Health Care Systems and Policy in Nursing
Test Questions
Course Introduction
This course examines the structure, function, and dynamics of health care systems both nationally and globally, with an emphasis on the pivotal role nurses play in shaping and responding to health care policy. Students explore the organization, financing, and regulation of health care services, as well as current policy issues affecting accessibility, quality, and equity in care. The course addresses the processes by which health policy is developed, implemented, and evaluated, and equips nursing professionals with the knowledge and skills needed to advocate for effective health policies that promote positive patient outcomes and public health.
Recommended Textbook
Conceptual Foundations The Bridge to Professional Nursing Practice 6th Edition by Elizabeth E. Friberg
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20 Chapters
472 Verified Questions
472 Flashcards
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Chapter 1: A Brief History of Professional Nursing in the
United
States
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/20106
Sample Questions
Q1) Nurses in private duty positions faced several hardships,including (Select all that apply. )
A)a shortage of nurses as schools limited enrollment.
B)a surplus of nurses starting in the mid-1920s.
C)employment that was sporadic and seasonal.
D)opportunities primarily working with poorer families.
E)pay that continued to be lower than other jobs.
Answer: B,C,E
Q2) Between the years 1950 and 1967,the number of nurses and assistive personnel rose dramatically in part as a result of the influence of the
A)Children's Bureau.
B)Hill-Burton Act.
C)Nurse Training Act.
D)Social Security Act.
Answer: C
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Chapter 2: Pathways of Nursing Education
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) When analyzing the development of nursing education for a research paper,the nursing student notes that certain factors have been important contributors to the current system of nursing education in this country,including (Select all that apply. )
A)changing demographics.
B)cost of education.
C)historical events.
D)societal health care needs.
E)women's roles.
Answer: C,D
Q2) In comparing and contrasting licensed practical nursing (LPN)programs with associate degree (ADN)programs,the potential nursing student notices similarities between the two,including (Select all that apply. )
A)both programs prepare graduates to be supervised by BSN nurses.
B)graduates of both programs are considered to be technical nurses.
C)licensure exams for graduates of both programs are interchangeable.
D)LPN and ADN programs offer similar college credit for coursework.
E)the programs both take a similar length of time to complete.
Answer: A,B
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Chapter 3: Beyond Professional Socialization
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/20108
Sample Questions
Q1) A nursing dean oversees an RN-BSN program and is evaluating whether or not program objectives have been met.The success of this program can be demonstrated when
A)attitudes of the returning RN students are reinforced in their identities.
B)graduates are proficient in new subjects learned during the program.
C)RNs resocialize into the role of baccalaureate-prepared nurses.
D)the nurses can articulate why having a BSN should be a requirement.
Answer: C
Q2) An astute practitioner recognizes that the dynamic process of nursing includes which possibilities? (Select all that apply. )
A)Engaged stakeholder: speaking up and establishing leadership within the system
B)Expert learner: engaging in lifelong learning and synthesizing learning into practice
C)Innovation catalyst: developing new technologies and conducting research
D)Interprofessional collaborator: being an advocate to promote systems-level change
E)Reflective practitioner: reflecting on whether or not new knowledge is relevant
Answer: A,B,D
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Chapter 4: Professional Nursing Roles
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/20109
Sample Questions
Q1) A chief nursing officer (CNO)wishes to ensure that the organization has a strong ethical orientation.Which actions by the CNO would be priorities? (Select all that apply. )
A)Create an ethics committee that can support organizational values.
B)Establish a corps of in-house chaplains to respond to all emergencies.
C)Model assertive communication when working with other disciplines.
D)Offer frequent onsite education on organizational ethics and values.
E)Publish procedures employees can use when they see ethical violations.
Q2) The nursing manager evaluates which nurse as the best representative of the phrase "high tech,high touch"?
A)Able to form close bonds with patients requiring highly technological nursing care
B)Combines clinical and people skills to provide holistic patient-centered care
C)Uses ethics to make decisions and to guide daily nursing practice
D)Willingly works with the most difficult or complex patients as a team member
Q3) Which nursing role is most closely connected to social justice?
A)Advocate
B)Caregiver
C)Manager
D)Researcher
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Chapter 5: Theories and Frameworks for Professional
Nursing
Practice
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/20110
Sample Questions
Q1) The nursing instructor summarizes Imogene King's view of health as A)a state of harmony with the environment.
B)being able to function in social roles.
C)stability within the human system.
D)the absence of illness or disability.
