During a community assessment, the nurse identifies a need for safe after-school space for high school students to socialize, study, and play. Which basic human need does this nurse determine needs to be met?

Correct Answer: A

Rationale: The correct answer is A: Security. The need for safe after-school space aligns with the basic human need for security, which involves feeling safe and protected physically and emotionally. By providing a secure environment for high school students to socialize, study, and play, their overall well-being and sense of security are addressed. This helps in fostering a sense of safety and stability, which is essential for their development and growth. Summary of why other choices are incorrect: B: Physiological needs pertain to basic survival needs like food, water, and shelter, which are not directly addressed by the need for safe after-school space. C: Esteem needs involve feelings of accomplishment and self-worth, which are not the primary focus in this scenario. D: Self-actualization is the highest level of human needs related to personal growth and fulfillment, which is not the immediate concern in providing a safe after-school space for high school students.

Correct Answer: C

Rationale: The correct answer is C: Performing medication reconciliation. This intervention involves ensuring the accuracy of a patient's medication list during care transitions. It is crucial to prevent medication errors and adverse drug events. Assisting with activities of daily living (option A) and administering medications in the home setting (option B) are important but not specific to care transitions. Transporting the client to medical appointments (option D) is also important but not directly related to care coordination during the transition from hospital to home.

Correct Answer: C

Rationale: The correct answer is C because the client mentioning a medication they have not seen before indicates a potential discrepancy in their medication list. This requires follow-up to ensure accurate reconciliation. Choice A is incorrect because understanding medication changes is positive. Choice B is incorrect as it shows client understanding. Choice D is incorrect as it is incomplete.

Correct Answer: B

Rationale: The correct answer is B because engaging clients and their families in the discharge planning process promotes a collaborative approach, ensuring individualized care and increased understanding of the plan. This active involvement enhances compliance and reduces readmission rates. Choice A is incorrect because using medical terms may confuse clients. Choice C is incorrect as it only assesses understanding post-teaching, not actively involving in planning. Choice D is incorrect as a standardized plan may not meet individual needs.

Correct Answer: D

Rationale: The correct answer is D because coordinating care among health care providers is crucial in ensuring a smooth transition for the older adult client between the hospital and the community. This role involves communicating with different healthcare professionals to ensure continuity of care, preventing gaps in services, and promoting patient safety. Option A is not the priority responsibility as it does not address the coordination aspect. Option B focuses on direct client care, which is important but not the primary role of the community health nurse in this context. Option C, while important, does not directly address the coordination of care among providers.