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","C","D"]
Explanation
Rationale:
A. Interventions should be planned and adapted based on the family’s specific context and needs. They are not completely unstructured but should be flexible and responsive.
B. The nurse-family relationship is central to the CFIM, facilitating effective communication and collaboration.
C. Focusing on family strengths and resiliency is a key aspect of the CFIM, aiming to build on what the family does well to improve functioning.
D. Interventions should be tailored to each family’s context and guided by their specific beliefs and experiences.
E. Family interventions aim to support and improve family functioning rather than correct all issues. The goal is not to resolve every problem but to enhance overall family functioning and support.
Correct Answer is A
Explanation
Rationale:
A. Improving ventilation and increasing cleaning frequency addresses the environment component by altering the physical setting to reduce pathogen exposure and control infection spread.
B. Administering a vaccination targets the host component by enhancing immunity to prevent infection.
C. Providing antimicrobial medication addresses the agent component by treating an existing infection.
D. Educating on hand hygiene is an important intervention but primarily affects the host-agent interaction rather than the environment.