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Module 47 Health Policy

Nursing A Concept Based Approach to Learning Volume II 2nd Edition

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Module 47   Health Policy

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

The Concept of Health Policy

 

1) A nurse educator is discussing the changes in the healthcare system with a group of nursing students. The students ask why the cost of health care has increased so much in recent years. What is the best response by the nurse?

  1. A) “There are not enough technological advances.”
  2. B) “There is an increased use of alternative medicine.”
  3. C) “There is a decrease in chronic disease.”
  4. D) “Many people are forced to seek routine health care in the Emergency Department.”

Answer:  D

Explanation:

  1. A) Many people in the United States do not have healthcare insurance. As a result, they seek routine health care in the Emergency Department, contributing to the increase in the cost of health care. Use of alternative medicine does not increase healthcare costs. Chronic disease is on the rise. There are many technological advances in medicine, and they have increased the cost of health care.
  2. B) Many people in the United States do not have healthcare insurance. As a result, they seek routine health care in the Emergency Department, contributing to the increase in the cost of health care. Use of alternative medicine does not increase healthcare costs. Chronic disease is on the rise. There are many technological advances in medicine, and they have increased the cost of health care.
  3. C) Many people in the United States do not have healthcare insurance. As a result, they seek routine health care in the Emergency Department, contributing to the increase in the cost of health care. Use of alternative medicine does not increase healthcare costs. Chronic disease is on the rise. There are many technological advances in medicine, and they have increased the cost of health care.
  4. D) Many people in the United States do not have healthcare insurance. As a result, they seek routine health care in the Emergency Department, contributing to the increase in the cost of health care. Use of alternative medicine does not increase healthcare costs. Chronic disease is on the rise. There are many technological advances in medicine, and they have increased the cost of health care.

Page Ref: 2620

Cognitive Level:  Applying

Client Need:  Safe and Effective Care Environment

Nursing Process:  Implementation

Learning Outcome:  1. Identify factors that influence the development of health policy in the United States.

 

2) A local health system has implemented a number of health promotion policies and plans to prioritize health problems. The system must now evaluate the effectiveness of the interventions. Which groups are stakeholders in this initiative and would be involved in this process?

  1. A) Only consumers who were directly affected by the services provided
  2. B) Consumers, community leaders, and politicians
  3. C) Only hospital and clinic personnel who administered healthcare needs
  4. D) Healthcare providers employed by other health systems

Answer:  B

Explanation:

  1. A) Community leaders, politicians, and consumers all would be stakeholders and would be included in the evaluation process. Healthcare providers employed by other health systems would not be stakeholders in this initiative and would not need to be included in the evaluation process. Because policy changes are made by the health system, the hospital and clinic personnel employed there would not evaluate the effectiveness of policy without participation by the community. Consumers are part of the process, but would not be the only evaluation group.
  2. B) Community leaders, politicians, and consumers all would be stakeholders and would be included in the evaluation process. Healthcare providers employed by other health systems would not be stakeholders in this initiative and would not need to be included in the evaluation process. Because policy changes are made by the health system, the hospital and clinic personnel employed there would not evaluate the effectiveness of policy without participation by the community. Consumers are part of the process, but would not be the only evaluation group.
  3. C) Community leaders, politicians, and consumers all would be stakeholders and would be included in the evaluation process. Healthcare providers employed by other health systems would not be stakeholders in this initiative and would not need to be included in the evaluation process. Because policy changes are made by the health system, the hospital and clinic personnel employed there would not evaluate the effectiveness of policy without participation by the community. Consumers are part of the process, but would not be the only evaluation group.
  4. D) Community leaders, politicians, and consumers all would be stakeholders and would be included in the evaluation process. Healthcare providers employed by other health systems would not be stakeholders in this initiative and would not need to be included in the evaluation process. Because policy changes are made by the health system, the hospital and clinic personnel employed there would not evaluate the effectiveness of policy without participation by the community. Consumers are part of the process, but would not be the only evaluation group.

Page Ref: 2620

Cognitive Level:  Applying

Client Need:  Safe and Effective Care Environment

Nursing Process:  Evaluation

Learning Outcome:  2. Describe processes by which health policies are developed, implemented, evaluated, changed, and maintained.

 

3) A student nurse is completing a community assessment with a group of fellow students. The student must research the location of the main healthcare facilities and the number of health professionals in the community. Which would be the best source for this information?

