A nurse has identified a community at risk for flooding. The nurse understands that educating the residents about evacuation routes and emergency shelters is an example of what level of the National Response Framework.

Choice A reason: A negative-pressure isolation room is not a suitable room for a client who has scabies. A negative-pressure isolation room is used for clients who have airborne infections, such as tuberculosis or chickenpox. It prevents the contaminated air from escaping the room and infecting other people.

Choice B reason: A positive-pressure isolation room is not a suitable room for a client who has scabies. A positive-pressure isolation room is used for clients who have compromised immune systems, such as those undergoing bone marrow transplants or chemotherapy. It prevents the outside air from entering the room and exposing the client to germs.

Choice C reason: A private room is a suitable room for a client who has scabies. Scabies is a skin infection caused by tiny mites that burrow under the skin and cause intense itching and rash. Scabies can spread easily through direct skin-to-skin contact or sharing personal items, such as clothing or bedding. A private room can prevent the transmission of scabies to other clients or staff.

Choice D reason: A semi-private room with a client who has pediculosis capitis is not a suitable room for a client who has scabies. Pediculosis capitis is an infestation of head lice that feeds on human blood and causes itching and irritation on the scalp. Pediculosis capitis can also spread easily through direct contact or sharing personal items, such as combs or hats. Sharing a room with another client who has pediculosis capitis can increase the risk of cross-infection and complicate the treatment of both conditions.

Choice A reason: Discipline in the school setting for improper handwashing is not an appropriate action by the nurse, as it may not prevent the spread of influenza or promote healthy behaviors. Influenza is a viral infection that affects the respiratory system and can be transmitted by direct or indirect contact with respiratory droplets from an infected person. Handwashing is one of the most effective ways to prevent the transmission of influenza and other infectious diseases, but it requires proper technique, frequency, and duration. The nurse should not punish or blame the students for their handwashing habits but rather educate and encourage them to wash their hands with soap and water for at least 20 seconds, especially before and after eating, after using the bathroom, after coughing or sneezing, and after touching potentially contaminated surfaces.

Choice B reason: Education regarding respiratory and hand hygiene is an appropriate action by the nurse, as it helps to prevent the spread of influenza and promote healthy behaviors. The nurse should provide accurate and relevant information to the students, staff, and parents about the causes, symptoms, prevention, and treatment of influenza. The nurse should also teach and demonstrate proper respiratory and hand hygiene practices, such as covering the mouth and nose with a tissue or elbow when coughing or sneezing, disposing of used tissues in a trash can, washing hands frequently with soap and water or using alcohol-based hand sanitizer, avoiding touching the eyes, nose, and mouth, and staying away from sick people.

Choice C reason: Running a mandatory flu clinic is not an appropriate action by the nurse, as it may not be feasible, ethical, or effective in preventing influenza. Influenza vaccination is one of the best ways to prevent influenza and its complications, but it requires informed consent, adequate supply, trained personnel, and appropriate timing. The nurse cannot force or coerce anyone to receive the flu vaccine without their permission or against their wishes. The nurse should respect the autonomy and preferences of the students, staff, and parents, and provide them with evidence-based information about the benefits and risks of influenza vaccination. The nurse should also collaborate with the health department and other community partners to organize voluntary flu clinics that are accessible, affordable, and convenient for those who want to receive the vaccine.

Choice D reason: Closing the school for 6 weeks is not an appropriate action by the nurse, as it may not be necessary, practical, or beneficial in preventing influenza. Influenza outbreaks can vary in severity, duration, and impact depending on several factors, such as the strain of the virus, the level of immunity in the population, the availability of vaccines and antiviral medications, and the implementation of preventive measures. The nurse should monitor the situation closely and follow the guidance of the health authorities regarding school closure decisions. The nurse should also consider the potential consequences of school closure on the student's education, socialization, nutrition, safety, and mental health. The nurse should weigh the benefits and harms of school closure against other alternatives, such as increasing ventilation, cleaning and disinfecting surfaces, screening for symptoms, isolating sick students or staff members, reducing class size or mixing groups.