A client who recently returned from international travel presents to the clinic with high fever, chills, headache, and muscular aches. The healthcare provider suspects severe acute respiratory syndrome (SARS). To prevent transmission of the virus to others, which instruction is most important for the nurse to provide?

Wear a N95 respirator mask during direct contact with others.

Cover mouth and turn head when coughing

Use meticulous hand washing technique.

Discard all tissues used during coughing in a biohazard bag.

Answer and Explanation

The Correct Answer is A

A. Wear a N95 respirator mask during direct contact with others:
SARS is a viral respiratory illness that spreads via respiratory droplets, and an N95 respirator mask is specifically designed to filter out airborne particles, including those that could carry the SARS virus. Wearing an N95 respirator is critical for preventing the transmission of SARS to others, especially in healthcare settings or close contact situations.

B. Cover mouth and turn head when coughing:
Covering the mouth and turning the head helps reduce the spread of droplets, but it is not sufficient to prevent transmission of airborne viruses like SARS. For effective prevention, especially in a healthcare setting, more stringent measures like using N95 respirators are required.

C. Use meticulous hand washing technique:
Hand washing is crucial for preventing the spread of many infections, but it does not directly address the airborne transmission of viruses like SARS. While it complements other infection control measures, it is not the primary method for preventing SARS transmission.

D. Discard all tissues used during coughing in a biohazard bag:
Proper disposal of tissues is important for infection control, but it alone does not prevent the airborne spread of SARS. This measure is part of broader infection control practices but is less effective in preventing transmission compared to the use of N95 respirators.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A) Suicide discussion is dangerous with people with depression:
Discussing suicide with individuals who have depression is not inherently dangerous and can actually be an essential part of the assessment and intervention process. Open discussions about suicidal thoughts can help in identifying those at risk and connecting them with appropriate help.

B) The majority of suicides occur in lower socioeconomic groups:
While socioeconomic factors can influence suicide risk, stating that the majority of suicides occur in lower socioeconomic groups oversimplifies the issue. Suicide affects individuals across all socioeconomic levels, and risk factors are more complex and multifaceted.

C) Social support systems ensure suicide prevention:
While strong social support systems are crucial in reducing suicide risk, they do not guarantee prevention. Other factors such as mental health conditions, personal crises, and substance abuse also play significant roles in suicide risk. Social support is one component of a broader strategy for prevention.

D) Severe life stresses at any age is a risk factor for suicide:
Severe life stresses, including major life events and ongoing personal crises, are well-established risk factors for suicide across all age groups. Recognizing and addressing these stressors is critical in suicide prevention efforts, as they can significantly impact an individual's mental health and increase the risk of suicidal behavior.

A. Provide the information for research purposes only. B. Ask the student to sign a standard waiver form. C. Obtain written authorization from clients to release the information. D. Ask if permission has been obtained from the research committee.

Correct Answer is C

Explanation

A) Provide the information for research purposes only:
Providing client information without proper authorization, even for research purposes, violates confidentiality and privacy regulations. Client information should only be shared in accordance with legal and ethical guidelines to protect patient privacy.

B) Ask the student to sign a standard waiver form:
While obtaining a waiver might be necessary for some purposes, it is not sufficient on its own for releasing personal health information. The primary requirement is to obtain written authorization from the clients whose information is being requested.

C) Obtain written authorization from clients to release the information:
The most appropriate action is to obtain written authorization from the clients before releasing any personal health information. This ensures compliance with privacy regulations, such as the Health Insurance Portability and Accountability Act (HIPAA), which mandates that client information be protected and only disclosed with explicit consent.

D) Ask if permission has been obtained from the research committee:
Permission from a research committee does not substitute for individual client consent. While research committees oversee ethical aspects of research, the release of personal health information must also adhere to privacy laws and require individual client authorization.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching adults in the community about suicide awareness. Which information should the nurse include in the teaching?

Correct Answer is D

Explanation

A graduate nursing student requests information, including laboratory findings and chest x-ray results, about all clients with symptoms of HINI. influenza A who have been seen during the last month in a community health clinic. Which action should the charge nurse take?

Correct Answer is C

Explanation

The community health nurse determines that the average family income of a certain community is $67,000 per year with a range of $27,000 to $102,000. Based on this demographic information, which additional information is important for the nurse to assess?

A nurse designs a series of four weekly classes for clients with type 2 diabetes mellitus. Which information should the nurse use as an outcome evaluation for the classes?

The school nurse who is reviewing immunization records of students who will start kindergarten within the next month notes that most of the students have only received one dose of the measles, mumps, rubella (MMR) vaccine. Which intervention should the nurse implement?

On a day when the temperature is expected to drop to below freezing during the night, the nurse is asked to determine which homeless adults are most in need of the limited spaces that are available in a shelter. It is most important for which person to be admitted for the night?

Four students come to the school clinic simultaneously, seeking help from the school nurse. In which order of priority should the nurse provide care to these students? (Arrange the client with the highest priority first, on top, and lowest priority last, on bottom.)

The nurse is caring for a client with gonorrhea. The client reports having sex with multiple partners. Which response should the nurse provide?

A nurse is planning a nutrition class for a group of older adults at a community center and wants to emphasize the amount and types of fat in some foods versus others. Which teaching method is best for the nurse to use?