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?
Engage neighborhood families to monitor the playground for further trash buildup
Meet with community members to discuss methods of playground maintenance
Partner city officials with community members to improve the playground's condition,
Work with local businesses to sponsor more trash receptacles in the playground.
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Disregard differences in the nurse's and clients' beliefs: Ignoring differences in beliefs can create barriers to effective spiritual care and decrease client engagement. Understanding and respecting clients' beliefs is essential for meaningful outcomes.
B. Reassess the social demographics of the faith community: If outcomes are not met, it’s important to review characteristics like age, culture, language, and spiritual needs of the community. This helps tailor the program to better fit the population and increase its relevance and effectiveness.
C. Apply objective measurements for the outcomes: While measuring outcomes is important, if initial goals were not achieved, reassessment of the community context is necessary before changing measurement methods.
D. Provide programs without an emphasis on spiritual care: Removing spiritual care defeats the purpose of the program and may decrease client satisfaction and holistic support. Instead, adaptations should enhance relevance, not eliminate focus.
Correct Answer is A
Explanation
A. Zoster: The zoster vaccine is recommended for older adults, typically starting at age 50 or 60 depending on the specific vaccine formulation (e.g., Shingrix), to prevent shingles and its complications. Older adults are at greater risk for shingles due to declining immunity with age.
B. Rotavirus: The rotavirus vaccine is given in infancy to prevent severe diarrhea caused by the virus. It is not indicated for older adults as they are not at high risk of contracting or being seriously affected by rotavirus.
C. Human papillomavirus: HPV vaccination is primarily recommended for adolescents and young adults, usually up to age 26. It may be considered up to age 45 based on risk, but it is not routinely recommended for older adults.
D. Inactivated poliovirus: The inactivated poliovirus vaccine is typically administered in childhood. Adults rarely need it unless they are traveling to areas where polio is endemic or are at occupational risk, making it unnecessary for routine older adult vaccination.
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