A nurse is caring for a client who has an acute case of cellulitis. After implementing a treatment protocol with the client, the client reports that they have had difficulty finding a job for almost a year and they sometimes skip meals to save money. Which problem is the priority for the nurse to address in the care plan?

Choice A: Implementing the Teach Back Method When Prescribing Medication
The Teach Back Method is an effective communication strategy where healthcare providers ask clients to repeat back the information given to ensure understanding. While this method can improve medication adherence and health literacy, it does not directly address the broader systemic issues related to poverty. It is a useful tool but not the most impactful intervention for breaking the cycle of poverty.

Choice B: Replacing Medicare Programs with Medigap Policies
Medigap policies are supplemental insurance plans that cover costs not included in traditional Medicare. However, replacing Medicare programs with Medigap policies would not necessarily improve outcomes for clients impacted by poverty. Medigap policies can be expensive and may not be affordable for low-income individuals. This intervention does not address the root causes of poverty or improve access to essential health services.

Choice C: Eliminating the Use of Client Portals or Virtual Visits
Eliminating client portals or virtual visits would likely have a negative impact on client outcomes, especially for those in poverty who may have limited access to transportation. Virtual visits and client portals provide convenient access to healthcare services, allowing clients to communicate with providers, access medical records, and receive care without the need for in-person visits. Removing these options would reduce access to care for many individuals.

Choice D: Opening a Community Health Center in an Underserved Area
This is the correct choice. Opening a community health center in an underserved area directly addresses the lack of access to healthcare services, which is a significant barrier for individuals living in poverty. Community health centers provide comprehensive primary care, preventive services, and support for managing chronic conditions. They often offer sliding scale fees based on income, making healthcare more affordable and accessible for low-income populations. By improving access to healthcare, community health centers can help break the cycle of poverty and improve overall health outcomes.

Choice A Reason:
The quick and colorful approach is a method often used for brainstorming and generating ideas in a visually engaging manner. It involves using colorful charts, sticky notes, and other visual aids to help participants think creatively and organize their thoughts. However, this method does not typically involve the use of questionnaires for data collection.

Choice B Reason:
The simplex method is a mathematical approach used for linear programming and optimization problems. It helps in finding the best possible solution from a set of feasible solutions. This method is highly analytical and does not involve the use of questionnaires for data collection or analysis.

Choice C Reason:
The criteria weighting method is used to evaluate and prioritize different options based on specific criteria. Participants assign weights to each criterion based on its importance, and then score each option against these criteria. While this method is useful for decision-making, it does not inherently involve the use of questionnaires for data collection.

Choice D Reason:
Nominal group planning is a structured method for group brainstorming that encourages contributions from everyone. It involves the use of questionnaires to gather individual opinions and then aggregates these responses to identify the most important issues or solutions. This method is particularly effective for prioritizing community needs as it ensures that all voices are heard and considered.