When caring for a first-time mom and baby, the community RN would focus on which of the following as the first priority when developing appropriate interventions?

Correct Answer: B

Rationale: The correct answer is B: Safety. The first priority when caring for a first-time mom and baby should be ensuring their safety. Safety is crucial to prevent harm and promote well-being. Prioritizing safety includes addressing physical, emotional, and environmental factors that may impact the mother and baby. Education (choice A) is important but comes after ensuring safety. Policy-making (choice C) and vaccination (choice D) are important but not immediate priorities when caring for a first-time mom and baby.

Correct Answer: D

Rationale: The correct answer is D because self-awareness and humility are crucial competencies for a public health nurse working with diverse populations. By acknowledging imperfections openly and listening to patient feedback, the nurse demonstrates an understanding of their own limitations and a willingness to learn and improve. This approach fosters trust and communication with clients, leading to better outcomes. A is incorrect because it focuses on the nurse's confidence rather than self-awareness and humility. B is incorrect as it highlights a judgmental attitude towards expectant moms instead of promoting understanding and support. C is incorrect as it emphasizes correcting behavior rather than listening and understanding the individual's needs.

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.