A 17-year-old female presents to the emergency department with bruises, a disheveled appearance, and signs of malnutrition. She is reluctant to provide information about her situation and appears fearful. During the assessment, she reveals that she was brought to the city by someone she referred to as her "employer" who promised her a job but has since taken her identification documents and restricted her freedom. Which of the following actions should the nurse prioritize to ensure the safety and well-being of this patient?
Contact the patient's employer to verify the legitimacy of the job offer and the patient's current situation.
Encourage the patient to return to her home town and report her situation to local law enforcement there.
Provide the patient with a list of local job agencies to help her find new employment opportunities.
Assess the patient for immediate medical needs and ensure that she is not in immediate danger.
The Correct Answer is D
Rationale:
A. Contacting the employer could potentially put the patient at further risk if the trafficker becomes aware of her location or intentions.
B. Encouraging the patient to return to her home town might not address immediate safety concerns and could place her at greater risk.
C. Providing job agency information does not address the immediate safety and health needs of the patient.
D. Ensuring the patient's immediate safety and addressing any urgent medical needs is the top priority. This includes assessing for immediate threats and providing necessary medical care.
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Correct Answer is C
Explanation
Rationale:
A. Identify other resources for providing food service is not the nurse’s primary function during the inspection.
B. Promote the health of clients affected by the previous outbreaks is important but not the primary function during the kitchen inspection.
C. Educate the kitchen workers about safe food preparation is a key function to prevent future outbreaks by ensuring proper food handling practices are followed.
D. Ensure the workers' understanding of various microorganisms is important but less immediate than ensuring safe food preparation practices.
Correct Answer is C
Explanation
Rationale:
A. Providing a personal emergency response system is important but does not address the immediate physical hazards in the home that are likely to cause falls.
B. Installing grab bars and handrails is a good safety measure, but addressing immediate tripping hazards should take precedence to prevent falls.
C. Removing clutter and securing loose rugs is a direct intervention that addresses the immediate risk factors for falls in the home environment. This should be the first step in improving safety.
D. Modifying the exercise routine can be beneficial for long-term fall prevention but does not address the immediate physical hazards present in the home.