An occupational health nurse practitioner's physical assessment of a factory worker identifies an acute-onset pruritic dermatitis extending over the face, hands, neck, and forearms. The nurse's priorities should be to do which of the following?

Immediately evacuate the worker's nearby workspace and treat the worker and other potentially exposed workers.

Contact factory senior management to initiate education about workplace safety and exposure and clean the area.

Treat the client and obtain a comprehensive exposure history, then assess other workers who were potentially exposed.

Contact the Occupational Safety and Health Administration immediately and remove the offending chemical in the work environment.

Answer and Explanation

The Correct Answer is C

A. Evacuating the workspace may be premature without understanding the cause and extent of exposure. Immediate treatment is essential, but a comprehensive approach is needed.

B. Contacting management and cleaning the area are important but do not address the immediate need to treat the worker or investigate exposure.

C. Treating the client and obtaining a comprehensive exposure history is crucial for identifying the cause and planning further actions. Assessing other potentially exposed workers ensures broader safety.

D. Contacting OSHA is important for regulatory issues, but immediate patient care and investigation should take precedence to address the worker's current health needs.

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Correct Answer is ["C","D","E"]

Explanation

A. Sex workers are not specifically a mandatory reporting group. While they may be at risk, mandatory reporting laws generally focus on certain vulnerable populations such as children, the elderly, and disabled individuals.

B. Pregnant women are not a mandatory reporting group unless there is clear evidence of abuse or neglect impacting the health of the unborn child.

C. Children are a mandatory reporting group. Healthcare professionals are required by law to report suspected abuse or neglect to child protective services.

D. Disabled individuals are also a mandatory reporting group, as they are at increased risk of abuse and neglect. Reports should be made if abuse or neglect is suspected.

E. The elderly are a mandatory reporting group. Elder abuse must be reported to appropriate agencies, such as adult protective services, when suspected.

A. A hospital nurse tells a nurse's aide that clients should not be given a choice whether or not to shower or bathe daily. B. A Catholic nurse insists that a client diagnosed with terminal bladder cancer see a priest in residence. C. A nurse treats all clients the same whether or not they come from a different culture. D. A nurse tells another nurse the Jewish diet restrictions are just a way for them to get a special tray of their favorite foods. E. A nurse directs interview questions to an elderly client's daughter despite the client's ability to answer them.

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

Explanation

A. Cultural imposition occurs when a nurse enforces their own cultural norms and practices on clients, such as not allowing them to choose whether to bathe daily.

B. Insisting that a client see a priest based on personal beliefs imposes religious practices on the client, not considering their individual preferences or needs.

C. Treating all clients the same without considering cultural differences is not cultural imposition but rather a lack of cultural competence.

D. Dismissing Jewish dietary restrictions as merely a preference reflects a lack of respect for the client's cultural practices, which is an example of cultural imposition.

E. Directing questions to the client's daughter instead of the client shows a lack of respect for the client's autonomy but does not exemplify cultural imposition.

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An occupational health nurse practitioner's physical assessment of a factory worker identifies an acute-onset pruritic dermatitis extending over the face, hands, neck, and forearms. The nurse's priorities should be to do which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse may encounter victims of abuse when working in the emergency department. Which of the following groups require a mandatory report of abuse to the appropriate agency? Select all that apply

Correct Answer is ["C","D","E"]

Explanation

To provide culturally competent care, nurses must be alert to factors that express bias against certain traditions. Which examples exemplify cultural imposition? (Select All that Apply)

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

Explanation

In what year did the United States recognize trafficking as a punishable crime with the passing of the Trafficking Victims Protection Act?

The nurse working in emergency triage is evaluating a client with injuries frequently associated with physical abuse. Which of the following questions if answered yes by the client would indicate a higher risk of mortality?

A nurse is leading a support group for women who have experienced interpersonal violence. When a patient asks about the characteristics of the perpetrators of interpersonal violence, which of the following would be the best response?

The nurse is providing home care for a client who traditionally drinks herbal tea to treat an illness. How should the nurse respond to the request for herbal tea?

Nurses caring for clients need to provide culturally competent care to an increasingly diverse population. Which statements accurately describe a characteristic of cultural diversity that exists in the United States? (Select all that apply)

A nurse enters an 80 year old client's room to educate about a heart healthy diet. The nurse sits close to the client and speaks very loudly and slowly. Which of the following is this nurse demonstrating?

The Calgary Family Interventions Model (CFIM) focuses on enhancing, improving, and sustaining family functioning through the establishment of a collaborative partnership between the nurse and the family. These interventions have which of the following guidelines? (Select all that apply)