Which of the following federal agencies should a community health nurse seek guidance from regarding a public building that has asbestos leaking from rips in the heating duct insulation?
National Institutes of Health
Environmental Protection Agency
Centers for Disease Control and Prevention
Department of Health and Human Services
The Correct Answer is B
Choice A reason: This statement is not the best answer, as the National Institutes of Health (NIH) is not the primary agency responsible for regulating or enforcing environmental standards. The NIH is a research agency that supports biomedical and public health research.
Choice B reason: This statement is the best answer, as the Environmental Protection Agency (EPA) is the federal agency that protects human health and the environment by setting and enforcing standards for air, water, and land quality. The EPA regulates the use, disposal, and cleanup of asbestos, a known carcinogen and health hazard.
Choice C reason: This statement is not the best answer, as the Centers for Disease Control and Prevention (CDC) is not the primary agency responsible for regulating or enforcing environmental standards. The CDC is a public health agency that monitors and responds to disease outbreaks, conducts research, and provides health information.
Choice D reason: This statement is not the best answer, as the Department of Health and Human Services (HHS) is not the primary agency responsible for regulating or enforcing environmental standards. The HHS is a cabinet-level department that oversees various health and human services programs and agencies, such as the NIH, the CDC, and the Food and Drug Administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This statement is not the best action, as it may violate the adolescent's and the family's right to privacy and confidentiality. The nurse should only share the adolescent's diagnosis with the consent of the adolescent and the family, and only with those who need to know.
Choice B reason: This statement is the best action, as it demonstrates the nurse's role as a counselor and advocate for the family. The nurse should assess the family's needs for support or guidance, as they may be experiencing stress, anxiety, or grief related to the adolescent's illness.
Choice C reason: This statement is not the best action, as it may not address the family's emotional or spiritual needs. The nurse should refer the family to the adolescent's health care providers only if they have questions or concerns about the medical aspects of the adolescent's care.
Choice D reason: This statement is not the best action, as it may not be appropriate or relevant for the family. The nurse should review the adolescent's care plans with the family only if they are involved in the adolescent's care or if the adolescent and the family request it.
Correct Answer is A
Explanation
Choice A reason: The child has recent onset of urinary incontinence is a possible sign of maltreatment, as it may indicate sexual abuse, emotional trauma, or neglect. The school nurse should report this finding to the child protective services and follow up with the child and the family¹².
Choice B reason: The child receives free lunches at school is not a sign of maltreatment, but rather a socioeconomic indicator. The school nurse should not assume that the child is maltreated based on this factor alone, but rather assess the child for other signs and symptoms of abuse or neglect³.
Choice C reason: The child has bruises on both knees is not a sign of maltreatment, but rather a common injury among children who are active and playful. The school nurse should not report this finding unless there are other suspicious circumstances, such as inconsistent explanations, unusual locations, or patterns of bruises⁴.
Choice D reason: The child reports having a toothache is not a sign of maltreatment, but rather a health issue that may require dental care. The school nurse should not report this finding unless there are other signs of neglect, such as poor oral hygiene, lack of access to health care, or failure to follow up on referrals⁵.
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