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 D
Explanation
Rationale:
A. While contacting the trafficking hotline may be necessary, it is essential first to ensure the client's immediate safety and confidentiality.
B. Knowing available resources is important, but ensuring a safe, private environment for the client is the first priority.
C. Performing a sexual examination without consent violates the client’s rights and may not be appropriate or necessary at the initial contact.
D. Ensuring the conversation occurs alone and privately is crucial for the client’s comfort and safety, allowing them to speak freely about their situation.
Correct Answer is D
Explanation
Rationale:
A. Assuming the client will follow the standard care plan without considering cultural beliefs shows a lack of cultural competence. Each client's cultural context should be considered.
B. Requesting conformity to the nurse's beliefs disregards the client’s cultural preferences and is not respectful of their personal values.
C. Avoiding discussion of cultural practices can hinder understanding and appropriate care; addressing cultural practices is important for providing respectful and effective care.
D. Inquiring about the client's cultural beliefs and incorporating them into the care plan ensures that care is respectful, relevant, and tailored to the client's needs and values.