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?

Choice A reason: Reviewing flashcards that identify holding techniques with the group is not an instructional strategy that the nurse should use to promote psychomotor learning. This is a cognitive strategy that can help the participants to recall and recognize the information, but it does not involve the practice or performance of the skills.

Choice B reason: Showing the group a video on breastfeeding techniques is not an instructional strategy that the nurse should use to promote psychomotor learning. This is an affective strategy that can help the participants to observe and appreciate the techniques, but it does not involve the practice or performance of the skills.

Choice C reason: Facilitating a discussion group about the benefits of breastfeeding is not an instructional strategy that the nurse should use to promote psychomotor learning. This is an affective strategy that can help the participants to express and share their opinions and feelings, but it does not involve the practice or performance of the skills.

Choice D reason: Providing dolls for the participants to demonstrate positioning is an instructional strategy that the nurse should use to promote psychomotor learning. This is a psychomotor strategy that can help the participants to apply and practice the skills in a simulated setting, and to receive feedback and guidance from the nurse.

Choice A reason: A client who has superficial partial-thickness burn injuries over 5% of his body is not the highest priority for treatment. This type of burn injury affects only the epidermis and the upper layer of the dermis, and causes pain, redness, and blisters. The client may need fluid replacement, pain management, and wound care, but is not in immediate danger of life-threatening complications.

Choice B reason: A client who has a femur fracture with a 2+ pedal pulse is not the highest priority for treatment. This type of fracture involves the breakage of the thigh bone, which is the largest and strongest bone in the body. The client may experience severe pain, swelling, deformity, and bleeding. A 2+ pedal pulse indicates that the blood flow to the lower extremity is adequate, but not optimal. The client may need immobilization, traction, surgery, and infection prevention, but is not in immediate danger of life-threatening complications.

Choice C reason: A client who is ambulatory and exhibits manic behavior is not the highest priority for treatment. This type of behavior involves a state of elevated mood, energy, and activity, which may be caused by stress, trauma, or a mental disorder. The client may experience euphoria, irritability, impulsivity, and poor judgment. The client may need psychological support, medication, and safety measures, but is not in immediate danger of life-threatening complications.

Choice D reason: A client who has a rigid abdomen with manifestations of shock is the highest priority for treatment. This type of condition involves a severe injury to the abdominal organs, such as the liver, spleen, or intestines, which may cause internal bleeding, inflammation, and infection. The client may experience pain, tenderness, distension, and guarding of the abdomen, as well as signs of shock, such as hypotension, tachycardia, pallor, and confusion. The client may need fluid resuscitation, blood transfusion, surgery, and antibiotics, and is in immediate danger of life-threatening complications.