A nurse is caring for a client who has a serious mental illness and reports having challenges maintaining consistent work. Which of the following client statements indicates to the nurse that the client is living in a food desert?

Choice A Reason:
Reinforcing past teachings on how to read food labels is an important educational intervention. It helps the client make informed dietary choices, which can be crucial in managing heart failure. However, this intervention is more aligned with secondary prevention, which focuses on early detection and management of disease risk factors to prevent progression. Tertiary prevention, on the other hand, aims to manage and mitigate complications of an already established disease.

Choice B Reason:
Tertiary prevention focuses on managing and mitigating the effects of an existing disease to prevent complications and improve quality of life. In the context of heart failure, this involves monitoring and managing symptoms to prevent disease progression and hospitalizations. Reviewing the client's daily weights helps detect early signs of fluid retention, a common issue in heart failure, allowing for timely interventions.

Choice C Reason:
Reminding the client to ask for the pneumococcal vaccine during their next provider appointment is a preventive measure aimed at reducing the risk of infections, which can exacerbate heart failure. This intervention falls under primary prevention, as it aims to prevent the occurrence of a new health issue (pneumonia) rather than managing an existing condition.

Choice D Reason:
While assessing for edema is important in managing heart failure, it is more of a diagnostic activity rather than an intervention. Tertiary prevention involves interventions to manage and mitigate the effects of an existing disease.

Choice A: Nominal Group Planning is Best Used in Situations Where the Final Decision is Made by the Nurse Leading the Team
This statement is incorrect. Nominal group planning, also known as the nominal group technique (NGT), is designed to facilitate group decision-making and ensure that all members have an equal opportunity to contribute their ideas. It is not intended for situations where a single individual, such as the nurse leading the team, makes the final decision. Instead, NGT aims to gather diverse perspectives and reach a collective agreement on priorities.

Choice B: Nominal Group Planning is Used for Group Exploration to Allow for the Exchange of Dialogue and Opinions by the Stakeholders
This statement is correct. Nominal group planning is a structured method for group brainstorming that encourages contributions from everyone and facilitates quick agreement on the relative importance of issues, problems, or solutions. It allows for the exchange of dialogue and opinions among stakeholders, ensuring that all voices are heard and considered in the decision-making process.

Choice C: Nominal Group Planning Involves Group Consensus Before Prioritizing Data
While nominal group planning does involve group discussion and the sharing of ideas, it does not necessarily require full consensus before prioritizing data. Instead, it uses a voting system to rank the ideas based on their importance. This method ensures that the most critical issues are identified and prioritized, even if there is not complete agreement among all participants.

Choice D: Nominal Group Planning is Authoritarian with the Key Stakeholder Dictating Prioritization of Community Data
This statement is incorrect. Nominal group planning is not an authoritarian process. It is designed to be democratic and inclusive, allowing all group members to participate equally in the decision-making process. The key stakeholder does not dictate the prioritization of community data; instead, the group collectively determines the priorities through discussion and voting.