Which action would a nurse perform when involved in the development of health policy at the meso- level?

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: 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.

Correct Answer: D

Rationale: The correct answer is D because naloxone is indeed used to rapidly reverse the effects of an opioid overdose by blocking opioid receptors. This is crucial in preventing respiratory depression and potentially saving lives during an overdose emergency. Choice A does not directly relate to the primary purpose of naloxone, which is to reverse opioid overdose effects. Choice B is incorrect as naloxone is not a long-term treatment for opioid addiction but rather an emergency intervention. Choice C is incorrect as naloxone does not prevent cravings but rather acts as an antagonist to opioids.

Correct Answer: A

Rationale: The correct answer is A: Primary prevention. Primary prevention aims to prevent the occurrence of disease or injury before it occurs by promoting health and wellness. Advocating for policies that create walkable communities, green spaces, and healthier food environments aligns with primary prevention as it focuses on addressing the root causes of health issues and promoting overall well-being. Secondary prevention (B) involves early detection and intervention to prevent the progression of a disease. Tertiary prevention (C) aims to reduce the impact of an already established disease or injury. Quaternary prevention (D) focuses on mitigating the consequences of unnecessary or excessive intervention in healthcare.

Correct Answer: C

Rationale: The correct answer is C: Policy engagement. By advocating for additional bus routes between a low-income neighborhood and the local clinic, the nurse is engaging in policy advocacy to address a systemic issue affecting access to healthcare. This action goes beyond individual client advocacy (B) as it aims to create broader change through policy. While education and mentorship (A) are important aspects of nursing practice, they do not directly address the transportation barrier in this scenario. Practice advocacy (D) is more focused on advocating for improvements within the healthcare system itself, rather than addressing external barriers like transportation.