University of Phoenix HSN/476 Final Exam (pdf) | 2026/2027 | Health
Care Policy Q&A | Health Policy
1. Which of the following best describes the primary focus of HSN/476:
Healthcare Policy and Financial Management?
A) Advanced clinical skills for direct patient care
B) The interrelationship among health policy, legislation, regulation, finance,
and practice
C) The history of nursing education programs
D) The application of nursing research to clinical practice
Correct Answer: The interrelationship among health policy, legislation,
regulation, finance, and practice
Rationale: HSN/476 examines the role of the nurse as a leader in healthcare,
focusing on financial and resource management, cost controls, and
healthcare policies and reform. A key concept is the interrelationship among
health policy, legislation, regulation, finance, and practice .
2. A primary goal of value-based healthcare is to:
A) Reduce government intervention in healthcare
B) Increase patient outcomes per dollar spent
C) Encourage patient autonomy in decision-making
D) Extend hospital operating hours
Correct Answer: Increase patient outcomes per dollar spent
Rationale: Value-based healthcare focuses on improving the quality of care
provided to patients and optimizing health outcomes relative to the costs
incurred . This model incentivizes quality over quantity of services.
,3. The Medicare Sustainable Growth Rate (SGR) was primarily designed to:
A) Decrease patient premiums
B) Control spending by Medicare on physician services
C) Expand Medicaid eligibility
D) Increase physician reimbursement rates
Correct Answer: Control spending by Medicare on physician services
Rationale: The SGR was established to adjust Medicare Part B expenditures in
line with GDP growth to ensure fiscal sustainability and control spending on
physician services .
4. In healthcare financial management, a DRG is a:
A) Discount Rate Generation
B) Diagnostic Review Group
C) Diagnostic Related Group
D) Department Revenue Guarantee
Correct Answer: Diagnostic Related Group
Rationale: A DRG (Diagnostic Related Group) is used to classify hospital
cases for the purpose of reimbursing hospitals for Medicare patients . DRGs
group patients with similar diagnoses and treatments to determine payment
amounts.
5. The process of reducing hospital readmissions through improved follow-up
care and patient education is known as:
A) Case management
B) Care Transition Management
,C) Discharge planning
D) Utilization review
Correct Answer: Care Transition Management
Rationale: Care Transition Management involves coordinating care during
transitions between healthcare settings to reduce hospital readmissions
through improved follow-up care and patient education .
6. A nurse's role in healthcare financial management includes:
A) Only providing direct patient care
B) Understanding cost controls and fiscal responsibility
C) Managing hospital investments
D) Setting insurance premium rates
Correct Answer: Understanding cost controls and fiscal responsibility
Rationale: HSN/476 examines the nurse's role as a leader in healthcare,
including financial and resource management, cost controls, and fiscal
responsibility . All healthcare professionals should understand the financial
implications of their practice.
7. Which of the following is a key component of healthcare policy and
financial management?
A) Clinical decision-making only
B) Resource allocation and cost containment
C) Patient education only
D) Staff scheduling only
, Correct Answer: Resource allocation and cost containment
Rationale: Healthcare policy and financial management encompasses
resource allocation, cost containment, and the relationship between health
policy, legislation, regulation, finance, and practice .
8. The Affordable Care Act (ACA) of 2010 had which of the following impacts
on healthcare organization?
A) Reduced access to healthcare
B) Increased the rate of uninsured individuals
C) Improved accessibility and affordability of healthcare
D) Eliminated private health insurance
Correct Answer: Improved accessibility and affordability of healthcare
Rationale: The ACA improved accessibility and affordability of healthcare,
resulting in a decline in the rate of uninsured individuals from 16% to 9.1% .
It expanded coverage and access to care.
9. The ACA incorporated social determinants of health into health policy
through which mechanism?
A) Eliminating Medicaid
B) Establishment of the Center for Medicare and Medicaid Innovation (CMMI)
C) Reducing funding for community health centers
D) Limiting coverage for preventive services
Correct Answer: Establishment of the Center for Medicare and Medicaid
Innovation (CMMI)
Care Policy Q&A | Health Policy
1. Which of the following best describes the primary focus of HSN/476:
Healthcare Policy and Financial Management?
