The nurse is developing disaster plans for a community. Which situation is an example of a high-intensity and small-scope disaster?
- A. A hurricane that destroys 50,000 homes and kills 5,000 victims.
- B. A forest fire that destroys 25,000 acres with significant damage to livestock.
- C. A tornado that destroys 25 houses and uproots an interstate for 0.5 miles.
- D. An explosion at a water treatment plant that affects the community water supply.
Correct Answer: C
Rationale: A tornado that destroys 25 houses and uproots an interstate for 0.5 miles is an example of a high-intensity, small-scope disaster. The disaster is high-intensity due to the destructive nature of a tornado, but the scope is relatively small, affecting only a limited number of houses and a small section of an interstate.
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A child living in an inner city setting reports that there are no playgrounds or sidewalks in their area, so their grandmother does not allow them to go outside after school. The grandmother cooks traditional meals every evening. The child describes how they love their grandmother's cooking, and they get to use homemade tortillas instead of forks to pick up their food to eat. The child reports that they become short of breath easily when they are playing with their friends, and they have “a lot†of headaches. On a scale of 0 to 10, with 10 being very happy, how would you rate your happiness with your weight? The child reports “2.â€. What do you believe is one thing that you can change to help you lose some of your weight?
- A. Increase physical activity
- B. Improve diet
- C. Reduce portion sizes
- D. All of the above
Correct Answer: D
Rationale: All of the above strategies - increasing physical activity, improving diet, and reducing portion sizes - are important for weight loss. They work together to create a calorie deficit, which is necessary for weight loss. It's also important to note that these strategies should be implemented as part of a sustainable lifestyle change, rather than a short-term diet.
The Incident Command team discovers that over 30% of essential staff did not receive any communication. What should be done next?
- A. Identify the issue the facility is facing.
- B. Determine two actions the incident team should take to address the issue.
- C. Identify two parameters the team should monitor to ensure all essential personnel are aware of the communication tree.
- D. All of the above.
Correct Answer: D
Rationale: All of the above actions should be taken to address the communication issue. The Incident Command team should identify the issue the facility is facing, determine actions to address the issue, and identify parameters to monitor to ensure all essential personnel are aware of the communication tree.
The school nurse is reviewing adolescent students' incident reports. Which observation would best indicate that the objectives of Healthy People 2030 are being met?
- A. The number of requests for pregnancy tests has increased compared to the previous year.
- B. Fewer firearms were found on school premises this year compared to last year.
- C. There has been a decrease in the number of students enrolled in the school this year.
- D. The rate of absenteeism has significantly risen over the past two years.
Correct Answer: B
Rationale: A decrease in the number of firearms found on school premises could suggest improvements in school safety, one of the focus areas of Healthy People 2030.
The community health center has observed a significant increase in influenza cases compared to previous years. The nursing staff is tasked with reviewing outcome data to identify any trends in vaccination rates and reasons for any decline. What actions should the nursing team take to gather data for analysis?
- A. Delineate the geographic distribution of the area to survey and review for patterns.
- B. Ask a set number of clients if they have had the flu.
- C. Generate influenza immunization and case reports from the electronic record.
- D. Determine the change in immunization rates from the previous year to the current year.
Correct Answer: C
Rationale: Generating influenza immunization and case reports from the electronic record would provide direct data about the number of people who have been vaccinated and the number of influenza cases. This information could be used to identify trends and understand reasons for any decline in vaccination rates.
The occupational health nurse in a mobile clinic is formulating an exposure control plan for blood-borne pathogens. Which topics should the nurse incorporate into this plan? Select all that apply.
- A. Areas with negative-pressure airflow.
- B. Puncture-resistant sharps containers.
- C. Needleless medication delivery systems.
- D. Vaccination schedule for Hepatitis B.
- E. Personal protective equipment (PPE).
Correct Answer: B,C,D,E
Rationale: Puncture-resistant sharps containers, needleless medication delivery systems, vaccination schedule for Hepatitis B, and personal protective equipment (PPE) are all critical components of an exposure control plan for blood-borne pathogens. These measures directly reduce the risk of exposure and infection.
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