The nurse is caring for a patient on contact precautions. Which action will be most appropriate to prevent the spread of disease?

Correct Answer: D

Rationale: The correct answer is to use a dedicated blood pressure cuff that stays in the room and is used for that patient only. Patients on contact precautions require dedicated equipment to prevent the spread of disease. Using one blood pressure cuff exclusively for the patient on contact precautions helps minimize the risk of transmitting infections to other patients. Choices A, B, and C are incorrect because while wearing protective gear and isolating the patient in a room with negative airflow are important infection control measures, using dedicated equipment for the patient on contact precautions is specifically recommended to prevent the spread of disease in this scenario.

Correct Answer: C

Rationale: The correct answer is C. Administering syrup of ipecac is no longer recommended in cases of poisoning. This is because it can lead to complications and is not considered safe. The grandparent should be informed that syrup of ipecac should not be given to a child who has ingested a toxic substance. Choices A, B, and D provide accurate information regarding actions to take in case of poisoning, such as calling 911 if the child loses consciousness, not inducing vomiting if the child drinks bleach, and having the poison control number readily available.

Correct Answer: C

Rationale: After placing the patient back in bed, the nurse should notify the health care provider. This is important because the health care provider needs to be informed of the incident and assess the patient further to ensure no underlying injuries or issues exist. Re-assessing the patient is crucial but notifying the health care provider takes precedence in this situation. Completing an incident report is important for documentation purposes but not the immediate next step. Doing nothing is incorrect as there was an incident involving a fall that needs further evaluation.

Correct Answer: D

Rationale: The correct answer is D) Seeking this kind of help does not mean that you have a mental illness; it is a short-term problem-solving technique. This response is the best because it addresses the family member's concern about being labeled as "crazy" for seeking help. It normalizes the situation by emphasizing that crisis intervention services are a short-term solution-focused approach to help the family cope with the aftermath of the natural disaster. Option A is incorrect because it dismisses the family member's concerns and may further stigmatize seeking psychiatric help. Option B is incorrect as it focuses on potential mental health problems rather than addressing the family member's specific fear of being perceived as "crazy." Option C is incorrect as it oversimplifies the purpose of crisis intervention services by stating it will help the family communicate better, which may not directly address the family member's reluctance to participate. In an educational context, it is crucial to teach students the importance of addressing individuals' concerns and fears when providing healthcare interventions. Understanding and respecting a person's perceptions and beliefs are essential in building trust and facilitating effective communication in healthcare settings. By choosing the correct response, nurses can promote a therapeutic relationship and support the family member in accepting the crisis intervention services without feeling judged or stigmatized.

Correct Answer: C

Rationale: When a patient is immobile, the nurse should assess for psychosocial aspects, including a loss of hope and increased risk of depression. While issues like weight loss (choice A), loss of bone mass (choice B), and loss of strength (choice D) can also occur due to immobility, the primary concern in this scenario is the patient's mental and emotional well-being, making 'Loss of hope' the correct answer.