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
- E. a 35-year-old client who has a diagnosis of tuberculosis informs the providers office that she is unable to pay for the treatment. which of the following actions by the nurse will facilitate obtaining appropriate treatment? 1. help the client apply for Medicare explore options for alternative therapies arrange for medication through local agencies send the client to the nearest facility for further evaluation
Correct Answer: A
Rationale: The correct answer is A: implementing a disaster triage plan with a local medical facility. This action aligns directly with disaster preparedness efforts by ensuring that the necessary protocols and procedures are in place to effectively manage and prioritize care during a disaster. Triage is crucial in allocating resources efficiently and saving lives.
Choice B: functioning as a manager at a temporary shelter, while important for disaster response, does not specifically focus on disaster preparedness efforts like implementing a triage plan.
Choice C: assisting with the identification of a biological agent is more related to responding to a specific disaster situation rather than overall disaster preparedness efforts.
Choice D: organizing a mass casualty drill for community members is beneficial for preparedness but does not involve directly implementing a disaster triage plan.
In summary, implementing a disaster triage plan is the most relevant action for disaster preparedness efforts as it ensures readiness and effective response in managing casualties during a disaster.
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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 meetings sites frequently
- D. teach the clients to practice deep breathing exercises
Correct Answer: C
Rationale: The correct answer is C: change the meeting sites frequently. This intervention is important for individuals with PTSD as it helps prevent triggers associated with specific locations, reducing anxiety and potential retraumatization. Providing coffee and snacks (A) may be helpful, but changing meeting sites is a more crucial step. Avoiding discussing traumatic events (B) may hinder the veterans' healing process by avoiding necessary therapeutic conversations. Teaching deep breathing exercises (D) can be beneficial but may not address the core issues related to PTSD.
a nurse is counseling a client who is to undergo enzyme linked immunosorbent assay testing for hiv. which of the following information should the nurse include?
- A. the test monitors progression of the disease
- B. the test measures antibodies to the virus
- C. the test results are accurate 24 hr. after exposure to the virus
- D. a positive result requires initiating immunoglobulin administration
Correct Answer: B
Rationale: The correct answer is B: the test measures antibodies to the virus. In enzyme linked immunosorbent assay (ELISA) testing for HIV, antibodies produced by the body in response to the virus are detected. This helps in diagnosing HIV infection. Monitoring disease progression (choice A) requires other tests like viral load testing. Test results are not accurate within 24 hours of exposure (choice C) as it takes time for antibodies to develop. Initiating immunoglobulin administration (choice D) is not necessary for all positive results and depends on the individual's condition.
A nurse of a community clinic is preparing an educational guide about cultural variances in expression of pain. Which of the following information should the nurse include?
- A. Middle Eastern cultural practices include hiding pain from close family members.
- B. Native American cultural practices include being outspoken about pain.
- C. Puerto Rican cultural practices include the view that outspoken expressions of pain are shameful.
- D. Chinese cultural practices include enduring pain to prevent family dishonor.
Correct Answer: D
Rationale: The correct answer is D: Chinese cultural practices include enduring pain to prevent family dishonor. In Chinese culture, there is a strong emphasis on maintaining harmony within the family and avoiding bringing shame or dishonor. Therefore, individuals may endure pain silently to avoid burdening their family or appearing weak. This cultural value often leads to underreporting of pain in healthcare settings.
A: Middle Eastern cultural practices typically value stoicism and may involve hiding pain to avoid appearing vulnerable to others.
B: Native American cultural practices may vary, but being outspoken about pain is not a common generalization.
C: Puerto Rican cultural practices may value stoicism as well, but it is not specifically tied to shame in expressing pain.
In summary, the nurse should include information about Chinese cultural practices of enduring pain to prevent family dishonor, as it highlights an important aspect of cultural variances in pain expression.
a nurse is caring for a client who is having difficulty performing activities of daily living. the nurse is functioning in which of the following roles when arranging for an occupational therapist to visit the client.
- A. Administrator
- B. nurse consultant
- C. case manager
- D. clinician
Correct Answer: C
Rationale: The correct answer is C: case manager. A case manager coordinates and arranges services for clients, such as arranging for an occupational therapist to visit the client. This role involves assessing needs, developing care plans, and coordinating care among different providers.
A: Administrator is responsible for managing the overall operations of a healthcare facility, not individual client care.
B: Nurse consultant provides expert advice and guidance to other healthcare providers but does not typically arrange for specific services for clients.
D: Clinician directly provides patient care and treatment, but does not typically coordinate services provided by other healthcare professionals.
a community health nurse is planning an educational program for a group of women who are postmenopausal. which of the following outcomes is appropriate for this program?
- A. clients will schedule bone density screening
- B. clients will arrange for mammograms every 3 years
- C. clients will start hormone replacement therapy
- D. clients will significantly decrease caloric intake
- E. a nurse is working with a care manager for a client who participates in a health maintenance organization. the nurse should identify that a health maintenance organization provides which of the following payment structures.
Correct Answer: C
Rationale: The correct answer is C: clients will start hormone replacement therapy. Postmenopausal women often experience hormonal imbalances that can lead to various health issues such as osteoporosis and heart disease. Hormone replacement therapy can help alleviate symptoms and reduce the risk of these conditions. Scheduling bone density screenings (A) is important but does not address the underlying hormonal changes. Mammograms (B) are essential for breast cancer screening but are not directly related to postmenopausal hormonal health. Significantly decreasing caloric intake (D) is not a suitable outcome for a program targeted at postmenopausal women's health. The question also includes unrelated information about a health maintenance organization (E), which is a distractor.