A community health nurse observes the accumulation of garbage at a neighborhood playground. Which of the following actions should the nurse take first to promote a clean and safe environment?
Work with local businesses to sponsor more trash receptacles in the playground.
Engage neighborhood families to monitor the playground for further trash buildup.
Partner city officials with community members to improve the playground's condition.
Meet with community members to discuss methods of playground maintenance.
The Correct Answer is D
Rationale:
A. Work with local businesses to sponsor more trash receptacles is a constructive intervention, but it addresses the problem from a logistical standpoint rather than involving the community or assessing their needs and willingness to participate. Implementing solutions without community engagement may not be sustainable.
B. Engage neighborhood families to monitor the playground for further trash buildup is an action-oriented strategy, but initiating monitoring before discussing the problem and gaining community buy-in can result in poor participation or inconsistent implementation.
C. Partner city officials with community members to improve the playground's condition is important for long-term solutions, such as maintenance, funding, or policy changes. However, this requires planning and coordination and should follow initial community engagement to identify priorities and strategies.
D. Meet with community members to discuss methods of playground maintenance – this is the first step. Community engagement ensures that interventions are culturally appropriate, address residents’ priorities, and foster a sense of ownership and responsibility. By involving community members from the start, the nurse can gather insights about the causes of garbage accumulation, identify local resources, and collaboratively develop sustainable strategies to maintain a clean and safe playground.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. This reflects individual lifestyle choices, as smoking is a behavior directly influenced by personal decisions, habits, and social factors. Lifestyle choices affect health outcomes and risk factors for chronic diseases, making them an important focus in community assessments.
B. This represents an environmental determinant of health, as it can contribute to air pollution, occupational hazards, and overall community exposure risks, but it is not an individual lifestyle choice.
C. Access to technology is a social determinant of health, providing opportunities for education, telehealth, and social connectivity. It reflects community infrastructure rather than individual behaviors.
D. This is part of healthcare services and resources, a structural determinant that supports the community’s access to preventive and acute care. It does not reflect personal lifestyle choices.
Correct Answer is B
Explanation
Rationale:
A. Respite care is incorrect because respite care is designed to provide temporary relief for caregivers, not as a strategy for maintaining long-term abstinence in clients with substance use disorder.
B. Support group is correct because peer support and structured group programs (e.g., Alcoholics Anonymous, Narcotics Anonymous) are evidence-based strategies that help clients maintain long-term abstinence, build coping skills, and develop a supportive network. Participation in support groups reduces relapse risk and promotes accountability.
C. Benzodiazepines is incorrect because while benzodiazepines may be used short-term during alcohol withdrawal to prevent complications such as seizures, they are not a long-term strategy for maintaining abstinence and can themselves be addictive.
D. Detoxification is incorrect because detox addresses acute withdrawal symptoms and does not ensure long-term abstinence. Detox is the first step in treatment, but ongoing strategies like counseling, therapy, and support groups are required to maintain recovery.
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