An occupational health nurse in a factory is planning interventions to reduce environmental stressors for employees. Which of the following interventions should the nurse use to affect physical agents in the environment? (Select all that apply.)

Teach workers to choose personal strategies to cope with work stress.

Limit the amount of time workers spend in temperatures over 43.3° C (110° F).

Provide ear plugs for use at workstations throughout the factory.

Obtain dosimeters for employees to wear when using new machinery that emits radiation.

Require more frequent disinfection of work surfaces during influenza season.

Answer and Explanation

Correct Answer : B,C,D

A. Teach workers to choose personal strategies to cope with work stress: While teaching coping strategies is beneficial for mental well-being, it does not directly address physical agents in the environment. This intervention focuses on psychological stressors rather than physical environmental factors.

B. Limit the amount of time workers spend in temperatures over 43.3° C (110° F): Implementing measures to limit exposure to high temperatures is a crucial intervention for reducing physical stressors in the workplace. Prolonged exposure to extreme heat can lead to heat-related illnesses, so this action protects employees’ health.

C. Provide ear plugs for use at workstations throughout the factory: Providing earplugs is an effective intervention for mitigating noise exposure, which is a physical agent that can cause hearing loss and other health issues. This measure helps create a safer work environment by protecting employees from harmful noise levels.

D. Obtain dosimeters for employees to wear when using new machinery that emits radiation: Providing dosimeters is essential for monitoring radiation exposure among employees. This intervention directly addresses physical agents in the workplace by ensuring that workers are protected from harmful radiation levels and that exposure remains within safe limits.

E. Require more frequent disinfection of work surfaces during influenza season: While this measure is important for preventing the spread of infectious diseases, it primarily addresses biological agents rather than physical agents in the environment. This intervention focuses on hygiene and infection control rather than mitigating physical environmental stressors.

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Correct Answer is ["A","B","C"]

Explanation

A. Speech-language pathologist: A speech-language pathologist specializes in assessing and treating swallowing disorders (dysphagia). They conduct swallowing evaluations and recommend appropriate strategies, exercises, and diet modifications to ensure safe swallowing and reduce the risk of aspiration.

B. Occupational therapist: An occupational therapist helps clients regain the ability to perform daily activities, including self-feeding. They provide adaptive strategies, recommend assistive devices, and work on improving fine motor skills to enhance independence during meals.

C. Dietitian: A dietitian assesses the client’s nutritional needs and recommends appropriate diet modifications, such as texture-altered foods or thickened liquids, to ensure adequate nutrition while reducing the risk of choking or aspiration. They collaborate with other team members to create a safe and balanced meal plan.

D. Psychologist: While a psychologist can help address emotional and psychological challenges following a stroke, they are not directly involved in managing swallowing difficulties. Their role focuses more on mental health, coping strategies, and emotional adjustment rather than dysphagia management.

E. Pharmacy technician: A pharmacy technician primarily assists with medication dispensing and does not have a role in evaluating or managing swallowing difficulties. Medication concerns related to swallowing would be addressed by a pharmacist rather than a pharmacy technician.

A. Identify the client's current health needs. B. Call the provider with a list of client concerns. C. Compile a list of community resources for the client. D. Refer the client to a COPD support group.

Correct Answer is A

Explanation

A. Identify the client's current health needs: Assessing the client’s history and physical condition allows the case manager to determine immediate health needs. This step ensures that care planning is based on the client’s specific symptoms, disease progression, and required interventions. Identifying health priorities first helps guide appropriate referrals and treatment decisions.

B. Call the provider with a list of client concerns: While communicating concerns to the provider is important, it should be done after identifying the client’s specific health needs. This approach ensures that discussions with the provider are focused and relevant. Without a clear assessment of needs, the information provided may be incomplete or unstructured.

C. Compile a list of community resources for the client: Community resources can support long-term COPD management, but they should be tailored to the client’s identified needs. The case manager must first assess what resources will be beneficial. Providing resources without understanding the client’s priorities may lead to ineffective or unnecessary recommendations.

D. Refer the client to a COPD support group: Support groups can provide valuable education and emotional support, but referrals should be based on the client’s preferences and readiness. Identifying health needs is the priority before making specific referrals. Ensuring that the client is open to and will benefit from a support group enhances the effectiveness of the referral.

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An occupational health nurse in a factory is planning interventions to reduce environmental stressors for employees. Which of the following interventions should the nurse use to affect physical agents in the environment? (Select all that apply.)

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