A hospice nurse is concerned that the partner of a client is experiencing caregiver burden. Which of the following actions should the nurse take first?

The correct answer is Choice D because, "Release a media announcement asking residents to remove areas of standing water." The nurse should release a media announcement asking residents to remove areas of standing water to prevent the breeding of mosquitos. This answer is correct because standing water provides a breeding ground for mosquitos, which can transmit encephalitis.

Choice Bis wrong because is incorrect because researching the species of mosquito responsible for the outbreak is not an activity that the nurse should perform to implement mosquito control strategies.

Choice Ais wrong because is incorrect because reviewing morbidity rates of encephalitis within the last 6 months is not an activity that the nurse should perform to implement mosquito control strategies.

Choice C is wrong because is incorrect because identifying the number of cases resulting in disability from encephalitis is not an activity that the nurse should perform to implement mosquito control strategies.

The correct answer is Choice A because, "The provider is paid a fixed sum for the client on a monthly or yearly basis." A health maintenance organization (HMO) provides a fixed payment to the provider for the client on a monthly or yearly basis.

Choice B is wrong because, "The provider bills the client directly for a predetermined percentage of the cost of services," is not the correct answer. This is an example of a fee-forservice payment structure, not an HMO payment structure.

Choice C is wrong because, "The client is participating in a fee-for-service health care insurance program," is not the correct answer. This is not an HMO payment structure.

Choice D is wrong because, "The client pays the insurer a percentage of the total costs for each service rendered by the provider," is not the correct answer. This is an example of a preferred provider organization payment structure, not an HMO payment structure.

Explanation: An HMO provides a fixed payment to the provider for the client on a

monthly or yearly basis. The provider billing the client directly for a

predetermined percentage of the cost of services, the client participating in a feefor-service health care insurance program, and the client paying the insurer a percentage of the total costs for each service rendered by the provider are not examples of HMO payment structures.