The nurse is developing disaster plans for a community.
Which situation is an example of a high-intensity and small-scope disaster?

Answer and explanation

The correct answer is Choice A.

Choice A rationale

A graduate nursing student requesting information, including laboratory findings and chest X- ray results, about all clients with symptoms of H1N1 who have been seen during the last month in a community health clinic is asking for sensitive patient information. This information is protected under privacy laws and regulations, such as the Health Insurance Portability and Accountability Act (HIPAA) in the United States. Therefore, the charge nurse should obtain written authorization from clients to release the information. This ensures that the privacy and confidentiality of the patients are maintained, which is a fundamental principle in healthcare.

Choice B rationale

While it’s important to verify if permission has been obtained from the research committee, it’s not the first step in this process. The primary concern should be the patients’ rights to privacy and confidentiality. Therefore, obtaining written authorization from the clients to release their information should be the first step.

Choice C rationale

Asking the student to sign a standard waiver form is not sufficient to protect the privacy and confidentiality of the patients. The charge nurse should first obtain written authorization from the clients before releasing any information.

Choice D rationale

Providing the information for research purposes only does not absolve the healthcare provider from the responsibility of obtaining written consent from the patients. The patients’ rights to privacy and confidentiality must be respected, and their consent is necessary before any information can be released.

Answer and explanation

The correct answer is Choice B.

Choice A rationale

Allowing the family to visit whenever they wish can provide emotional support to the client, which is important in palliative care. However, it may not directly address the physical symptoms associated with multiple sclerosis (MS), such as pain and anxiety.

Choice B rationale

Administering medication as needed for pain and anxiety should be prioritized in the care plan for a client with MS in a palliative care unit. MS can cause varying degrees of pain and anxiety, and managing these symptoms can significantly improve the client’s quality of life during the advanced stages of the disease.

Choice C rationale

Maintaining a quiet environment with low lighting can help create a calm and comfortable atmosphere for the client. However, it does not directly address the physical symptoms of MS34.

Choice D rationale

Allowing the client to participate in the care provided can promote a sense of control and autonomy. However, it may not directly address the physical symptoms associated with MS34.