A foodborne outbreak of salmonellosis has twice occurred at a day-treatment program. The environmental health worker has requested that an advanced public health nurse be included in the next inspection of the program's kitchen. During the visit, what is the nurse's primary function?
Identify other resources for providing food service.
Promote the health of clients affected by the previous outbreaks.
Educate the kitchen workers about safe food preparation.
Ensure the workers' understanding of various microorganisms.
The Correct Answer is C
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.
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Correct Answer is ["C","D","E"]
Explanation
Rationale:
A. The child attending a childcare program does not necessarily indicate risk for abuse. Childcare attendance alone does not provide evidence of abuse risk.
B. The partner living with his parents may affect the dynamics of the household but does not directly indicate risk for the child unless further context suggests otherwise.
C. The child reporting seeing the mother being hit with a baseball bat is a significant indicator of potential abuse and trauma, which could put the child at risk.
D. Clinging to the mother's side may indicate anxiety or fear, which could be related to an abusive environment or trauma.
E. Unemployment and alcohol abuse by the partner are risk factors for intimate partner violence and can also affect the safety and well-being of the child.
Correct Answer is C
Explanation
Rationale:
A. The Domestic Violence Screening Tool is used to screen for domestic violence but may not be as specifically validated for assessing immediate safety and lethality.
B. The Intimate Partner Assessment is a general tool for assessing relationships but lacks specific validation for safety concerns in abuse cases.
C. The Lethality Tool is specifically designed to assess the risk of harm or death in situations of intimate partner violence. It is widely validated and focuses on assessing immediate safety and risk.
D. The Mini Mental Status Exam is used to assess cognitive function and mental status, not specifically for abuse or safety assessment.