Community & Public Health Nursing Promoting the Public's Health 8th ed by Allender, Judith
Community & Public Health Nursing Promoting the Public's Health 8th ed by Allender, Judith
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Chapter 13, Policy Making and Community
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | When developing a teaching plan for a class that describes health policy, which of the following would the instructor include as an example of a regulatory health policy? | |
| A) | Licensure of health professionals | |
| B) | Federal subsidies for nursing education | |
| C) | Benefits for needy groups | |
| D) | Allocating resources among groups | |
| Ans: | A | |
| Feedback: | ||
| Regulatory health policy regulates or licenses services or people providing services in the community. Distributive health policy subsidizes nursing education, benefits the needy, and allocates resources among and between groups. | ||
| 2. | Which of the following is an example of a distributive health policy? | |
| A) | Reporting of communicable disease | |
| B) | Federal funds for nursing education | |
| C) | Medicare | |
| D) | Arms control agreement | |
| Ans: | B | |
| Feedback: | ||
| Distributive health policy promotes nongovernmental activities that are thought to be beneficial to society as a whole. An example of a distributive policy is the Nurse Training Act, Title VIII of the Public Health Service Act, which was established in 1965 and provided federal subsidies for nursing education in an effort to address the need for a more nurses. Reporting of communicable diseases and arms control agreement are examples of regulatory health policy at the national and international levels respectively. Medicare is an example of a redistributive health policy. | ||
| 3. | Which of the following effects of a health system in disarray have the most direct influence for a public health nurse at this present time? | |
| A) | The United States is often touted as having the best health care system in the world. | |
| B) | Fewer jobs for nurses | |
| C) | Crisis in public health related to underfunding and underappreciation of the core functions of public health leading to substantial reduction in public health programs | |
| D) | Changes in the Medicare payment system | |
| Ans: | C | |
| Feedback: | ||
| Currently, there is serious underfunding and underappreciation of the core functions of public health, which has led to massive layoffs of staff and substantial reduction in public health programs. The United States is often touted as having the best health care system in the world. However, this may be in question related to the expense of our current health problems and the lack of benefit to the health of all Americans. There is currently a serious nursing shortage that is projected to only get worse in the coming decades. There are changes in the Medicare payment system and this does affect health care in general but most public health programs do not receive Medicare support. | ||
| 4. | Community health nurses are attending an in-service program about health policy. Which of the following would the nurses expect to be included in the description? | |
| A) | Reflection of a community’s values | |
| B) | Creation for several influential people | |
| C) | Development by those outside of the community | |
| D) | Indication of needs of the community’s poor | |
| Ans: | A | |
| Feedback: | ||
| Health policy should reflect a community’s values and should not only be created for certain groups such as the influential or the poor. It needs to come from the people within the community and be for all of them. | ||
| 5. | A group of community health nurses are discussing health care policy in the United States. Which of the following reflects the consensus view? | |
| A) | Market forces should solve the problem. | |
| B) | The government should assume responsibility. | |
| C) | Health care policy needs to change. | |
| D) | Health care policy is flawed but adequate. | |
| Ans: | C | |
| Feedback: | ||
| Most people agree that health care policy in the United States must change, but there is little agreement among policy makers and citizens about how this should occur. Some believe market forces should be allowed to work this problem out; others believe the government should assume responsibility. Health care policy is not viewed as being adequate. | ||
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