Question 1

The nurse is passionate about research for a cure for pediatric leukemia and has written the state representatives in Congress to urge them to expand federal funding for this research. Which area of involvement is this nurse prioritizing with this action?

Accepted Answer

B

Question 2

The nursing instructor is preparing a session which will delve into the relationship of healthcare and politics. Which factors should the instructor point out in this session? (Select all that apply.)

Accepted Answer

Politics plays a significant role in healthcare, especially when issues affect large groups or populations, and political solutions can be implemented at both federal and state levels.

Question 3

The nurse is interested in taking on a role in the state's political decision-making process. Which political skills should the nurse prioritize to be effective in this role? (Select all that apply.)

Accepted Answer

A nurse interested in political decision-making should prioritize understanding others' behaviors, social skills, and networking ability. These skills are essential for navigating political environments, building relationships, and influencing policy. Diagnostic skills are relevant to clinical settings, and lying convincingly is unethical and not a recommended political skill.

Question 4

A nurse has become involved in the policy-making process at the state level. Which order of events will the nurse be prepared to participate in as this process progresses?

Accepted Answer

The correct sequence for the policy-making process typically starts with setting an agenda, followed by policy formulation, policy adoption, policy implementation, policy assessment, and finally, policy modification. This sequence ensures that a problem is recognized and prioritized, a solution is developed and agreed upon, the solution is put into action, the outcomes are evaluated, and necessary adjustments are made to improve the policy's effectiveness.

Question 5

The nurse meets with a group of fellow nurses. They discuss the number of children who have died in hot cars and how likely they are to gain support from their state legislators to address the problem. Which step of the policy-making process are these nurses prioritizing at this time?

Accepted Answer

They are in the process of setting an agenda by identifying and prioritizing the issue of children dying in hot cars to gain legislative support for addressing it.

Question 6

The hospital board is in the process of developing a policy regarding the use of cell phones within the hospital. At the current meeting, the board has decided to limit the use of cell phones within certain waiting areas. Which stage of policy making does this action represent?

Accepted Answer

The decision to limit the use of cell phones in certain areas represents the adoption stage, where a specific policy decision is made and approved.

Question 7

A hospital board has completed a 6-month trial of a new policy concerning cell phone usage in the facility, as well as ongoing evaluation by individual board members. Which stage of policy making is the board employing if it is now expanding the locations of areas where cell phones may be used?

Accepted Answer

The board is in the Modification stage because they are making changes to the policy based on the trial and evaluations, indicating an adjustment or alteration to the existing policy.

Question 8

The nurse applies a cost-benefit analysis to the healthcare model. Which costs should the nurse point out are primary concerns of the client? (Select all that apply.)

Accepted Answer

Out-of-pocket payment, suffering and pain, and psychological costs are primary concerns for clients as they directly impact their financial burden and personal well-being.

Question 9

A client visits the office of an independent nurse practitioner to have routine blood work done. The client returns 1 week later for a follow-up visit to discuss the results and formulate a new treatment plan. On the basis of the client's insurance plan, the client is only obligated to pay $15 copay for this service. The total payment that the client's insurance company provides the practitioner is $180, which covers the $80 fee for a 15-minute visit and the $100 cost of laboratory services. On the basis of the nurse's current client load, $40 of the $80 fee for the visit covers overhead and the remaining $40 is profit. In terms of cost-benefit analysis, which is the actual financial cost to the nurse for providing this service?

Accepted Answer

The actual financial cost to the nurse for providing this service is $140, which includes the $40 overhead cost and the $100 cost of laboratory services.

Question 10

A family member receives Medicaid. Which factor would the nurse predict will most likely limit access of this person to healthcare?

Accepted Answer

Medicaid recipients often face challenges in finding healthcare providers who accept Medicaid due to lower reimbursement rates compared to private insurance, leading to limited access to healthcare services.

Question 11

A client receives Medicare, has limited income, and lives in a large city. Which factors are likely to limit the client's ability to access healthcare? (Select all that apply.)

Accepted Answer

A) Inability to afford supplemental insurance can limit access to healthcare services not covered by Medicare.  C) High out-of-pocket expenses can be a barrier for those with limited income, making it difficult to afford necessary care.

Question 12

A nursing instructor has completed a class session explaining various characteristics of healthcare. The instructor would determine the class is successful after the students correctly choose which definition that best describes "quality of care"?

Accepted Answer

Quality of care is defined as the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.

Question 13

A nurse has just finished providing teaching and care to a child with type 1 diabetes. Which indicators of quality care should be apparent after this teaching? (Select all that apply.)

Accepted Answer

The answer of A nurse has just finished providing teaching...

Question 14

A nurse desires to become more involved in the policy-making process. Which area of expertise would this nurse predict be the most beneficial in this process? (Select all that apply.)

Accepted Answer

The answer of A nurse desires to become more involved...

Question 15

A team of nurses are seeking the opportunity to assist with policy making. Which activities should these nurses prioritize to accomplish this goal? (Select all that apply.)

Accepted Answer

Nurses can influence policy making by testifying at congressional hearings (A), where they can provide expert testimony on health issues; disseminating information in the media (B), which can raise public awareness and influence public opinion and policy; and serving on governing boards (C), where they can directly participate in decision-making processes. Documenting client symptoms (D) and reviewing nursing journals (E) are important for clinical practice and staying informed but do not directly contribute to policy making.

Question 16

A nurse is working for a rural healthcare provider who is in the process of improving the information management in his practice. Which primary action by the federal government is most likely encouraging this change?

Accepted Answer

The primary action by the federal government that encourages healthcare providers to improve information management, specifically through the adoption of electronic health records (EHRs), is offering reimbursements and bonuses. This initiative is part of the Health Information Technology for Economic and Clinical Health (HITECH) Act, which aims to promote the adoption and meaningful use of health information technology.

Question 17

The public health nurses at the local community health clinic have contacted the Community Transformation Grant program for possible assistance. Which program are these nurses' most likely be trying to establish? (Select all that apply.)

Accepted Answer

The Community Transformation Grant program focuses on initiatives that promote tobacco-free living, physical activity, and healthy eating to improve public health outcomes.

Question 18

The nurse is working through an ethical dilemma using a decision-making process developed by the Ohio Nurses Association. Which step should the nurse prioritize after determining an ethical dilemma exists?

Accepted Answer

After determining an ethical dilemma exists, the next step is to gather and analyze relevant information. This step is crucial for understanding the context and specifics of the dilemma, which informs subsequent decisions and actions.

Question 19

A nursing student is reviewing the ethical principles as established by the American Nurses Association (ANA). Which principles should this nurse be able to point out are included in the Code of Ethics for Nurses? (Select all that apply.)

Accepted Answer

A, C, and D are correct because they align with the principles outlined in the ANA Code of Ethics for Nurses. These principles emphasize respect and compassion for individuals, advocacy for patient rights and safety, and involvement in enhancing healthcare environments. B is incorrect because the primary commitment is to the patient, not the healthcare provider. E is incorrect because nursing emphasizes collaboration and interdependence among healthcare professionals, not self-sufficiency and independence.

Question 20

A group of nursing students are examining the Patient Protection and Affordable Care Act (ACA) of 2010. Which goals should the students be able to point out were the main focus of this legislation? (Select all that apply.)

Accepted Answer

The ACA aimed to reduce healthcare costs, improve efficiency, expand health insurance coverage, and increase access to healthcare, including for children.

Quiz 3: Health Politics, Policy, and Reform