Question 1

Discuss Florence Nightingale's accomplishments as a foundation to healthcare advocacy.

Accepted Answer

The foundation of nurse practitioner healthcare advocacy can be linked to Florence Nightingale, a visionary of public policy on numerous healthcare issues: promoting clean water, good nutrition, decent lodging, and adequate ventilation to reduce infection rates. Nightingale impacted healthcare reform issues through leadership, innovative thought, and perseverance. She lobbied the British Parliament to educate nurses who would serve in public workhouses and was passionate in her opinion that individuals who were sick should avoid hospitalization, advocating for home health services provided by nurses and physicians. By way of careful preparation and attention to detail, Nightingale obtained the support of high-level medical experts, cabinet ministers, and senior governmental officials. The most prominent sanitarians of the time, statisticians, engineers, and water experts alike were willing to work with her to advance health policies because they shared her vision and respected her methods.

Question 2

The first nurse practitioner (NP) program in the United States prepared NPs to practice in which specialty?

Accepted Answer

The first nurse practitioner program in the United States was established at the University of Colorado in 1965 and focused on pediatrics.

Question 3

Which legislation granted provider status to nurse practitioners and authorized NPs to bill Medicare directly for providing services to its recipients, regardless of setting?

Accepted Answer

The Balanced Budget Act of 1997 granted provider status to nurse practitioners and authorized them to bill Medicare directly for providing services to its recipients, regardless of setting.

Question 4

Members of the American Association of Nurse Practitioners (AANP) are advocating for introduction of a bill related to healthcare advocacy. To help determine whether the timing is right to introduce the bill, which individual is most appropriate for the AANP to consult?

Accepted Answer

A lobbyist is most appropriate for the AANP to consult as they specialize in advocacy and have expertise in the legislative process, including the timing and strategy for introducing bills.

Question 5

In 2008, which organization partnered with the Robert Wood Johnson Foundation (RWJF) to launch a 2-year initiative to promote advancement of the nursing profession?

Accepted Answer

The Institutes of Medicine (IOM) partnered with the Robert Wood Johnson Foundation (RWJF) to launch a 2-year initiative in 2008 to promote advancement of the nursing profession. This initiative was titled "The Future of Nursing: Leading Change, Advancing Health" and resulted in a report that made recommendations for transforming the nursing profession.

Question 6

Discuss use of the American Association of Nurse Practitioners (AANP) website to ensure understanding of the nurse practitioner's (NP's) scope of practice.

Accepted Answer

The answer of Discuss use of the American Association of...

Question 7

Summarize the impact of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and Quality Payment Program on reimbursement for nurse practitioner (NP) services.

Accepted Answer

The answer of Summarize the impact of the Medicare Access...

Question 8

The nurse practitioner (NP) reviews regulations related to Medicare reimbursement. Based on current regulations, which action is reimbursable and appropriate for implementation by the NP?

Accepted Answer

Serving as the attending provider for a Medicare patient who requires hospice care is a reimbursable and appropriate action for an NP based on current regulations. However, performing the admission examination for a SNF patient, providing initial certification of a patient's eligibility for hospice care, and completing the first monthly examination for a SNF patient are tasks typically done by a physician and may not be reimbursable for an NP.

Question 9

Explain how the use of provider neutral language could increase the nurse practitioner's (NP's) eligibility for Medicare reimbursement.

Accepted Answer

The answer of Explain how the use of provider neutral...

Question 10

Describe two events hosted by the American Association of Nurse Practitioners (AANP) that promote political advocacy.

Accepted Answer

The answer of Describe two events hosted by the American...

Question 11

What are the restrictions regarding prescribing medications that are applicable in your state?

Accepted Answer

The answer of What are the restrictions regarding prescribing medications...

Question 12

Other than prescriptive authority, what are the key legislative issues that your state NP organization is currently working on?

Accepted Answer

The answer of Other than prescriptive authority, what are the...

Question 13

Identify a health policy issue that you feel passionate about. Develop a 30-second elevator speech/sound bite that clearly articulates your position.

Accepted Answer

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Question 14

What topic would you be most comfortable discussing with a federal legislator? Why?

Accepted Answer

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Question 15

In the Health Policy Exemplars section of this chapter, Dr. Adams has noted that it is time for APRNs to "find our voice." What does that mean to you?

Accepted Answer

The answer of In the Health Policy Exemplars section of...

Quiz 9: Health Policy and the Nurse Practitioner