A nurse is preparing a community health program for adults at risk for cardiovascular disease. Which of the following should the nurse include as a modifiable risk factor?

Choice A reason:

The statement “This stage is when testing occurs to identify boundaries of interpersonal behaviors” describes the storming stage of group development. During the storming stage, group members test boundaries and challenge each other, leading to conflicts and disagreements.

Choice B reason:

The norming stage is characterized by the development of group cohesion and consensus. During this stage, group members start to resolve their differences, appreciate each other’s strengths, and work together more effectively. Consensus evolves as the group establishes norms and agrees on common goals.

Choice C reason:

While constructive efforts are part of the norming stage, the statement is too vague to indicate a clear understanding of this specific stage. Constructive efforts can occur in various stages of group development, including performing.

Choice D reason:

Resistance and the formation of subgroups are typical of the storming stage, not the norming stage. In the storming stage, conflicts and power struggles are common as group members assert their opinions and roles.

Choice A reason: Administer the Medications 5 Minutes Apart

Administering the medications 5 minutes apart is crucial when using multiple eye drops. This practice ensures that each medication has enough time to be absorbed without being washed out by the subsequent drop. This is particularly important for medications like timolol and pilocarpine, which are used to manage intraocular pressure in glaucoma.

Choice B reason: Hold Pressure on the Conjunctival Sac for 2 Minutes Following Application of Drops

Holding pressure on the conjunctival sac (punctal occlusion) for 2 minutes after applying eye drops can help reduce systemic absorption and increase the local effect of the medication. However, this instruction is not as critical as the timing between administering different eye drops.

Choice C reason: It Is Not Necessary to Remove Contact Lenses Before Administering Medications

This statement is incorrect. Contact lenses should be removed before administering eye drops to prevent contamination and ensure proper absorption of the medication. The lenses can be reinserted after a sufficient amount of time has passed, usually around 15 minutes.

Choice D reason: Administer the Medications by Touching the Tip of the Dropper to the Sclera of the Eye

This statement is incorrect. The tip of the dropper should never touch the eye or any other surface to avoid contamination. The correct method is to hold the dropper above the eye and squeeze out the prescribed number of drops into the conjunctival sac.