Deck 8: Public Health Policy

Question 1

The Office of Homeland Security has a mission to rebuild the crumbling public health infrastructures of each state and to provide:

A) Vaccines for smallpox, anthrax, and plague
B) The regulation of nuclear weapons
C) Surveillance, intervention, and communication in the face of future bioterrorism events
D) The regulation of foreign nurses entering the United States to work

Answer 1

Surveillance, intervention, and communication in the face of future bioterrorism events

Question 2

Healthy People 2010:

A) Documents goals of a vision for healthy people living in healthy communities
B) Is an extension of public health policy
C) Calls for a cure for cancer by 2010
D) Calls for an end to bioterrorism

Answer 2

Documents goals of a vision for healthy people living in healthy communities

Question 3

Which department delivers health care to members of the military?

A) The Department of Defense
B) The Department of Labor
C) The Department of Agriculture
D) The Department of Justice

Answer 3

The Department of Defense

Question 4

There are three branches of federal and state government: executive, legislative, and judicial. The U.S. Department of Health and Human Services (DHHS) falls under what branch?

A) Judicial
B) Executive
C) Legislative
D) Health

Question 5

Which of the following made nurses available to provide health services for women and children?

A) Sheppard Tower Act
B) Public Protection of Maternity and Infancy
C) Early Periodic Screening and Developmental Testing Program (EPSDT)
D) Women, Infants, and Children program (WIC)

Question 6

The Health Insurance Portability and Accountability Act (HIPAA) has which of the following important features?

A) Provides insurance for children and families who cannot otherwise afford health insurance.
B) Addresses the public health system's preparedness for bioterrorism.
C) Allows the federal, state, and local governments to carry out four health care functions: direct services, financing, information, and policy setting.
D) Allows working people to keep their employee group health insurance for several months after leaving a job.

Question 7

A nurse is interested in census data. What federal department's website would be a good place to start?

A) Department of Labor
B) U.S. Immunization Survey
C) Department of Commerce
D) World Health Organization

Question 8

If a nurse researcher wants to get information on the occurrence of an internationally important disease, where would be a good place to seek this information?

A) The United Nations website
B) The World Health Organization website
C) The World Bank website
D) The state health department

Question 9

Needle stick legislation passed by Congress that became law on November 6, 2000, caused OSHA to revise its Bloodborne Pathogen Standards. This act clarified the role of employers to:

A) Use Universal Precautions when dealing with all patients
B) Select safer needle devices as they became available
C) Provide needle disposal boxes
D) Incinerate all infectious waste including needles

Question 10

When state and local governments provide health care services to all individuals, such as hypertension or tuberculosis screening or immunization for children, they are providing which general category of health care functions?

A) Direct services
B) Financing
C) Information
D) Policy setting

Question 11

When Congress decides that states will administer a program rather than the federal government, money is given to states as block grants. One effect of block grants is:

A) Reduction of federal expenditures
B) Decreased ability of the state to spend the money for programs designated by the state
C) Guaranteed continuation of programs with demonstrated effectiveness

Question 12

The first major federal government action relating to health was the:

A) Passage of the Social Security Act
B) Creation of the National Institutes of Health (NIH)
C) Creation of the Public Health Service (PHS)
D) Creation of Medicare and Medicaid

Question 13

Action taken to protect the health, safety, and welfare of citizens, such as requiring immunizations of children before admission to school, is called what kind of power?

A) Executive
B) Legislative
C) Judicial
D) Police

Question 14

Federal legislation concerning the environment would most likely be implemented and monitored by:

A) The Occupational Safety and Health Administration (OSHA)
B) The Supreme Court
C) The Environmental Protection Agency
D) The state health department

Question 15

A doctoral prepared nurse (PhD) at a university wishes to submit a grant to study the impact of a nursing activity on patient outcomes. From which of the following federal agencies could this nurse potentially seek funding?

