ch 13 policy

ch 13 policy When developing a teaching plan for a class that describes health policy, which of the following would the instructor include as an example of a regulatory health policy? A) Licensure of health professionals B) Federal subsidies for nursing education C) Benefits for needy groups D) Allocating resources among groups - Correct Answer Licensure of health professionals Which of the following is an example of a distributive health policy? A) Reporting of communicable disease B) Federal funds for nursing education C) Medicare D) Arms control agreement - Correct Answer Federal funds for nursing education Which of the following effects of a health system in disarray have the most direct influence for a public health nurse at this present time? A) The United States is often touted as having the best health care system in the world. B) Fewer jobs for nurses C) Crisis in public health related to underfunding and underappreciation of the core functions of public health leading to substantial reduction in public health programs D) Changes in the Medicare payment system - Correct Answer Crisis in public health related to underfunding and underappreciation of the core functions of public health leading to substantial reduction in public health programs Community health nurses are attending an in-service program about health policy. Which of the following would the nurses expect to be included in the description? A) Reflection of a community's values B) Creation for several influential people C) Development by those outside of the community D) Indication of needs of the community's poor - Correct Answer Reflection of a community's values A group of community health nurses are discussing health care policy in the United States. Which of the following reflects the consensus view? A) Market forces should solve the problem. B) The government should assume responsibility. C) Health care policy needs to change. D) Health care policy is flawed but adequate. - Correct Answer Health care policy needs to change. When describing public health nursing to a group of community health nurses, which of the following would be identified as its foundation? A) Social marketing B) Social justice C) Social disparities D) Advocacy - Correct Answer social justice Which of the following statements about special interest groups and policy making are true? Select all that apply. A) Others will be persuaded by facts alone. B) Power is wielded by special interest groups, business, and industry. C) Nurses need to provide input to policy circles through advocacy. D) Nurses need to provide leadership at decision-making tables. E) There are power struggles behind all legislation and health care regulation. - Correct Answer B) Power is wielded by special interest groups, business, and industry. C) Nurses need to provide input to policy circles through advocacy. D) Nurses need to provide leadership at decision-making tables. E) There are power struggles behind all legislation and health care regulation. The community health nurse is reviewing how managed care today has changed from its initial proposal. Which of the following would the nurse identify as an important change? A) Current emphasis on cost containment B) Focus on choosing a practitioner C) Expansion in types of care provided D) Increase in nonprofit agencies - Correct Answer Current emphasis on cost containment Which of the following statements about professional organizations and public policy is the most accurate? A) Professional organizations increase polarization and cause a group to be more united and strong. B) Professional organizations encourage selfishness and self-interest. C) Professional organizations focus solely on "protecting their turf." D) A united voice on public policy is more powerful than individuals pleading with legislators. - Correct Answer A united voice on public policy is more powerful than individuals pleading with legislators. Which of the following statements reflect progress in public policy that can be attributed to professional nursing organizations? Select all that apply. A) Professional nursing organizations have elevated nursing professionalism. B) Professional nursing organizations have given voice to the inequalities that affect our society. C) Professional nursing organizations have developed the paradigms that influence and affect public health. D) Nursing is regarded as a major player in Washington when discussing health care policy. E) Professional nursing organizations have a long and consistent relationship with public policy. - Correct Answer A) Professional nursing organizations have elevated nursing professionalism. B) Professional nursing organizations have given voice to the inequalities that affect our society. C) Professional nursing organizations have developed the paradigms that influence and affect public health. Which is the best way for any nurse to advocate for change and exert power? A) Pursuing an advanced degree B) Running for state congressional seat C) Actively participating in a professional nursing organization D) Becoming a member of a local not-for-profit agency board of directors - Correct Answer Actively participating in a professional nursing organization After a class on nursing and political activism, which statement by the nursing student would indicate that the teaching was successful? A) "Nurses have just now become increasingly active in the political arena." B) "Nurses are the smallest group of providers with the largest voice." C) "Nurses are considered major political players in Washington." D) "The ANA provides nurses with a collective political voice." - Correct Answer "The ANA provides nurses with a collective political voice." Which of the following statements about power and empowerment are true