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 C
Explanation
Rationale:
A. The Domestic Violence Screening Tool is used to screen for domestic violence but may not be as specifically validated for assessing immediate safety and lethality.
B. The Intimate Partner Assessment is a general tool for assessing relationships but lacks specific validation for safety concerns in abuse cases.
C. The Lethality Tool is specifically designed to assess the risk of harm or death in situations of intimate partner violence. It is widely validated and focuses on assessing immediate safety and risk.
D. The Mini Mental Status Exam is used to assess cognitive function and mental status, not specifically for abuse or safety assessment.
Correct Answer is ["A","B","D","E"]
Explanation
Rationale:
A. A change in employment status can significantly impact family roles, finances, and emotional dynamics.
B. Coping with a chronic medical condition affects family routines, emotional health, and caregiving responsibilities.
C. Daily activities of living typically do not cause significant alterations in family dynamics unless they are part of a larger issue.
D. The addition of a new family member can alter family roles, dynamics, and relationships significantly.
E. A crisis affecting a family member can dramatically change family dynamics due to emotional stress and shifts in responsibilities.