NSG 436 Exam 3 V3 | NSG 436 Leadership,
Ethics, and Policy in Health Care | Actual
Q&A with Rationale (NSG436 Exam 3) |
Grand Canyon University
1. Which actions are considered effective lobbying strategies that professional nursing
organizations utilize to influence health policy? (Select all that apply.)
A. Providing testimony at legislative hearings regarding nursing workforce issues.
B. Developing personal relationships with legislators and their staff members.
C. Contributing directly to a candidate’s campaign through the organization’s general
treasury funds.
D. Educating legislators about the potential impact of a bill on patient safety.
E. Mobilizing grassroots members to send emails or make phone calls to their
representatives.
F. Drafting legislation language in collaboration with legislative aides.
Correct Answer: A, B, D, E, F
Explanation: Lobbying involves educating, informing, and persuading legislators to
support a specific position. It includes providing testimony, building relationships, and
mobilizing grassroots support to demonstrate constituent interest. Direct contributions
,from general funds are often restricted by campaign finance laws, whereas Political Action
Committees (PACs) are used for financial support.
2. A nurse leader is analyzing the policy process. In which stage of the policy cycle is the
problem identified and potential solutions proposed?
A. Policy Adoption
B. Agenda Setting
C. Policy Implementation
D. Policy Evaluation
Correct Answer: B
Explanation: Agenda setting is the first phase where issues are identified and gain the
attention of policymakers. During this phase, nurses can advocate by bringing evidence to
light regarding healthcare gaps. This stage is crucial because not all problems reach the
level of formal policy discussion.
3. When a nurse joins a Political Action Committee (PAC), what is the primary purpose of this
involvement in the context of professional advocacy?
A. To provide a mechanism for collective bargaining and union representation.
B. To raise and distribute funds to candidates who support nursing and health care
interests.
C. To offer legal protection for nurses facing malpractice lawsuits.
,D. To oversee the licensing and certification of advanced practice nurses.
Correct Answer: B
Explanation: PACs are the political arm of professional organizations designed to influence
elections. By pooling resources, nurses can support candidates who prioritize health care
issues and nursing standards. This provides the profession with a ‘seat at the table’ when
legislative decisions are made.
4. Which ethical principle is most directly applied when a policy is developed to ensure that
all citizens have equal access to COVID-19 vaccinations regardless of socioeconomic status?
A. Autonomy
B. Fidelity
C. Beneficence
D. Justice
Correct Answer: D
Explanation: Justice refers to the fair and equitable distribution of resources and benefits.
In health policy, distributive justice ensures that healthcare burdens and benefits are
shared across a population. This principle counters health disparities by focusing on equity
rather than just equality.
, 5. A nurse is advocating for a bill that would increase funding for rural telehealth services. To
which branch of the federal government should the nurse primarily direct their advocacy
efforts to influence the budget?
A. Executive Branch
B. Legislative Branch
C. Judicial Branch
D. Administrative Branch
Correct Answer: B
Explanation: The Legislative Branch (Congress) has the power of the purse and is
responsible for creating laws and allocating funding. While the Executive branch
implements laws, the authority to tax and spend originates with the legislature. Nurses
participating in the political process must understand these distinctions to target their
communications effectively.
6. Which of the following factors contribute to the ‘Social Determinants of Health’ (SDOH)
that policymakers must consider to improve community health outcomes? (Select all that
apply.)
A. Access to nutritious food and clean water.
B. Individual genetic predispositions to chronic diseases.
C. Quality of education and literacy levels.
D. Availability of safe housing and transportation.
Ethics, and Policy in Health Care | Actual
Q&A with Rationale (NSG436 Exam 3) |
Grand Canyon University
1. Which actions are considered effective lobbying strategies that professional nursing
organizations utilize to influence health policy? (Select all that apply.)
A. Providing testimony at legislative hearings regarding nursing workforce issues.
B. Developing personal relationships with legislators and their staff members.
C. Contributing directly to a candidate’s campaign through the organization’s general
treasury funds.
D. Educating legislators about the potential impact of a bill on patient safety.
E. Mobilizing grassroots members to send emails or make phone calls to their
representatives.
F. Drafting legislation language in collaboration with legislative aides.
Correct Answer: A, B, D, E, F
Explanation: Lobbying involves educating, informing, and persuading legislators to
support a specific position. It includes providing testimony, building relationships, and
mobilizing grassroots support to demonstrate constituent interest. Direct contributions
,from general funds are often restricted by campaign finance laws, whereas Political Action
Committees (PACs) are used for financial support.
2. A nurse leader is analyzing the policy process. In which stage of the policy cycle is the
problem identified and potential solutions proposed?
A. Policy Adoption
B. Agenda Setting
C. Policy Implementation
D. Policy Evaluation
Correct Answer: B
Explanation: Agenda setting is the first phase where issues are identified and gain the
attention of policymakers. During this phase, nurses can advocate by bringing evidence to
light regarding healthcare gaps. This stage is crucial because not all problems reach the
level of formal policy discussion.
3. When a nurse joins a Political Action Committee (PAC), what is the primary purpose of this
involvement in the context of professional advocacy?
A. To provide a mechanism for collective bargaining and union representation.
B. To raise and distribute funds to candidates who support nursing and health care
interests.
C. To offer legal protection for nurses facing malpractice lawsuits.
,D. To oversee the licensing and certification of advanced practice nurses.
Correct Answer: B
Explanation: PACs are the political arm of professional organizations designed to influence
elections. By pooling resources, nurses can support candidates who prioritize health care
issues and nursing standards. This provides the profession with a ‘seat at the table’ when
legislative decisions are made.
4. Which ethical principle is most directly applied when a policy is developed to ensure that
all citizens have equal access to COVID-19 vaccinations regardless of socioeconomic status?
A. Autonomy
B. Fidelity
C. Beneficence
D. Justice
Correct Answer: D
Explanation: Justice refers to the fair and equitable distribution of resources and benefits.
In health policy, distributive justice ensures that healthcare burdens and benefits are
shared across a population. This principle counters health disparities by focusing on equity
rather than just equality.
, 5. A nurse is advocating for a bill that would increase funding for rural telehealth services. To
which branch of the federal government should the nurse primarily direct their advocacy
efforts to influence the budget?
A. Executive Branch
B. Legislative Branch
C. Judicial Branch
D. Administrative Branch
Correct Answer: B
Explanation: The Legislative Branch (Congress) has the power of the purse and is
responsible for creating laws and allocating funding. While the Executive branch
implements laws, the authority to tax and spend originates with the legislature. Nurses
participating in the political process must understand these distinctions to target their
communications effectively.
6. Which of the following factors contribute to the ‘Social Determinants of Health’ (SDOH)
that policymakers must consider to improve community health outcomes? (Select all that
apply.)
A. Access to nutritious food and clean water.
B. Individual genetic predispositions to chronic diseases.
C. Quality of education and literacy levels.
D. Availability of safe housing and transportation.
