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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 specialists

A living will is a legal document that outlines a person's preferences regarding medical treatment in the event they are unable to communicate their wishes. In this situation, the client can express their desire to forgo enteral tube feedings through a living will, ensuring that their wishes are documented and legally recognized.

When discussing electrical hazards with a client, the nurse should include the statement "You should limit your use of extension cords." Extension cords can be a tripping hazard and may cause electrical shocks or fires if used improperly. The nurse should also recommend using surge protectors and avoiding overloading electrical outlets. The client should be advised to unplug electrical items by pulling on the plug, not the cord, and to avoid using electrical items near water.

. Tertiary prevention aims to prevent complications or further deterioration in individuals with existing health problems. Developing resources for victims of abuse is an example of tertiary prevention because it aims to prevent further harm to individuals who have already experienced violence. Presenting community education programs about stress management and urging community leaders to make nonviolence a priority are examples of primary prevention activities, which aim to prevent the occurrence of violence in the first place. Assessing for risk factors of intimate partner abuse during health examinations is an example of secondary prevention, which aims to detect violence early and intervene to prevent its progression.

The first step the nurse should take is to perform a needs assessment. This involves determining the specific needs of the older adults who will be served by the mobile meal program. The nurse should identify the target population and assess their nutritional needs, dietary restrictions, and food preferences. The nurse should also determine the availability of transportation for the delivery of meals and the potential need for volunteers. Once the needs assessment is complete, the nurse can begin to develop a plan for the program.

Inquiring about the availability of volunteers (choice B) and determining potential funding sources for the program (choice D) are important steps, but they should come after performing a needs assessment. Identifying alternative solutions (choice C) may be necessary at some point, but it is not the first step.

The host in the epidemiological triangle is the organism that harbors the disease. In the case of a mumps outbreak among school-age children, the host is the children themselves. The virus (choice C) is the agent that causes the disease, and the vaccine (choice D) is a means of preventing the disease. The school (choice A) is not the host, but it may be the environment where the disease is spreading.

If a nurse encounters a client with a suspected bioterrorism-related illness, the first action should be to don personal protective equipment (PPE). This includes a mask, gloves, gown, and eye protection.

When reviewing home safety precautions with a client who is to begin radioactive iodine therapy, the nurse should emphasize the importance of using a toilet that is not used by others in the family. The client should also flush the toilet several times after use and clean it with household bleach. The nurse should advise the client to use disposable plates, cups, and utensils and to avoid close contact with others, especially pregnant women and children. The client should also avoid sharing towels, linens, and other personal items. Waiting one week after treatment to use a laxative (choice A) and using cloth handkerchiefs instead of tissues (choice B) are not relevant to home safety precautions for this client. Allowing the granddaughter to visit for four hours daily (choice C) may be unsafe, as the client may still be emitting radiation.

. When caring for clients from different cultural backgrounds, it is important to be respectful and non-judgmental. In this situation, the nurse should ask the family to describe how they hope the treatments will affect their health. This will allow the nurse to gain a better understanding of the family's beliefs and values regarding health and illness. The nurse should avoid making assumptions or judgments about the family's beliefs and should not criticize or dismiss the folk healer. Alternative medicine practices