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Policy quiz questions
In the United States greater than 50% of mothers follow the American Academy of Pediatrics and Worth Health Organization's gold standard of exclusively breastfeeding their infants for the first six months following delivery. True or False? - Correct Answer False Which nurse leader left medical school to return to nursing, established the Visiting Nurse Service at the Henry Settlement in New York City, and participated in the establishment of the National Organization of Public Health Nursing? - Correct Answer Lillian Wald The culture of breastfeeding in the United States is different than many other countries for all the following reasons EXCEPT: A:Despite extensive evidence-based lactation education before and after delivery, American women are just not interested B: American society focuses on female breasts for their sexual appeal, not for their primary function of providing nutrition for infants C: Working women do not always receive support from employers and facilities may not be conductive to breastfeeding or pumping D: Nursing mothers may be discriminated against in public because of viewpoint is that breastfeeding should be a private act - Correct Answer A:Despite extensive evidence-based lactation education before and after delivery, American women are just not interested Why is advocacy by the Federal Trade Commission on behalf of Nurse Practitioners (NP's) important? - Correct Answer Supports removing barriers to independent practice on the basis that such acts are against the interests of consumers and restricts competition with other providers.
The nurse leader who established the VIsiting Nurse Service and helped establish the National Organization of Public Health Nursing is said to have been successful in advocating for the needs of patients and nurses based on her unique leadership style. All of the following leadership qualities exemplify her style except: A:Effectively communicating issues in a manner that the public listened to and "owned" B: Working with others to obtain the resources needed to effect successful solutions C: Developing a high evolved hierarchical model of healthcare in urban and rural settings D: Creating coalitions that clearly identified the key problems and underlying causes - Correct Answer C Woodrow Wilson was the U.S. president who was pressured into changing his position on the women's right to vote issue. This shift in political balance resulted in the ultimate passage of the 19th Amendment to the Constitution. In which month and year did this happen? - Correct Answer August 1920 At the end of the formal 1928 demonstration period, who supervised the independent practices of public health nurses? - Correct Answer Private and public health nurses Several United States legislative policies are specifically directed at women. REasons for this include: SELECT ALL ANSWERS THAT APPLY. A: Infant mortality and maternal mortality are directly related to the availability and affordability of comprehensive, preventable healthcare. B: Women have unique reproductive health needs leading to heated debates about who has control over a pregnant woman's body. C: Quality outcomes for women and infants in the United States are significantly lower than several other countries. D: The large number of women who serve on national and state legislative committees and are persistent in advocating for women's needs - Correct Answer A, B, C All of the following statements about women entering retirement are correct EXCEPT:
Sexual assault, suicide prevention, and post-traumatic stress disorder Seamless transition/re-entry of men and women moving from active duty to non-military societal roles The enactment of Medicare is an example of a/an_____policy. - Correct Answer Allocative Which of the following branch of government is responsible for the execution of laws passed by legislature? - Correct Answer Executive The Affordable Care Act legislature can be categorized into four main initiatives. They are: - Correct Answer Expand/improve access Coordinate care Create value Reform payment Political philosophy addresses two key issues. They are: - Correct Answer Distribution of material goods, rights and liberties The possession and determination of political power The two most controversial provisions of the Affordable Care Act (ACA) are: - Correct Answer Medicaid expansion The individual mandate
The United States(US) spends more per person on healthcare than any other nation yet performs worse than other nations in which of the following indicators? A: The prevalence of diabetes and obesity in children B: Mortality rates for suicide and cardiovascular disease C: Life expectancy at birth for both males and females D: All of the above - Correct Answer All of the above According to Mason (2016), the topmost challenge specific to the implementation of evidence-based practices that support and enhance recovery-based psychiatric rehabilitation is: - Correct Answer The lack of public awareness of mental health and substance abuse laws. Which of the following are major attributes of health policy? A: Decisions are made by authorized government institutions B: Health policy results from law and is always legally binding without exception C: Health policy addresses a public policy goal D: The decision-making process is subject to public review and public input - Correct Answer A C D Which of the following is an example of healthy policy defined and regulated at a state level? A: Americans with Disabilities Act (ADA)
The american population is aging, in many circumstances family members become caregivers. Which of the following indicators is a reason for caregiver stress? A: Caregivers have workplace flexibility and extended Family and Medical Leave (FMLA) B: Caregivers are not adequately prepared, educated, or supported for caregiving duties C: Caregivers receive adequate education, training, and support to successfully manage care in the home D:Caregivers are ready and willing to embrace caregiving responsibilities - Correct Answer B You are working as a triage nurse in a Medicare-participating hospital that offers emergency services. You know that according to the Emergency Medical Treatment Act of 1986 (EMTALA) patients presenting with conditions that fall under the emergency medical categories must, at minimum, be provided with which of the following interventions before the patient is transferred or discharged? (Select all that apply) A:The individual must be admitted for observation for 96 hours B: The individual must be medically screened/assessed C: The individual must receive care until the presenting conditions have been stabilized D: The individual must be able to show a source of payment - Correct Answer B C Clinical experts have likened failure to talk to patients about end-of-life issues to which of the following? A: Ordering medications without checking for allergies B: Failure to use sterile technique C: Committing a life-threatening medical error D: All of the above - Correct Answer D
