The nurse is teaching adults in the community about suicide awareness. Which information should the nurse include in the teaching?

A) Ensure that all meals delivered to persons receiving Meals-on-Wheels include fresh or canned fruit:
While ensuring meals include fruit can contribute to overall nutrition, it does not specifically address the prevention of osteoporosis. Osteoporosis prevention strategies typically focus on calcium and vitamin D intake and weight-bearing exercises rather than just including fruit in meals.

B) Schedule blood pressure screenings during craft club hours for elderly women at the senior center:
Blood pressure screenings are important for managing cardiovascular health but do not directly impact the prevention of osteoporosis. Osteoporosis prevention strategies are more focused on factors such as bone density, calcium intake, and physical activity.

C) Lobby the local school board to increase physical education classes at all schools in the district:
Increasing physical education classes in schools is a key strategy for osteoporosis prevention. Weight-bearing exercises and physical activity are essential for building and maintaining bone density, especially in youth. Lobbying for increased physical education supports long-term bone health by promoting regular exercise from an early age.

D) Collaborate with a local scout troop to determine families that need wheelchair ramps installed:
While installing wheelchair ramps is important for accessibility and mobility, it does not directly contribute to osteoporosis prevention. Osteoporosis prevention focuses on improving bone health through dietary changes and physical activity rather than addressing mobility issues.

A) Make a referral to have the scoliosis further evaluated:
Making a referral for further evaluation is the most important intervention. A noticeable unequal symmetry of the upper and lower back suggests the possibility of scoliosis, a condition that requires accurate diagnosis and assessment by a specialist. An orthopedic evaluation or consultation with a healthcare provider can provide a definitive diagnosis and guide appropriate management or treatment.

B) Measure the degree of the thoracic and lumbar curvature:
Measuring the degree of curvature can provide useful information about the severity of scoliosis but should be done by a healthcare professional specializing in scoliosis. Initial steps should focus on referring the student for a comprehensive evaluation, which will include assessing the degree of curvature along with other diagnostic procedures.

C) Ask about the student's ability to participate in sports:
While it is important to consider the student's ability to participate in sports, this is not the immediate priority. The primary concern should be obtaining a proper diagnosis and assessment of the potential scoliosis to determine if there are any limitations or necessary modifications in physical activities.

D) Review students' health record for a recent growth spurt:
Reviewing the health record for a recent growth spurt may provide context, as rapid growth can influence scoliosis development or progression. However, the most critical step is to refer the student for further evaluation to address the observed signs of scoliosis and determine the appropriate course of action.