The RN working within the NFP model of care uses the Minnesota Health Wheel to describe what she does in her role to her own family. Which intervention is the RN likely to describe that is consistent with the public health nurse role of delegation:

Correct Answer: C

Rationale: The correct answer is C because public health nurses in the NFP model focus on collaborating with other healthcare professionals and community resources to address the social determinants of health. By collaborating with the social work services team when recognizing that a patient is unhoused, the nurse is delegating the appropriate intervention to address the patient's social needs, which is a key aspect of the public health nurse role. Choices A, B, and D are incorrect because they all involve direct patient care interventions that are typically within the scope of practice of the nurse themselves, rather than delegating to other professionals or resources. Option A involves administering IV antibiotics, which is a nursing task. Option B involves conducting a respiratory exam, which is also a nursing task. Option D involves teaching a patient about necessary vaccinations, which is an educational intervention within the nurse's scope of practice.

Correct Answer: B

Rationale: The correct answer is B: Guarantees safety at home. PCMH focuses on providing patient-centered, comprehensive, coordinated care with an emphasis on patient needs and involving a team of healthcare providers. Safety at home is not a direct characteristic of PCMH. Other choices (A, C, D) align with the core principles of PCMH - comprehensive care, patient-centered approach, and collaborative teamwork among providers.

Correct Answer: D

Rationale: The correct answer is D: managed care. The Four M's framework for Age-Friendly Health Systems focuses on medication, mentation, and mobility to enhance the care for older adults. Managed care, which typically refers to a system of healthcare delivery, is not one of the core concepts within this framework. Medication emphasizes safe and appropriate drug use, mentation focuses on cognitive health, and mobility emphasizes maintaining physical function. Managed care does not directly address the specific health needs of older adults, making it the incorrect choice in this context.

Correct Answer: D

Rationale: The correct answer is D because fee-for-service care typically involves fees that vary and are not uniform across states due to minimal regulation. This variability allows providers to set their own prices based on factors such as demand, competition, and cost of services. This system promotes flexibility but can lead to inconsistencies and higher costs. A is incorrect because fee-for-service care is not typically based on the patient's ability to pay or capped. B is incorrect because fees are not necessarily reflective of the fair market value and can be influenced by other factors. C is incorrect because fee schedules are not the primary factor enabling hospitals and clinics to function properly in a fee-for-service system.

Correct Answer: C

Rationale: Rationale for Correct Answer (C): In value-based care, the main goal is to achieve the best outcomes relative to cost. This is represented by the equation Quality/Cost. Quality divided by Cost indicates the emphasis on maximizing outcomes while minimizing costs, aligning with the principles of value-based care. By focusing on Quality/Cost, healthcare providers aim to deliver high-quality care efficiently and effectively. Summary of Incorrect Choices: A (Cost X Quality): This equation focuses on the product of cost and quality, rather than the relationship between outcomes and cost. B (Cost X Quality/Consumer satisfaction): Consumer satisfaction is not explicitly related to achieving the best outcomes relative to cost in value-based care. D (Fee for service/discount rate): This choice is not relevant to measuring and optimizing outcomes in value-based care.