A nurse is planning priority interventions for a community health program. Which of the following interventions should the nurse include?

Choice A reason: Organizing an influenza immunization clinic with the American Red Cross is a service that the nurses should plan to provide to the congregation, as it is consistent with the role and scope of parish nursing. Parish nurses, or faith community nurses, are registered nurses who provide education, counseling, referral, advocacy, and volunteer coordination within the context of their faith community¹. They focus on holistic healing and prevention of illness, rather than hands-on care². Organizing an influenza immunization clinic is an example of a preventive and educational service that can benefit the health of the congregation and the community.

Choice B reason: Performing wound care in the home of members is not a service that the nurses should plan to provide to the congregation, as it is outside the role and scope of parish nursing. Parish nurses do not provide direct clinical care, such as wound care, medication administration, or blood pressure monitoring². They may refer members to other health care providers or agencies for these services, or teach members how to perform self-care³.

Choice C reason: Providing end of life care for members who are terminal is not a service that the nurses should plan to provide to the congregation, as it is outside the role and scope of parish nursing. Parish nurses do not provide direct clinical care, such as pain management, symptom control, or palliative care². They may provide spiritual and emotional support, counseling, and advocacy for members who are terminal, or refer them to hospice or other end of life care services³.

Choice D reason: Facilitating discharge from the facility to the home is not a service that the nurses should plan to provide to the congregation, as it is outside the role and scope of parish nursing. Parish nurses do not provide case management, discharge planning, or home health care². They may collaborate with other health care professionals or community agencies to ensure continuity of care and smooth transition for members who are discharged from the facility to the home³.

Choice A reason: Reporting the incident to local authorities is an important action, but it is not the first priority. The nurse should first assess the child's physical condition and provide any necessary care.

Choice B reason: Checking the child for injuries is the first action the nurse should take, as the child may have sustained physical harm from the abuse. The nurse should document any findings and report them to the appropriate authorities.

Choice C reason: Referring the parent to a social service agency is a helpful action, but it is not the first priority. The nurse should first ensure the child's safety and well-being.

Choice D reason: Enrolling the parent in anger management classes is a potential intervention, but it is not the first priority. The nurse should first address the immediate needs of the child and the family.