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A nurse educator is teaching a group of students about the role of nurses in health promotion. The educator recognizes that the nurse who works in health promotion and safety for an automotive plant is functioning in what role?
- A. Nurse clinician
- B. Public health nurse
- C. Community nurse specialist
- D. Occupational health nurse
Correct Answer: D
Rationale: The correct answer is D: Occupational health nurse. An occupational health nurse specializes in promoting health and safety in the workplace, such as in an automotive plant. This role involves assessing workplace hazards, developing safety protocols, and educating employees on injury prevention. The other choices are incorrect because: A) Nurse clinician focuses on direct patient care, B) Public health nurse focuses on community health outside of the workplace, C) Community nurse specialist focuses on a specific community's health needs. Therefore, the occupational health nurse best fits the scenario described.
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A nurse is providing education regarding biologic threats. When discussing anthrax, which of the following should be included as potential portals of entry? SELECT ALL THAT APPLY
- A. Central nervous system
- B. Integumentary system
- C. Respiratory system
- D. Renal system
- E. Gastrointestinal system
Correct Answer: B,C,E
Rationale: The correct answer includes the integumentary system (B), respiratory system (C), and gastrointestinal system (E) as potential portals of entry for anthrax. Anthrax can enter the body through broken skin (integumentary system), inhalation of spores (respiratory system), or ingestion of contaminated food/water (gastrointestinal system). The central nervous system (A) and renal system (D) are not typical routes of entry for anthrax. Central nervous system is not a common portal for anthrax entry, and the renal system is not a primary site for anthrax spore invasion.
A nurse is delegating tasks to assistive personnel. Which of the following should the nurse consider when using one of the five rights of delegation?
- A. The assistive personnel's ability to complete the task without assistance
- B. The assistive personnel's level of experience and competency in performing the task
- C. The assistive personnel's rapport with clients
- D. The assistive personnel's availability at the time of the delegation
Correct Answer: B
Rationale: The correct answer is B: The assistive personnel's level of experience and competency in performing the task. When delegating tasks, the nurse must consider the individual's ability to safely and effectively perform the task. Choosing someone with the appropriate experience and competency minimizes the risk of errors or harm to the patient. Additionally, considering the person's level of experience ensures that they have the necessary skills to handle the task independently. Choices A, C, and D are incorrect as they do not directly address the crucial aspect of competency and experience required for safe delegation.
A rehabilitation nurse is developing an activity plan for a client. The nurse should recognize that which activity plan would best conserve the client's energy without compromising physical or mental health?
- A. Restricting visitors to a few hours in the afternoon to promote client rest
- B. Scheduling all activities within a small block of time to allow the client a longer, uninterrupted rest period
- C. Scheduling toilet breaks before and after any other planned activity
- D. Scheduling energy-intensive activities at the time of day when the client has higher energy levels
Correct Answer: D
Rationale: The correct answer is D: Scheduling energy-intensive activities at the time of day when the client has higher energy levels. This option best conserves the client's energy as it aligns the demanding tasks with the client's peak energy periods, optimizing efficiency and reducing fatigue. This approach ensures that the client can complete tasks requiring more physical or mental effort when they are most capable, minimizing strain and preventing energy depletion. Restricting visitors (A) may not necessarily conserve energy as social interactions can be energizing for some clients. Scheduling all activities within a small block of time (B) may lead to fatigue if demanding tasks are clustered together. Scheduling toilet breaks before and after activities (C) is important but does not address energy conservation directly.
A nurse is working with a community at risk for flooding. The nurse is aware that identification of at-risk populations, education of the residents about evacuation routes, and emergency shelters is an example of what level of the National Response Framework?
- A. Security phase
- B. Mitigation phase
- C. Response phase
- D. Practice phase
Correct Answer: B
Rationale: The correct answer is B: Mitigation phase. In the National Response Framework, the mitigation phase focuses on actions taken to prevent or minimize the impact of a disaster. By identifying at-risk populations, educating residents about evacuation routes, and providing information on emergency shelters, the nurse is proactively working to reduce the potential negative effects of flooding. This aligns with the goals of the mitigation phase, which aims to reduce vulnerability and enhance resilience. The other choices are incorrect because they do not specifically address the proactive measures taken to prevent or minimize the impact of a disaster, as seen in the mitigation phase.
A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client?
- A. A negative-pressure isolation room
- B. A private room
- C. A semi-private room with a client who has pediculosis capitis
- D. A positive-pressure isolation room
Correct Answer: B
Rationale: The correct answer is B: A private room. This is because scabies is transmitted through close skin-to-skin contact, so placing the client in a private room will help prevent the spread of the infestation to others. A negative-pressure isolation room (choice A) is used for airborne infections, not for scabies. Placing the client in a semi-private room with a client who has pediculosis capitis (lice) (choice C) increases the risk of cross-infection. Positive-pressure isolation rooms (choice D) are used to protect immunocompromised clients from airborne pathogens.