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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: A
Rationale: The correct answer is A because tracking rates of illness caused by infection among employees can help identify potential physical hazards such as poor hygiene practices or exposure to harmful substances. This data can lead to interventions to prevent future illnesses. Surveying workers about emotional stress (B) is related to mental health, not physical hazards. Identifying industrial toxins (C) is important but focuses on chemical hazards, not exclusively physical. Measuring noise levels (D) is crucial for assessing hearing-related hazards but is not the only physical hazard to consider.
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a parrish nurse is counseling a family following a client’s recent diagnosis of heart disease. which of the following actions should the nurse takefirst?
- A. discuss the benefits of eating a well-balanced diet with the client’s family
- B. assist the client and the clients partner with finding an affordable exercise program
- C. offer to accompany the client and the clients partner during health care provider visits
- D. ask family members about the impact of the disease on relationships within the family
Correct Answer: B
Rationale: The correct answer is B: assist the client and the client's partner with finding an affordable exercise program. This is the first action the nurse should take because regular exercise is essential for managing heart disease. By helping the client and partner to find an affordable exercise program, the nurse is promoting a crucial aspect of heart disease management. This action directly addresses a key component of the treatment plan and supports the client's overall well-being.
Other choices are incorrect because they do not address the immediate need for implementing a lifestyle change to manage heart disease. Choice A focuses on diet, which is important but exercise is the priority. Choice C involves healthcare provider visits, which may be important but not the first step. Choice D addresses relationships, which is relevant but not the immediate priority.
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 diabetes exchange list
Correct Answer: D
Rationale: The correct answer is D: explain diabetes exchange list. The nurse should first explain the diabetes exchange list to the client as it educates on portion sizes and food groups suitable for managing diabetes. This empowers the client to make informed choices. Providing a printed recipe (A) assumes the client understands portion control. Observing the client during food preparation (B) doesn't address education on appropriate food choices. Using cookbooks (C) may not align with the client's cultural preferences or dietary needs. The other choices are incomplete without addressing the foundational education needed for diabetes management.
a nurse is caring for a client who is homeless. which of the following actions should the nurse take first?
- A. determine the clients understanding of her living situation
- B. assist the client to develop goals for obtaining shelter
- C. discuss the risks of being homeless with the client
- D. develop client teaching using a variety of strategies
Correct Answer: C
Rationale: The correct answer is C: discuss the risks of being homeless with the client. This is the first action the nurse should take because it addresses the immediate health and safety concerns of the client. By discussing the risks associated with homelessness, the nurse can help the client understand the potential dangers and motivate them to seek assistance. Option A focuses on assessing the client's understanding, which can come later once immediate risks are addressed. Option B involves future planning and is not the most urgent priority. Option D involves teaching strategies, which may not be effective if the client is not aware of the risks. Therefore, option C is the most appropriate initial action to ensure the client's immediate well-being.
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?
- 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: The correct answer is D because learning functional skills to replace defense mechanisms and behaviors is crucial for long-term recovery from alcohol use disorder. By acquiring healthy coping mechanisms, the client can effectively manage triggers and stressors without resorting to alcohol. This promotes sustained sobriety and prevents relapse.
A is incorrect as disulfiram is not typically used for withdrawal symptoms but rather to deter alcohol consumption by causing unpleasant reactions.
B is incorrect as physical activity may be beneficial, but it does not directly address the underlying issues related to alcohol use disorder.
C is incorrect as Al-Anon meetings are for family and friends of individuals with alcohol use disorder, not for the individuals themselves to seek role models.
Therefore, D is the most appropriate statement as it focuses on building essential skills for long-term recovery.
a nurse is working with a community health care team to devise strategies for preventing violence in the community. which of the following interventions is an example of tertiaryprevention?
- A. presenting community education programs about stress management
- B. developing resources for victims of abuse
- C. urging community leaders to make nonviolence a priority
- D. assessing for risk factors of intimate partner abuse during health examinations
Correct Answer: D
Rationale: The correct answer is D because assessing for risk factors of intimate partner abuse during health examinations falls under tertiary prevention, which aims to minimize the impact of a health condition or injury. By identifying risk factors, healthcare professionals can intervene to prevent further harm or escalation of abuse.
A: Presenting community education programs about stress management is an example of primary prevention, focusing on preventing the occurrence of violence.
B: Developing resources for victims of abuse is an example of secondary prevention, aiming to intervene and provide support after violence has occurred.
C: Urging community leaders to make nonviolence a priority is also an example of primary prevention, focusing on promoting non-violent behaviors in the community.