After a bill has been passed, the executive (US president or state governor) has the power to: (Select all that apply.) A: Return the bill unsigned with an objection B: Veto the bill C: Add amendments to the bill D: Sign the bill into law - Correct Answer A B D Nebraska is the only state in the union that has: - Correct Answer A unicameral system Which sequence of events accurately describes the steps in the lawmaking process? - Correct Answer Introduction โ public hearing โ general file โ select file โ final reading โ executive action The fastest growing segment of the Medicare program today is Palliative Care. True or false? - Correct Answer False What role can nurses have in stopping human trafficking? - Correct Answer Assess and educate community stakeholder, such as shelters, victim-assistance agencies, advocacy groups, and law enforcement agencies, and collaborate with them
Evelyn McKnight founded Honor Reform after she was a victim of the largest Hep C exposure in medical history. What is the three-pronged policy approach McKnight believes will improve patient safety? - Correct Answer Safety by incentives, safety by design, and safety by culture and empowerment The best way for a nurse to learn the ropes of policy, politics, and advocacy is through: (3) - Correct Answer Mentoring Education Experience Which of the following is an example of the success of the media events related to Mothers Against Drunk Driving (MADD) campaign which was developed and aired in 1980. - Correct Answer Media Advocacy What is Media Advocacy? - Correct Answer The strategic use of newsmaking through TV, radio and newspapers to promote public debate, and generate community support for changes in community norms and policies. The types of health care facilities that focus on reducing health disparities and that receive grant funding through the ACA - Correct Answer Community health centers The nurse completing the admission assessment notices the new patient has a foley placed. The urine is very cloudy in color. What info is the MOST important for the nurse to document in order to avoid Medicare reimbursement penalties? - Correct Answer The foley catheter and suspected CAUTI are present on admission Which of the following program is jointly funded by both federal and state governments - Correct Answer Medicaid
Which type of reimbursement system would be most likely to create financial incentives to institute transitional care and care coordination services aimed at improving quality and reducing costs of episode of care? - Correct Answer Bundled payments What do the economics of health care include? A: Patients' rights B: Nurse salaries C: Equal distribution of health care D: Medicare and medicaid dollars - Correct Answer C: Equal distribution of health care What is the fundamental purpose of health insurance exchange? - Correct Answer Create online marketplace for the sale and purchase of health insurance for customers The US health care system is different from other countries because it is not entirely funded by the government. True or false? - Correct Answer TRUE A nursing student is discussing Medicare coverage with the clinical instructor. The instructor knows the student understands Medicare when the student says that Medicare is funded by who? - Correct Answer Medicare is funded by the federal government Discrepancies in the starting salaries between nurses is most likely due to - Correct Answer The economic relationship between supply and demand According to the law of "supply" in the supply and demand economic model, what happens when the selling price of an item rises? - Correct Answer More companies will produce the item What is the meaning of advocacy derived from the Latin word "advocatus"? - Correct Answer To plead the cause of others
D: Grassroots mobilization - Correct Answer Interest groups Lobbying involves the direct influence of public officials and their decisions. True or false? - Correct Answer True Which of the following is not a barrier to successful advocacy? A: Being unwilling or unable to commit the time needed for successful advocacy to occur B: Fear of retaliation from employer if a nurse speaks up about safety issues in the workplace C: Working in an empowered organization that encourages open and honest dialogue D: Lack of education and training in advocacy during formal nursing edcuation - Correct Answer C: Working in an empowered organization that encourages open and honest dialogue According to the stepping out advocacy reading, which is the most valuable asses in the political arena? - Correct Answer Time Which of the following is the most important action that may be helpful to persuade policy makers to adopt the policy agenda and positions that your organization is promoting? A: Ensure that members of your organization know what the agenda is and can explain it to others B: Work with a marketing firm to develop a glossy brochure outlining the agenda C: Conduct focus groups to determine which issues most concern your organization D: Work with other nursing organizations to put forth the same agenda - Correct Answer D: Work with other nursing organizations to put forth the same agenda Which of the following refers to grassroots mobilization?
A: A coalition of people united by some common passion who work together to influence the political process B: The indirect influencing of officials through contact with constituents C: Precedes policy work and determines who is elected to be at the policy-making table to debate and shape future policies D: The direct influencing of public officials to ultimately impact political decisions and legislation - Correct Answer B: The indirect influencing of officials through contact with constituents
