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 helps the nurse detect potential physical hazards because high noise levels can lead to hearing loss, stress, and other health issues. By measuring noise levels, the nurse can assess if the workplace is within safe limits set by regulations.
A, B, and C are incorrect because tracking rates of illness caused by infection, surveying workers about emotional stress, and identifying industrial toxins relate to different types of hazards (biological, psychological, and chemical) rather than physical hazards.
By focusing on noise levels, the nurse can effectively address physical hazards, ensuring a safer work environment for employees.
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a community health nurse is educating a parent about the importance of hepatitis B immunization. which of the following explanations should the nurse give the parent about the disease?
- A. one dose of the immunization gives children lifelong protection from hepatitis B
- B. hepatitis B spreads easily among children through casual contact
- C. many people who acquire acute hepatitis B develop chronic hepatitis
- D. people who have had a hepatitis B infection still need the immunization
Correct Answer: B
Rationale: The correct answer is B: Hepatitis B spreads easily among children through casual contact. This is the most appropriate explanation to give the parent because hepatitis B is primarily transmitted through contact with infected blood or body fluids, making children especially vulnerable due to their frequent interactions. Choice A is incorrect as multiple doses are needed for full protection. Choice C is incorrect as not everyone with acute hepatitis B develops chronic hepatitis. Choice D is incorrect because previous infection does not guarantee lifelong immunity.
the partner of an older adult client who has Alzheimer’s disease reports that he is not eating. the nurse........client partner refuses to assist the client with feeding. the partner insists the client feed himself without help. which of the priority action the nurse should take?
- A. arrange for meals on wheels’ assistance
- B. determine the client’sability to self-feed
- C. direct the home health aide to assist with meals
- D. refer the clients partner to an Alzheimer’s support group
Correct Answer: D
Rationale: The correct answer is D: refer the client's partner to an Alzheimer's support group. This is the priority action because the partner needs education and support to understand the challenges of caring for someone with Alzheimer's. By connecting them with a support group, they can learn coping strategies and receive emotional support.
A: arranging for meals on wheels' assistance does not address the underlying issue of the partner's refusal to assist with feeding.
B: determining the client's ability to self-feed is important but does not address the partner's refusal to assist.
C: directing the home health aide to assist with meals may be helpful, but addressing the partner's attitude is more crucial.
D: referring the client's partner to an Alzheimer's support group is the most appropriate to provide education and support.
E, F, G: Not applicable.
a nurse working in an infectious disease clinic is caring for a client has a new diagnosis of Lyme disease. which of the following agencies is responsible for voluntarily reporting cases of this disease to the centers for disease control and prevention
- A. office of the surgeon general
- B. state health department
- C. hospital infection control department
- D. local red cross chapter
Correct Answer: A
Rationale: The correct answer is A: office of the surgeon general. The office of the surgeon general is responsible for overseeing public health initiatives, including the surveillance and reporting of infectious diseases like Lyme disease to the Centers for Disease Control and Prevention (CDC). The surgeon general plays a crucial role in coordinating efforts to monitor and control disease outbreaks at the national level. The state health department (choice B) focuses on local and state-level reporting, while the hospital infection control department (choice C) is responsible for internal infection control measures within healthcare facilities. The local Red Cross chapter (choice D) primarily deals with disaster relief and community support, not disease reporting.
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 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. PuertoRican 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: C
Rationale: The correct answer is C, as Puerto Rican cultural practices often view outspoken expressions of pain as shameful. This information is important for the nurse to include in the educational guide because understanding cultural variances in expressing pain is crucial for providing culturally sensitive care. Choice A is incorrect because Middle Eastern cultures may not necessarily hide pain from close family members. Choice B is incorrect as it generalizes Native American cultural practices about being outspoken about pain. Choice D is incorrect as it oversimplifies Chinese cultural practices regarding pain.