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?

Engage neighborhood families to monitor the playground for further trash buildup

Meet with community members to discuss methods of playground maintenance

Partner city officials with community members to improve the playground's condition,

Work with local businesses to sponsor more trash receptacles in the playground.

Answer and Explanation

The Correct Answer is B

A. Engage neighborhood families to monitor the playground for further trash buildup: While community involvement is valuable, monitoring alone does not address the immediate sanitation concern. Engagement is more effective after assessing and planning with the community.

B. Meet with community members to discuss methods of playground maintenance: The first step is to involve the community in identifying concerns and generating solutions. This approach promotes shared ownership, sustainability, and relevance of any interventions.

C. Partner city officials with community members to improve the playground's condition: Collaboration with city officials is important, but it should follow initial discussions with the community to ensure their input and priorities are represented in any formal partnerships.

D. Work with local businesses to sponsor more trash receptacles in the playground: Providing trash receptacles is a practical solution, but it does not address the root causes or promote sustained behavior change without community buy-in and shared planning.

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Correct Answer is A

Explanation

A. Neighbourhood and built environment: The physical environment, including neighbourhood safety, housing conditions, and infrastructure, directly influences a client’s physical safety by affecting exposure to hazards such as crime, pollution, and unsafe housing structures.

B. Access to and quality of health care: While crucial for health outcomes, access to healthcare affects disease management and prevention rather than directly influencing immediate physical safety in the environment.

C. Social and community context: This involves social support, community engagement, and experiences of discrimination, which impact mental and emotional health more than direct physical safety.

D. Access to and quality of education: Education influences health literacy and long-term socioeconomic status but does not directly impact immediate physical safety.

A. Refer coworkers who might have been exposed to a provider for prophylactic antibiotics B. Place the employee under quarantine for 14 days. C. Alert the family members of coworkers about their possible exposure to anthrax. D. Instruct the client to wear a mask at work.

Correct Answer is A

Explanation

A. Refer coworkers who might have been exposed to a provider for prophylactic antibiotics: Anthrax exposure can be fatal if not treated early. Public health protocols recommend prophylactic antibiotics such as ciprofloxacin or doxycycline for those potentially exposed. Timely referral helps prevent the onset of disease.

B. Place the employee under quarantine for 14 days: Quarantine is typically used for contagious diseases that spread person to person, such as COVID-19 or influenza. Anthrax is not spread between individuals, so quarantining an exposed person is unnecessary and not a standard public health measure for this pathogen.

C. Alert the family members of coworkers about their possible exposure to anthrax: Because anthrax does not spread from person to person, there is no need to notify family members of potential exposure. Such an action could cause unnecessary alarm and would not contribute to effective disease control or prevention.

D. Instruct the client to wear a mask at work: Wearing a mask does not prevent the progression of anthrax in an exposed individual nor does it protect others, as anthrax is not contagious between humans. This measure would not address the exposure risk or help in disease managemet.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is A

Explanation

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