NU508 Quiz #1 Questions With
Correct Answers
Upstream factors - ANSWER the broad range of issues, other than health care,
that can undermine or promote health (also known as "social determinants of
health" or "core determinants of health")
What are upstream factors that promote health? - ANSWER safe environments,
adequate housing, and economically thriving communities with employment
opportunities, access to affordable and healthful foods, and models for
addressing conflict through dialogue rather than violence
What is the Triple Aim of a value-based health care system? - ANSWER 1.
improving population health
2. improving the patient experience of care
3. reducing per capita costs
Why is the Triple Aim challenging to implement? - ANSWER because it requires
all providers, including nurses, to broaden their focus from individuals to
populations
Edge Runners - ANSWER nurses that have demonstrated that nursing's
emphasis on care coordination, health promotion, patient-and family-
centeredness and the community context of care provides evidence-based
models that can help to transform the health care system
How is nursing embedded in the four cornerstones of reform? - ANSWER 1.
create value- nurse managed health centers (NMHCs)operated by APRNs serve
as critical access points for keeping patients out of the ER & hospitals, saving
millions of dollars annually
2. coordinate care- patient-centered medical home (PCMH) model designed to
satisfy patient needs & to improve care access, increase care coordination, and
enhance overall quality while reducing costs
3. payment reform- accountable care organizations (ACOs) allow for bundling
payments and paying for care coordination
4. improve access to coverage- ACA makes it illegal for insurance companies to
deny coverage to people w/ preexisting conditions, to drop people once they
acquire a costly illness, or to apply annual and lifetime caps on coverage
, How do accountable care organizations (ACOs) differ from health maintenance
organizations (HMOs)? - ANSWER they are not incentivized to cut services but
rather to keep people healthy
Policy - ANSWER the authoritative decisions made in the legislative, executive,
or judicial branches of government intended to influence the actions, behaviors,
or decisions of citizens
Public policy - ANSWER policy crafted by governments, considered health policy
when the intent is to influence health or health care
Private policies - ANSWER policies that are made by nongovernmental entities,
whether health care organizations, insurers, or others
Allocative policies - ANSWER provide benefits to a distinct group of individuals
or organizations, at the expense of others, to achieve a public objective (also
referred to as the redistribution of wealth)
Regulatory policies - ANSWER influence the actions, behavior, and decisions of
individuals or groups to ensure that a public objective is met
Politics - ANSWER the use of relationships and power to gain ascendancy
among competing stakeholders to influence policy and the allocation of scarce
resources
Influencing - ANSWER indicates that there are opportunities to shape the
outcome of a process
Allocation - ANSWER means that decisions are being made about how to
distribute resources
Scarce - ANSWER implies the limits to available resources and that all parties
probably cannot have all they want
Policy analysis - ANSWER uses various methods to assess a problem and
determine possible solutions; encourages deliberate critical thinking about the
causes of problems, identifies the ways a government or other groups could
respond, evaluates alternatives, and determines the most desirable policy
choice
Policy competencies for nurses - ANSWER public trust places a moral
imperative on nurses to vigorously engage in influencing policy; nurses see
close up how policies get played out in patient care and can report on
unintended consequences
Correct Answers
Upstream factors - ANSWER the broad range of issues, other than health care,
that can undermine or promote health (also known as "social determinants of
health" or "core determinants of health")
What are upstream factors that promote health? - ANSWER safe environments,
adequate housing, and economically thriving communities with employment
opportunities, access to affordable and healthful foods, and models for
addressing conflict through dialogue rather than violence
What is the Triple Aim of a value-based health care system? - ANSWER 1.
improving population health
2. improving the patient experience of care
3. reducing per capita costs
Why is the Triple Aim challenging to implement? - ANSWER because it requires
all providers, including nurses, to broaden their focus from individuals to
populations
Edge Runners - ANSWER nurses that have demonstrated that nursing's
emphasis on care coordination, health promotion, patient-and family-
centeredness and the community context of care provides evidence-based
models that can help to transform the health care system
How is nursing embedded in the four cornerstones of reform? - ANSWER 1.
create value- nurse managed health centers (NMHCs)operated by APRNs serve
as critical access points for keeping patients out of the ER & hospitals, saving
millions of dollars annually
2. coordinate care- patient-centered medical home (PCMH) model designed to
satisfy patient needs & to improve care access, increase care coordination, and
enhance overall quality while reducing costs
3. payment reform- accountable care organizations (ACOs) allow for bundling
payments and paying for care coordination
4. improve access to coverage- ACA makes it illegal for insurance companies to
deny coverage to people w/ preexisting conditions, to drop people once they
acquire a costly illness, or to apply annual and lifetime caps on coverage
, How do accountable care organizations (ACOs) differ from health maintenance
organizations (HMOs)? - ANSWER they are not incentivized to cut services but
rather to keep people healthy
Policy - ANSWER the authoritative decisions made in the legislative, executive,
or judicial branches of government intended to influence the actions, behaviors,
or decisions of citizens
Public policy - ANSWER policy crafted by governments, considered health policy
when the intent is to influence health or health care
Private policies - ANSWER policies that are made by nongovernmental entities,
whether health care organizations, insurers, or others
Allocative policies - ANSWER provide benefits to a distinct group of individuals
or organizations, at the expense of others, to achieve a public objective (also
referred to as the redistribution of wealth)
Regulatory policies - ANSWER influence the actions, behavior, and decisions of
individuals or groups to ensure that a public objective is met
Politics - ANSWER the use of relationships and power to gain ascendancy
among competing stakeholders to influence policy and the allocation of scarce
resources
Influencing - ANSWER indicates that there are opportunities to shape the
outcome of a process
Allocation - ANSWER means that decisions are being made about how to
distribute resources
Scarce - ANSWER implies the limits to available resources and that all parties
probably cannot have all they want
Policy analysis - ANSWER uses various methods to assess a problem and
determine possible solutions; encourages deliberate critical thinking about the
causes of problems, identifies the ways a government or other groups could
respond, evaluates alternatives, and determines the most desirable policy
choice
Policy competencies for nurses - ANSWER public trust places a moral
imperative on nurses to vigorously engage in influencing policy; nurses see
close up how policies get played out in patient care and can report on
unintended consequences
