A community health nurse is preparing a health promotion presentation for a group of older adults. Which of the following recommendations should the nurse include? (Select all that apply.)

Maintain a BMI between 28 and 32.

Participate in weight-bearing exercises.

Complete a lead poisoning screening every two years

Receive an influenza vaccine every year.

Limit alcohol to no more than one drink per day or four per week

Answer and Explanation

Correct Answer : B,D,E

A. Maintain a BMI between 28 and 32: A healthy BMI range is typically 18.5 to 24.9. A BMI of 28–32 is considered overweight or obese, which increases the risk for cardiovascular disease, diabetes, and joint problems. Therefore, this is not a recommended target for older adults.

B. Participate in weight-bearing exercises: Weight-bearing activities, such as walking or light strength training, help maintain bone density and prevent osteoporosis. They also support mobility, balance, and cardiovascular health in older adults.

C. Complete a lead poisoning screening every two years: Lead screening is generally targeted toward children or adults at occupational risk. Routine screening for lead poisoning is not recommended for older adults unless specific exposure risk is identified.

D. Receive an influenza vaccine every year: Yearly influenza vaccination is recommended for older adults due to their increased risk of complications from flu infections. It is a key component of preventive care.

E. Limit alcohol to no more than one drink per day or four per week: Older adults metabolize alcohol differently and are more sensitive to its effects. Limiting intake as recommended reduces the risk of falls, liver damage, and interactions with medications.

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Correct Answer is B

Explanation

A. Engage neighborhood families to monitor the playground for further trash buildup: While community involvement is valuable, monitoring alone does not address the immediate sanitation concern. Engagement is more effective after assessing and planning with the community.

B. Meet with community members to discuss methods of playground maintenance: The first step is to involve the community in identifying concerns and generating solutions. This approach promotes shared ownership, sustainability, and relevance of any interventions.

C. Partner city officials with community members to improve the playground's condition: Collaboration with city officials is important, but it should follow initial discussions with the community to ensure their input and priorities are represented in any formal partnerships.

D. Work with local businesses to sponsor more trash receptacles in the playground: Providing trash receptacles is a practical solution, but it does not address the root causes or promote sustained behavior change without community buy-in and shared planning.

A. Working with clients to develop services to promote client health outcomes B. Translating medical terminology into basic terms C. Building partnerships between providers, practitioners, and clients D. Working with nursing organizations to facilitate health policy

Correct Answer is D

Explanation

A. Working with clients to develop services promotes direct client care and community health but is more aligned with client or community advocacy rather than legislative advocacy. It focuses on service delivery rather than influencing laws or policies.

B. Translating medical terminology into basic terms improves communication and client understanding, which supports client advocacy and education but does not involve efforts to change legislation or policy.

C. Building partnerships between providers, practitioners, and clients fosters collaboration and coordinated care. While important, this activity is more related to community or organizational advocacy rather than legislative advocacy.

D. Working with nursing organizations to facilitate health policy directly involves efforts to influence laws, regulations, or policies affecting healthcare. Legislative advocacy includes activities such as lobbying, policy development, and working with lawmakers to shape healthcare legislation.

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A community health nurse is preparing a health promotion presentation for a group of older adults. Which of the following recommendations should the nurse include? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A community health nurse observes the accumulation of garbage at a neighborhood playground. Which of the following actions should the nurse take first to promote a clean and safe environment?

Correct Answer is B

Explanation

nurse is teaching newly licensed nurses about types of advocacy in the community. Which of the following examples should the nurse include when discussing legislative advocacy?

Correct Answer is D

Explanation

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