accurate? Select all that apply. A) Power is the ability to act or produce an effect and possess control, authority, or influence over others. B) Empowerment is a process of assisting communities to come together to express their values and ideas to those outside the community. C) If power is the ability to control, predict, and participate in one's environment, then empowerment is the process whereby individuals and communities take power and transform their lives. D) All of the power belongs to the legislators. E) Nurses have a responsibility to ensure community participation in issues affecting them, and they must continually examine the relationship and position they hold within these communities. - Correct Answer A) Power is the ability to act or produce an effect and possess control, authority, or influence over others. B) Empowerment is a process of assisting communities to come together to express their values and ideas to those outside the community. C) If power is the ability to control, predict, and participate in one's environment, then empowerment is the process whereby individuals and communities take power and transform their lives. E) Nurses have a responsibility to ensure community participation in issues affecting them, and they must continually examine the relationship and position they hold within these communities. A community health nurse integrates understanding of power and empowerment when working with clients by demonstrating which of the following? A) Partnership with clients B) Hierarchical relationship C) Authority over clients D) Client autonomy - Correct Answer Partnership with clients How can nursing fulfill the potential to transform nursing and take the power to influence policy development? Select all that apply. A) Practicing to the full extent of their education and training B) Achieving higher levels of education and training through an improved education system that promotes seamless academic progression C) Act as full partners, with physicians and other health professionals, in redesigning health care in the United States D) Improve data collection and an improved information infrastructure to ultimately influence effective workplace planning and policy making E) Most nurses are already involved in the regulatory framework development. - Correct Answer A) Practicing to the full extent of their education and training B) Achieving higher levels of education and training through an improved education system that promotes seamless academic progression C) Act as full partners, with physicians and other health professionals, in redesigning health care in the United States D) Improve data collection and an improved information infrastructure to ultimately influence effective workplace planning and policy making Organize the following stages in the policy process in the order they should be considered. A) Policy Adoption B) Policy Evaluation C) Policy Formulation D) Policy Implementation - Correct Answer Policy formulation Policy Adoption Policy Implementation Policy Evaluation Which stage in the policy process is exemplified by the activities of identifying the health problem and/or using a goal-oriented approach? A) Policy adoption B) Policy evaluation C) Policy formulation D) Policy implementation - Correct Answer Policy formulation When involved in the policy process, the community health nurse must keep in mind that which of the following should be the strongest influence? A) Social conditions B) Political conditions C) Public need D) Health planning - Correct Answer Public need A community health nurse identifies a problem of increased infant mortality with adolescent pregnancies. The nurse decides to address this problem with a health policy. The nurse is engaging in which stage of the policy process? A) Formulation B) Adoption C) Implementation D) Evaluation - Correct Answer Formulation A community health nurse is involved in assessing the community's capacity to define strategies to enhance compliance with a policy. The nurse is working in which stage of the policy process? A) Formulation B) Adoption C) Implementation D) Evaluation - Correct Answer Implementation When engaging in the policy process, which of the following would the community health nurse do last? A) Define the problem B) Gather information C) Look for alternatives D) Choose the approach - Correct Answer Choose the approach When analyzing health policy, which question would be most important for the community health nurse to ask? A) "How much does it cost?" B) "What is the result?" C) "Why is it in place?" D) "Who benefits from it?" - Correct Answer "Who benefits from it?" Which of the following statements about advocacy and lobbying and the influence of both on policy are true? Select all that apply. A) Advocacy can be defined as pleading the case of another or championing a cause. B) Lobbying is the act of influencing legislators. C) Nurses can gain access to legislators individually or through the services of a professional lobbyist or PAC. D) Policy and politics are not related to each other. E) Public policy is a rational process. - Correct Answer A) Advocacy can be defined as pleading the case of another or championing a cause. B) Lobbying is the act of influencing legislators. C) Nurses can gain access to legislators individually or through the services of a professional lobbyist or PAC. Which of the following would be important for a politically involved nurse to do? Select all that apply. A) Communicate ideas effectively B) Get to know local representatives C) Avoid involvement with community boards D) Be firm and unyielding in approach E) Stay current about health care issues - Correct Answer A) Communicate ideas effectively B) Get to know local representatives E) Stay current about health care issues