A community health nurse is working in a rural area where there are many homes built before the 1970s. To promote good health, which of the following actions should the nurse take?

Choice A Reason:
The client reports there are bike paths or running trails in their community. This statement indicates a positive aspect of the built environment. The presence of bike paths and running trails promotes physical activity and overall well-being. It does not suggest any faults in the built environment.

Choice B Reason:
The client reports contaminants in their drinking water at home. This statement clearly indicates a faulty built environment. Contaminated drinking water poses significant health risks and reflects poor infrastructure or inadequate maintenance of water supply systems. Ensuring access to clean and safe drinking water is a fundamental aspect of a healthy built environment.

Choice C Reason:
The client reports that there is limited public parking on their street. While limited public parking can be an inconvenience, it does not directly indicate a faulty built environment. Parking availability is more related to urban planning and transportation policies rather than the overall quality of the built environment.

Choice D Reason:
The client reports a lack of community centers in their neighborhood. Although the absence of community centers can affect social interactions and community engagement, it does not necessarily indicate a faulty built environment. It highlights a gap in community resources but does not directly impact the safety or health of the environment.

Choice A Reason:
The client still journaling their feelings about their sister's death 7 years ago indicates ongoing grief, which is important but may not be the immediate priority. Grieving is a natural process, and while it can impact mental health, it does not pose an immediate threat to the client's safety or daily functioning. Addressing grief can be part of a longer-term mental health support plan.

Choice B Reason:
The client experiencing cyberbullying is the priority because it can have severe and immediate impacts on mental health, including anxiety, depression, and suicidal thoughts. Cyberbullying can lead to significant emotional distress and requires prompt intervention to ensure the client's safety and well-being. Addressing this issue can help prevent further psychological harm and support the client's mental health.

Choice C Reason:
The client primarily eating fast food while living on a limited budget is a concern for long-term health, including risks of obesity, diabetes, and other chronic conditions. However, it does not pose an immediate threat to the client's safety. Nutritional counseling and support can be provided as part of a broader health plan.

Choice D Reason:
The client missing classes due to suffering from seasonal allergies is a health concern that can affect academic performance and quality of life. However, it is typically manageable with appropriate medical treatment and does not pose an immediate threat to the client's safety. Addressing allergies can be part of a comprehensive health management plan.