To meet the health care needs of a community, a public health nurse has been asked to join a coalition. Which characteristic of a coalition should the nurse anticipate?

Correct Answer: D

Rationale: The correct answer is D because a formal group with clearly defined positions is crucial for effective collaboration and decision-making within a coalition. This structure helps ensure accountability, clear communication, and efficient goal achievement. A: An informal group may lack structure and may not effectively address ongoing health care needs. B: A social group focused on networking may not prioritize health care needs or have the necessary structure for collaboration. C: A group focusing on a specific nursing specialty may not have the broad perspective needed to address the overall health care needs of a community.

Correct Answer: A

Rationale: The correct answer is A because the cycle of poverty refers to a situation where families are trapped in a cycle of economic disadvantage due to various systemic factors beyond their control. Families in this cycle often lack access to resources and opportunities needed to break free from poverty. Choice A is correct as it highlights that the conditions contributing to their poverty are perpetuated by external factors rather than solely the family's actions. Choices C and D are incorrect as they oversimplify the complex nature of poverty by attributing it to individual characteristics like education level or laziness.

Correct Answer: C

Rationale: The correct answer is C because supporting a bill to reduce out-of-pocket costs for insulin directly involves the development of health policy at the meso-level. This action addresses a specific health issue and aims to change existing policies related to healthcare affordability. The other choices are incorrect because A and B involve direct patient care interventions, which are not related to policy development. Choice D involves disaster relief policy at the macro-level, which is beyond the scope of meso-level health policy development.

Correct Answer: C

Rationale: The correct answer is C: Policy brief. The public health nurse is utilizing a policy brief to provide city management with a summary of research on how green spaces improve community health. A policy brief aims to inform decision-makers about a specific policy issue, provide evidence-based recommendations, and suggest potential actions. In this scenario, the nurse is focusing on influencing city management's decisions regarding green spaces and community health, which aligns with the purpose of a policy brief. A: Information brief typically focuses on facts and data without specific recommendations. B: Issue brief presents an overview of a particular problem or concern without necessarily offering policy recommendations. D: Policy impact brief evaluates the effectiveness and outcomes of existing policies rather than providing recommendations for new policy actions.

Correct Answer: A

Rationale: The correct answer is A: Engage all sectors to produce change. In the Health in All Policies (HiAP) approach, the public health nurse should involve various sectors such as education, transportation, and housing to address nutrition issues comprehensively. By engaging all sectors, the nurse can create sustainable change and address social determinants of health. Choices B, C, and D are incorrect because producing change using only the local health department limits the scope, presenting a plan to community partners may not involve all relevant sectors, and developing short-term goals may not lead to the comprehensive, long-lasting change needed in a HiAP approach.