Q2) A nursing educator summarizes the role of nursing theory across the domains of nursing practice,education,and research by pointing out that in all three areas,theory
A)assists nurses to view patients and information in a uniform way.
B)is useful for prediction but not for driving nursing activities.
C)rigidly structures data collection and protocol implementation.
D)serves to organize information in a meaningful,useful manner.
Q3) A word or phrase used to convey the main thoughts in ideas,observations,and experiences is called a A)concept.
B)construct.
C)proposition.
D)theory.
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Page 7
Chapter 6: Health Policy and Planning and the Nursing
Practice Environment
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/20111
Sample Questions
Q1) An elected member of Congress wishes to arrange discussion of a new bill related to heart disease during February,which has been declared National Heart Month.Which action by the legislator would most likely lead to this happening as desired?
A)Arrange the dates for discussion with the party whip's secretary.
B)Hire a lobbyist to present the proposed bill and timeline for debate.
C)Meet with the appropriate committee chairperson to make the request.
D)Reserve rooms in chambers for public discussion and debate on the issue.
Q2) Today's nurse understands that the mission of political action committees (PACs)has changed over the years to become more
A)invested in social and corporate agendas.
B)involved at the state rather than the national level.
C)fiscally responsible to the general population.
D)responsive to needs of underserved groups.
Q3) Bills that include funding requests are known as __________ bills.
A)authorization
B)finalized
C)funded
D)supplemental
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Chapter 7: Economic Issues in Nursing and Health Care
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/20112
Sample Questions
Q1) A nurse midwife has moved into town and wishes to establish a practice.Economically speaking,what could this nurse do that would best enhance her chances of establishing a successful practice?
A)Become affiliated with the busiest maternity group.
B)Find a sponsor who will provide low-interest loans.
C)Investigate the costs associated with physician care.
D)Locate offices near a hospital that has a lot of births.
Q2) The nurse is explaining the American health care system to a patient from another country that has government-sponsored health care.The nurse would explain that one driving force for private insurance has been
A)consumer-driven markets demanding insurance.
B)necessary rationing of scarce health care resources.
C)the lack of government involvement in health care.
D)uncertainty related to the need for medical care.
Q3) The student nurse know that employer-sponsored health insurance was
A)a new idea for health care financing invented after World War II.
B)created by the federal government to stimulate the economy.
C)never envisioned as being a permanent part of the health care arena.
D)originally a way to increase revenue for doctors and hospitals.
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Page 9
Chapter 8: Effective Communication
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/20113
Sample Questions
Q1) A manager is concerned about the level of gossip and "grapevine" communication on the unit.A management consultant explains to the manager that the "grapevine" often occurs when
A)little communication comes from management.
B)management is not trusted to divulge information.
C)regular communication is too slow or irregular.
D)workers feel uncertain or worried about changes.
Q2) A nurse usually avoids physical contact with patients,but when one is diagnosed with a terminal disease,the nurse wishes to hug the patient.This contradiction initially confuses the nurse,but a co-worker helps the nurse differentiate the two behavioral responses based on
A)feelings of closeness to this patient.
B)the context in which each occurred.
C)therapeutic communication techniques.
D)values that guided each situation.
Q3) The nurse knows that reframing is a useful technique when the patient
A)cannot articulate fears embedded in the conversation.
B)is confused and unable to articulate his or her concerns.
C)pauses the conversation,letting the nurse summarize.
D)uses absolutely concrete verbiage such as "never."
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Chapter 9: Think Like a Nurse: Essential Thinking Skills for Professional Nurses
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/20114
Sample Questions
Q1) A practicing nurse uses the Universal Intellectual Standards when providing care.Which standards do these include? (Select all that apply. )
A)Accuracy
B)Clarity
C)Confidence
D)Humility
E)Precision
Q2) A new graduate nurse is working with an experienced nurse to chart assessment findings.The experienced nurse warns that charting assessment data can be difficult.The best explanation for this statement is that assessment data
A)can sometimes be charted in a biased manner.
B)change as the patient's condition changes.
C)are usually difficult to obtain from the patient.
D)can be time consuming and tedious to chart.
Q3) The nursing student knows that critical thinking is
A)an innate trait,not a learned skill.
B)applicable only to nursing care.
C)generalizable across professions.
D)only needed for certain positions.
11
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Chapter 10: Teaching and Learning in the 21st Century
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/20115
Sample Questions
Q1) A nursing dean is telling an applicant for a nursing faculty position that the school uses "learning-centered education" in which students are responsible for active learning and faculty members serve as guides.The potential faculty member labels the style of teaching at this college as based on __________ theories.
