A community health nurse is planning an educational program for a local community on the prevention of chronic diseases. Which of the following actions best reflects the nurse's role in promoting community health?

Designing and delivering educational sessions on healthy lifestyle choices and preventive measures to the community.

Focusing solely on treating acute health issues as they arise within the community.

Providing one-on-one medical treatment for community members who are currently experiencing chronic disease symptoms.

Conducting individual health screenings and providing personalized counselling for each participant.

Answer and Explanation

The Correct Answer is A

A. Designing and delivering educational sessions on healthy lifestyle choices and preventive measures to the community. This reflects the nurse's role in promoting health and preventing disease on a community-wide level.

B. Focusing solely on treating acute health issues as they arise within the community. Addressing acute issues is reactive and does not promote long-term health improvement.

C. Providing one-on-one medical treatment for community members who are currently experiencing chronic disease symptoms. While valuable, this action focuses on individuals rather than addressing community-wide prevention.

D. Conducting individual health screenings and providing personalized counseling for each participant. Screenings and counseling are important but do not reflect broader community-level education efforts.

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Correct Answer is C

Explanation

A. Encouraging client feedback about satisfaction with the facility experience: This reflects client-centered care but does not directly demonstrate autonomy.

B. Explaining unit rules and policies regarding unacceptable behaviors: This action involves setting expectations rather than promoting client autonomy.

C. Supporting the client's wish to refuse prescribed medications. Autonomy involves respecting a client's right to make their own decisions about their care, including the decision to refuse treatment, as long as they have the capacity to do so.

D. Making sure the client understands expectations for client participation: This is about ensuring clarity of expectations rather than honoring the client's right to self-determination.

A. Black, tarry stools B. Dry mouth C. Bone pain D. Polyuria

Correct Answer is A

Explanation

A. Black, tarry stools: Celecoxib, a COX-2 inhibitor, can increase the risk of gastrointestinal bleeding, which can manifest as black, tarry stools. This is a serious adverse effect that should be reported.

B. Dry mouth: Dry mouth is not a common adverse effect of celecoxib. This is incorrect.

C. Bone pain: Bone pain is not a recognized adverse effect of celecoxib and may be related to the underlying osteoarthritis rather than the medication.

D. Polyuria: Polyuria is not associated with celecoxib. It is unrelated to the medication’s mechanism of action.

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