A nurse is educating community members about how to prepare for a disaster. Which of the following items should be included in a disaster preparedness kit? (Select all that apply)

Choice A reason: Unlike Chickenpox, the Vesicles of Smallpox Are More Abundant on the Face

This statement indicates an understanding of the teaching. Smallpox lesions are indeed more abundant on the face and extremities compared to chickenpox, which tends to have a more central distribution on the trunk. Smallpox lesions are also typically more uniform in their stage of development, whereas chickenpox lesions can appear in various stages of healing simultaneously.

Choice B reason: Smallpox Lesions Appear in Various Stages of Healing

This statement is incorrect. Unlike chickenpox, where lesions can be in different stages of healing at the same time, smallpox lesions generally progress through the same stages simultaneously. This uniformity in lesion development is a distinguishing feature of smallpox.

Choice C reason: Vaccination Against Smallpox Provides Lifelong Immunity

This statement is partially correct but needs clarification. The smallpox vaccine provides long-lasting immunity, but it may not be lifelong. Immunity can wane over time, and booster vaccinations may be necessary for continued protection.

Choice D reason: There Are Rare, Occasional Occurrences of Smallpox

This statement is incorrect. Smallpox was declared eradicated in 1980 by the World Health Organization (WHO). There have been no naturally occurring cases of smallpox since then. The only known stocks of the virus are kept in secure laboratories for research purposes.

Choice A reason:

Saying “Maybe next time you can have a vaginal delivery” is not supportive and may minimize the client’s current feelings of disappointment. It is important to acknowledge and validate the client’s emotions rather than focusing on future possibilities.

Choice B reason:

This response, “It sounds like you are feeling sad that things didn’t go as planned,” is empathetic and validates the client’s feelings. It shows that the nurse is listening and understands the client’s disappointment, which is crucial for emotional support.

Choice C reason:

While it is true that having a healthy baby is important, saying “At least you know you have a healthy baby” can come across as dismissive of the client’s feelings. It is essential to address the client’s emotions directly rather than shifting the focus.

Choice D reason:

Telling the client “You can resume sensations sooner than if you had delivered vaginally” is not relevant to the client’s expressed feelings of disappointment about not having a natural childbirth. This response does not address the emotional aspect of the client’s experience.