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 A
Explanation
Rationale:
A. Understanding culture is crucial because it influences how individuals perceive and respond to violence, which can impact their engagement with support services and interventions.
B. While cultural considerations can help with referrals, the primary focus should be on understanding the patient's responses and needs in the context of their cultural background.
C. Asking about culture is not merely a habit; it’s a critical aspect of providing comprehensive care that respects and understands the patient's background.
D. Culture is not directly related to deciding on the scope of physical assessments but is essential for understanding the patient’s context and needs.
Correct Answer is B
Explanation
Rationale:
A. Financial constraints are a significant issue but may not be the primary barrier compared to systemic issues.
B. The lack of standardized protocols and resources can lead to significant gaps in care and support for trafficking victims, making this a critical issue for effective intervention.
C. While training costs are a concern, they are part of a broader issue of inadequate protocols and resources.
D. Beliefs about trafficking being only a foreign issue contribute to underreporting but do not directly address the operational challenges faced in victim support.