Which stage of the stage-sequential model of policy development is the nurse engaged in when determining the effectiveness of a policy?

Correct Answer: A

Rationale: The correct answer is A: Policy evaluation. In this stage, the nurse assesses the effectiveness of the policy in achieving its intended outcomes. Evaluation involves measuring the impact of the policy on the target population. This step is crucial in determining if the policy is successful and if any adjustments are needed. Why the other choices are incorrect: B: Policy implementation - This stage involves putting the policy into action, not evaluating its effectiveness. C: Policy formulation - This stage involves developing the policy, not assessing its effectiveness. D: Policy adoption - This stage involves the decision-making process to accept the policy, not evaluating its effectiveness.

Correct Answer: C

Rationale: Primary prevention aims to prevent the occurrence of a disease or injury before it occurs. Offering free breakfasts to school-age children is an example of primary prevention as it promotes healthy nutrition to prevent future health issues. This intervention addresses the root cause of potential health problems by promoting healthy eating habits early on. Incorrect Choices: A: Scheduling mammogram screenings for uninsured women is an example of secondary prevention as it aims to detect cancer early. B: Assessing medication adherence during home visits is an example of tertiary prevention as it focuses on managing existing conditions to prevent complications. D: Instructing clients with arthritis how to modify their home to decrease the risk of falls is an example of secondary prevention as it aims to reduce harm for those already at risk.

Correct Answer: A

Rationale: The correct answer is A: Primary prevention. In this scenario, the nurse is conducting routine check-ups and identifying the client's risk for diabetes before the disease develops. Primary prevention aims to prevent the onset of a disease by promoting health and wellness through education, screenings, and risk factor reduction. The focus is on preventing the disease from occurring in the first place. Secondary prevention (B) involves early detection and treatment of a disease to prevent complications. Tertiary prevention (C) focuses on managing and improving outcomes for individuals already diagnosed with a disease. Quaternary prevention (D) involves preventing unnecessary interventions and providing harm-free care.

Correct Answer: A

Rationale: The correct answer is A because clarifying the potential risks and benefits of the mobile health app ensures the client makes an informed decision. This promotes autonomy and informed consent while considering the client's safety and well-being. Choice B is important but only addresses confidentiality, not the full scope of ethical and safe use. Choice C is incorrect as there are other ways to monitor medication regimens. Choice D is incorrect as the primary focus should be on the client's needs and safety, not the nurse's convenience.

Correct Answer: D

Rationale: The correct answer is D, allowing advanced practice nurses full practice authority in all 50 states. This action would improve healthcare access by increasing the availability of healthcare providers, especially in underserved areas. Advanced practice nurses are highly skilled and can provide a wide range of healthcare services, helping to meet the growing demand for healthcare. This would result in shorter wait times for patients, increased access to primary care services, and overall improved healthcare outcomes. A, shifting health care reimbursement models to focus on health promotion initiatives, may improve preventive care but does not directly address access to care. B, addressing health care provider burnout, is important for provider well-being but does not directly impact access for clients. C, expanding a team-based approach to health care, may improve coordination of care but does not necessarily increase access to healthcare providers.