The population health nurse learns that the state of practice received a block grant to address a health problem. Which problem should the nurse advocate to receive this grant?
1. Developing public education programs to address smoking.
2. Developing a research program to address causes of poverty.
3. Increasing coverage for those meeting qualifications for Medicaid coverage.
4. Opening statewide immunization centers to provide childhood immunization coverage.
Answer: 4
Explanation: 4. A block grant is a sum of money given to states by the federal government, intended to be used by each state as it sees fit but within broadly defined parameters. All choices could be potential uses for a block grant; however, opening statewide immunization centers to provide immunization coverage is the better choice because it represents a primary prevention mechanism that will protect the population from communicable diseases and improve health status. It will also not use additional health care services. Conducting research and developing education programs are appropriate, but the immunization program is an active direct-services approach. Increasing Medicaid coverage is not an appropriate use for a block grant because federal and state guidelines address Medicaid eligibility.
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