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?
Perform a needs assessment.
Inquire about the availability of volunteers.
Identify alternative solutions to address concerns.
Determine potential funding sources for the program.
The Correct Answer is A
The first step the nurse should take is to perform a needs assessment. This involves determining the specific needs of the older adults who will be served by the mobile meal program. The nurse should identify the target population and assess their nutritional needs, dietary restrictions, and food preferences. The nurse should also determine the availability of transportation for the delivery of meals and the potential need for volunteers. Once the needs assessment is complete, the nurse can begin to develop a plan for the program.
Inquiring about the availability of volunteers (choice B) and determining potential funding sources for the program (choice D) are important steps, but they should come after performing a needs assessment. Identifying alternative solutions (choice C) may be necessary at some point, but it is not the first step.
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Related Questions
Correct Answer is B
Explanation
The correct answer is choice B, "Immunizing the clients against influenza." This is the priority for the nurse to include because older adults are at increased risk for complications from influenza. Immunization against influenza can help prevent serious illness and death in this population. While exercise, a low-fat diet, and dental examinations are important health promotion strategies for older adults, they are not as high a priority as influenza immunization. 
Correct Answer is C
Explanation
A.While insurance coverage is important, it is not a criterion for qualifying for hospice care. Hospice care focuses on providing comfort and support to terminally ill patients, regardless of insurance coverage.
B.Hospice care can be provided in various settings, including the home, hospice facilities, or inpatient units. The need for inpatient care due to a lack of a caregiver is not a criterion for hospice eligibility; rather, hospice focuses on the terminal nature of the illness.
C.Hospice careis a service for people with serious illnesses who choose not to get (or continue) treatment to cure or control their illness. People may choose to enroll in hospice care if the treatment is unlikely to be effective or if continuing it has become too burdensome.
D.Choice D states that the client has documentation stating they have less than 12 months to live. However, for hospice care eligibility, the standard criterion is a life expectancy ofsix months or less, as certified by a physician. This is a key distinction, as hospice care focuses on providing comfort and support during the final months of life, rather than extending life expectancy.
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