A nurse educator is teaching a group of students about the role of nurses in health promotion. The educator recognizes that the nurse who works in health promotion and safety for an automotive plant is functioning in what role?
Nurse clinician
Public health nurse
Community nurse specialist
Occupational health nurse
The Correct Answer is D
Choice A reason:
A nurse clinician typically provides direct patient care in clinical settings such as hospitals or clinics. While they may be involved in health promotion, their primary role is not focused on workplace health and safety.
Choice B reason:
A public health nurse works to improve the health of populations and communities. They focus on public health initiatives and may work in various settings, but their role is broader than the specific focus on workplace health and safety.
Choice C reason:
A community nurse specialist provides specialized care within a community setting. While they may engage in health promotion, their role is not specifically tied to workplace health and safety.
Choice D reason:
An occupational health nurse focuses on health promotion and safety within the workplace. They work to prevent work-related injuries and illnesses, promote healthy work environments, and provide care for employees. This role aligns with the description of a nurse working in health promotion and safety for an automotive plant.
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Correct Answer is B
Explanation
Choice A: A negative-pressure isolation room
A negative-pressure isolation room is typically used for patients with airborne infections, such as tuberculosis or measles, to prevent the spread of infectious agents through the air. Scabies, however, is primarily transmitted through direct skin-to-skin contact and occasionally through contact with contaminated clothing or bedding. Therefore, a negative-pressure isolation room is not necessary for a scabies patient1.
Choice B: A private room
A private room is the most appropriate choice for a client with scabies. This type of room helps prevent the spread of the infestation to other patients and allows for better control of the environment. Scabies is highly contagious and can spread through direct contact with the infested person or indirectly through contaminated items. Isolating the patient in a private room minimizes the risk of transmission and allows for proper infection control measures to be implemented2.
Choice C: A semi-private room with a client who has pediculosis capitis
Placing a scabies patient in a semi-private room with another patient, even one with a different parasitic infection like pediculosis capitis (head lice), is not advisable. Both conditions are highly contagious, and cohabitation increases the risk of cross-contamination and further spread of both infestations. Each condition requires specific treatment and isolation protocols to effectively manage and prevent outbreaks3.
Choice D: A positive-pressure isolation room
A positive-pressure isolation room is designed to protect immunocompromised patients from external contaminants by ensuring that air flows out of the room rather than in. This type of room is not suitable for a scabies patient, as it does not address the primary mode of transmission for scabies, which is direct contact. The focus for scabies management should be on preventing direct and indirect contact with others4.
Correct Answer is D
Explanation
Choice A reason:
The client’s level of family support is important, but it is not the most critical factor in determining eligibility for Meals-on-Wheels. Family support can supplement the client’s needs, but the primary focus should be on the client’s ability to prepare meals independently.
Choice B reason:
The client’s financial resources are a consideration, but many Meals-on-Wheels programs offer services on a sliding scale or free of charge based on need. Financial resources alone do not determine eligibility; the ability to prepare meals is a more direct indicator of need.
Choice C reason:
The client’s access to transportation is relevant, especially if they need to travel to obtain food. However, Meals-on-Wheels is designed to serve homebound clients who cannot easily leave their homes, making transportation less of a concern compared to the ability to prepare meals.
Choice D reason:
The client’s ability to prepare meals is the most important factor in determining eligibility for Meals-on-Wheels. This program is specifically designed to assist individuals who are unable to prepare nutritious meals for themselves due to physical or cognitive limitations. Ensuring that clients receive adequate nutrition is the primary goal of the program.