  1. A) Police department
  2. B) Local health department
  3. C) State census data
  4. D) City health planning board

Answer:  B

Explanation:

  1. A) The local health department would be able to supply information about location of health facilities, occupational health programs, numbers of health professionals, numbers of welfare recipients, and so on. The police department has statistics regarding incidence of crime, vandalism, and drug addiction. The city health planning board has information about health needs and practices. The state census data describe population composition and characteristics.
  2. B) The local health department would be able to supply information about location of health facilities, occupational health programs, numbers of health professionals, numbers of welfare recipients, and so on. The police department has statistics regarding incidence of crime, vandalism, and drug addiction. The city health planning board has information about health needs and practices. The state census data describe population composition and characteristics.
  3. C) The local health department would be able to supply information about location of health facilities, occupational health programs, numbers of health professionals, numbers of welfare recipients, and so on. The police department has statistics regarding incidence of crime, vandalism, and drug addiction. The city health planning board has information about health needs and practices. The state census data describe population composition and characteristics.
  4. D) The local health department would be able to supply information about location of health facilities, occupational health programs, numbers of health professionals, numbers of welfare recipients, and so on. The police department has statistics regarding incidence of crime, vandalism, and drug addiction. The city health planning board has information about health needs and practices. The state census data describe population composition and characteristics.

Page Ref: 2620

Cognitive Level:  Understanding

Client Need:  Safe and Effective Care Environment

Nursing Process:  Assessment

Learning Outcome:  3. Identify regulatory agencies and accrediting bodies that develop, administer, or implement health policy.

 

4) A nurse educator is discussing the different entities that offer accreditation to healthcare professional programs. Which types of programs can receive accreditation from the National League of Nursing (NLN)?

Select all that apply.

  1. A) Bachelor of Science in Nursing (BSN) programs
  2. B) Licensed Vocational Nursing (LVN) programs
  3. C) Medical Assisting programs
  4. D) Licensed Practical Nursing (LPN) programs
  5. E) Dental Assisting programs

Answer:  A, B, D

Explanation:

  1. A) The NLN accredits nursing programs at all levels, including BSN, LPN, and LVN programs. Medical Assisting and Dental Assisting programs would not be eligible for NLN accreditation.
  2. B) The NLN accredits nursing programs at all levels, including BSN, LPN, and LVN programs. Medical Assisting and Dental Assisting programs would not be eligible for NLN accreditation.
  3. C) The NLN accredits nursing programs at all levels, including BSN, LPN, and LVN programs. Medical Assisting and Dental Assisting programs would not be eligible for NLN accreditation.
  4. D) The NLN accredits nursing programs at all levels, including BSN, LPN, and LVN programs. Medical Assisting and Dental Assisting programs would not be eligible for NLN accreditation.
  5. E) The NLN accredits nursing programs at all levels, including BSN, LPN, and LVN programs. Medical Assisting and Dental Assisting programs would not be eligible for NLN accreditation.

Page Ref: 2625

Cognitive Level:  Applying

Client Need:  Safe and Effective Care Environment

Nursing Process:  Assessment

Learning Outcome:  4. Compare and contrast the scope and purpose of specific regulatory agencies and accrediting bodies.

 

5) A nursing student is talking to the instructor about developing professional behavior. In order to access information that may be useful in developing professional demeanor, the instructor recommends that the student do which of the following?

  1. A) Join the America Nurses Association (ANA).
  2. B) Join the National Student Nurses Association (NSNA).
  3. C) Read the Nurse Practice Act.
  4. D) Use the Internet to obtain information.

Answer:  B

Explanation:

  1. A) The NSNA is an organization specifically for student nurses with a goal of assisting the student to foster their professionalism. Nurse practice acts do need to be read by students, but they denote laws, not professionalism. The ANA is for members practicing nursing, not students, although students may join. The NSNA focuses on students and is a better resource. The Internet is good for obtaining information and for networking but is not necessarily a help to the student who wishes to increase professionalism.
  2. B) The NSNA is an organization specifically for student nurses with a goal of assisting the student to foster their professionalism. Nurse practice acts do need to be read by students, but they denote laws, not professionalism. The ANA is for members practicing nursing, not students, although students may join. The NSNA focuses on students and is a better resource. The Internet is good for obtaining information and for networking but is not necessarily a help to the student who wishes to increase professionalism.
  3. C) The NSNA is an organization specifically for student nurses with a goal of assisting the student to foster their professionalism. Nurse practice acts do need to be read by students, but they denote laws, not professionalism. The ANA is for members practicing nursing, not students, although students may join. The NSNA focuses on students and is a better resource. The Internet is good for obtaining information and for networking but is not necessarily a help to the student who wishes to increase professionalism.
  4. D) The NSNA is an organization specifically for student nurses with a goal of assisting the student to foster their professionalism. Nurse practice acts do need to be read by students, but they denote laws, not professionalism. The ANA is for members practicing nursing, not students, although students may join. The NSNA focuses on students and is a better resource. The Internet is good for obtaining information and for networking but is not necessarily a help to the student who wishes to increase professionalism.

Page Ref: 2525

Cognitive Level:  Applying

Client Need:  Safe and Effective Care Environment

Nursing Process:  Planning

Learning Outcome:  5. Discuss professional organizations that support nurses and the nursing profession.

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