What actions should a community health nurse include as part of the response phase when implementing a disaster plan for the area?
Establish a location to perform client triage.
Develop an evacuation plan for the community.
Create a checklist of needed supplies for each type of disaster.
Conduct community disaster drills.
The Correct Answer is A
During the response phase of a disaster, community health nurses play an integral role in meeting the national preparedness goal. They assist in mobilizing necessary resources and support the coordination of care, giving special attention to vulnerable groups12. Establishing a location to perform client triage is an important part of this process.
Choice B is not correct because developing an evacuation plan for the community is part of the preparedness phase, not the response phase.
Choice C is not correct because creating a checklist of needed supplies for each type of disaster is also part of the preparedness phase.
Choice D is not correct because conducting community disaster drills is also part of the preparedness phase.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse should include in the teaching that household contacts will receive prophylactic antibiotics 1.
This can help prevent the spread of pertussis to others.
Choice A is not the correct answer because transmission may not be limited by herd immunity 2.
Choice C is not the correct answer because pertussis is most contagious before the rash develops, during the catarrhal stage.
Choice D is not the correct answer because there is no evidence to suggest that a dehumidifier should be placed beside the child’s bed.
Correct Answer is D
Explanation
People living with HIV/AIDS have a much higher risk of suicide than the general population1.Some of the risk factors for suicidal ideation, suicide attempts and suicide deaths in this group are depression, advanced disease, neurological changes, stigma, poor social support, negative life events, physical pain and fear of rejection.
Based on these risk factors, the response by the client that indicates a higher risk for suicide isd. “I am afraid of experiencing pain near the end.”This response suggests that the client has a low perception of their physical health, a fear of losing control and a pessimistic outlook on their future.These are signs of hopelessness, which is a strong predictor of suicide.
The other responses do not necessarily indicate a high risk for suicide, although they may reflect some challenges that the client is facing. For example, response a. may indicate a desire for autonomy and dignity, response b. may indicate a coping strategy or denial, and response c. may indicate a source of emotional support or dependency. However, these responses do not imply that the client is thinking about harming themselves or ending their life.
Therefore, the home health nurse should assess the client’s level of hopelessness, suicidal ideation and suicide plan, and provide appropriate interventions and referrals to prevent a possible suicide attempt. The nurse should also monitor the client’s mood, pain, medication adherence and social support, and offer education, counseling and resources to improve the client’s quality of life.
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