Policy quiz questions

Policy quiz questions In the United States greater than 50% of mothers follow the American Academy of Pediatrics and Worth Health Organization's gold standard of exclusively breastfeeding their infants for the first six months following delivery. True or False? - Correct Answer False Which nurse leader left medical school to return to nursing, established the Visiting Nurse Service at the Henry Settlement in New York City, and participated in the establishment of the National Organization of Public Health Nursing? - Correct Answer Lillian Wald The culture of breastfeeding in the United States is different than many other countries for all the following reasons EXCEPT: A:Despite extensive evidence-based lactation education before and after delivery, American women are just not interested B: American society focuses on female breasts for their sexual appeal, not for their primary function of providing nutrition for infants C: Working women do not always receive support from employers and facilities may not be conductive to breastfeeding or pumping D: Nursing mothers may be discriminated against in public because of viewpoint is that breastfeeding should be a private act - Correct Answer A:Despite extensive evidence-based lactation education before and after delivery, American women are just not interested Why is advocacy by the Federal Trade Commission on behalf of Nurse Practitioners (NP's) important? - Correct Answer Supports removing barriers to independent practice on the basis that such acts are against the interests of consumers and restricts competition with other providers. The nurse leader who established the VIsiting Nurse Service and helped establish the National Organization of Public Health Nursing is said to have been successful in advocating for the needs of patients and nurses based on her unique leadership style. All of the following leadership qualities exemplify her style except: A:Effectively communicating issues in a manner that the public listened to and "owned" B: Working with others to obtain the resources needed to effect successful solutions C: Developing a high evolved hierarchical model of healthcare in urban and rural settings D: Creating coalitions that clearly identified the key problems and underlying causes - Correct Answer C Woodrow Wilson was the U.S. president who was pressured into changing his position on the women's right to vote issue. This shift in political balance resulted in the ultimate passage of the 19th Amendment to the Constitution. In which month and year did this happen? - Correct Answer August 1920 At the end of the formal 1928 demonstration period, who supervised the independent practices of public health nurses? - Correct Answer Private and public health nurses Several United States legislative policies are specifically directed at women. REasons for this include: SELECT ALL ANSWERS THAT APPLY. A: Infant mortality and maternal mortality are directly related to the availability and affordability of comprehensive, preventable healthcare. B: Women have unique reproductive health needs leading to heated debates about who has control over a pregnant woman's body. C: Quality outcomes for women and infants in the United States are significantly lower than several other countries. D: The large number of women who serve on national and state legislative committees and are persistent in advocating for women's needs - Correct Answer A, B, C All of the following statements about women entering retirement are correct EXCEPT: A: There are no differences between men's and women's Social Security benefits since the Affordable Care Act was enacted in 2010. B: Women often live longer than men, have little or no protection from private pensions, and face restrictive widow survivorship policies C: Women are more likely to spend years outside of the workforce providing uncompensated care to children and other family members D: Women often receive similar Social Security benefits than men and do not have adequate or accessible retirement savings - Correct Answer A According to the institute of Medicine's Future of Nursing report: Leading change, advancing health as depicted in Mason et al., (2016), what challenges do Nurse Practitioners (NP's) face in their quest to achieve full practice authority? A: Although individual physicians may be supportive of NP's organized medicine is not B: NP's lack interested groups and partners outside of nursing to help broaden their appeal C: NP's have partnered with lobbyists and have presented compelling, evidence-based data, but politics may trump data. D: NP's are making impressive strides in presenting issues via an effective and unified voice - Correct Answer A B C To improve health care services for veterans, which of the following major policy issues does the U.S military Health System and the Veterans Health administration most need to address? - Correct Answer Timely access to care, minimizing long wait times to be seen Sexual assault, suicide prevention, and post-traumatic stress disorder Seamless transition/re-entry of men and women moving from active duty to non-military societal roles The enactment of Medicare is an example of a/an_____policy. - Correct Answer Allocative Which of the following branch of government is responsible for the execution of laws passed by legislature? - Correct Answer Executive The Affordable Care Act legislature can be categorized into four main initiatives. They are: - Correct Answer Expand/improve access Coordinate care Create value Reform payment Political philosophy addresses two key issues. They are: - Correct Answer Distribution of material goods, rights and liberties The possession and determination of political power The two most controversial provisions of the Affordable Care Act (ACA) are: - Correct Answer Medicaid expansion The individual mandate The United States(US) spends more per person on healthcare than any other nation yet performs worse than other nations in which of the following indicators? A: The prevalence of diabetes and obesity in children B: Mortality rates for suicide and