A nurse is caring for a family in the community. Which of the following is an assessment tool the nurse should use to assess the family's relationships with other systems in the community?

The correct answer is choice D.

Choice A rationale:

Recommending the client to seek out hospice services rather than seek treatment may not be the best approach. While hospice care is an important aspect of end-of-life care, it is not the nurse’s role to suggest that the client should stop seeking treatment. This decision should be made by the client and their healthcare team.

Choice B rationale:

Initiating topics of conversation that avoid the client’s health status may not be beneficial. While it’s important to respect the client’s wishes if they do not want to discuss their health, it’s also crucial to provide them with the necessary information and support. Avoiding the topic may lead to feelings of isolation or anxiety.

Choice C rationale:

Placing the client’s name and medical condition on an online prayer chain may not be appropriate without the client’s consent. This could potentially breach the client’s privacy. It’s important to discuss with the client and respect their wishes regarding sharing of their personal health information.

Choice D rationale:

Providing quiet time during visits for prayer or meditation can be very beneficial. Spiritual care is a key aspect of holistic care, especially for patients with serious and life-threatening diseases like end-stage breast cancer. It can help to decrease anxiety, depression, and discomfort, and improve the patient’s quality of life. Therefore, this intervention should be included in the plan.

Choice A reason: Developing objectives is important but should be based on the needs and knowledge gaps identified through community data.

Choice B reason: Involving community leaders is a crucial step, but it should be informed by an understanding of the community's specific needs and preferences.

Choice C reason: Researching the literature is necessary to ensure evidence-based practice, but it should be tailored to address the specific issues identified in the community.

Choice D reason: Gathering data from the community is the first step in understanding the prevalence of STIs, risk factors, and the level of knowledge among adolescents, which will inform all other steps in the program development.