A)behaviorist
B)change
C)cognitive
D)humanistic
Q2) A clinical faculty member stresses "see one-do one-teach one" as a teaching methodology.When asked about this technique,the instructor explains that A)doing all three things covers several learning styles.
B)it gives the students a feeling of mastery of the topic.
C)people retain a high percentage of what they teach.
D)teaching others helps develop leadership in students.
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Chapter 11: Legal Aspects of Nursing Practice
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/20116
Sample Questions
Q1) A lay health care advocate claims that nursing practice exists in a situation of inherent conflict of interest and that there needs to be legally mandated changes to some practices.Which statement by the advocate would best support this claim? "Nurses
A)are always looking for ways to increase their scope of practice without need."
B)control access,standards,and discipline,which gives them too much power."
C)create their own standards for entry into the profession without any oversight."
D)should practice under the auspices of physicians but fight to be independent."
Q2) A practicing nurse knows that laws passed by legislatures are known as __________ law.
A)common
B)private
C)public
D)statutory
Q3) A nurse knows that patient rights would be protected by __________ law.
A)administrative
B)constitutional
C)contract
D)tort
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Page 13
Chapter 12: Ethical Dimensions of Nursing and Health Care
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/20117
Sample Questions
Q1) The nurse knows that the American Nurses Association (ANA)adopted its first code of ethics in A)1893.
B)1896.
C)1950. D)1969.
Q2) A nurse subscribes to the philosophy of deontology.This means the nurse makes decisions based on A)cultural competence.
B)equal access.
C)greatest good.
D)perceived duty.
Q3) The practicing nurse best understands the concept of ethics to mean A)acting on what is right in a situation.
B)always doing what patients want.
C)being of good moral character.
D)following strict guidelines for action.
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14
Chapter 13: Information Management
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/20118
Sample Questions
Q1) The student nurse is learning to write PICOT questions.What elements does the student include? (Select all that apply. )
A)C: Cost
B)I: Intervention
C)O: Outcome
D)P: Place
E)T: Time element
Q2) A student is confused about standardized language in nursing and asks the faculty to explain its value.What response by the faculty is best?
A)Allows easier data base searching especially for novice researchers
B)Combines several similar terms for the same item under one heading
C)Eventually will lead to third-party reimbursement for nursing care
D)Makes the value of nursing care explicit and comparable in electronic systems.
Q3) A student explains to a classmate using an electronic database that the scope note describes
A)best searching strategies for this topic.
B)how far back in time the topic is covered.
C)the breadth of scope of the topic searched.
D)the definition of the term being searched.
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Page 15
Chapter 14: Diversity in Health and Illness
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/20119
Sample Questions
Q1) A patient has a serious illness but does not seem to be responding as the nurse expects.Which action by the nurse would most likely lead to a better understanding of this situation?
A)Ask the patient to describe what is wrong with him or her.
B)Determine whether any factors are interfering with learning.
C)Find out why the patient thinks the illness is not serious.
D)Inquire about cultural beliefs regarding health and illness.
Q2) The nurse working with diverse populations understands that values of American culture that may be at odds with those from other cultures include (Select all that apply. )
A)androcentrism.
B)autonomy.
C)collective decision making.
D)individual achievement.
E)personal freedom.
Q3) The nurse practicing in a diverse society can consider culture to be
A)a society or group that existed in a specific period of time.
B)a learned systems of beliefs,customs,language,and rituals.
C)practices or behaviors associated with specific racial groups.
D)transgenerational world views shared by diverse groups.
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Chapter 15: Health and Health Promotion
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/20120
Sample Questions
Q1) A faculty member explains to a student that when a person has self-care agency,the person
A)believes in personal control of his or her life and its consequences.
B)controls his or her own health care practices instead of relying on others for this.
C)has an innate sense of direction and sets goals for the future.
D)thinks he or she is able to accomplish things and is willing to try them.
Q2) A nurse has worked to teach patients disease prevention strategies and is frustrated by the low level of compliance.This nurse would most likely conclude that
A)it is hard to convince people that they can attain higher wellness levels.
B)most people have very low levels of motivation to make changes.
C)patients do not like being told that good health requires deprivation.
D)the information being given is too difficult for patients to follow.
Q3) The nurse who is interested in the eudaemonistic model of health would likely assess patients regarding their position related to A)a broad range of feelings about health.
B)ease of making health care changes.
C)Maslow's level of self-actualization.
D)the importance of health in their lives.
