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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Light therapy: Light therapy is primarily used to treat seasonal affective disorder (SAD) and certain types of depression related to changes in daylight. It is not typically indicated for complicated grief, which involves prolonged and intense mourning.

B. Cognitive behavioral therapy: Cognitive behavioral therapy (CBT) is effective for complicated grief as it helps clients identify and modify unhelpful thoughts and behaviors related to their loss. CBT supports processing grief, managing symptoms, and developing coping strategies to improve emotional functioning.

C. Electroconvulsive therapy: Electroconvulsive therapy (ECT) is generally reserved for severe, treatment-resistant depression or certain psychiatric conditions. It is not a first-line treatment for complicated grief and is inappropriate unless the client has severe co-occurring depression not responsive to other treatments.

D. Occupational therapy: Occupational therapy focuses on helping clients regain or improve daily functioning and participation in meaningful activities. While it may support general well-being, it is not a primary intervention for complicated grief, which requires more targeted psychological therapies.

A. Cross legs at the ankles. B. Use an elevated toilet seat. C. Take baths instead of showers. D. Use a walker on the stairs.

Correct Answer is B

Explanation

A. Cross legs at the ankles: Crossing legs, even at the ankles, can increase the risk of hip dislocation following total hip arthroplasty by placing stress on the joint and is generally discouraged during recovery.

B. Use an elevated toilet seat: An elevated toilet seat helps maintain hip precautions by preventing excessive hip flexion, reducing dislocation risk, and promoting safety and comfort during toileting.

C. Take baths instead of showers: Baths require more hip flexion and increased risk of falling, so showers are preferred postoperatively to minimize hip strain and improve safety.

D. Use a walker on the stairs: Using a walker on stairs is unsafe due to limited maneuverability; crutches or a cane are usually recommended for stair navigation during hip recovery.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a community clinic is planning care for a client who is experiencing complicated grief. Which of the following referrals should the nurse recommend for the client?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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