A nurse in a community health clinic is assessing a client who has two preschoolers, was recently divorced, and is seeking help for managing depression. Which of the following questions should the nurse ask first?

A. The client makes frequent eye contact during the teaching.

Explanation: While eye contact can be a positive non-verbal communication cue, it does not directly indicate understanding. Some individuals may maintain eye contact without necessarily comprehending the content.

B. The client demonstrates what they learned during the teaching.

Explanation: The most reliable indicator that a client understands the teaching is their ability to demonstrate what they have learned. This involves actively applying the information or skills taught during the teaching session. It ensures that the client has not only received information but has also comprehended and can apply it appropriately.

C. The client nods their head and smiles during the teaching.

Explanation: Nodding and smiling can be positive signs of engagement, but they do not guarantee comprehension or retention of information. Individuals may nod or smile as a social response without fully understanding the content.

D. The client wears their glasses and hearing aids during the teaching.

Explanation: Wearing glasses and hearing aids indicates sensory readiness and may facilitate the client's ability to receive information. However, it does not confirm understanding. The client could still wear these devices without fully grasping the taught material.

A. Formulate objectives for the smoking cessation program.

Formulating objectives is an important step in program planning, but it should come after gathering information about the community's needs and characteristics. Objectives are developed based on a clear understanding of the target population.

B. Evaluate the methods of successful smoking cessation programs.

Evaluating methods of successful programs is a valuable step, but it is premature without first understanding the community's current situation. The assessment of community needs and prevalence informs the selection of appropriate methods.

C. Gain community support for the program.

Gaining community support is a crucial aspect of program implementation, but it may be more effectively pursued after determining the prevalence of smoking. Understanding the extent of the issue can help in building a case for community involvement and support.

D. Determine the prevalence of smoking in the community.

Explanation: Assessing the prevalence of smoking in the community is a crucial initial step in planning a smoking cessation program. Understanding the extent of the problem helps the nurse identify the target population, assess the community's specific needs, and tailor the program to address local factors influencing smoking habits.