Chapter 22: Public Health Policy and Finance

Chapter 22: Public Health Policy and Finance

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A nurse is working with local government officials and political lobbyists to prompt a vote to improve the school lunch program. The nurse knows that this is an example of:

A.	Advocacy
B.	Public health policy
C.	Equity
D.	Public health economics

 

 

ANS:  A

Objective: 1. Discuss the role of policy in optimizing health for populations.

1. 533-534

Heading: Introduction

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Nutrition; Nursing Roles; Collaboration

Difficulty: Moderate

	Feedback
A	This is correct. Advocacy is the process of actively engaging in activities to effect changes to improve the health of populations.
B	Public health policies are guidelines that are put into place with the intention of improving the health and well-being of a population. Advocacy is the process of working on a population’s behalf to improve and enforce public health policies.
C	This is incorrect. Health equity is a state of equality as it pertains to health outcomes and access. Advocacy is the process of actively engaging in activities to effect changes to improve the health of populations.
D	Public health economics examines the financial aspect of public health policies. It concerns not only the cost of implementing changes, but also the efficiency and effectiveness of these policies.

 

 

PTS:   1                    CON:  Nutrition | Nursing Roles | Collaboration

 

2. A nurse is preparing to teach a class on public health policy and its impact on nursing practice. Which of the following statements is incorrect and should be excluded from the lecture?

A.	Nursing scope of practice as determined by state nurse practice acts are included in public health policy.
B.	Nurses are affected by public health policy both professionally and personally.
C.	Changing health policy does not fall within the scope of nursing practice.
D.	Some federal and payroll tax exemptions are an example of public health policy.

 

 

ANS:  C

Objective: 1. Discuss the role of policy in optimizing health for populations.

1. 533-534

Heading: Introduction

Integrated Processes: Teaching/Learning

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Promoting Health; Regulations; Nursing Roles

Difficulty: Moderate

	Feedback
A	State nurse practice acts fall under the umbrella of public health policy since they are designed to protect the public as the recipients of nursing care. Thus, a nurse’s scope of practice is included in public health policy.
B	For the nursing profession, public health policy is a two-way street—it affects their personal lives as well as their professional role of advocacy.
C	This is correct. Changing public health policy does fall within the scope of nursing practice in that nurses are responsible for identifying, interpreting, and implementing public health laws, regulations, and policies.
D	While taxes are not regularly thought of as public health policy, the policy of exempting employer-sponsored health benefits from income and payroll taxes has influenced employers to offer health benefits in lieu of increased salaries.

 

 

PTS:   1                    CON:  Promoting Health | Regulations | Nursing Roles

 

3. A nurse is caring for a young man who is complaining about the state of the health-care system. He argues that health care should be left to the free market economy. To explain why relying on the free market is not practical, the nurse responds,

A.	“There are too many health-care providers to support the health-care system in a free market economy.”
B.	“A free market system is difficult to implement because during emergencies, patients and their families are unable to properly research local emergency care options.”
C.	“The American health-care system is already based on a free market system.”
D.	“A free market economy is based on the sale of goods, and does not apply to the health-care system.

 

 

ANS:  B

Objective: 2. Describe the role of policy in the delivery of health care in the United States

1. 534-535

Heading: Public Health Policy and the U.S. Health Care System

Integrated Processes: Teaching/Learning

Client Need: Health Promotion and Maintenance

Cognitive Level: Application [Applying]

Concept: Nursing Roles; Economics; Health-Care System

Difficulty: Difficult

 

	Feedback
A	In many areas, there are too few health care providers or specialists to support a free market system, meaning that there are too few “sellers” of health care services.
B	This is correct. One of the principles of a free market system is that consumers have all of the information necessary to make a decision. In emergent situations, patients are unable to research the cost or quality of local health-care providers.
C	The American health-care system is similar in some ways to a free market system. However, there are many qualities of a free market system that do not apply to the American system.
D	A free market economy is based on the sale of goods or services, not just physical products.

 

 

PTS:   1                    CON:  Nursing Roles | Economics | Health-Care System

 

4. A nurse is working at a local community health center. The nurse is speaking with an elderly Native American man who lives on a nearby reservation. He reports that many members of his tribe are unable to afford health care and are suffering from alcoholism and diabetes. What program should the nurse suggest that the gentleman contact?

A.	Indian Health Services
B.	Medicaid
C.	Medicare
D.	Alcoholics Anonymous

 

 

ANS:  A

Objective: 2. Describe the role of policy in the delivery of health care in the United States

1. 536-538

Heading: Public Health Policy and the U.S. Health-Care System > National Health Policy

Integrated Processes: Nursing Process

Client Need: Health Promotion and Maintenance

Cognitive Level: Knowledge [Remembering]

Concept: Diversity; Promoting Health; Health-Care System; Economics

Difficulty: Moderate

	Feedback
A	The Indian Health Services is a federal program that aims to provide health care to members of federally recognized Native American tribes.
B	Medicaid is a federal program that provides financial aid to families and individuals living below the federal poverty line. It may be some assistance to residents of the reservation, but families and individuals might not qualify based on their income.
C	Medicare is a federally funded program that provides financial assistance for medical care to people over the age of 65. Younger members of the tribe wouldn’t qualify for care under Medicare.
D	Alcoholics Anonymous may be of some assistance to the members of the tribe with alcoholism, but will be of little use for tribal members facing other health issues.

 

 

PTS:   1                    CON:  Diversity | Promoting Health | Health-Care System | Economics