A community health nurse has been asked by a faith-based organization to develop a mobile meal program for older adults who no longer drive.
Which of the following actions should the nurse plan to take first?
Identify alternative solutions to address concerns.
Determine potential funding sources for the program.
Inquire about the availability of volunteers.
Perform a needs assessment.
The Correct Answer is D
Choice A rationale
Identifying alternative solutions to address concerns is an important step in any project. However, it is not the first step in developing a mobile meal program for older adults who no longer drive. The first step should be to understand the needs of the target population, which can be achieved through a needs assessment.
Choice B rationale
Determining potential funding sources for the program is indeed a crucial aspect of planning. However, before seeking funding, it is essential to understand what needs to be funded, which comes from performing a needs assessment.
Choice C rationale
Inquiring about the availability of volunteers is a significant part of implementing the program. Volunteers could be responsible for meal preparation, delivery, or other tasks. However, the availability of volunteers does not determine the necessity or structure of the program.
Choice D rationale
Performing a needs assessment is the first step in developing a program. A needs assessment involves determining the extent of the need for a service in a particular population. In this case, it would involve determining how many older adults in the community no longer drive and would benefit from a mobile meal program.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While manic behavior can be disruptive and may require intervention, it is not typically life- threatening. Therefore, this client would not be the highest priority in a triage situation following a bombing incident.
Choice B rationale
A rigid abdomen with manifestations of shock could indicate serious internal injuries, such as bleeding or organ damage. This client would be a high priority for treatment due to the potential for rapid deterioration and life-threatening complications.
Choice C rationale
Superficial partial thickness burn injuries over 5% of the body, while painful and requiring treatment, are not typically immediately life-threatening. This client would be a lower priority compared to a client with signs of shock and potential internal injuries.
Choice D rationale
A femur fracture with a 2+ pedal pulse indicates that the client has a serious injury, but it is not immediately life-threatening. The presence of a 2+ pedal pulse suggests that circulation to the foot is still intact. This client would be a lower priority compared to a client with signs of shock and potential internal injuries.
Correct Answer is B
Explanation
Choice A rationale
While eating a balanced diet with high-protein snacks is important for healing and overall health, it is not the first thing the nurse should discuss when planning discharge for a client with a pressure injury who requires a special bed at home.
Choice B rationale
The nurse should first ask the client to describe their current living situation. This information is crucial for planning the client’s discharge and ensuring the necessary accommodations can be made for the special bed and other care needs.
Choice C rationale
Discussing the potential for a social worker to help with the cost of supplies is an important part of discharge planning, but it is not the first step. The nurse first needs to understand the client’s living situation and care needs at home.
Choice D rationale
While applying moisture barrier ointment three times a day may be part of the client’s wound care regimen, it is not the first thing the nurse should discuss when planning discharge. The nurse first needs to understand the client’s living situation and care needs at home.
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