Deck 22: Public Health Policy and Finance

Question 1

A nurse is counseling a young woman with a new diagnosis of gonorrhea. What should be included in her care?

A)The nurse will need to contact all of the woman's prior sexual partners to inform them of her diagnosis.
B)Since filing a partner management report with the state health department is mandated, the nurse should inform the patient that she will be sending a report.
C)All of the above
D)None of the above

Answer 1

Since filing a partner management report with the state health department is mandated, the nurse should inform the patient that she will be sending a report.

Question 2

A school nurse is looking at federal funding for the school lunch program and childhood obesity data for the kids in the school. The nurse found that despite the highest rate of federal funding for any local school in their district and increased nutrition standards to improve the quality of food, students in the school also have the highest obesity rate. What should the school nurse do next?

A)Request additional funding.
B)Conclude that the new foods offered are not sufficient and the school should revert back to the type of meals offered in the past.
C)Interview the students and the parents to learn more about use of the lunch program and current activity levels.
D)Request that the school begin a school breakfast program as well so that students have increased access to healthy foods.

Answer 2

Interview the students and the parents to learn more about use of the lunch program and current activity levels.

Question 3

A nursing student studying public health has asked the instructor where to find good sources of evidence-based practice that could help provide the basis for policy changes as part of a thesis project. Which resource would be most helpful for the student?

A)The AHRQ Clinical Guide
B)The Cochran Reviews
C)The CDC Community Guide
D)All of the above

Answer 3

All of the above

Question 4

A team of nursing students are working with the public health department to obtain funding for community outreach health clinic in an underserved neighborhood. They have been asked to include a budget for the clinic and a plan for obtaining funding. The students are specifically utilizing:

A)Health economics.
B)Public health finance.
C)Market economy.
D)Federal funding guidelines.

Question 5

A school nurse is evaluating the lunch program in the district after a student had a serious anaphylactic reaction to peanuts. The school is located in a lower socioeconomic area of the city. What new policy would make the most sense in this school?

A)Mandate that all students purchase their food on campus and not bring any food into the building.
B)Obtain funding to provide free school lunches for everyone.
C)Make the school a completely peanut-free campus.
D)Ensure that every classroom has access to an EpiPen in case of future reactions.

Question 6

A nurse is teaching a class on the basic principles of health insurance. The nurse asks the class about benefits of the Affordable Care Act to American citizens. What are some possible responses? Select all that apply.

A)Expansion of Medicaid to include more people
B)Coverage of young people under the age of 26 on their parents' health insurance policy
C)Universal health coverage for all citizens
D)Mandatory employer-paid coverage for all employees
E)Expansion of access to and coverage of preventative care

Question 7

A nurse is having a discussion with a coworker about frustration at the slow rate of positive health policy change. The nurse has attempted to contact the local policy-maker about the need to expand public transportation availability for community members struggling to get to work but has not received a response. What might the coworker suggest?

A)Visiting the representative's local office to complain about the lack of response
B)Trying again after the next election
C)Getting a group of nurses and local residents to work together to make their needs known
D)Writing a formal letter of complaint

Question 8

A nurse is preparing to teach a class on public health policy and its impact on nursing practice. Which of the following statements is incorrect and should be excluded from the lecture?

A)Nursing scope of practice as determined by state nurse practice acts is included in public health policy.
B)Nurses are affected by public health policy both professionally and personally.
C)Changing health policy does not fall within the scope of nursing practice.
D)Some federal and payroll tax exemptions are an example of public health policy.

Question 9

A nurse is caring for a young child with a severe ear infection in a hospital emergency department. The nurse asks the mother why it took so long for the child to get care and the mother stated that she couldn't afford medical bills and that they didn't qualify for Medicaid. The mother decided not to get health insurance to save money. Once the child has received medical attention, what program does the nurse recommend to the mother?

A)WIC
B)CHIP
C)Medicare
D)TANF

Question 10

A nurse is working with the local representative to pass a law raising the legal age for purchasing tobacco to 21 years old. It has been passed into the committee phase of the legislative process. How should the nurse prepare for the next step?

A)Contact all of the local legislators to lobby for passing of the bill.
B)Encourage local citizens to vote on the bill and promote a local grass roots campaign base in the community.
C)Prepare evidence-based research and current clinical studies to support their position and educate committee members about the medicine behind nicotine addiction in youths.
D)Inform local store owners about the impending change in the law.

Question 11

An occupational health nurse is speaking with union representatives about a long-standing problem with insufficient safety equipment at a local surgical center. Where does the nurse suggest they report the problem?

A)OSHA
B)JCAHO
C)City council
D)The medical director

Question 12

A nurse is working with local government officials and political lobbyists to prompt a vote to improve the school lunch program. The nurse knows that this is an example of:

A)Advocacy.
B)Public health policy.
C)Health equity.
D)Public health economics.

Question 13

A nurse is working at a local community health center. The nurse is speaking with an elderly Native American man who lives on a nearby reservation. He reports that many members of his tribe are unable to afford health care and many have an alcohol use disorder and/or type 2 diabetes. What program should the nurse suggest that the gentleman contact?

A)Indian Health Services
B)Medicaid
C)Medicare
D)Alcoholics Anonymous

Question 14

The school nurse is involved in multiple activities related to public health policy. Which of the following is an example of public health policy advocacy?

A)Reporting a newly diagnosed case of Listeria to the public health department
B)Informing students and parents about the need for flu vaccinations at the beginning of the school term
C)Doing height and weight screenings
D)Working with the school board to add nutrition classes in the middle school curriculum

Question 15

A nurse is having a discussion with a patient about who should be responsible for overseeing the public health system and the health of American citizens. The patient states that each person should be responsible for his or her own health. The nurse replies that the American Constitution gives this power to:

A)Federal government.
B)State governments.
C)Local governments.
D)Private insurance companies.

Question 16

A nurse is giving a lecture about public policy and policy changes. A student wants to know about the rights of individuals when setting public health policy. How should the nurse respond?

A)The rights of individuals always outweigh the collective good.
B)The collective good always outweighs the rights of individuals.
C)Public health policy is based on governmental interests and not the collective good or individual rights.
D)Public health policy is based on the assumption that society has the right to collectively assure conditions for healthy people while taking into account the rights of individuals.

Question 17

A nurse is looking to create policies that would reduce the rate of tobacco use by teenagers in the local community. Who would be the most important group to consult with when performing a community assessment?

A)Physicians and educators
B)Local teenagers
C)Public health and tobacco experts
D)Local shop owners and community council members

Question 18

A nurse is caring for a young man who is complaining about the state of the health-care system. He argues that health care should be left to the free market economy. To explain why relying on the free market is not practical, the nurse responds:

A)"There are too many health-care providers to support the health-care system in a free market economy."
B)"A free market system is difficult to implement because during emergencies, patients and their families are unable to properly research local emergency care options."
C)"The American health-care system is already based on a free market system."
D)"A free market economy is based on the sale of goods, and does not apply to the health-care system."