cardiovascular disease C: Life expectancy at birth for both males and females D: All of the above - Correct Answer All of the above According to Mason (2016), the topmost challenge specific to the implementation of evidence-based practices that support and enhance recovery-based psychiatric rehabilitation is: - Correct Answer The lack of public awareness of mental health and substance abuse laws. Which of the following are major attributes of health policy? A: Decisions are made by authorized government institutions B: Health policy results from law and is always legally binding without exception C: Health policy addresses a public policy goal D: The decision-making process is subject to public review and public input - Correct Answer A C D Which of the following is an example of healthy policy defined and regulated at a state level? A: Americans with Disabilities Act (ADA) B: Scope and standards of nursing practice C: Patient safety and quality improvement act D: Health insurance portability and accountability act (HIPAA) - Correct Answer B Which of the following indicators demonstrate that nurses have some significant advantages when it comes to working to influence an elected official. (Select all that apply). A: Nurses do not influence elected officials B: Nurses are the largest group of health-care professionals in the United States C: Nurses are viewed as credible, most honest and ethical D: Nurses have experience with successfully advocating for their patients - Correct Answer B C D Which of the following information is not important to include when calling, writing, or e-mailing your legislator? A: That you live and vote in the legislative district B: Your age, race, educational preparedness, and religious preference C: That you are a student nurse or a registered nurse D: Your personal position on the proposed bill being considered - Correct Answer B Bills introduced that require the spending of money must go through the two-step process of: - Correct Answer Authorization and appropriations The american population is aging, in many circumstances family members become caregivers. Which of the following indicators is a reason for caregiver stress? A: Caregivers have workplace flexibility and extended Family and Medical Leave (FMLA) B: Caregivers are not adequately prepared, educated, or supported for caregiving duties C: Caregivers receive adequate education, training, and support to successfully manage care in the home D:Caregivers are ready and willing to embrace caregiving responsibilities - Correct Answer B You are working as a triage nurse in a Medicare-participating hospital that offers emergency services. You know that according to the Emergency Medical Treatment Act of 1986 (EMTALA) patients presenting with conditions that fall under the emergency medical categories must, at minimum, be provided with which of the following interventions before the patient is transferred or discharged? (Select all that apply) A:The individual must be admitted for observation for 96 hours B: The individual must be medically screened/assessed C: The individual must receive care until the presenting conditions have been stabilized D: The individual must be able to show a source of payment - Correct Answer B C Clinical experts have likened failure to talk to patients about end-of-life issues to which of the following? A: Ordering medications without checking for allergies B: Failure to use sterile technique C: Committing a life-threatening medical error D: All of the above - Correct Answer D After a bill has been passed, the executive (US president or state governor) has the power to: (Select all that apply.) A: Return the bill unsigned with an objection B: Veto the bill C: Add amendments to the bill D: Sign the bill into law - Correct Answer A B D Nebraska is the only state in the union that has: - Correct Answer A unicameral system Which sequence of events accurately describes the steps in the lawmaking process? - Correct Answer Introduction → public hearing → general file → select file → final reading → executive action The fastest growing segment of the Medicare program today is Palliative Care. True or false? - Correct Answer False What role can nurses have in stopping human trafficking? - Correct Answer Assess and educate community stakeholder, such as shelters, victim-assistance agencies, advocacy groups, and law enforcement agencies, and collaborate with them Bring the issue of human trafficking to the public's attention in the community through public speaking in schools, places of worship, and social action groups Which of the following is not a factor leading to the resurgence of previously eradicated diseases such as measles, polio, whooping cough, and cholera? - Correct Answer Increased funding for research, increased interest by researchers What is the primary purpose of transparent public reporting? A: To use up any extra funds and resources so that financial incentives will not be reduced next year B: To provide information to consumers to help them make informed choices based on quality, cost, and satisfaction C: To keep healthcare providers up to date about world events so they can explain these to the public D: To give health care providers comparative information about their quality of care in order to improve their care - Correct Answer B: To provide info to consumers to help them make informed choices based on quality, cost, and satisfaction The use of social networking websites has increased visual accessibility of the candidates running for office at state and federal levels and is viewed as an essential component of any public campaign for office. True or false - Correct Answer TRUE Performance measurement by the American Nurses' Association's National Database of Nursing Quality Indicators (NDNQI) is used to address which of the following: - Correct Answer To improve quality of care and patient safety According to the American Association of Critical-care nurses' research study, which of the following is NOT a key component to creating and maintaining healthy work environments - Correct Answer Mandated nurse-to-patient