A faith-based organization asks a community health nurse to develop a mobile meal program for older adults who are no longer driving. Which of the following actions should the nurse plan to take first?
Inquire about the availability of volunteers.
Identify alternative solutions to address concerns.
Determine potential funding sources for the program.
Perform a needs assessment.
The Correct Answer is D
The correct answer is Choice D because, "Perform a needs assessment." Before developing a mobile meal program, the nurse should assess the needs of the older adults in the community to determine the appropriate services to provide. Inquiring about the availability of volunteers (Choice A is wrong because), identifying alternative solutions (Choice B is wrong because), and determining potential funding sources (Choice C is wrong because) are important steps, but they should be taken after performing a needs assessment.
Choice A is wrong because: Inquiring about the availability of volunteers should be done after performing a needs assessment.
Choice B is wrong because: Identifying alternative solutions to address concerns should be done after performing a needs assessment.
Choice C is wrong because: Determining potential funding sources for the program should be done after performing a needs assessment.
Choice D is wrong because: Performing a needs assessment is the first step in developing a mobile meal program.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D, Scratching or piercing the skin. This behavior is known as self-harm or non-suicidal self-injury, and it is a maladaptive coping mechanism that can result from unmanaged stress or negative emotions. The nurse should identify this behavior as a priority and provide resources for the adolescent to seek professional help, including counseling or therapy.
Choice A, staying up all night playing online video games, can be a form of procrastination or avoidance but does not necessarily indicate a need for immediate intervention.
Choice B, listening to loud music for several hours, can also be a coping mechanism, but it is not necessarily harmful or maladaptive.
Choice C, talking about others on social media, maybe a negative behavior, but it does not indicate a need for immediate intervention unless it leads to cyberbullying or harassment.
Correct Answer is C
Explanation
The mother reporting vomiting in choice A may be concerning, but it is a known side effect of methylphenidate, and the client should be monitored for any further symptoms. A client who has COPD and reports an oxygen saturation of 90%. An oxygen saturation of 90% in COPD is within normal due to the chronic hypoxia.The purple appearance of a colostomy stoma in choice C may indicate ischemia or necrosis, and is an urgent concern.The feeling of a vibration in a new arteriovenous graft for dialysis in choice D may indicate an arterial steal syndrome, but it is not a medical emergency, and the client can be instructed to follow up with the provider. Therefore, the correct answer is choice B.
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