A nurse is developing health promotion strategies for older adult clients at an assisted living facility. Which of the following strategies is the priority for the nurse to include?
Encouraging the clients to exercise regularly
Immunizing the clients against influenza
Providing the clients with a low-fat diet
Scheduling annual dental examinations for the clients
The Correct Answer is B
The correct answer is choice B, "Immunizing the clients against influenza." This is the priority for the nurse to include because older adults are at increased risk for complications from influenza. Immunization against influenza can help prevent serious illness and death in this population. While exercise, a low-fat diet, and dental examinations are important health promotion strategies for older adults, they are not as high a priority as influenza immunization. 
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Correct Answer is B
Explanation
Answer is b. The provider is paid a fixed sum for the client on a monthly or yearly basis.
A health maintenance organization (HMO) is a type of health insurance that contracts with a network of providers and facilities to offer care at a discounted rate. The HMO pays the provider a fixed sum for each client, regardless of the services they use. This is called capitation³. The HMO also requires the client to have a primary care provider who coordinates their care and makes referrals to specialists².
a. This statement is wrong because it describes a co-payment, which is a fixed amount that the client pays for each service. Co-payments are usually low in HMOs, but they are not the main payment structure².
c. This statement is wrong because it describes a fee-for-service health care insurance program, which is the opposite of an HMO. In a fee-for-service program, the client pays the insurer for each service they use, and the insurer reimburses the provider. This gives the client more freedom to choose their provider, but it also increases the cost of health care¹.
d. This statement is wrong because it describes a co-insurance, which is a percentage of the total cost that the client pays for each service. Co-insurance is more common in preferred provider organizations (PPOs), which are another type of health insurance that offer more flexibility than HMOs, but also higher premiums
Correct Answer is B
Explanation
The correct answer is choice b. Teaching about inhaler use to a client who has asthma.
Choice A rationale:
Educating adults about breast cancer screening guidelines is an example of secondary prevention. It aims to detect and treat disease early to halt its progress.
Choice B rationale:
Teaching about inhaler use to a client who has asthma is an example of tertiary prevention. It involves managing an existing chronic condition to prevent complications and improve quality of life.
Choice C rationale:
Providing STI testing for students on a college campus is an example of secondary prevention. It focuses on early detection and treatment to prevent the spread of infections.
Choice D rationale:
Promoting the use of helmets with children who ride bicycles is an example of primary prevention. It aims to prevent injury before it occurs by encouraging safe practices.
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