Nokea
Which of the following is considered an internal disaster?
- A. A tornado that has touched down on the healthcare facility
- B. A severe cyclone that has destroyed nearby homes
- C. A massive train accident that brings victims to your facility
- D. An act of bioterrorism in a nearby factory
Correct Answer: A
Rationale: Internal disasters directly impact the healthcare facility itself.
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A young adult has recently had multiple absences from work. After each absence, this adult returned to work wearing dark glasses and long-sleeved shirts. During an interview with the occupational health nurse, this adult says, My partner beat me, but it was because I did not do the laundry. What is the nurses next action?
- A. Call the police.
- B. Arrange for hospitalization.
- C. Call the adult protective agency.
- D. Document injuries with a body map.
Correct Answer: D
Rationale: Documentation of injuries provides a basis for possible legal intervention. In most states, the abused adult would need to make the decision to involve the police. Because the worker is not an older adult and is competent, the adult protective agency is unable to assist. Admission to the hospital is not necessary.
The overarching goal of Level 1 families is to enable them to achieve adequate parenting and family functioning.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: This aligns with stabilizing Level 1 families to meet basic needs and roles.
How can a physician help ensure that a single pregnant teenager has the support she needs?
- A. Contact the patient's parents and trust them to provide support for their daughter
- B. Ask the patient about all the important people in her day-to-day life
- C. Help the patient track down the baby's father
- D. Direct the patient to a social worker
Correct Answer: B
Rationale: Identifying key support figures empowers the patient to leverage her network.
Which of the following factors may contribute to the higher mortality rates seen in the homeless population?
- A. Increased exposure to air pollution
- B. Overprescription of psychotropic medications
- C. Suboptimal access to health care
- D. Stress-induced high blood pressure
Correct Answer: C
Rationale: Suboptimal health care access is a well-documented contributor to higher mortality in homeless populations due to delayed or inadequate treatment.
Which information is the nurse most likely to find when assessing the family of a patient with a serious mental illness?
- A. The family exhibits many characteristics of dysfunctional families.
- B. Several family members have serious problems with their physical health.
- C. Power in the family is maintained in the parental dyad and rarely delegated.
- D. Stress from living with a mentally ill member has challenged the familys function.
Correct Answer: D
Rationale: The information almost universally obtained is that the family is under stress associated with having a mentally ill member. This stress lowers the familys level of functioning in at least one significant way. Stress does not necessarily mean the family has become dysfunctional.