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. Criminal investigation focuses on legal aspects and potential criminal behavior, not on identifying and solving workplace safety issues.
B. Root cause analysis involves investigating the underlying causes of incidents to prevent future occurrences. This approach is used to understand what happened, why, and how to prevent it.
C. Risk analysis involves assessing potential risks and hazards but may not delve deeply into specific incident causes.
D. Occupational assessment is a broader evaluation of workplace conditions and practices, rather than focusing on specific incidents.
Correct Answer is C
Explanation
Rationale:
A. Consultation involves seeking expert advice and is not primarily focused on influencing broad population behaviors or beliefs.
B. Advocacy involves supporting a cause or policy but does not directly focus on changing knowledge, attitudes, or behaviors of a population.
C. Social marketing uses marketing principles to influence behaviors and practices of specific populations by addressing their knowledge, attitudes, and values.
D. Coalition building involves bringing groups together to address issues but is not the primary method for changing individual knowledge or behaviors.