Chapter 06: Health Policy and Planning and the Nursing Practice Environment

Chapter 06: Health Policy and Planning and the Nursing Practice Environment

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The nurse studying the development of the American health care system understands that before the 1990s, health care funding was primarily

ANS:  A

Before the involvement of the federal government in health care financing in the 1990s, physicians (and health care facilities) charged a fee for services, which was generally paid for either out of pocket by the individual or by private health insurance companies.

There has always been some charitable health care, but this has not been the primary method of payment.

Entitlement programs, such as Medicare, cover health care expenses for certain designated groups.

States are involved in some health care financing but certainly not the majority of it.

DIF:    Cognitive Level: Remember            REF:   89

TOP:   Integrated Process: Teaching/Learning                              MSC:  NCLEX Client Needs: N/A

2. A nurse studying the intersection of politics and health care describes the relationship best by saying that

ANS:  C

Through the political process, individuals, groups, agencies, and government entities have a voice in developing our health care system via regulations, establishing outcomes, and developing policy.

Lobbyists can be an effective tool, but they are expensive, and in the case of issues that are very popular with the general public, they may not be necessary at all.

Everyone has a voice in our national health care system.

There are multiple avenues for influencing health care policy; voting is one but is not necessarily the primary method.

DIF:    Cognitive Level: Apply                   TOP:   Integrated Process: Teaching/Learning

MSC:  NCLEX Client Needs: N/A

3. A politically savvy nurse is explaining to co-workers that a plank in a political party’s platform refers to the

ANS:  C

The party’s stands on specific issues are called planks, which come together to form a platform, which represents the consensus of party delegates on specific issues of importance to the party leaders.

The party votes on issues during the political conventions, which then become the basis of arguments made during a political race.

The financing means of the convention is not known as a plank.

The supporters of various programs are not known as planks.

DIF:    Cognitive Level: Understand            REF:   90

TOP:   Integrated Process: Teaching/Learning                              MSC:  NCLEX Client Needs: N/A

4. Today’s nurse understands that the mission of political action committees (PACs) has changed over the years to become more

ANS:  A

Originally intended to represent traditionally underrepresented groups, PACs now typically represent particular groups interested in specific issues.

PACs are active at both the national and state levels.

The lack of transparency in financial matters related to politics and to PACs has led to grass-roots advocacy regarding inappropriate financing.

Being responsive to needs of underserved groups was the original mission of PACs, but this has evolved to include specific groups of people with specific interests.

DIF:    Cognitive Level: Understand            REF:   90 | 92

TOP:   Integrated Process: Teaching/Learning                              MSC:  NCLEX Client Needs: N/A