting physical hazards in this scenario.
A nurse is discussing short- and long-term goals with a client who has alcohol use disorder and is being admitted to a treatment facility. Which of the following statements is appropriate for the nurse to include in the discussion?
- A. You will be taking a once-weekly dose of disulfiram to help control withdrawal symptoms during treatment
- B. Remaining physically active will help to minimize drowsiness and chills associated with initial alcohol withdrawal
- C. Attending Al-Anon meetings will help you identify a role model to assist you with making needed changes
- D. You will begin learning functional skills to replace defense mechanisms and behaviors while in treatment
Correct Answer: D
Rationale: Correct Answer: D: You will begin learning functional skills to replace defense mechanisms and behaviors while in treatment
Rationale: This statement is appropriate because it focuses on the core aspect of treatment for alcohol use disorder, which is addressing maladaptive coping mechanisms with healthier alternatives. By learning functional skills to replace defense mechanisms and behaviors, the client can develop healthier coping strategies and decrease the likelihood of relapse in the long term.
Summary of other choices:
A: Incorrect - Disulfiram is not used to control withdrawal symptoms; it is a deterrent medication to discourage alcohol consumption.
B: Incorrect - Physical activity is beneficial, but it does not directly address the underlying issues of alcohol use disorder.
C: Incorrect - Al-Anon meetings are for family and friends of individuals with substance use disorders, not for the individual seeking treatment.
E, F, G: No information provided.
A client who has diabetes mellitus asks a home health nurse to help her adapt some of her traditional cultural foods to fit her meal plan. Which of the following is the first action the nurse should take when assisting this client?
- A. Provide the client with a printed recipe
- B. Observe the client during preparation of traditional foods
- C. Use cookbooks to include traditional foods in meal plans
- D. Explain the diabetes exchange list
Correct Answer: B
Rationale: The correct answer is B. Observing the client during the preparation of traditional foods allows the nurse to understand the client's current cooking practices, ingredients used, and portion sizes. This information is crucial in determining how to modify the traditional foods to fit the client's meal plan. Providing a printed recipe (A) may not consider the client's cultural preferences or cooking methods. Using cookbooks (C) may not align with the client's traditional foods or cooking techniques. Explaining the diabetes exchange list (D) is important but should come after understanding the client's current food habits.