A nurse in a community health clinic is explaining to staff members that a mutation of influenza has increased the communicability of the virus.
Which of the following information should the nurse include to describe the effect of communicability of a virus?

The new mutation can survive in the environment and retain infectivity.

The new mutation causes more severe disease.

The new mutation spreads easier from one individual to another.

The new mutation requires a larger amount of the virus to cause disease.

Answer and Explanation

The Correct Answer is C

Choice A rationale
While it’s true that some mutations can allow a virus to survive longer in the environment, this doesn’t necessarily increase the virus’s communicability, or its ability to spread from person to person.
Choice B rationale
A mutation that causes more severe disease can make an illness more dangerous, but it doesn’t necessarily make the virus more communicable. In fact, viruses that cause severe disease can sometimes be less communicable, because severely ill individuals are less likely to be moving around and spreading the virus.
Choice C rationale
The new mutation spreads easier from one individual to another. This is the definition of increased communicability. When a virus mutates in a way that allows it to spread more easily between individuals, this can lead to more cases of the disease, especially if the population is not immune to the new strain.
Choice D rationale

A mutation that requires a larger amount of the virus to cause disease would actually decrease the virus’s communicability. If more viral particles are needed to cause an infection, the virus would be less likely to spread from person to person.

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Correct Answer is A

Explanation

Choice A rationale
The client must be calm and cooperative. This is the most important criterion for removing physical restraints. Restraints are used to prevent patients from causing harm to themselves or others. Once the patient is calm and cooperative, it indicates that the risk of harm has decreased. The goal is always to use the least restrictive measures and to remove restraints as soon as possible.
Choice B rationale
The provider who prescribed the restraints must be present to assess the client before the restraints can be removed. This is not necessarily true. While a provider’s order is required to initiate restraints, the decision to remove them can often be made by the nurse based on their assessment of the patient.
Choice C rationale
The client must verbalize remorse for their behavior. This is not a requirement for removing restraints. The primary concern is the safety of the patient and others, not whether the patient expresses remorse.
Choice D rationale

The client only verbalizes anger toward the staff. If the client is still expressing anger, it may not be safe to remove the restraints. However, verbalizing anger alone is not a sufficient reason to keep a patient in restraints.

A. Minimize contact with a patient who is angry. B. Explain the importance of treatments to a patient who speaks a different language than the nurse. C. Use clinical terminology to help a patient better understand their diagnosis. D. Fulfill a promise by allowing a patient to visit with family members.

Correct Answer is D

Explanation

Choice A rationale
Minimizing contact with a patient who is angry can create a barrier in the nurse-patient relationship. It’s important for nurses to address the patient’s anger and work through it rather than avoid it.
Choice B rationale
While it’s crucial to explain the importance of treatments, language barriers can make this difficult. The nurse should use a translator or other resources to ensure the patient fully understands.
Choice C rationale
Using clinical terminology can confuse patients who are not familiar with medical jargon. It’s better to use simple, understandable language.
Choice D rationale
Fulfilling promises builds trust and rapport. By allowing a patient to visit with family members, the nurse shows they are reliable and trustworthy.

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A nurse in a community health clinic is explaining to staff members that a mutation of influenza has increased the communicability of the virus. Which of the following information should the nurse include to describe the effect of communicability of a virus?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in physical restraints after demonstrating aggressive behavior. Which of the following criteria must be met before the nurse can remove the restraints?

Correct Answer is A

Explanation

A nurse is working to build rapport and trust with new patients. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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A nurse in a community health clinic is explaining to staff members that a mutation of influenza has increased the communicability of the virus.
Which of the following information should the nurse include to describe the effect of communicability of a virus?