A faith-based organization asks a community health nurse to develop a mobile meal program for older adults. Which of the following actions should the nurse plan to take first?
Determine potential funding sources for the program
Inquire about the availability of volunteers
Identify alternative solutions to address concerns
Perform a needs assessment
The Correct Answer is D
Choice A reason: Determining potential funding sources for the program is an important action, but not the first one. The nurse should first assess the needs of the target population, such as the number of older adults who need the service, their nutritional status, their preferences, and their barriers to access food.
Choice B reason: Inquiring about the availability of volunteers is an important action, but not the first one. The nurse should first assess the needs of the target population, and then plan the resources and personnel needed to implement the program.
Choice C reason: Identifying alternative solutions to address concerns is an important action, but not the first one. The nurse should first assess the needs of the target population, and then identify the possible challenges and solutions to deliver the service effectively and efficiently.
Choice D reason: Performing a needs assessment is the first action that the nurse should take, as it provides the basis for planning, implementing, and evaluating the program. A needs assessment involves collecting and analyzing data about the health status, needs, and resources of the target population and the community. It helps to identify the gaps, priorities, and goals of the program.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Creating diversionary activities for children is not the priority action for the nurse to take. This is a supportive intervention that can help the children cope with the stress and trauma of the disaster, but it should be done after the nurse has ensured the safety and well-being of the clients.
Choice B reason: Addressing the physical needs of clients is the priority action for the nurse to take. This is based on the principle of Maslow's hierarchy of needs, which states that the nurse should prioritize the most basic and essential needs of the clients, such as food, water, shelter, clothing, and medical care. The nurse should assess the clients for any injuries, illnesses, or chronic conditions, and provide appropriate interventions or referrals.
Choice C reason: Helping clients gather needed supplies is not the priority action for the nurse to take. This is a helpful intervention that can assist the clients to obtain the resources and materials they need to survive and recover from the disaster, but it should be done after the nurse has addressed the physical needs of the clients.
Choice D reason: Exploring feelings the clients are experiencing is not the priority action for the nurse to take. This is a therapeutic intervention that can facilitate the emotional and psychological healing of the clients, but it should be done after the nurse has addressed the physical needs of the clients. The nurse should also respect the clients' readiness and willingness to share their feelings, and avoid forcing or rushing the process.
Correct Answer is D
Explanation
Choice A reason: Removing fresh flowers from the client's home is not an action that the nurse should take when caring for a client who has MRSA. Fresh flowers do not pose a risk of transmitting MRSA, and may provide some psychological benefits for the client.
Choice B reason: Wearing a mask when within 3 feet of the client is not an action that the nurse should take when caring for a client who has MRSA. MRSA is not an airborne infection, and a mask is not necessary to prevent its spread. The nurse should wear gloves and a gown when in contact with the client or the client's environment, and perform hand hygiene before and after the contact.
Choice C reason: Encouraging the client to use a HEPA filter in the house is not an action that the nurse should take when caring for a client who has MRSA. A HEPA filter is not effective in removing MRSA from the air, and may not have any impact on the client's health. The nurse should educate the client on how to clean and disinfect the surfaces and items that may be contaminated with MRSA, such as bedding, towels, and personal items.
Choice D reason: Double bagging soiled dressings in polyethylene bags is an action that the nurse should take when caring for a client who has MRSA. This is a standard precaution to prevent the exposure of other people or the environment to the infectious material. The nurse should also label the bags as biohazardous waste and dispose of them according to the agency's policy.
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