A community health nurse has been asked by a faith-based organization to develop a mobile meal program for older adults who no longer drive.
Which of the following actions should the nurse plan to take first?
Identify alternative solutions to address concerns.
Determine potential funding sources for the program.
Inquire about the availability of volunteers.
Perform a needs assessment.
The Correct Answer is D
Choice A rationale
Identifying alternative solutions to address concerns is an important step in any project. However, it is not the first step in developing a mobile meal program for older adults who no longer drive. The first step should be to understand the needs of the target population, which can be achieved through a needs assessment.
Choice B rationale
Determining potential funding sources for the program is indeed a crucial aspect of planning. However, before seeking funding, it is essential to understand what needs to be funded, which comes from performing a needs assessment.
Choice C rationale
Inquiring about the availability of volunteers is a significant part of implementing the program. Volunteers could be responsible for meal preparation, delivery, or other tasks. However, the availability of volunteers does not determine the necessity or structure of the program.
Choice D rationale
Performing a needs assessment is the first step in developing a program. A needs assessment involves determining the extent of the need for a service in a particular population. In this case, it would involve determining how many older adults in the community no longer drive and would benefit from a mobile meal program.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
HIPAA rules do not vary from state to state. They are federal laws that apply uniformly across all states. However, states may have additional laws related to health information privacy that provide further protections.
Choice B rationale
A client’s diagnosis cannot be posted on the communication board inside the client’s room. This would be a violation of HIPAA rules, which protect the privacy of a patient’s health information.
Choice C rationale
Sharing computer passwords with a manager is not in line with HIPAA regulations. Each healthcare provider should have their own unique login credentials to access electronic health records. This helps ensure the security of health information and allows for tracking of access to patient records.
Choice D rationale
HIPAA rules do indeed allow clients to receive a copy of their medical records. This is part of the patient’s right to access their own health information.
Correct Answer is B
Explanation
Choice A rationale
Administering oxygen therapy is a specific medical intervention that may not be immediately necessary or appropriate depending on the cause of the symptoms. It would be more appropriate to first establish a triage area to assess the severity of the students’ conditions.
Choice B rationale
Establishing a triage area is the correct immediate action. This allows the nurse to quickly assess the severity of each student’s condition, prioritize care, and determine the appropriate next steps.
Choice C rationale
Notifying the parents of the students might be a subsequent step after assessing the students and determining the cause of the symptoms. However, it should not be the immediate action.
Choice D rationale
Contacting the local health department would be appropriate if there was a suspicion of a public health emergency, such as an outbreak of a communicable disease. However, the immediate action should be to assess the students and provide necessary care.
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