A nurse in a faith-based community is evaluating outcomes of a spiritual care program with clients. Which of the following actions should the nurse take if the outcomes are not met?

A. Maintain a BMI between 28 and 32: A healthy BMI range is typically 18.5 to 24.9. A BMI of 28–32 is considered overweight or obese, which increases the risk for cardiovascular disease, diabetes, and joint problems. Therefore, this is not a recommended target for older adults.

B. Participate in weight-bearing exercises: Weight-bearing activities, such as walking or light strength training, help maintain bone density and prevent osteoporosis. They also support mobility, balance, and cardiovascular health in older adults.

C. Complete a lead poisoning screening every two years: Lead screening is generally targeted toward children or adults at occupational risk. Routine screening for lead poisoning is not recommended for older adults unless specific exposure risk is identified.

D. Receive an influenza vaccine every year: Yearly influenza vaccination is recommended for older adults due to their increased risk of complications from flu infections. It is a key component of preventive care.

E. Limit alcohol to no more than one drink per day or four per week: Older adults metabolize alcohol differently and are more sensitive to its effects. Limiting intake as recommended reduces the risk of falls, liver damage, and interactions with medications.

A. "What are your hopes and plans for the future?" This question helps assess the client's coping and outlook, which is important in grief counseling, but it does not directly provide information about the client's support systems.

B. "How long did you know the person who died?" This question explores the depth and duration of the relationship, which can help gauge the intensity of grief. However, it does not provide insight into who the client relies on now for emotional or practical support.

C. "Have you thought about harming yourself?" This is a critical safety question to assess for suicidal ideation, which should always be asked if there are concerns about the client’s mental health. However, it does not identify support systems; rather, it screens for immediate risk.

D. "What do others do for you that helps you the most?" This question directly explores the actions of support persons and reveals who is actively providing emotional or practical assistance. It helps the nurse understand the client's support network and the quality of that support, making it the best option for assessing support systems.