A faith community nurse is preparing to meet with another family from the same congregation as an adolescent who has leukemia. Which of the following actions should the nurse plan to take?
Deny any requests to share the adolescent's diagnosis.
Assess the family's needs for support or guidance.
Refer the family to the adolescent's health care providers.
Review the adolescent's care plans with the family.
The Correct Answer is B
Choice A reason: This statement is not the best action, as it may violate the adolescent's and the family's right to privacy and confidentiality. The nurse should only share the adolescent's diagnosis with the consent of the adolescent and the family, and only with those who need to know.
Choice B reason: This statement is the best action, as it demonstrates the nurse's role as a counselor and advocate for the family. The nurse should assess the family's needs for support or guidance, as they may be experiencing stress, anxiety, or grief related to the adolescent's illness.
Choice C reason: This statement is not the best action, as it may not address the family's emotional or spiritual needs. The nurse should refer the family to the adolescent's health care providers only if they have questions or concerns about the medical aspects of the adolescent's care.
Choice D reason: This statement is not the best action, as it may not be appropriate or relevant for the family. The nurse should review the adolescent's care plans with the family only if they are involved in the adolescent's care or if the adolescent and the family request it.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: The anthrax vaccine is ineffective following direct anthrax exposure is not a correct piece of information to include in the protocol. The anthrax vaccine can provide some protection against anthrax if given before exposure, but it cannot prevent or treat anthrax infection after exposure¹.
Choice B reason: Manifestations of anthrax infection appear within 3 days of exposure is not a correct piece of information to include in the protocol. The incubation period of anthrax varies depending on the route of exposure, but it can range from one day to several weeks. Inhalation anthrax usually has an incubation period of one to six days, but it can be longer².
Choice C reason: Prophylactic treatment should be provided to clients for 10 days following exposure to anthrax is not a correct piece of information to include in the protocol. Prophylactic treatment, or post-exposure prophylaxis (PEP), is the use of antibiotics to prevent anthrax infection in people who have been exposed to anthrax spores but do not have symptoms. PEP should be given for at least 60 days, or until the person receives three doses of the anthrax vaccine³.
Choice D reason: Ciprofloxacin should be administered to asymptomatic clients who were directly exposed to anthrax is a correct piece of information to include in the protocol. Ciprofloxacin is one of the antibiotics recommended by the CDC for PEP of anthrax. It can prevent anthrax infection in people who have inhaled anthrax spores but do not have symptoms. Ciprofloxacin should be given as soon as possible after exposure and continued for 60 days, or until the person receives three doses of the anthrax vaccine..
Correct Answer is B
Explanation
Choice A reason: This statement is an example of primary prevention, which aims to prevent disease or injury before it occurs. Education about safety and injury prevention can help employees avoid exposure to harmful factors.
Choice B reason: This statement is an example of secondary prevention, which aims to detect and treat disease or injury early. Screening employees for hearing loss can help identify those who need intervention and prevent further complications.
Choice C reason: This statement is an example of tertiary prevention, which aims to reduce the impact and complications of disease or injury. Coordinating disaster planning efforts can help employees cope with and recover from a potential crisis.
Choice D reason: This statement is an example of primary prevention, which aims to prevent disease or injury before it occurs. Providing nutrition education can help employees adopt healthy behaviors and reduce the risk of obesity-related diseases
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