A) Advanced clinical skills for direct patient care
B) The interrelationship among health policy, legislation, regulation, finance,
and practice
C) The history of nursing education programs
D) The application of nursing research to clinical practice
Correct Answer: The interrelationship among health policy, legislation,
regulation, finance, and practice
Rationale: HSN/476 examines the role of the nurse as a leader in healthcare,
focusing on financial and resource management, cost controls, and
healthcare policies and reform. A key concept is the interrelationship among
health policy, legislation, regulation, finance, and practice .
2. A primary goal of value-based healthcare is to:
A) Reduce government intervention in healthcare
B) Increase patient outcomes per dollar spent
C) Encourage patient autonomy in decision-making
D) Extend hospital operating hours
Correct Answer: Increase patient outcomes per dollar spent
Rationale: Value-based healthcare focuses on improving the quality of care
provided to patients and optimizing health outcomes relative to the costs
incurred . This model incentivizes quality over quantity of services.
,3. The Medicare Sustainable Growth Rate (SGR) was primarily designed to:
A) Decrease patient premiums
B) Control spending by Medicare on physician services
C) Expand Medicaid eligibility
D) Increase physician reimbursement rates
Correct Answer: Control spending by Medicare on physician services
Rationale: The SGR was established to adjust Medicare Part B expenditures in
line with GDP growth to ensure fiscal sustainability and control spending on
physician services .
4. In healthcare financial management, a DRG is a:
A) Discount Rate Generation
B) Diagnostic Review Group
C) Diagnostic Related Group
D) Department Revenue Guarantee
Correct Answer: Diagnostic Related Group
Rationale: A DRG (Diagnostic Related Group) is used to classify hospital
cases for the purpose of reimbursing hospitals for Medicare patients . DRGs
group patients with similar diagnoses and treatments to determine payment
amounts.
5. The process of reducing hospital readmissions through improved follow-up
care and patient education is known as:
A) Case management
B) Care Transition Management
,C) Discharge planning
D) Utilization review
Correct Answer: Care Transition Management
Rationale: Care Transition Management involves coordinating care during
transitions between healthcare settings to reduce hospital readmissions
through improved follow-up care and patient education .
6. A nurse's role in healthcare financial management includes:
A) Only providing direct patient care
B) Understanding cost controls and fiscal responsibility
C) Managing hospital investments
D) Setting insurance premium rates
Correct Answer: Understanding cost controls and fiscal responsibility
Rationale: HSN/476 examines the nurse's role as a leader in healthcare,
including financial and resource management, cost controls, and fiscal
responsibility . All healthcare professionals should understand the financial
implications of their practice.
7. Which of the following is a key component of healthcare policy and
financial management?
A) Clinical decision-making only
B) Resource allocation and cost containment
C) Patient education only
D) Staff scheduling only
, Correct Answer: Resource allocation and cost containment
Rationale: Healthcare policy and financial management encompasses
resource allocation, cost containment, and the relationship between health
policy, legislation, regulation, finance, and practice .
8. The Affordable Care Act (ACA) of 2010 had which of the following impacts
on healthcare organization?
A) Reduced access to healthcare
B) Increased the rate of uninsured individuals
C) Improved accessibility and affordability of healthcare
D) Eliminated private health insurance
Correct Answer: Improved accessibility and affordability of healthcare
Rationale: The ACA improved accessibility and affordability of healthcare,
resulting in a decline in the rate of uninsured individuals from 16% to 9.1% .
It expanded coverage and access to care.
9. The ACA incorporated social determinants of health into health policy
through which mechanism?
A) Eliminating Medicaid
B) Establishment of the Center for Medicare and Medicaid Innovation (CMMI)
C) Reducing funding for community health centers
D) Limiting coverage for preventive services
Correct Answer: Establishment of the Center for Medicare and Medicaid
Innovation (CMMI)
