(Stanhope) Final Exam And All Correct
Answers.
Health policy can best be defined as a set course of action to:
A. administer public health care programs at the federal level for disaster preparedness,
response, and recovery.
B. obtain a desired health outcome for an individual, family, group, community, or society.
C. support publicly funded health care programs at the local, state, and national levels.
D. support health care development and research to improve the health status of citizens. -
Answer ANS: B
Health policy is a set course of action to obtain a desired health outcome, either for individuals,
families, groups, communities, or societies. Policies are made not only by governments but also
by institutions such as a health department or other health agency, a family, or a professional
organization. Politics plays a role in the development of such policies. Politics is found in
families, professional and employing agencies, and governments. Therefore, political activities
are used to arrive at a course of action (the policy). Policy is a settled course of action to be
followed by a government or institution to obtain a desired end.
The relationship between nursing practice, health policy, and politics can best be described as
nursing:
A. advocacy.
B. policy process.
C. process.
D. profession. - Answer ANS: A
Advocacy begins with the art of influencing others (politics) to adopt a specific course of action
(policy) to solve a societal problem and is accomplished by building relationships with
appropriate policy makers—the individuals or groups that determine a specific course of action
to be followed by a government or institution to achieve a desired end (policy outcome). This
can be done in many ways. Types of advocacy include actions on behalf of clients served by
nursing, especially vulnerable populations; activities of the nursing profession itself; work to
develop needed health policies or revise existing policies; and actions related to the community.
The levels of government responsible for carrying out the five government health care functions
of direct services, financing, information, policy setting, and public protection are:
A. federal and state.
B. federal, state, and local.
C. all, but primarily state and local.
D. all, but primarily federal and state. - Answer ANS: B
, Federal, state, and local governments are responsible for carrying out the five core government
health care functions. All levels of government provide direct services, but the targeted
populations may vary; for example, at the federal level, the focus is on the members and
dependents of the military, whereas the states focus on childhood immunizations. The federal
government provides funding for health care education and research. The states provide
maternal-child health care services through state-level funding for the poor or near poor. Local
governments/organizations provide health care services through funding for free clinics that
serve the uninsured. All branches and levels of government collect vital statistics and census
data, and conduct health surveys. Governments, agencies, and organizations at all levels make
health policy. Functions that protect the public, such as monitoring air and water and regulating
food, drug, or animal transportation, are carried out at all levels. Affirmation of a woman's right
to reproductive privacy occurred at the federal level (Supreme Court). Requiring vaccinations for
school entry occurs at the state level.
Nursing practice is governed by:
A. boards of nursing established by the U.S. Department of Health and Human Services.
B. nurse practice acts promulgated by federal and state legislative boards.
C. nurse practice acts promulgated by state legislatures and operationalized by the state boards
of nursing.
D. nurse practice acts promulgated by the states in conformity with broad federal guidelines. -
Answer ANS: C
State legislatures enact laws that establish boards of nursing. The functions of the board are
described by the nurse practice act of each state. The boards of nursing license nurses, oversee
training programs, and interpret and enforce statutory law.
Several community-oriented nurses want to explore the problem of obesity in school-age
children and assess their community school district's health status related to that problem.
When gathering information at a national level, they would begin with the:
A. Centers for Disease Control and Prevention.
B. Centers for Medicaid and Medicare Services.
C. Health Resources and Services Administration.
D. National Institute of Nursing Research. - Answer ANS: A
The Centers for Disease Control and Prevention serve as the national focus for development and
application of measures to advance disease prevention and control, environmental health, and
health promotion, and for educational activities designed to improve the health of the people of
the United States. The mission of the Centers for Disease Control and Prevention is to promote
health and quality of life by preventing and controlling disease, injury, and disability.
The health policy-making body of the World Health Organization (WHO) released a policy
statement on nursing and midwifery in 2013. The important fact for nurses to understand about
WHO policy statements is that such statements:
A. apply only to underdeveloped countries.