Agenda Comparison Grid & Fact Sheet /
Talking Points Brief Assignment (Part 1 &
2) | Walden University | Health Policy
and Advocacy
Question 1
According to John Kingdon's Multiple Streams Framework, the
three streams that must converge for a policy to reach the
government agenda are:
A) Problem, Policy, and Politics
B) Budget, Personnel, and Operations
C) Research, Evidence, and Evaluation
D) House, Senate, and President
E) Local, State, and Federal
Correct Answer: A
,Page 2 of 165
Rationale: Kingdon's model: Problem stream (recognition of
issue), Policy stream (solutions/alternatives), Politics stream
(political will). Convergence creates a policy window.
Question 2
Scenario: A nurse advocate notices that a rise in opioid
overdoses has received media attention, a new evidence-based
prescribing guideline has been published, and a senator has
announced support for funding addiction treatment. According to
Kingdon, this represents:
A) A policy window
B) A political stalemate
C) A problem without solution
D) A failed agenda
E) A disregard for evidence
Correct Answer: A
,Page 3 of 165
Rationale: All three streams converging (problem: overdoses;
policy: guideline; politics: senator support) opens a policy
window for action.
Question 3
In policy agenda setting, "policy entrepreneurs" are individuals
who:
A) Profit from healthcare businesses
B) Work to advance specific policy solutions by seizing windows
of opportunity
C) Block all policy changes
D) Only work within government agencies
E) Avoid all political involvement
Correct Answer: B
Rationale: Policy entrepreneurs actively promote their preferred
solutions during windows of opportunity.
, Page 4 of 165
Question 4
The "problem stream" in Kingdon's framework includes:
A) Indicators, focusing events, and feedback about existing
programs
B) Proposed legislation
C) Election results
D) Interest group lobbying
E) Budget allocations
Correct Answer: A
Rationale: Problem stream: data indicators (e.g., rising
mortality), focusing events (crises), and feedback from current
programs.