Transitions Exam 1 questions and
answers rated A+
Health Policy - correct answer ✔✔ Set course of action taken by governments or health care
organizations to obtain desired health outcome.
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
Private Health Policy - correct answer ✔✔ Policy is made by health care organizations such as
hospitals and managed care organizations
Local Health Policy - correct answer ✔✔ -Cities or counties offer a variety of health care services
to meet the needs of their residents
-Examples include free or reduced-rate immunizations, tobacco-free public buildings, safe
drinking water, enforcement of seat belt and child restraint laws, and provision of an emergency
medical system
State Health Policy - correct answer ✔✔ -Governs nursing through nurse practice act.
-Provides "invisible services" through regulatory activities:
Maintaining a safe meat supply through livestock inspections
Ensuring safe food storage and preparation in restaurants
Ensuring that health care facilities provide safe, quality care.
-Pays for health care services through various programs:
Medicaid and State Children's Health Insurance Program (SCHIP), which are partly funded by
federal funds
,Other indigent care programs, which vary from state to state
-A key piece of the health care reform legislation is the opportunity for states to develop 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
Federal Health Policy - correct answer ✔✔ -Funds health-related research
-Funds education for health professionals, including nurses and physicians
-Pays for health care through Medicare, Medicaid, SCHIP, and the Veterans Administration
health care system
-Plays a monumental role in shaping nursing practice
-Passage of the Patient Protection and Affordable Care Act (PPACA) (2010)
Federal Health Policy that Shaped Nursing Practice - correct answer ✔✔ -Nurse practice acts
and registration of nurses (implemented in most states by 1910)
-Sheppard-Towner Act (1921)
-Hill-Burton Act (1950)
-Medicare program (1965)
-Renal disease program (1972)
-Diagnosis-related groups (DRGs) (1983)
Health Policy: World Health Organization - correct answer ✔✔ -Decisions, plans, and actions
that are undertaken to achieve specific health care goals within a society.
-An explicit health policy can achieve several things:
defines a vision for the future which in turn helps to establish targets
points of reference for the short and medium term.
-Health policy also outlines priorities and the expected roles of different groups; and it builds
consensus and informs people.
,ACEs - correct answer ✔✔ are adverse childhood experiences that harm children's developing
brains so profoundly that the effects show up decades later; they cause much of chronic
disease, most mental illness, and are at the root of most violence.
Are a history, not a diagnosis. It's not the what's wrong with you, it is what's happened to you.
Why Aces are significant? - correct answer ✔✔ -Nearly 64% of adults have at least one ACEs
-ACEs cause adult onset of chronic disease such as cancer, heart disease, mental illnesses such
as depression and substance abuse
-More ACEs you have, the greater risk for chronic disease and being victim of violence
-ACEs of 4 or more are likely to be smokers leading to chronic bronchitis and asthma (children).
-ACEs responsible for big chunk of workplace absenteeism and costs in health care, emergency
response, and mental health and criminal justice.
-ACEs occur in response to toxic stress
Shelby County ACE Study - correct answer ✔✔ -1,500 residents surveyed in 2014.
-52% reported having at least one ACE.
-20% reported they did not feel safe in their neighborhood.
-20% reported having experienced childhood sexual abuse.
-37% revealed while growing up, they witnessed someone shot or stabbed.
Health Policy and ACEs - correct answer ✔✔ -Health Policy to impact support of non-
pharmaceutical treatments at affordable costs.
-Law and policy to advocate how we work with children "Children are our future, yet they are
also our present"
-Law and policy across governments globally
-Policy and funding (examine state budgets)
Policy determines:
-Our practice
, -Resources available
-Who is part of the team
-Relative values
-Reflection of how politicians view the needs of others
Health Policy and Aces in the USA - correct answer ✔✔ -Washington State first to enact
legislation at preventing ACEs
-House Bill 1965 (June 2011)
-House Bill 1965: Primary Prevention of Child Maltreatment and Community Engagement to
Improve Public Health
-Primary Prevention: fund for EBP home visiting programs; Trust Fund to prevent and reduce
maternal depression; Philanthropic agencies - "Thrive by Five"(maximize quality child care &
learning opportunities)
-Community Engagement: engage residents in reviewing data and taking action to reduce
population rates of child-abuse, neglect, youth violence and substance use, teen pregnancy,
teen suicide, school dropouts, and domestic violence.
-The law recognizes that co-occurring child abuse and neglect, parental substance abuse,
parental mental illness, divorce or separation, incarceration of a family member, and/or
witnessing intimate partner violence constitute "A powerful common determinant of a child's
ability to be successful at school and as an adult , to be successful at work, to avoid behavioral
and chronic physical health conditions and to build healthy relationship, and creates a private-
public partnership to prevent ACE, reduce their prevalence, and mitigate their effects.
Trust for America's Health 2015 Report: Priority Policies for Reducing Toxic Stress & ACEs -
correct answer ✔✔ -Child healthcare coverage and screenings
-Preconception and prenatal health care
-Childhood nutrition
-Health, safe homes, neighborhoods and communities
-Safe, stable and nurturing relationships
-Increasing economic opportunities for families
answers rated A+
Health Policy - correct answer ✔✔ Set course of action taken by governments or health care
organizations to obtain desired health outcome.
