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A nurse at the public health department is participating in the development of emergency response plans for their community.

Exhibits
Select 2 interventions the nurse should plan to include when creating the disaster response plan.

Obtain standing orders to treat infected individuals with ciprofloxacin

Teach heath care workers how to distinguish the disease from chickenpox

Vaccinate laboratory workers against the disease.

Perform routine screening to identify infected animals.

Implement routine vaccination for the disease for the general public population

Answer and Explanation

Correct Answer : B,C

Rationale for Correct Choices:

Teach healthcare workers how to distinguish the disease from chickenpox: Smallpox and chickenpox may initially present with similar rash-like symptoms. Rapid and accurate recognition by healthcare workers is critical to implement isolation protocols and prevent further transmission in a bioterrorism event.
Vaccinate laboratory workers against the disease: Laboratory workers who may handle specimens suspected of containing smallpox virus are at high occupational risk. Pre-exposure vaccination is appropriate for these individuals to protect them during diagnostic and investigative procedures.

Rationale for Incorrect Choices:

Obtain standing orders to treat infected individuals with ciprofloxacin: Ciprofloxacin is not effective against smallpox, which is caused by a virus. Using an antibiotic would not provide benefit unless there were bacterial complications. The preferred antiviral agent for smallpox is tecovirimat (TPOXX).
Perform routine screening to identify infected animals: Smallpox does not occur in animals; it has no animal reservoir. Screening animals would not contribute to disease surveillance or prevention and is not a necessary step in smallpox preparedness.
Implement routine vaccination for the disease for the general public population: Routine smallpox vaccination was stopped decades ago after global eradication. In a bioterrorism scenario, targeted vaccination (ring vaccination) would be used rather than mass immunization.

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Correct Answer is ["C","E"]

Explanation

• Nurse 1: Arranging meetings and establishing screening tools are activities related to the planning and implementation phases rather than evaluation, focusing on preparing and initiating the program.
• Nurse 2: Explaining informed consent and meeting with clients to explain services are part of the implementation phase, ensuring clients understand and receive services.
• Nurse 3: Examining emergency department visit frequency after program implementation reflects evaluation by assessing outcomes and the program’s impact on client health and service utilization.
• Nurse 4: Meeting with mental health providers and sending contracts relate to planning and implementation phases, focusing on resource coordination and service agreements.
• Nurse 5: Reviewing satisfaction surveys after caregiver meetings involves evaluation, as it collects and analyzes feedback to measure program effectiveness and identify areas for improvement.

A. Disregard differences in the nurse's and clients' beliefs. B. Reassess the social demographics of the faith community. C. Apply objective measurements for the outcomes. D. Provide programs without an emphasis on spiritual care.

Correct Answer is B

Explanation

A. Disregard differences in the nurse's and clients' beliefs: Ignoring differences in beliefs can create barriers to effective spiritual care and decrease client engagement. Understanding and respecting clients' beliefs is essential for meaningful outcomes.

B. Reassess the social demographics of the faith community: If outcomes are not met, it’s important to review characteristics like age, culture, language, and spiritual needs of the community. This helps tailor the program to better fit the population and increase its relevance and effectiveness.

C. Apply objective measurements for the outcomes: While measuring outcomes is important, if initial goals were not achieved, reassessment of the community context is necessary before changing measurement methods.

D. Provide programs without an emphasis on spiritual care: Removing spiritual care defeats the purpose of the program and may decrease client satisfaction and holistic support. Instead, adaptations should enhance relevance, not eliminate focus.

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A nurse at the public health department is participating in the development of emergency response plans for their community. Exhibits Select 2 interventions the nurse should plan to include when creating the disaster response plan.

Nursing Test Bank

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Explanation

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Correct Answer is B

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A nurse at the public health department is participating in the development of emergency response plans for their community.

Exhibits
Select 2 interventions the nurse should plan to include when creating the disaster response plan.