A) United Nations (UN)
B) National Institute of Nursing Research (NINR)
C) Department of Health and Human Services
D) World Health Organization (WHO)

Question 16

The Health Resources and Services Administration (HRSA) has been a long-standing contributor to the improved health status of Americans through the programs of services and health professions education that it funds. The Division of Nursing has the following specific goals:

A) To enhance nursing's competence in providing high-tech skills including the use of robotics
B) To apply disease prevention and control, environmental health, and health promotion
C) To provide scholarships for nursing students
D) To enhance racial and ethnic diversity and cultural competency in the nursing workforce

Question 17

The federal government has the authority to provide for the protection of the public's health. Some examples of this include:

A) Interpreting decisions related to women's right to privacy
B) Setting up immunization clinics for smallpox vaccine
C) Regulating nursing at the state level
D) Air and water quality and protecting against the influx of disease at the borders

Question 18

The process of shifting planning, delivering, and financing responsibility for programs from the federal level to the state is called:

A) Evolution
B) Devolution
C) Block granting
D) State administration

Question 19

The branch of the government involved in interpreting the states' rights to grant abortions is the:

A) Executive branch
B) Legislative branch
C) Judicial branch

Question 20

Nurses are an important part of the health care system and are affected by government and legal systems. What role does health policy have for nurses?

A) Nurses must be aware of the impact of government and policy on nursing and health in the community in which they practice.
B) Policy affects nursing values as set forth my Florence Nightingale.
C) Political science is a course of study that parallels nursing.
D) After a law is established, nurses interpret the law to fit their practice.

Question 21

The occupational health nurse maintains a log of injuries from contaminated "sharps." This needs to be done because of the:

A) Bloodborne Pathogen Standard
B) Occupational Safety and Health Administration
C) Department of Labor (DOL)
D) Department of Defense (DOD)

Question 22

Health services for prisoners are:

A) Provided at the federal level within the Department of Defense
B) Exempt from professional malpractice claims
C) Required at an adequate level for all incarcerated individuals
D) Not mandated after sentencing

Question 23

Which of the following involves differentiation among the practices of physicians, nurses, and other health care providers?

A) Sovereign immunity
B) Respondeat superior
C) Scope of practice
D) Judicial law

Question 24

A nurse is found to be negligent. The doctrine of respondeat superior says that when a nurse is employed and functioning within the scope of that job, the one responsible for that negligence is the:

A) Administrator
B) Nurse's immediate supervisor
C) Nurse's employer
D) Patient's physician

Question 25

A school nurse reports suspected child abuse even though there is a breach of confidentiality. The nurse is protected under:

A) Civil immunity
B) Sovereign immunity
C) Nurse practice act
D) Respondeat superior

Question 26

States have certain continuing education requirements for persons to renew a nursing license. This type of law is called:

A) Constitutional law
B) Legislation and regulation
C) Judicial and common law
D) Police power

Question 27

Congress's legal base for actions in health care includes which of the following? Select all that apply.

A) Providing for the general welfare
B) Regulating commerce among the states.
C) Raising funds to support the military
D) Providing spending power.
E) None of the above .

Question 28

Which of the following includes the Division of Nursing?

A) Health Resources and Services Administration
B) Divisions of Medicine, Dentistry, and Allied Health Professions
C) U.S. Department of Health and Human Services
D) World Health Organization

Question 29

What is the first step in the legislative process?

A) Introduction of bill to the legislature
B) Bill moves to the other house
C) Policy option is developed into bill
D) Hearings, testimony, and lobbying

Question 30

The Women, Infants, and Children Program is administered by the Department of:

A) Labor
B) Agriculture
C) Defense
D) Health and Human Services

Question 31

The organization that grew out of the United Nations and whose goal is to attain the highest possible level of health for all persons is the:

A) Economic and Social Council
B) World Health Organization
C) Pan American Health Organization (PAHO)
D) World Health Assembly (WHA)

Question 32

The state orders a person newly diagnosed with tuberculosis to be quarantined. On what basis can the state do this?

A) Constitutional law
B) Legislation and regulation
C) Judicial and common law
D) Police power

Question 33

The agency most heavily involved with the health and welfare concerns of U.S. citizens is:

A) U.S. Department of Health and Human Services
B) Public Health Service
C) Health Resources and Services Administration
D) World Health Organization

Question 34

The Centers for Disease Control and Prevention accomplishes its mission by working with partners throughout the nation and the world in which of the following ways? Select all that apply.

A) Implementing prevention strategies
B) Detecting and investigating health problems
C) Dictating world health policy
D) Fostering safe and healthful environments

Question 35

If a nurse is sued for malpractice and goes to court, which of the following is in effect?

A) Constitutional law
B) Legislation and regulation
C) Judicial law
D) Police power