A community health nurse has been asked by a faith-based organization to develop a mobile meal program for older adults who no longer drive.
Which of the following actions should the nurse plan to take first?
Identify alternative solutions to address concerns.
Determine potential funding sources for the program.
Inquire about the availability of volunteers.
Perform a needs assessment.
The Correct Answer is D
Choice A rationale
Identifying alternative solutions to address concerns is an important step in any project. However, it is not the first step in developing a mobile meal program for older adults who no longer drive. The first step should be to understand the needs of the target population, which can be achieved through a needs assessment.
Choice B rationale
Determining potential funding sources for the program is indeed a crucial aspect of planning. However, before seeking funding, it is essential to understand what needs to be funded, which comes from performing a needs assessment.
Choice C rationale
Inquiring about the availability of volunteers is a significant part of implementing the program. Volunteers could be responsible for meal preparation, delivery, or other tasks. However, the availability of volunteers does not determine the necessity or structure of the program.
Choice D rationale
Performing a needs assessment is the first step in developing a program. A needs assessment involves determining the extent of the need for a service in a particular population. In this case, it would involve determining how many older adults in the community no longer drive and would benefit from a mobile meal program.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
HIPAA rules do not vary from state to state. They are federal laws that apply uniformly across all states. However, states may have additional laws related to health information privacy that provide further protections.
Choice B rationale
A client’s diagnosis cannot be posted on the communication board inside the client’s room. This would be a violation of HIPAA rules, which protect the privacy of a patient’s health information.
Choice C rationale
Sharing computer passwords with a manager is not in line with HIPAA regulations. Each healthcare provider should have their own unique login credentials to access electronic health records. This helps ensure the security of health information and allows for tracking of access to patient records.
Choice D rationale
HIPAA rules do indeed allow clients to receive a copy of their medical records. This is part of the patient’s right to access their own health information.
Correct Answer is D
Explanation
Choice A rationale
A consultant provides expert advice professionally. While a nurse case manager may provide advice as part of their role, arranging for the delivery of medical equipment to a patient’s home as part of discharge planning is not typically considered a consulting role19.
Choice B rationale
An advocate supports or recommends a particular cause or policy. While advocacy can be a part of a nurse case manager’s role, it is not the primary role being described in this scenario19.
Choice C rationale
A systems allocator distributes or spreads out something over a system. While a nurse case manager may allocate resources as part of their role, it is not the primary role being described in this scenario19.
Choice D rationale
This is the correct answer. A coordinator brings the different elements of a complex activity or organization into a relationship that will ensure efficiency or harmony. Arranging for the delivery of medical equipment to a patient’s home as part of discharge planning falls under this role19.
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