A faith-based organization asks a community health nurse to develop a mobile meal program for older adults who are no longer driving. Which of the following actions should the nurse plan to take first?

The correct answer is Choice B because, "Clients receive Medicare benefits when eligible." Distributive justice is the ethical principle that resources should be allocated fairly among members of society. The outcome of clients receiving Medicare benefits when eligible is an example of distributive justice because it ensures that eligible clients have access to healthcare resources that are distributed fairly based on their need for them.

Choice A is wrong because, "Clients demonstrate completion of advance directives," is not the correct answer because it is an example of autonomy, which is the ethical principle that individuals have the right to make decisions about their own healthcare. Choice C is wrong because, "Clients verbalize their right to refuse treatment," is an example of informed consent, which is the ethical principle that individuals have the right to make decisions about their own healthcare based on accurate information. Choice D is wrong because, "Clients understand their right to confidentiality," is an example of confidentiality, which is the ethical principle that healthcare information should be kept private and secure.

The correct answer is Choice D because, "Household contacts will receive prophylactic antibiotics." The nurse should include in the teaching that household contacts of the child with pertussis will receive prophylactic antibiotics to prevent the spread of the disease. This answer is correct because pertussis is a highly contagious respiratory illness that spreads through respiratory droplets, and prophylactic antibiotics can help prevent the spread of the disease.

Choice A is wrong because is incorrect because a dehumidifier will not prevent the spread of pertussis.

Choice B is wrong because is incorrect because pertussis does not cause a rash.

Choice C is wrong because is incorrect because herd immunity occurs when a large percentage of the population is immunized against a disease, and pertussis is preventable with vaccination.