NR 607 HEALTHCARE POLICY AND
ADVOCACY MASTER EXAM
QUESTIONS AND ANSWERS
1. According to Kingdon’s Policy Streams Model, what must happen for a policy window to
open?
A. The problem stream and the politics stream must merge, even without a policy solution.
B. The executive branch must issue an executive order to bypass the legislative stream.
C. A specific event occurs that aligns the problem, policy, and politics streams
simultaneously.
D. Interest groups must reach a consensus on the fiscal impact of the proposed bill.
Answer: C
Conceptual Explanation: Kingdon’s model suggests that a ‘policy window’ opens when the
problem stream, policy (solution) stream, and politics stream converge, allowing for policy
change.
2. Which ethical framework prioritizes the greatest good for the greatest number of people in
healthcare resource allocation?
A. Deontology
,B. Social Justice
C. Ethical Egoism
D. Utilitarianism
Answer: D
Conceptual Explanation: Utilitarianism is a consequentialist theory that focuses on
outcomes, specifically maximizing utility or the greatest good for the largest population.
3. Which part of Medicare covers prescription drug costs for beneficiaries?
A. Part A
B. Part B
C. Part D
D. Part C
Answer: C
Conceptual Explanation: Medicare Part D is the optional program that provides
prescription drug coverage to Medicare beneficiaries through private insurance plans.
4. In the legislative process, where does the majority of the ‘heavy lifting’ and detailed
revision of a bill occur?
A. On the House Floor during general debate
B. In the Conference Committee after both houses pass different versions
, C. During the Presidential signing ceremony
D. Within the Subcommittee or Committee stage
Answer: D
Conceptual Explanation: Most legislative work, including hearings, expert testimony, and
markups (revisions), happens within the specific committees and subcommittees.
5. Which concept describes the healthcare delivery goal of improving the patient experience,
improving population health, and reducing per capita costs?
A. The Iron Triangle
B. The Triple Aim
C. The Quadruple Aim
D. The Value-Based Roadmap
Answer: B
Conceptual Explanation: The Triple Aim, developed by the IHI, focuses on experience of
care, population health, and per capita cost; the Quadruple Aim adds clinician well-being.
6. What is the primary difference between lobbying and advocacy for an Advanced Practice
Nurse?
A. Lobbying involves attempting to influence specific legislation with a legislator, while
advocacy is broader support for a cause.
B. Advocacy focuses on systemic change, while lobbying is only for personal gain.
ADVOCACY MASTER EXAM
QUESTIONS AND ANSWERS
1. According to Kingdon’s Policy Streams Model, what must happen for a policy window to
open?
A. The problem stream and the politics stream must merge, even without a policy solution.
B. The executive branch must issue an executive order to bypass the legislative stream.
C. A specific event occurs that aligns the problem, policy, and politics streams
simultaneously.
D. Interest groups must reach a consensus on the fiscal impact of the proposed bill.
Answer: C
Conceptual Explanation: Kingdon’s model suggests that a ‘policy window’ opens when the
problem stream, policy (solution) stream, and politics stream converge, allowing for policy
change.
2. Which ethical framework prioritizes the greatest good for the greatest number of people in
healthcare resource allocation?
A. Deontology
,B. Social Justice
C. Ethical Egoism
D. Utilitarianism
Answer: D
Conceptual Explanation: Utilitarianism is a consequentialist theory that focuses on
outcomes, specifically maximizing utility or the greatest good for the largest population.
3. Which part of Medicare covers prescription drug costs for beneficiaries?
A. Part A
B. Part B
C. Part D
D. Part C
Answer: C
Conceptual Explanation: Medicare Part D is the optional program that provides
prescription drug coverage to Medicare beneficiaries through private insurance plans.
4. In the legislative process, where does the majority of the ‘heavy lifting’ and detailed
revision of a bill occur?
A. On the House Floor during general debate
B. In the Conference Committee after both houses pass different versions
, C. During the Presidential signing ceremony
D. Within the Subcommittee or Committee stage
Answer: D
Conceptual Explanation: Most legislative work, including hearings, expert testimony, and
markups (revisions), happens within the specific committees and subcommittees.
5. Which concept describes the healthcare delivery goal of improving the patient experience,
improving population health, and reducing per capita costs?
A. The Iron Triangle
B. The Triple Aim
C. The Quadruple Aim
D. The Value-Based Roadmap
Answer: B
Conceptual Explanation: The Triple Aim, developed by the IHI, focuses on experience of
care, population health, and per capita cost; the Quadruple Aim adds clinician well-being.
6. What is the primary difference between lobbying and advocacy for an Advanced Practice
Nurse?
A. Lobbying involves attempting to influence specific legislation with a legislator, while
advocacy is broader support for a cause.
B. Advocacy focuses on systemic change, while lobbying is only for personal gain.
