A client was quite ill and the family was doing their best. After careful assessment and diagnosis, the home health nurse was setting priorities for care. Which should be the basis for deciding which intervention to implement first?

Correct Answer: D

Rationale: The plan, including short-term and long-term goals, is developed in consultation with the client and the family. To maximize the plan's success, it is important that the patient and family are involved in the planning process and that they access community resources. Thus, it is most important to address the problem that the client and family think should be addressed first. The other problems can be addressed after meeting the immediate needs of the client and family.

Correct Answer: C

Rationale: Medicare-certified health care agencies must ask patients about advance directives and provide patients with the advance directive form if the patient is interested in completing the document.

Correct Answer: D

Rationale: The correct answer is D: Vulnerable populations. Vulnerable populations are at high risk due to limited resources and face barriers to accessing healthcare. They include groups such as low-income individuals, homeless people, and the elderly. This term encompasses a broader range of individuals compared to the other options. A: Disadvantaged families may lack resources, but not all members may be at high risk for poor health outcomes. B: Multi-problem families may face various challenges, but not all may be at high risk for poor health outcomes. C: Resilient populations have the ability to adapt and recover from adversity, so they are not necessarily at high risk for poor health outcomes.

Correct Answer: C

Rationale: The correct answer is C: Pediatric intensive care for homebound families. This choice accurately describes the program as providing intensive care for children with complex medical needs in their homes. It includes home care and respite services for families with technology-dependent children. The term "pediatric intensive care" emphasizes the specialized nature of the services offered. Explanation for why the other choices are incorrect: A: Family professional respite care - This choice focuses solely on respite care and does not encompass the full range of services being offered in the program. B: High tech-high care family comprehensive treatment - This choice is vague and does not specifically address the unique needs of technology-dependent children and their families. D: Specialty "carve out" - This choice does not accurately describe the program's focus on providing intensive care and home care services for families with technology-dependent children.

Correct Answer: B

Rationale: The nurse lobbyist who believes strongly in social justice would encourage legislators to support a bill that promotes universal health insurance coverage (Choice B). This is because universal health insurance coverage aligns with the principles of social justice by ensuring that all individuals have access to essential healthcare services regardless of their income or socioeconomic status. By advocating for universal health insurance coverage, the nurse lobbyist is supporting the idea that healthcare should be a fundamental right for all individuals. Choices A, C, and D are incorrect: A: Establishing policies requiring all persons to pay the same cost for services regardless of income would not address the underlying issue of income disparities and access to healthcare services. C: Requiring all health care providers to give care to uninsured persons without charge is not sustainable and does not address the systemic issues related to healthcare access. D: Requiring health care workers to report undocumented immigrants who present for treatment goes against the principle of providing healthcare to all individuals regardless of their immigration status.