Which of the following referrals should a school nurse initiate when caring for a child with muscular dystrophy who is having difficulty swallowing at lunch?

A.Migrant workersmay face barriers such as irregular work hours, lack of transportation, or limited access to healthcare facilities. A community health nurse helps people in a local community however, they do not provide health services in private places like work sites.

B.Many migrant workers may have limited financial resources and may struggle with the cost of fee-for-service healthcare. This approach could create financial barriers and limit access to necessary health services for this population.

C.Community centers provide a central location where migrant workers and their families can access health screenings and other services. This approach is beneficial and accessible.

D.Requiring a work visa can exclude undocumented workers or those without proper documentation from receiving care. This requirement could prevent a significant portion of the migrant population from accessing necessary health services and does not align with the goal of providing inclusive and equitable healthcare.

The first step the nurse should take is to perform a needs assessment. This involves determining the specific needs of the older adults who will be served by the mobile meal program. The nurse should identify the target population and assess their nutritional needs, dietary restrictions, and food preferences. The nurse should also determine the availability of transportation for the delivery of meals and the potential need for volunteers. Once the needs assessment is complete, the nurse can begin to develop a plan for the program.

Inquiring about the availability of volunteers (choice B) and determining potential funding sources for the program (choice D) are important steps, but they should come after performing a needs assessment. Identifying alternative solutions (choice C) may be necessary at some point, but it is not the first step.