A community health nurse is educating a parent about the importance of hepatitis B immunization. Which of the following explanations should the nurse give the parent about the disease?

Choice A reason: Having the client's daughter communicate information about the procedure is not an action that the nurse should take. The daughter may not be a reliable or accurate interpreter, as she may have limited language skills, lack medical knowledge, or be influenced by her emotions or biases. The nurse should use a qualified interpreter who can ensure the confidentiality, accuracy, and completeness of the communication.

Choice B reason: Arranging for a member of the client's community to interpret the teaching is not an action that the nurse should take. The member of the client's community may not be a qualified or impartial interpreter, as he or she may have a personal or professional relationship with the client, or may have a conflict of interest or a hidden agenda. The nurse should use a professional interpreter who can maintain the boundaries, objectivity, and neutrality of the communication.

Choice C reason: Identifying the client's spoken dialect prior to contacting an interpreter is an action that the nurse should take. This will help the nurse to find an appropriate interpreter who can communicate effectively and respectfully with the client. The nurse should also consider the client's cultural background, preferences, and needs when selecting an interpreter.

Choice D reason: Using professional terminology when providing education prior to the procedure is not an action that the nurse should take. The nurse should use simple and clear language that the client can understand, and avoid using jargon, slang, or idioms that may confuse or offend the client. The nurse should also check the client's comprehension and ask for feedback throughout the communication.

Choice A reason: Tracking rates of illness caused by infection among employees is not an action that will help the nurse detect potential physical hazards, as it is related to biological hazards. Biological hazards are living organisms or substances that can cause disease or infection, such as bacteria, viruses, fungi, or parasites. The nurse should track rates of illness caused by infection among employees to monitor the prevalence and incidence of occupational infections, such as tuberculosis, hepatitis, or COVID-19, and to implement preventive and control measures.

Choice B reason: Surveying workers about job-related emotional stress is not an action that will help the nurse detect potential physical hazards, as it is related to psychosocial hazards. Psychosocial hazards are factors that affect the mental and emotional well-being of workers, such as workload, autonomy, communication, recognition, or violence. The nurse should survey workers about job-related emotional stress to assess the level and sources of occupational stress, burnout, or fatigue, and to provide counseling, support, or referral.

Choice C reason: Identifying industrial toxins that are present in the environment is not an action that will help the nurse detect potential physical hazards, as it is related to chemical hazards. Chemical hazards are substances that can harm the health or safety of workers, such as solvents, acids, gases, or pesticides. The nurse should identify industrial toxins that are present in the environment to evaluate the exposure and risk of workers, and to implement protective measures, such as ventilation, personal protective equipment, or safe handling procedures.

Choice D reason: Measuring noise levels at various locations in the facility is an action that will help the nurse detect potential physical hazards, as noise is a common and harmful physical hazard. Physical hazards are factors that can harm the body or damage the equipment or materials, such as noise, vibration, temperature, radiation, or electricity. The nurse should measure noise levels at various locations in the facility to determine the intensity and duration of noise exposure, and to implement noise reduction measures, such as engineering controls, administrative controls, or hearing protection devices.