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 D

Explanation

A. Lock the computer with their password: Locking the computer can secure the session temporarily, but it still leaves the session open and accessible if not properly locked. Logging out fully ends the session and prevents unauthorized access.

B. Minimize the computer application: Minimizing the computer application does not secure the client's electronic health record. The application is still open and accessible with a click, making it a significant breach of confidentiality if someone else accesses the computer.

C. Close the computer screen: Closing the computer screen (e.g., folding down a laptop lid) often puts the computer to sleep or locks the screen. While it provides some level of protection, it is not as secure as logging out, especially if the computer can be easily re-opened or if the lock mechanism isn't immediate.

D. Log out of the computer: Logging out completely ends the session and requires re-authentication for access, ensuring client data confidentiality and compliance with privacy regulations such as HIPAA.

A. Identify the client's spoken dialect. B. Document the use of the interpreter. C. Talk directly to the client. D. Contact a qualified medical interpreter.

Correct Answer is D

Explanation

A. Identify the client's spoken dialect: Knowing the specific dialect is important for selecting an appropriate interpreter, but this should be done after securing access to interpretation services. It is a secondary step following the identification of the communication barrier.

B. Document the use of the interpreter: Documentation is a necessary legal and clinical step after care has been provided. It confirms communication occurred appropriately but is not the first priority when initiating communication.

C. Talk directly to the client: While it is respectful and essential to engage with the client directly once interpretation is arranged, doing so without an interpreter risks miscommunication and may compromise informed consent and care quality.

D. Contact a qualified medical interpreter: The first action is to ensure accurate communication by accessing a trained medical interpreter. This ensures the client receives information in a language they understand, which is critical for safe and effective care.

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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.)

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Naxlex Comprehensive Predictor Exams

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