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: Demographics is not the priority information for the community health nurse to obtain from each client, as it is not directly related to the transmission or treatment of tuberculosis. Demographics is the statistical data of a population, such as age, gender, race, or income. The nurse may collect this information for surveillance or research purposes, but it is not essential for the immediate care of the client.
Choice B reason: Household members is the priority information for the community health nurse to obtain from each client, as it is crucial for the prevention and control of tuberculosis. Household members are the people who live with or share the same living space with the client. They are at high risk of being exposed to or infected with tuberculosis, as the disease is spread through respiratory droplets from coughing or sneezing. The nurse should identify and screen the household members for tuberculosis, and provide them with prophylactic antibiotics if needed.
Choice C reason: Occupation is not the priority information for the community health nurse to obtain from each client, as it is not directly related to the transmission or treatment of tuberculosis. Occupation is the type of work or profession that the client does. The nurse may collect this information for occupational health or social support purposes, but it is not essential for the immediate care of the client.
Choice D reason: Health history is not the priority information for the community health nurse to obtain from each client, as it is not directly related to the transmission or treatment of tuberculosis. Health history is the record of the client's past and present medical conditions, medications, allergies, or surgeries. The nurse may collect this information for diagnosis or management purposes, but it is not essential for the immediate care of the client.
Correct Answer is ["B","C","E"]
Explanation
Choice A reason: Using seasonings to enhance the flavor of foods is not an intervention that the nurse should initiate. This may worsen the nausea and vomiting, as some seasonings may be too spicy, salty, or acidic for the client. The nurse should advise the client to avoid foods that are greasy, fried, or have strong odors, and to choose bland, soft, or liquid foods that are easy to digest.
Choice B reason: Providing sips of room temperature ginger ale between meals is an intervention that the nurse should initiate. This can help to settle the stomach and reduce the nausea and vomiting. Ginger has antiemetic properties that can inhibit the serotonin receptors in the gastrointestinal tract. The nurse should also encourage the client to drink plenty of fluids to prevent dehydration.
Choice C reason: Maintaining the head of the client's bed in an elevated position after eating is an intervention that the nurse should initiate. This can help to prevent the reflux of gastric contents and reduce the nausea and vomiting. The nurse should also instruct the client to eat small, frequent meals, and to avoid lying down for at least an hour after eating.
Choice D reason: Offering 120 ml (4 oz.) of cold 2% milk as a meal replacement is not an intervention that the nurse should initiate. This may worsen the nausea and vomiting, as milk and dairy products may be difficult to digest and may increase the production of mucus. The nurse should suggest other sources of protein and calcium, such as soy milk, yogurt, or cheese.
Choice E reason: Assisting the client in using guided imagery is an intervention that the nurse should initiate. This can help to reduce the nausea and vomiting, as well as the anxiety and stress associated with chemotherapy. Guided imagery is a relaxation technique that involves creating positive mental images that can distract the client from the unpleasant sensations and feelings. The nurse should help the client to choose an image that is soothing and comforting, and to focus on the sensory details of the image.
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