A parish nurse is counseling a family following a client's recent diagnosis of heart disease. Which of the following actions should the nurse take first?

Ask family members about the impact of the disease on relationships within the family.

Offer to accompany the client and the client's partner during health care provider visits.

Assist the client and the client's partner with finding an affordable exercise program.

Discuss the benefits of eating a well-balanced diet with the client's family.

Answer and Explanation

The Correct Answer is A

Explanation: The first action the parish nurse should take is to ask family members about the impact of the disease on relationships within the family. A diagnosis of heart disease can affect the client and the client's family emotionally, physically, and financially. By assessing the family's understanding of the disease, the nurse can identify their needs, concerns, and coping strategies. The nurse can also provide emotional support, education, and resources to help the family manage the disease and improve their quality of life. Offering to accompany the client and the client's partner during health care provider visits, assisting the client and the client's partner with finding an affordable exercise program, and discussing the benefits of eating a well-balanced diet with the client's family are appropriate actions that the nurse can take. However, these actions are not the priority until the nurse has assessed the family's understanding and need

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Correct Answer is C

Explanation

. Immunization is one of the most effective primary prevention measures, as it can prevent the spread of infectious diseases in schools. By monitoring the immunization status of students, the school nurse can ensure that all students are up-to-date on their vaccinations and take action if any student is not. Scheduling hearing screenings or providing first aid for injured students are examples of secondary prevention, which aims to detect and treat illnesses or injuries early to prevent complications.

A. The provider bills the client directly for a predetermined percentage of the cost of services. B. The provider is paid a fixed sum for the client on a monthly or yearly basis. C. The client is participating in a fee-for-service health care insurance program. D. The client pays the insurer a percentage of the total costs for each service rendered by the provider.

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

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A parish nurse is counseling a family following a client's recent diagnosis of heart disease. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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