A public health nurse is working with a community HIV task force and providing outreach for a high-risk community group. The public health nurse has received a positive HIV test result for one of the community members and successfully linked the individual to care. The public health nurse should identify that which of the following is true about this community member's diagnosis?
The nurse should review the state laws to determine if and how this information should be shared with the National Notifiable Disease Surveillance System.
The nurse should recognize this diagnosis as an indication that the outreach program is not successful.
Outside the healthcare team, the nurse should keep this diagnosis confidential.
The Correct Answer is A
Choice A Reason:
The nurse should review the state laws to determine if and how this information should be shared with the National Notifiable Disease Surveillance System. This is the correct answer because HIV is a notifiable disease, meaning that cases must be reported to public health authorities to monitor and control the spread of the infection. Each state has specific laws and regulations regarding the reporting of notifiable diseases, and it is crucial for the nurse to be aware of these requirements to ensure compliance and public health safety.
Choice B Reason:
The nurse should recognize this diagnosis as an indication that the outreach program is not successful. This statement is incorrect. A positive diagnosis does not necessarily mean that the outreach program is unsuccessful. On the contrary, identifying and linking individuals to care is a key objective of such programs. The success of the program can be measured by its ability to reach high-risk individuals, provide testing, and ensure they receive appropriate care and support.
Choice C Reason:
Outside the healthcare team, the nurse should keep this diagnosis confidential. While confidentiality is critical in healthcare, the reporting of notifiable diseases like HIV is an exception due to public health concerns. The nurse must balance confidentiality with the legal obligation to report the diagnosis to public health authorities. This ensures that appropriate measures can be taken to prevent further transmission and provide necessary public health interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A: The Workplace Procedures and Protocols Manual
Reviewing the workplace procedures and protocols manual can provide valuable context about the standard operating procedures and safety measures in place at the factory. However, this information alone does not directly address the specifics of the employee's injury claim. It is more useful for understanding the general safety environment rather than investigating a specific incident.
Choice B: The Occupational Safety and Health Act
The Occupational Safety and Health Act (OSHA) provides guidelines and regulations for workplace safety. While it is important for ensuring compliance with safety standards, it does not contain specific information about individual employee injury claims. The nurse should be familiar with OSHA regulations but needs more detailed information about the specific incident to conduct a thorough investigation.
Choice C: The Client's Medical Record or Chart
This is the correct choice. The client's medical record or chart contains detailed information about the employee's health status, medical history, and the specifics of the injury. Reviewing this information is crucial for understanding the nature and extent of the injury, any pre-existing conditions, and the treatment provided. This data is essential for accurately assessing the validity of the injury claim and determining any potential workplace-related factors.
Choice D: The Client's Attendance Record at Health and Safety Seminars
While the client's attendance record at health and safety seminars can indicate their level of training and awareness of safety protocols, it does not provide direct information about the injury itself. This record can be useful for understanding the employee's knowledge of safety practices but is not sufficient for investigating the specifics of the injury claim.
Correct Answer is B
Explanation
Choice A Reason:
Giving health education to congregants of a place of worship is an important role, but it is more specific to community health nursing rather than population health nursing. Population health nurses focus on broader community and population-level interventions rather than specific groups within a community.
Choice B Reason:
Disseminating assessment findings to the community that was assessed is a key function of a population health nurse. This role involves collecting data on the health status of a population, analyzing it, and sharing the findings with the community to inform and guide public health interventions. This process helps in identifying health trends, risks, and needs, enabling the development of targeted health programs and policies.
Choice C Reason:
Supporting clients in managing their own health conditions is typically a function of clinical or community health nurses who work directly with individual patients. Population health nurses, on the other hand, focus on the health outcomes of entire populations rather than individual patient care.
Choice D Reason:
Overseeing the health promotion of the pediatric population in an academic setting is a specialized role that falls under school nursing or pediatric nursing. While population health nurses may work with pediatric populations, their focus is on broader public health strategies rather than specific settings like schools.
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