A community health nurse is in the initial phase of planning a smoking cessation program. Which of the following actions should the nurse take first?

Choice A reason: Chronic obstructive pulmonary disease (COPD) can increase the risk of falls due to shortness of breath and general weakness. However, it is not the most significant risk factor compared to the musculoskeletal impact of osteoarthritis.

Choice B reason: Chronic kidney disease may contribute to an overall decline in health and can be associated with anemia or bone mineral disorders, which could indirectly increase fall risk. Nonetheless, it does not directly affect the musculoskeletal system as osteoarthritis does.

Choice C reason: Osteoarthritis is the correct answer because it directly affects the joints, leading to pain, stiffness, and reduced mobility. These symptoms can impair balance and coordination, significantly increasing the risk of falls in clients.

Choice D reason: Wide-angle glaucoma primarily affects vision. While visual impairment is a risk factor for falls, osteoarthritis has a more direct impact on the risk of falling due to its effect on joint function and stability.

Choice A reason: Initiating topics of conversation that avoid the client's health status is not an appropriate intervention. The nurse should respect the client's wishes and preferences regarding the communication of their condition. The nurse should also provide emotional support and information as needed.

Choice B reason: Recommending the client seek out hospice services rather than seek treatment is not an appropriate intervention. The nurse should not impose their own values or beliefs on the client's decision-making process. The nurse should also respect the client's autonomy and right to self-determination.

Choice C reason: Providing quiet time during visits for prayer or meditation is an appropriate intervention. The nurse should acknowledge and support the client's spiritual needs and practices. The nurse should also facilitate the client's access to spiritual resources and counselors.

Choice D reason: Placing the client's name and medical condition on an online prayer chain is not an appropriate intervention. The nurse should protect the client's privacy and confidentiality and obtain their consent before sharing any personal information. The nurse should also respect the client's cultural and religious diversity and avoid any assumptions or stereotypes.