Question 1

A nurse who is interested in graduate school wants to learn about recently passed legislation regarding changes in Medicare reimbursement for care provided by clinical nurse specialists.The best source for information on changes in federal programs is the ________________.

Accepted Answer

Federal Register

Question 2

It is important for nurses to know the functions of the branches of the federal government.At a local meeting of the state nurses' association,an officer reminds members that the branch that can originate major policy initiatives is the _____ branch.

Accepted Answer

The legislative branch, consisting of the U.S. Congress (Senate and House of Representatives), is responsible for creating and passing laws. It is this branch that can originate major policy initiatives, including those related to healthcare and nursing.

Question 3

When the policy process is compared with the nursing process,identifying the issue is consistent with which step of the nursing process?

Accepted Answer

B

Question 4

A group of nurses meet with a state representative to explain the importance of allowing registered nurses the right to sign death certificates for patients who were under their care.As constituents and nurses,they requested that the senator vote against the bill restricting this practice.These nurses are serving in what role?

Accepted Answer

Lobbyists engage in activities aimed at influencing public officials on specific issues. In this scenario, the nurses are acting as lobbyists by meeting with a state representative to influence legislation related to their profession.

Question 5

A nurse would like to advocate for increased protective services and reporting mechanisms for elder abuse and attends the "meet the candidate" session at the town hall meeting.This is an important time for the nurse to implement what action?

Accepted Answer

Learning about the candidate's key issues allows the nurse to tailor the advocacy message to align with the candidate's platform, making it more likely to be heard and acted upon.

Question 6

A nurse would like to obtain background information and learn the political platform of a candidate who is running for national office.The nurse should contact what organization?

Accepted Answer

The American Nurses Association (ANA) is involved in political advocacy for nurses and healthcare issues, making it a relevant organization for a nurse seeking information on a candidate's political platform related to healthcare.

Question 7

A bill is pending in the state legislature that will mandate teaching health promotion related to smoking cessation.Which action by the nurse should have the greatest impact on passage of the bill?

Accepted Answer

Contacting the elected representative's office directly to request support for the bill is the most direct and impactful way for a nurse to influence the passage of the bill. This action ensures that the representative is aware of the bill and understands the healthcare perspective and the importance of the bill from a professional directly involved in health promotion.

Question 8

Soon,the largest segment of the population will be those over age 65 years.To advocate for this vulnerable population,a nurse was a strong supporter for the Medicare Modernization Act (Medicare Part D),which focuses on what?

Accepted Answer

The Medicare Modernization Act (Medicare Part D) was primarily focused on providing coverage for prescription medications for Medicare enrollees, which was a significant financial burden for many elderly individuals.

Question 9

A person who is covered by Medicaid moves from one state to another and asks the nurse at the health department why the benefits changed.What is the nurse's correct response?

Accepted Answer

Medicaid is a joint federal and state program, and while it is funded by both levels of government, the specific benefits and how they are administered can vary significantly from one state to another. This is why a person might notice changes in their Medicaid benefits when they move to a different state.

Question 10

A nurse is interested in learning more about health policy and how it might impact nursing practice.She is especially interested in The Patient Protection and Affordable Care Act (PPACA)and how it will travel through the three branches of the federal government.When researching the roles of the legislative branch of the federal government what does the nurse learns about this branch? (Select all that apply. )

Accepted Answer

The legislative branch, composed of the House of Representatives and the Senate, has the power to determine federal spending (B) and can override a presidential veto with a two-thirds majority in both houses, which could potentially allow for amendments to laws like the PPACA without the President's approval (E).

Question 11

A nurse is concerned about older persons living alone at home without telephone service to contact emergency services.The nurse is advised to take part in grassroots efforts to address the situation.The nurse would take what action to increase effectiveness of the effort? (Select all that apply. )

Accepted Answer

The answer of A nurse is concerned about older persons...

Question 12

Another name for an eligible voter is a _________.

Accepted Answer

The answer of Another name for an eligible voter is...

Question 13

Throughout the history of health care in our nation,one particular piece of federal legislation provided funds for hospital construction.As the number of hospitals rapidly increased,the need for nurses to staff hospitals also increased,and the shift from community-based nursing care to hospital-based nursing care began.What fundamental piece of legislation was the basis of this action?

Accepted Answer

The Hill-Burton Act, officially known as the Hospital Survey and Construction Act of 1946, provided federal grants and loans to improve the physical plant of the nation's hospital system, leading to a significant increase in the number of hospitals and, consequently, a greater demand for hospital-based nursing care.

Question 14

A concerned nursing student calls the office of an elected official to voice support for the bill to ban smoking in all public places.The secretary asks,"Are you a constituent?" What does the term constituent mean?

Accepted Answer

A constituent refers to a person who lives in the area represented by an elected official and has the right to vote. This term is used to describe the electorate within a representative's district or area.

Question 15

Political action committees (PACs)are established for what purpose?

Accepted Answer

The answer of Political action committees (PACs)are established for what...

Question 16

Time is becoming crucial for the nurse to address issues related to sponsoring programs to include hearing aid costs as part of Medicare coverage.The nurse involved in grassroots political actions realizes that the least timely method of reaching elected officials would be via what route?

Accepted Answer

Letters are generally considered the least timely method of communication with elected officials due to the time it takes for physical mail to be delivered, sorted, and actually read by the official or their staff. Other methods like telephone, email, and fax tend to be faster.

Question 17

If a nurse practicing in a mental health agency could only belong to one professional organization,what criteria could be used to select the organization with the biggest impact?

Accepted Answer

The American Nurses Association (ANA) represents the entire RN population, providing a strong, unified voice that can have a significant impact on national policies and practices affecting nurses, including those in mental health.

Question 18

The greatest barrier to access to health care for a poor Hispanic person living in downtown Chicago is lack of health ____________________.

Accepted Answer

The answer of The greatest barrier to access to health...

Question 19

Members of a state's constituent member association meet at a local restaurant to plan a Nurse Walk to support the local food bank.When entering the restaurant,the nurses note the environmental inspection report shows deficiencies because food handlers were not wearing hairnets and rodents were spotted,resulting in a score of 60 out of 100.This certificate of inspection is health policy enforced at which level of government?

Accepted Answer

The answer of Members of a state's constituent member association...

Quiz 23: Health Policy and Politics: Get Involved