An occupational health nurse practitioner's physical assessment of a factory worker identifies an acute-onset pruritic dermatitis extending over the face, hands, neck, and forearms. The nurse's priorities should be to do which of the following?
Immediately evacuate the worker's nearby workspace and treat the worker and other potentially exposed workers.
Contact factory senior management to initiate education about workplace safety and exposure and clean the area.
Treat the client and obtain a comprehensive exposure history, then assess other workers who were potentially exposed.
Contact the Occupational Safety and Health Administration immediately and remove the offending chemical in the work environment.
The Correct Answer is C
Rationale:
A. Evacuating the workspace may be premature without understanding the cause and extent of exposure. Immediate treatment is essential, but a comprehensive approach is needed.
B. Contacting management and cleaning the area are important but do not address the immediate need to treat the worker or investigate exposure.
C. Treating the client and obtaining a comprehensive exposure history is crucial for identifying the cause and planning further actions. Assessing other potentially exposed workers ensures broader safety.
D. Contacting OSHA is important for regulatory issues, but immediate patient care and investigation should take precedence to address the worker's current health needs.
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Correct Answer is B
Explanation
Rationale:
A. A survey might provide some information but is less comprehensive and interactive than an interview.
B. The interview is the most appropriate method for a basic family assessment as it allows for a detailed and interactive exploration of family dynamics, health issues, and needs.
C. A poll is generally used for gathering opinions from a group rather than conducting a detailed assessment of an individual's or family's needs.
D. The physical assessments are important for evaluating health status but do not provide the comprehensive understanding of family dynamics and functioning needed for a basic family assessment.
Correct Answer is A
Explanation
Rationale:
A. Developing an emergency plan is crucial because patterns of violence often continue or escalate, and having a plan can help ensure the client’s safety.
B. While battering patterns often persist, focusing on immediate safety measures like an emergency plan is more practical.
C. Discouraging hope might not be supportive; instead, focusing on practical safety measures is more helpful.
D. Learning self-defense might not address the root issue of the violence and does not ensure safety in abusive situations.