Which of the following theories or models looks only at the internal factors that motivate a person to adopt healthier lifestyle habits?

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: Quality of Education
Quality of education is an important factor in long-term health and socioeconomic status. However, it is not the immediate priority in this scenario. The client's report of skipping meals indicates an urgent need for addressing food insecurity, which directly impacts their health and well-being. Ensuring the client has access to adequate and nutritious food is essential for their immediate health needs and recovery.

Choice B: Economic Stability
Economic stability is crucial for long-term health and well-being, but it is not the most immediate concern in this scenario. Addressing food access will have a more direct and immediate impact on the client's health. Once the client's nutritional needs are met, the nurse can then work on connecting the client with resources to improve their economic stability.

Choice C: Health Care Illiteracy
Health care illiteracy refers to a lack of understanding about health information and services needed to make appropriate health decisions. While this is an important issue, it is not the immediate priority in this scenario. The client's report of skipping meals indicates an urgent need for addressing food insecurity, which directly impacts their health and well-being.

Choice D: Food Access
This is the correct choice. Food access is a critical issue because it directly affects the client's nutritional status and overall health. Skipping meals due to financial constraints can lead to malnutrition, weakened immune function, and delayed recovery from cellulitis. Ensuring the client has access to adequate and nutritious food is essential for their immediate health needs and recovery.