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17
Chapter 16: Genetics and Genomics in Professional Nursing
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/20121
Sample Questions
Q1) The nurse studying genomics explains to another nurse that the era between the 1950s and 1980s was notable for
A)creation of medications tailored to genetics.
B)developing tests for some genetic conditions.
C)passage of a genetic nondiscrimination act.
D)the complete mapping of the human genome.
Q2) A young adult patient whose family history contains many first- and second-degree relatives who have had colon cancer wants to know if yearly colonoscopies would be a good idea.The best response by the nurse would be to encourage the patient to
A)ask the physician about the colonoscopies.
B)not worry because risks are low at his or her age.
C)search for a company to provide screening.
D)talk to the doctor about genetic screening.
Q3) A genetics nurse explains to a patient that pharmacogenetics is the study of A)how individuals respond uniquely to medications.
B)the effects of drug therapy on developing fetuses.
C)the way drugs interact with reproductive ability.
D)using genetic material to create new pharmaceuticals.
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Page 18
Chapter 17: Global Rural Nursing Practice
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/20122
Sample Questions
Q1) A nurse plans to work in a rural hospital and commute from her suburban home.What response by the nursing manager is best?
A)"Are you sure that long commute won't be too much for you?"
B)"Living that far away won't work with being on call on your days off."
C)"That arrangement will give you the best of both worlds."
D)"You should seriously consider moving into this community."
Q2) A nurse has designed a hospital-based wellness program in a rural community that has been very successful with consistently high rates of attendance.An accrediting agency would most likely conclude that the
A)nurse is skilled at designing and implementing programs.
B)nurse used community leaders to design the program.
C)program meets an unusual need in the rural area.
D)residents of the community realize they have this need.
Q3) The nursing instructor explains that defining "rural" is often difficult because A)agencies use multiple different definitions.
B)everyone's ideas of "rural" are different.
C)there has been no need to define this population.
D)there is no interest in defining this population.
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Page 19
Chapter 18: Violence Against Women: An Epidemic and a Health Issue
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/20123
Sample Questions
Q1) A nurse working in the emergency department explains to a student nurse that the sexual assault nurse examiner (SANE)works with victims of intimate partner violence (IPV)to provide (Select all that apply. )
A)ongoing counseling.
B)evidence collection.
C)health examinations.
D)psychological counseling.
E)treatment if needed.
Q2) A nurse has assessed that a woman is a victim of intimate partner violence (IPV).The woman feels safe to go home from the clinic.The priority action by the nurse would be to
A)give the woman resources she can keep with her at all times.
B)help the woman create a safety plan for her and her children.
C)let the woman make phone calls from the clinic telephones.
D)tell the woman that the nurse is available to help her if needed.
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20
Chapter 19: Telehealth
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/20124
Sample Questions
Q1) A rural hospital's director of nursing (DON)is establishing a telehealth system.What actions by the DON are important policy measures? (Select all that apply. )
A)Creating work agreements that consider licensure issues
B)Educating staff on telehealth practice and procedures
C)Ensuring confidentiality in telehealth records and encounters
D)Reducing patient perception of "distance" in interactions
E)Writing policies that include ethics applied to telehealth
Q2) A new nurse is being oriented to the intensive care unit and is startled when,during intradisciplinary patient rounds,a person "joins" the conversation on a computer screen in the patient's room.How does the nurse's mentor best explain the benefits of this procedure?
A)"It's another set of eyes and ears for good patient care."
B)"The remote person can help assess,treat,or educate patients."
C)"This ensures we are compliant with all our policies."
D)"We are short physicians here,so this fills the gaps."
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Chapter 20: Patient Safety
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29 Verified Questions
29 Flashcards
Source URL: https://quizplus.com/quiz/20125
Sample Questions
Q1) In the 2000 Institute of Medicine's milestone report To Err Is Human: Building a Safer Health System,how many patients were estimated to die each year as a result of errors occurring in a hospital setting?
A)25,000
B)35,000
C)50,000
D)98,000
Q2) The nurse working in health care today understands the ways in which the Patient Affordable Care Act (ACA)will affect patient safety.Which are the ways this is true?
(Select all that apply. )
A)Create incentives for hospitals to participate in Patient Safety Organizations (PSOs).
B)Exempt hospitals from participating in the Patient Safety and Quality Improvement Act.
C)Mandate that hospitals begin reporting safety events to Patient Safety Organizations (PSOs).
D)Permit hospitals to discipline employees for safety failures and near misses.
E)Require hospitals establish a patient safety evaluation system.
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