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
Private Health Policy - correct answer ✔✔ Policy is made by health care organizations such as
hospitals and managed care organizations
Local Health Policy - correct answer ✔✔ -Cities or counties offer a variety of health care services
to meet the needs of their residents
-Examples include free or reduced-rate immunizations, tobacco-free public buildings, safe
drinking water, enforcement of seat belt and child restraint laws, and provision of an emergency
medical system
State Health Policy - correct answer ✔✔ -Governs nursing through nurse practice act.
-Provides "invisible services" through regulatory activities:
Maintaining a safe meat supply through livestock inspections
Ensuring safe food storage and preparation in restaurants
Ensuring that health care facilities provide safe, quality care.
-Pays for health care services through various programs:
Medicaid and State Children's Health Insurance Program (SCHIP), which are partly funded by
federal funds
,Other indigent care programs, which vary from state to state
-A key piece of the health care reform legislation is the opportunity for states to develop 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
Federal Health Policy - correct answer ✔✔ -Funds health-related research
-Funds education for health professionals, including nurses and physicians
-Pays for health care through Medicare, Medicaid, SCHIP, and the Veterans Administration
health care system
-Plays a monumental role in shaping nursing practice
-Passage of the Patient Protection and Affordable Care Act (PPACA) (2010)
Federal Health Policy that Shaped Nursing Practice - correct answer ✔✔ -Nurse practice acts
and registration of nurses (implemented in most states by 1910)
-Sheppard-Towner Act (1921)
-Hill-Burton Act (1950)
-Medicare program (1965)
-Renal disease program (1972)
-Diagnosis-related groups (DRGs) (1983)
Health Policy: World Health Organization - correct answer ✔✔ -Decisions, plans, and actions
that are undertaken to achieve specific health care goals within a society.
-An explicit health policy can achieve several things:
defines a vision for the future which in turn helps to establish targets
points of reference for the short and medium term.
-Health policy also outlines priorities and the expected roles of different groups; and it builds
consensus and informs people.
,ACEs - correct answer ✔✔ are adverse childhood experiences that harm children's developing
brains so profoundly that the effects show up decades later; they cause much of chronic
disease, most mental illness, and are at the root of most violence.
Are a history, not a diagnosis. It's not the what's wrong with you, it is what's happened to you.
Why Aces are significant? - correct answer ✔✔ -Nearly 64% of adults have at least one ACEs
-ACEs cause adult onset of chronic disease such as cancer, heart disease, mental illnesses such
as depression and substance abuse
-More ACEs you have, the greater risk for chronic disease and being victim of violence
-ACEs of 4 or more are likely to be smokers leading to chronic bronchitis and asthma (children).
-ACEs responsible for big chunk of workplace absenteeism and costs in health care, emergency
response, and mental health and criminal justice.
-ACEs occur in response to toxic stress
Shelby County ACE Study - correct answer ✔✔ -1,500 residents surveyed in 2014.
-52% reported having at least one ACE.
-20% reported they did not feel safe in their neighborhood.
-20% reported having experienced childhood sexual abuse.
-37% revealed while growing up, they witnessed someone shot or stabbed.
Health Policy and ACEs - correct answer ✔✔ -Health Policy to impact support of non-
pharmaceutical treatments at affordable costs.
-Law and policy to advocate how we work with children "Children are our future, yet they are
also our present"
-Law and policy across governments globally
-Policy and funding (examine state budgets)
Policy determines:
-Our practice
, -Resources available
-Who is part of the team
-Relative values
-Reflection of how politicians view the needs of others
Health Policy and Aces in the USA - correct answer ✔✔ -Washington State first to enact
legislation at preventing ACEs
-House Bill 1965 (June 2011)
-House Bill 1965: Primary Prevention of Child Maltreatment and Community Engagement to
Improve Public Health
-Primary Prevention: fund for EBP home visiting programs; Trust Fund to prevent and reduce
maternal depression; Philanthropic agencies - "Thrive by Five"(maximize quality child care &
learning opportunities)
-Community Engagement: engage residents in reviewing data and taking action to reduce
population rates of child-abuse, neglect, youth violence and substance use, teen pregnancy,
teen suicide, school dropouts, and domestic violence.
-The law recognizes that co-occurring child abuse and neglect, parental substance abuse,
parental mental illness, divorce or separation, incarceration of a family member, and/or
witnessing intimate partner violence constitute "A powerful common determinant of a child's
ability to be successful at school and as an adult , to be successful at work, to avoid behavioral
and chronic physical health conditions and to build healthy relationship, and creates a private-
public partnership to prevent ACE, reduce their prevalence, and mitigate their effects.
Trust for America's Health 2015 Report: Priority Policies for Reducing Toxic Stress & ACEs -
correct answer ✔✔ -Child healthcare coverage and screenings
-Preconception and prenatal health care
-Childhood nutrition
-Health, safe homes, neighborhoods and communities
-Safe, stable and nurturing relationships
-Increasing economic opportunities for families
