A public health nurse is addressing community leaders at a forum about community improvement. The nurse should identify which of the following groups as being the fastest growing segment of the homeless population.

Choice A reason: A consultant is someone who provides expert advice or guidance on a specific topic or problem. A nurse case manager may act as a consultant when collaborating with other health care professionals or community agencies, but not when arranging for the delivery of medical equipment to the client's home.

Choice B reason: A systems allocator is someone who distributes or allocates resources or services within a system or organization. A nurse case manager may act as a systems allocator when managing the cost and quality of care for a client, but not when arranging for the delivery of medical equipment to the client's home.

Choice C reason: An advocate is someone who supports or defends the rights or interests of another person or group. A nurse case manager may act as an advocate when promoting the client's autonomy, dignity, and well-being, but not when arranging for the delivery of medical equipment to the client's home.

Choice D reason: A coordinator is someone who organizes or facilitates the activities or interactions of different people or groups. A nurse case manager acts as a coordinator when arranging for the delivery of medical equipment to the client's home, as this involves coordinating with the client, the provider, the supplier, and the insurance company.

Choice A reason: Scheduling bone density screening is an appropriate outcome for the program, as it helps to detect and prevent osteoporosis, a common condition among postmenopausal women. Bone density screening is recommended for women aged 65 years and older, or younger women with risk factors.

Choice B reason: Arranging for mammograms every 3 years is not an appropriate outcome for the program, as it does not follow the current guidelines for breast cancer screening. The American Cancer Society recommends that women aged 45 to 54 years should have mammograms every year, and women aged 55 years and older should have mammograms every 2 years, or continue yearly screening if they prefer.

Choice C reason: Starting hormone replacement therapy is not an appropriate outcome for the program, as it is not a universal recommendation for postmenopausal women. Hormone replacement therapy may have benefits and risks depending on the individual's health history, symptoms, and preferences. It should be discussed with a health care provider before starting.

Choice D reason: Significantly decreasing caloric intake is not an appropriate outcome for the program, as it may lead to nutritional deficiencies and other health problems. Postmenopausal women should maintain a balanced diet that meets their nutritional needs and supports their weight management. A moderate reduction in caloric intake may be advised for overweight or obese women, but not a drastic one.