NUR 1290 FINAL EXAM 2026 ACTUAL QUESTIONS AND
ANSWERS GRADED A+
✔✔state health policy - ✔✔-governs nursing practice through Nursing Practice Act
-provides "invisible services" through regulatory activities
1. maintaining safe meat supply through livestock inspections
2. ensuring safe food storage and prep in restaurants
3. ensuring healthcare facilities provide safe, quality care
-pays for healthcare services through various programs (Medicaid, State Children's
Health Insurance [SCHIP])
✔✔federal health policy - ✔✔-funds health related research
-funds education of health professionals
-pays for healthcare through medicare, medicaid, SCHIP, and Veterans Administration
Health Care System
-examples: Nursing Practice Act, Sheppard-Towner Act, Hill-Burton Act, Medicare
Program, Renal Disease Program
✔✔Sheppard-Towner Act - ✔✔-1921
-reduced infant and newborn mortality
-childbirth was leading cause of mortality for women
-implemented programs to help lower income families
-1st federally funded maternity welfare act
✔✔Hill-Burton Act - ✔✔-1950
-requires healthcare facilities that use federal money to provide free or low cost care to
any patient that comes in
✔✔Medicare Program - ✔✔-1965
-people pay into it
-cares for elderly
-pays for hospitalization
-auto enrollment at 65
✔✔Renal Disease Program - ✔✔-1972
-dialysis is covered by medicare and regardless of age
✔✔regulation - ✔✔-written set of rules issued by the government agency that has
responsibility for administering the new law
✔✔Safe Staffing Ratios - ✔✔-establish minimum nurse to patient ratios in all healthcare
facilities
-doesn't refer to acuity (a nurse can have 5 vented patients)
-issue for break coverage
, ✔✔Community Paramedicine Bill - ✔✔-poses as a problem because it's vague
-relates to emergency medical providers giving care in circumstances other than
emergency medical care and transport
-authorizes EMTs to perform nurse-like duties in non-emergency situations
✔✔RN Safe Staffing Act - ✔✔-empowers RNs to drive staffing decisions in hospitals
-increase protections for pts and ensure fair working conditions for nurses
-require hospitals that participate in medicare to publicly report nurse staffing plans for
each unit
-limits floating nurses
✔✔NY Health Act - ✔✔-this bill would create a universal single payer health plan to
provide comprehensive health coverage for an New Yorkers
✔✔Nursing Where It's Needed Act - ✔✔-amends the Public Health Service Act to
expand the authority of HHS to permit nurses to practice in healthcare facilities with
critical shortages of nurses through loan repayment and scholarships for nurses
✔✔Title VIII Nursing Workforce Reauthorization Act of 2018 - ✔✔-to extend advanced
education nursing grants to support clinical nurse specialist programs
✔✔Addressing the Nursing Shortage - ✔✔-Patient Protection and Affordable Care Act:
expands funding for advanced education nursing grants, diversity grants, and a Nurse
Education Loan Repayment Program
✔✔Diane Carlson Evans (1993) - ✔✔Vietnam Women's Memorial
✔✔Karen Daley (2000) - ✔✔Needle-Stick Prevention and Safety Act
✔✔4 Spheres of Political Action in Nursing - ✔✔-workplace: addresses issues affecting
jobs and patient care
-government: addresses laws, rules, and regulations governing nursing practice
-organization: addresses issues which shape nursing practice
-community: addresses issues affecting community health
✔✔Nurses Strategic Action Team (N-STAT) - ✔✔-unifies nurses' political voices across
the country to enact measures to enhance healthcare for all
-empowers nurses by encouraging them to take action and make sure opinions are
heard and understood by Congress and the public
✔✔profession - ✔✔-occupation that requires extensive education or specialized training
-a self-selected, self-disciplined group of individuals who hold themselves out to the
public as possessing a special skill derived from education and training
-they are prepared to exercise that skill, primarily in the interest of others
ANSWERS GRADED A+
✔✔state health policy - ✔✔-governs nursing practice through Nursing Practice Act
-provides "invisible services" through regulatory activities
1. maintaining safe meat supply through livestock inspections
2. ensuring safe food storage and prep in restaurants
3. ensuring healthcare facilities provide safe, quality care
-pays for healthcare services through various programs (Medicaid, State Children's
Health Insurance [SCHIP])
✔✔federal health policy - ✔✔-funds health related research
-funds education of health professionals
-pays for healthcare through medicare, medicaid, SCHIP, and Veterans Administration
Health Care System
-examples: Nursing Practice Act, Sheppard-Towner Act, Hill-Burton Act, Medicare
Program, Renal Disease Program
✔✔Sheppard-Towner Act - ✔✔-1921
-reduced infant and newborn mortality
-childbirth was leading cause of mortality for women
-implemented programs to help lower income families
-1st federally funded maternity welfare act
✔✔Hill-Burton Act - ✔✔-1950
-requires healthcare facilities that use federal money to provide free or low cost care to
any patient that comes in
✔✔Medicare Program - ✔✔-1965
-people pay into it
-cares for elderly
-pays for hospitalization
-auto enrollment at 65
✔✔Renal Disease Program - ✔✔-1972
-dialysis is covered by medicare and regardless of age
✔✔regulation - ✔✔-written set of rules issued by the government agency that has
responsibility for administering the new law
✔✔Safe Staffing Ratios - ✔✔-establish minimum nurse to patient ratios in all healthcare
facilities
-doesn't refer to acuity (a nurse can have 5 vented patients)
-issue for break coverage
, ✔✔Community Paramedicine Bill - ✔✔-poses as a problem because it's vague
-relates to emergency medical providers giving care in circumstances other than
emergency medical care and transport
-authorizes EMTs to perform nurse-like duties in non-emergency situations
✔✔RN Safe Staffing Act - ✔✔-empowers RNs to drive staffing decisions in hospitals
-increase protections for pts and ensure fair working conditions for nurses
-require hospitals that participate in medicare to publicly report nurse staffing plans for
each unit
-limits floating nurses
✔✔NY Health Act - ✔✔-this bill would create a universal single payer health plan to
provide comprehensive health coverage for an New Yorkers
✔✔Nursing Where It's Needed Act - ✔✔-amends the Public Health Service Act to
expand the authority of HHS to permit nurses to practice in healthcare facilities with
critical shortages of nurses through loan repayment and scholarships for nurses
✔✔Title VIII Nursing Workforce Reauthorization Act of 2018 - ✔✔-to extend advanced
education nursing grants to support clinical nurse specialist programs
✔✔Addressing the Nursing Shortage - ✔✔-Patient Protection and Affordable Care Act:
expands funding for advanced education nursing grants, diversity grants, and a Nurse
Education Loan Repayment Program
✔✔Diane Carlson Evans (1993) - ✔✔Vietnam Women's Memorial
✔✔Karen Daley (2000) - ✔✔Needle-Stick Prevention and Safety Act
✔✔4 Spheres of Political Action in Nursing - ✔✔-workplace: addresses issues affecting
jobs and patient care
-government: addresses laws, rules, and regulations governing nursing practice
-organization: addresses issues which shape nursing practice
-community: addresses issues affecting community health
✔✔Nurses Strategic Action Team (N-STAT) - ✔✔-unifies nurses' political voices across
the country to enact measures to enhance healthcare for all
-empowers nurses by encouraging them to take action and make sure opinions are
heard and understood by Congress and the public
✔✔profession - ✔✔-occupation that requires extensive education or specialized training
-a self-selected, self-disciplined group of individuals who hold themselves out to the
public as possessing a special skill derived from education and training
-they are prepared to exercise that skill, primarily in the interest of others
