A nursing instructor who is lecturing to students about how to respond to individuals who are in the midst of a disaster. Which statement would be most appropriate to include about initial nursing interventions for such individuals?

Correct Answer: B

Rationale: The correct answer is B: Focus on safety needs and provide simple, clear instructions to help them function effectively. Rationale: 1. Safety is the top priority during a disaster situation, ensuring physical well-being. 2. Providing simple, clear instructions helps individuals focus and function effectively amidst chaos. 3. Clear instructions reduce confusion and promote a sense of control and stability. Summary: A: Asking for a medical history is not a priority during a disaster; focusing on immediate safety needs is crucial. C: Long-term goals are important but not the initial focus in a crisis situation. D: Redirecting attention temporarily may help, but addressing safety needs and providing clear instructions are more critical in the immediate aftermath of a disaster.

Correct Answer: C

Rationale: The correct answer is C: Tap beers. Phenelzine is a monoamine oxidase inhibitor (MAOI), which can interact with tyramine-rich foods and beverages like tap beers. When phenelzine is combined with tyramine-containing substances, it can lead to a hypertensive crisis. Choices A, B, and D do not contain high levels of tyramine and are safe to consume while taking phenelzine. It is crucial for patients on MAOIs to avoid foods like tap beers to prevent dangerous interactions.

Correct Answer: B

Rationale: The correct answer is B because nursing forums and professional organizations' websites are reliable sources for finding databases and evidence-based practice resources in nursing. These platforms are specifically curated to provide accurate and up-to-date information for healthcare professionals. They are peer-reviewed and endorsed by experts in the field, ensuring credibility and relevance. In contrast, popular search engines like Google may yield unreliable or outdated information, personal blogs lack authority and validation, and entertainment websites are not relevant to evidence-based practice in nursing.

Correct Answer: C

Rationale: Rationale: Option C is an example of therapeutic communication because it encourages the client to explore the underlying reasons for their fear of divorce, promoting self-reflection and insight. By asking what has happened to make the client think this way, the nurse demonstrates empathy and helps the client process their emotions. Options A, B, and D are incorrect because they either deflect the client's concerns (B), focus on overly questioning the client (A), or dismiss the client's feelings (D), which can hinder the therapeutic relationship and fail to address the client's emotional needs.

Correct Answer: B

Rationale: The correct answer is B: Cognitive impairment. For a client with HIV-associated neurocognitive disorder (HAND), assessing cognitive impairment is crucial as it directly impacts their ability to perform daily activities and make informed decisions. Cognitive assessment helps in determining the extent of cognitive decline and planning appropriate interventions. Sensory impairment (choice A) may be important but is not the priority in HAND. Social behaviors (choice C) and anxiety state (choice D) are also important but assessing cognitive impairment takes precedence due to its direct impact on the client's overall functioning.