NURS 441 TEST 1 EXAM QUESTIONS
AND ANSWERS
6 steps of health policy making - answer- 1. agenda- setting
2. policy formulation
3. policy adoption
4. policy implementation
5. policy assessment
6. policy modification
3 main components of public health policy - answer- 1. Health related decisions
guided by laws written by legislators
2. Rules and regs designed to operate the health- related activities and programs
3. Judicial decisions r/t health which involve both federal and state governments
Skills of the healthcare professional - answer- 1. Having social skills and the ability to
understand, interpret, and represent one's own and others' behaviors
2. Having the ability, qualifications, and power to influence others and make changes
3. Networking ability to develop, connect, and use different social networks
4. Having a high level of integrity, sincerity, and genuineness
Forces that drive the need for healthcare change - answer- Demographic trends
Social and economic trends
Healthcare workforce trends
Technology trends
Causes of disparity with the US healthcare system - answer- Access
Quality
Cost
3 features of the US healthcare system - answer- 1. Decentralization of management
2. Laissez-Faire philosophy
3. Economic resources
5 components of the US healthcare system - answer- 1. Organization
2. Management
3. Finances
4. Resources
5. Delivery
2 types of healthcare service financing - answer- Self Payment: consumer pays
everything
Third Party Payment: Medicare, Medicaid, Employer provided insurance
Nurse's role in healthcare policy - answer- 1. patient advocates
2. Rich history with own values, ethics, respect, integrity, and responsibility
, 3. Nurses' contributions to policies is unlimited
4. Need for nursing to be supported and involved in policy making
Strategies for nursing involvement in policy and politics - answer- 1. establishing a
mentor relationship with an experienced nurse advocate
2. seeking formal education on health policy and public health
3. searching for an internship with one's local or state representative to work on
health-related legislation to understand how the system works and gain networking
contacts
4. using local and state resources or national nursing advocacy groups to gain an
understanding of current issues and learn about involvement
5. networking with other nurses to create a unified voice in addition to the elected
representatives and their staff by first building credibility with them
6. avoiding underestimating personal experiences because legislators like to hear
how legislative issues would affect their constituents
Quality of Care - answer- the degree to which health services for individuals and
populations increase the likelihood of desired health outcomes and are consistent
with current professional knowledge
Dimensions of healthcare system [to evaluate quality] - answer- Safety
Effectiveness
Patient centeredness
Timeliness
Equality
Equity - answer- healthcare that does not vary in quality because of gender, race,
ethnicity, geographic location, or socioeconomic status
ANA Code of Ethics - answer-
Advocacy - answer- 1. is a requirement for nurses
2. listen to experiences
3. required to develop the language of healthcare delivery
2 Parts of Affordable Care Act - answer- 1. Patient protection and affordable care act
2. Health care and education reconciliation act
Steps to improve the US healthcare system - answer- 1. measurement and
dissemination of health outcomes must be shared
2. the delivery of prevention, wellness, screening, and routing health maintenance
services must be fundamentally restructured
3. care delivery must be reorganized around medical conditions
4. a reimbursement program for healthcare professionals as incentives to achieve
better outcomes for patients should be introduced
5. providers must compete for patients based on the quality of care the provided
6. all providers must establish EMRs
7. patients' involvement in their health must improve and incentives for patient
involvement should be considered
AND ANSWERS
6 steps of health policy making - answer- 1. agenda- setting
2. policy formulation
3. policy adoption
4. policy implementation
5. policy assessment
6. policy modification
3 main components of public health policy - answer- 1. Health related decisions
guided by laws written by legislators
2. Rules and regs designed to operate the health- related activities and programs
3. Judicial decisions r/t health which involve both federal and state governments
Skills of the healthcare professional - answer- 1. Having social skills and the ability to
understand, interpret, and represent one's own and others' behaviors
2. Having the ability, qualifications, and power to influence others and make changes
3. Networking ability to develop, connect, and use different social networks
4. Having a high level of integrity, sincerity, and genuineness
Forces that drive the need for healthcare change - answer- Demographic trends
Social and economic trends
Healthcare workforce trends
Technology trends
Causes of disparity with the US healthcare system - answer- Access
Quality
Cost
3 features of the US healthcare system - answer- 1. Decentralization of management
2. Laissez-Faire philosophy
3. Economic resources
5 components of the US healthcare system - answer- 1. Organization
2. Management
3. Finances
4. Resources
5. Delivery
2 types of healthcare service financing - answer- Self Payment: consumer pays
everything
Third Party Payment: Medicare, Medicaid, Employer provided insurance
Nurse's role in healthcare policy - answer- 1. patient advocates
2. Rich history with own values, ethics, respect, integrity, and responsibility
, 3. Nurses' contributions to policies is unlimited
4. Need for nursing to be supported and involved in policy making
Strategies for nursing involvement in policy and politics - answer- 1. establishing a
mentor relationship with an experienced nurse advocate
2. seeking formal education on health policy and public health
3. searching for an internship with one's local or state representative to work on
health-related legislation to understand how the system works and gain networking
contacts
4. using local and state resources or national nursing advocacy groups to gain an
understanding of current issues and learn about involvement
5. networking with other nurses to create a unified voice in addition to the elected
representatives and their staff by first building credibility with them
6. avoiding underestimating personal experiences because legislators like to hear
how legislative issues would affect their constituents
Quality of Care - answer- the degree to which health services for individuals and
populations increase the likelihood of desired health outcomes and are consistent
with current professional knowledge
Dimensions of healthcare system [to evaluate quality] - answer- Safety
Effectiveness
Patient centeredness
Timeliness
Equality
Equity - answer- healthcare that does not vary in quality because of gender, race,
ethnicity, geographic location, or socioeconomic status
ANA Code of Ethics - answer-
Advocacy - answer- 1. is a requirement for nurses
2. listen to experiences
3. required to develop the language of healthcare delivery
2 Parts of Affordable Care Act - answer- 1. Patient protection and affordable care act
2. Health care and education reconciliation act
Steps to improve the US healthcare system - answer- 1. measurement and
dissemination of health outcomes must be shared
2. the delivery of prevention, wellness, screening, and routing health maintenance
services must be fundamentally restructured
3. care delivery must be reorganized around medical conditions
4. a reimbursement program for healthcare professionals as incentives to achieve
better outcomes for patients should be introduced
5. providers must compete for patients based on the quality of care the provided
6. all providers must establish EMRs
7. patients' involvement in their health must improve and incentives for patient
involvement should be considered
