WGU D455 EXAM 1 PROFESSIONAL NURSING
ROLE TRANSITION 150 QUESTIONS WITHN
VERIFIED ANSWERS
1. State and federal governments play an increasingly important role in health
care, especially as federal and state governments and multiple private players
embark on health care reform
2. Nursing practice is directly affected by health policy development which is, in
turn, affected by the political action of citizens—nurses and many, many others
3. Patient safety and quality; access to affordable health coverage and services;
and costs, value, and outcomes of services have become a major debate among
policymakers
4. National attention on nurses and nursing has intensified—our numbers,
education, scope of practice, and overall value to the health care system -
CORRECT ANSWER Nurses' involvement in policy and politics has become
considerably more important in recent years for what 4 reasons?
Health policy - CORRECT ANSWER ____________________ is a set course of
action taken by governments or health care organizations to obtain desired health
outcomes
Private health policy - CORRECT ANSWER ____________________ is made by
health care organizations such as hospitals and managed care organizations
,Public health policy - CORRECT ANSWER ____________________ refers to local,
state, and federal legislation; regulation; and court rulings that govern the
behavior of individuals and organizations in the provision of health care services
- Cities or counties offer a variety of health care services to meet the needs of
their residents
- Examples include:
1. free or reduced-rate immunizations
2. tobacco-free public buildings
3. safe drinking water
4. enforcement of seat belt and child restraint laws
5. provision of an emergency medical system - CORRECT ANSWER Local Health
Policy
- Governs nursing through nurse practice act
- Provides "invisible services" through regulatory activities:
1. Maintaining a safe meat supply through livestock inspections
2. Ensuring safe food storage and preparation in restaurants
3. Ensuring that health care facilities provide safe, quality care
- Pays for health care services through various programs:
1. Medicaid and State Children's Health Insurance Program (SCHIP), which are
partly funded by federal funds
,2. Other indigent care programs, which vary from state to state - CORRECT
ANSWER State Health Policy
State Health Insurance Exchanges (SHIEs)—a set of state regulated and
standardized health care plans from which individuals may purchase health
insurance eligible for federal subsidies - CORRECT ANSWER A key piece of the
health care reform legislation is the opportunity for states to develop:
1. Funds health-related research
2. Funds education for health professionals, including nurses and physicians
3. Pays for health care through Medicare, Medicaid, SCHIP, and the Veterans
Administration health care system
4. Plays a monumental role in shaping nursing practice
5. Passage of the Patient Protection and Affordable Care Act (PPACA) (2010) -
CORRECT ANSWER Federal Health Policy
1. Nurse practice acts and registration of nurses (implemented in most states by
1910)
2. Sheppard-Towner Act (1921): funded prenatal and child health centers staffed
by public health nurses
3. Hill-Burton Act (1950): provided federal funding for hospital construction
4. Medicare program (1965): provided funding for health care services for older
adults and disabled
5. Renal disease program (1972): provided funding for dialysis treatments and
renal transplants for patients with kidney failure
, 6. Diagnosis-related groups (DRGs) (1983): changed medicare reimbursement to
hospitals from a fee-for-service method to a fixed-fee method - CORRECT ANSWER
Federal policy that shaped nursing practice
1. Enactment of legislation and accompanying rules and regulations that carry the
weight of law
2. Administrative decisions made by various governmental agencies
3. Judicial decisions that interpret the law - CORRECT ANSWER The development
of health policy at the state or federal level is a complex, dynamic process that
occurs in 3 ways:
1. Elected officials
2. Officials from governmental agencies
3. Experts in the related area
4. Stakeholders such as corporate representatives
5. Representatives from special interest groups
6. Other affected citizens
7. All 3 branches of government - CORRECT ANSWER Health policy development
involves who?
1. Public perception of the problem
2. Definition of the problem
3. Societal consequences and number of people affected
4. Degree of support and opposition from stakeholders
ROLE TRANSITION 150 QUESTIONS WITHN
VERIFIED ANSWERS
1. State and federal governments play an increasingly important role in health
care, especially as federal and state governments and multiple private players
embark on health care reform
2. Nursing practice is directly affected by health policy development which is, in
turn, affected by the political action of citizens—nurses and many, many others
3. Patient safety and quality; access to affordable health coverage and services;
and costs, value, and outcomes of services have become a major debate among
policymakers
4. National attention on nurses and nursing has intensified—our numbers,
education, scope of practice, and overall value to the health care system -
CORRECT ANSWER Nurses' involvement in policy and politics has become
considerably more important in recent years for what 4 reasons?
Health policy - CORRECT ANSWER ____________________ is a set course of
action taken by governments or health care organizations to obtain desired health
outcomes
Private health policy - CORRECT ANSWER ____________________ is made by
health care organizations such as hospitals and managed care organizations
,Public health policy - CORRECT ANSWER ____________________ refers to local,
state, and federal legislation; regulation; and court rulings that govern the
behavior of individuals and organizations in the provision of health care services
- Cities or counties offer a variety of health care services to meet the needs of
their residents
- Examples include:
1. free or reduced-rate immunizations
2. tobacco-free public buildings
3. safe drinking water
4. enforcement of seat belt and child restraint laws
5. provision of an emergency medical system - CORRECT ANSWER Local Health
Policy
- Governs nursing through nurse practice act
- Provides "invisible services" through regulatory activities:
1. Maintaining a safe meat supply through livestock inspections
2. Ensuring safe food storage and preparation in restaurants
3. Ensuring that health care facilities provide safe, quality care
- Pays for health care services through various programs:
1. Medicaid and State Children's Health Insurance Program (SCHIP), which are
partly funded by federal funds
,2. Other indigent care programs, which vary from state to state - CORRECT
ANSWER State Health Policy
State Health Insurance Exchanges (SHIEs)—a set of state regulated and
standardized health care plans from which individuals may purchase health
insurance eligible for federal subsidies - CORRECT ANSWER A key piece of the
health care reform legislation is the opportunity for states to develop:
1. Funds health-related research
2. Funds education for health professionals, including nurses and physicians
3. Pays for health care through Medicare, Medicaid, SCHIP, and the Veterans
Administration health care system
4. Plays a monumental role in shaping nursing practice
5. Passage of the Patient Protection and Affordable Care Act (PPACA) (2010) -
CORRECT ANSWER Federal Health Policy
1. Nurse practice acts and registration of nurses (implemented in most states by
1910)
2. Sheppard-Towner Act (1921): funded prenatal and child health centers staffed
by public health nurses
3. Hill-Burton Act (1950): provided federal funding for hospital construction
4. Medicare program (1965): provided funding for health care services for older
adults and disabled
5. Renal disease program (1972): provided funding for dialysis treatments and
renal transplants for patients with kidney failure
, 6. Diagnosis-related groups (DRGs) (1983): changed medicare reimbursement to
hospitals from a fee-for-service method to a fixed-fee method - CORRECT ANSWER
Federal policy that shaped nursing practice
1. Enactment of legislation and accompanying rules and regulations that carry the
weight of law
2. Administrative decisions made by various governmental agencies
3. Judicial decisions that interpret the law - CORRECT ANSWER The development
of health policy at the state or federal level is a complex, dynamic process that
occurs in 3 ways:
1. Elected officials
2. Officials from governmental agencies
3. Experts in the related area
4. Stakeholders such as corporate representatives
5. Representatives from special interest groups
6. Other affected citizens
7. All 3 branches of government - CORRECT ANSWER Health policy development
involves who?
1. Public perception of the problem
2. Definition of the problem
3. Societal consequences and number of people affected
4. Degree of support and opposition from stakeholders
