An older adult client has developed a pressure injury while in the hospital for the treatment of

Correct Answer: D

Rationale: The correct answer is D because Medicare has penalties for hospital-acquired conditions like pressure injuries. Hospitals are financially penalized for preventable conditions, resulting in reduced reimbursement. Choice A is incorrect because Medicare penalties are imposed on hospitals, not individual clients. Choice B is incorrect as hospitals will still receive reimbursement, but it may be reduced. Choice C is incorrect as complications usually lead to increased costs for the hospital, not increased reimbursement.

Correct Answer: C

Rationale: The correct answer is C because LHIs (Local Health Initiatives) aim to improve health and well-being across the lifespan, not just focus on specific age groups like childhood illnesses (A). While LHIs can be part of individual care plans (B), their primary goal is to impact the overall community health. LHIs are not standardized guidelines for disease care (D) but rather community-based programs that address various health needs. By focusing on improving health outcomes for all age groups, the nurse can create effective programs that benefit the entire community.

Correct Answer: B

Rationale: The correct answer is B: Screening. The nurse is engaged in screening during the lipid profile testing at a community health fair. Screening involves identifying individuals at risk of a particular health condition before symptoms appear. In this case, the nurse is identifying individuals with potential lipid profile abnormalities. Regulation (A) involves creating and enforcing rules and laws. Education (C) involves providing information to promote health awareness. Preventative treatment (D) involves interventions to prevent a health condition after risk factors are identified. However, in this scenario, the nurse is primarily focused on early identification rather than treatment.

Correct Answer: B

Rationale: The correct answer is B: Population Health Management. The nurse is focusing on the health of the community by addressing teenage smoking, which falls under population health management. This involves improving the health outcomes of a group of individuals, in this case, teenagers, through prevention programs. System Integration and Execution (A) refer to coordinating care delivery, not community health initiatives. Redesign of Primary Care Services and Structures (C) focuses on improving primary care delivery, not community health programs. Cost Control and Platform (D) involve financial aspects and technology, not directly related to community health initiatives. In summary, the nurse's work aligns with the population health management component of the IHI Triple Aim by targeting the health of a specific population group.

Correct Answer: D

Rationale: The correct answer is D because preparing data collection tools is the next step after choosing the evaluation design in the CDC's Framework for Program Evaluation. This step involves determining what data needs to be collected, how it will be collected, and from which sources. It is crucial for ensuring that the evaluation process is systematic and the data collected is reliable and valid. Developing program goals and objectives (choice A) typically comes before choosing the evaluation design. Creating a logic model (choice B) is important but usually occurs before selecting the evaluation design. Sharing results with partners and the community (choice C) happens after the evaluation is conducted and the data is analyzed.