staffing ratios Which of the following is the best example of a Value-Based Staffing Program? - Correct Answer The Magnet Recognition Program Evelyn McKnight founded Honor Reform after she was a victim of the largest Hep C exposure in medical history. What is the three-pronged policy approach McKnight believes will improve patient safety? - Correct Answer Safety by incentives, safety by design, and safety by culture and empowerment The best way for a nurse to learn the ropes of policy, politics, and advocacy is through: (3) - Correct Answer Mentoring Education Experience Which of the following is an example of the success of the media events related to Mothers Against Drunk Driving (MADD) campaign which was developed and aired in 1980. - Correct Answer Media Advocacy What is Media Advocacy? - Correct Answer The strategic use of newsmaking through TV, radio and newspapers to promote public debate, and generate community support for changes in community norms and policies. The types of health care facilities that focus on reducing health disparities and that receive grant funding through the ACA - Correct Answer Community health centers The nurse completing the admission assessment notices the new patient has a foley placed. The urine is very cloudy in color. What info is the MOST important for the nurse to document in order to avoid Medicare reimbursement penalties? - Correct Answer The foley catheter and suspected CAUTI are present on admission Which of the following program is jointly funded by both federal and state governments - Correct Answer Medicaid Which type of reimbursement system would be most likely to create financial incentives to institute transitional care and care coordination services aimed at improving quality and reducing costs of episode of care? - Correct Answer Bundled payments What do the economics of health care include? A: Patients' rights B: Nurse salaries C: Equal distribution of health care D: Medicare and medicaid dollars - Correct Answer C: Equal distribution of health care What is the fundamental purpose of health insurance exchange? - Correct Answer Create online marketplace for the sale and purchase of health insurance for customers The US health care system is different from other countries because it is not entirely funded by the government. True or false? - Correct Answer TRUE A nursing student is discussing Medicare coverage with the clinical instructor. The instructor knows the student understands Medicare when the student says that Medicare is funded by who? - Correct Answer Medicare is funded by the federal government Discrepancies in the starting salaries between nurses is most likely due to - Correct Answer The economic relationship between supply and demand According to the law of "supply" in the supply and demand economic model, what happens when the selling price of an item rises? - Correct Answer More companies will produce the item What is the meaning of advocacy derived from the Latin word "advocatus"? - Correct Answer To plead the cause of others You are interested in joining a professional nursing organization and would like to focus on a group of practice issues and working conditions for nurses. Which of the following might you consider first? - Correct Answer American Nurses' Association Which of the following topics is one of the most controversial advocacy activities within the profession of nursing? A: Collective bargaining B: Inter-professional education C: Equitable pay D: Legislative lobbying - Correct Answer Collective bargaining Which of the following is least likely to be a pitfall or challenge of building a successful coalition? A: Persistent distrust among organizations B: Paying too much attention to recruiting coalition partners and members C: Cultural and language differences among members D: Poor handling of differences of diverse opinions and perspectives - Correct Answer B: Paying too much attention to recruiting coalition partners and members Which of the following refers to a collective people united by some common passion who work together to influence the political process? A: Electoral influences B: Interest groups C: Lobbyist D: Grassroots mobilization - Correct Answer Interest groups Lobbying involves the direct influence of public officials and their decisions. True or false? - Correct Answer True Which of the following is not a barrier to successful advocacy? A: Being unwilling or unable to commit the time needed for successful advocacy to occur B: Fear of retaliation from employer if a nurse speaks up about safety issues in the workplace C: Working in an empowered organization that encourages open and honest dialogue D: Lack of education and training in advocacy during formal nursing edcuation - Correct Answer C: Working in an empowered organization that encourages open and honest dialogue According to the stepping out advocacy reading, which is the most valuable asses in the political arena? - Correct Answer Time Which of the following is the most important action that may be helpful to persuade policy makers to adopt the policy agenda and positions that your organization is promoting? A: Ensure that members of your organization know what the agenda is and can explain it to others B: Work with a marketing firm to develop a glossy brochure outlining the agenda C: Conduct focus groups to determine which issues most concern your organization D: Work with other nursing organizations to put forth the same agenda - Correct Answer D: Work with other nursing organizations to put forth the same agenda Which of the following refers to grassroots mobilization? A: A coalition of people united by some common passion who work together to influence the political process B: The indirect influencing of officials through contact with constituents C: Precedes policy work and determines who is elected to be at the policy-making table to debate and shape future policies D: The direct influencing of public officials to ultimately impact political decisions and legislation - Correct Answer B: The indirect influencing of officials through contact with constituents