A community health nurse is working with a task force to decrease community violence. Which of the following planned interventions should the nurse identify as a primary prevention strategy?

The correct answer is choicec. Move the client to another location.

Choice A rationale:

Activating the alarm is important, but the immediate priority is to ensure the safety of the client by moving them away from the fire.

Choice B rationale:

Shutting the doors and windows can help contain the fire, but it should be done after ensuring the client is safe.

Choice C rationale:

Moving the client to another location is the priority action to protect them from harm.Ensuring the client’s safety is the first step in any emergency situation.

Choice D rationale:

Attempting to extinguish the fire is important, but it should be done after the client is safely moved to another location.

When caring for a client with terminal cancer who expresses a desire to discontinue enteral tube feedings, the nurse's priority is to ensure that the client's wishes are respected and appropriate steps are taken. The most suitable action is:

c) Explain the process for completing a living will.

A living will is a legal document that outlines a person's preferences regarding medical treatment in the event they are unable to communicate their wishes. In this situation, the client can express their desire to forgo enteral tube feedings through a living will, ensuring that their wishes are documented and legally recognized.

The other options may not be as appropriate:

a) Request the facility chaplain to visit the client:While spiritual and emotional support is important, the immediate concern is ensuring the client's autonomy in decision-making regarding medical interventions.

b) Ask the client to sign an informed consent form:Informed consent typically pertains to specific medical procedures, and discontinuing enteral tube feedings is more aligned with the broader context of advance care planning.

d) Complete an against medical advice form:This form is typically used when a patient refuses a recommended treatment against the medical team's advice. However, in this case, the client is expressing their own treatment preferences, and the focus should be on facilitating advance care planning and documentation.