A Spanish-speaking family comes to the public health department. No one in the family speaks English, and nobody at the health department speaks Spanish. Which of the following actions should be taken by the nurse?

Call the local hospital and arrange a referral.

Attempt communication using an English-Spanish phrase book.

Emphatically state, "No hablo Español" (I don't speak Spanish).

Obtain an interpreter to translate.

Answer and Explanation

The Correct Answer is D

A. Call the local hospital and arrange a referral: A referral does not immediately address the family’s communication needs. The nurse should first attempt to provide care with proper interpretation.

B. Attempt communication using an English-Spanish phrase book: A phrase book is inadequate for complex medical discussions and could lead to miscommunication.

C. Emphatically state, "No hablo Español" (I don't speak Spanish): This response is dismissive and does not help the family receive the care they need.

D. Obtain an interpreter to translate: The best practice is to use a professional interpreter to ensure accurate communication and avoid misunderstandings in medical care.

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Correct Answer is B

Explanation

A. Reassure the student that it is just a bad cold and will soon pass: This dismisses the symptoms and delays necessary public health intervention.

B. Inform all students, staff, and faculty of a possible measles exposure: Koplik spots (small white spots inside the cheeks) are a classic early sign of measles, which is highly contagious. Prompt notification is needed to prevent an outbreak.

C. Inform all students, staff, and faculty of a possible rubella epidemic: While rubella also causes a rash, it does not present with Koplik spots.

D. Tell the student to take two acetaminophen and drink lots of fluids: Symptomatic relief is important but does not address the risk of measles transmission.

A. Endemic B. Epidemic C. Pandemic D. Polidemic

Correct Answer is B

Explanation

A. Endemic: An endemic disease is one that is consistently present in a population at expected levels, such as malaria in some tropical regions. Food poisoning outbreaks are not endemic.

B. Epidemic: An epidemic occurs when there is a sudden increase in cases of a disease within a specific population, as seen in this outbreak of food poisoning among picnic attendees.

C. Pandemic: A pandemic affects multiple countries or continents, which does not apply to this localized outbreak.

D. Polidemic: The term "polidemic" is not commonly used in epidemiology; the correct term for a localized outbreak is "epidemic."

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A Spanish-speaking family comes to the public health department. No one in the family speaks English, and nobody at the health department speaks Spanish. Which of the following actions should be taken by the nurse?

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Naxlex Comprehensive Predictor Exams

A student comes to the college health clinic with typical cold symptoms of fever, sneezing, and coughing, but the nurse also notes a rash with small white spots on the inside of the student's cheeks. Which of the following actions should be taken by the college health nurse?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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