community ch 7

A client states to the nurse, "I have heard the Affordable Care Act is supposed to help improve the health care I receive, but so far I have seen no benefits from this legislation." Which of the following statements would be the best reply by the nurse? a. "Maybe you have not directly seen the changes; however, several things have changed in health care because of this bill." b. "It will take years to see any effects from the act because of the delays in implementation of the changes." c. "This legislation will primarily improve care for the elderly and poor populations, so this is why you may not have seen any benefits." d. "The way health care operates at the federal and state levels has changed, so most individuals will not see any direct impact."

A

Which of the following best defines the word politics? a. The art of influencing others b. The outcome of governmental policies c. A provision of power for making decisions d. The result of legislative action

A

Which of the following activities is completed by the executive branch of the federal government? a. Administration of policy b. Interpretation of policy c. Proposal of policy d. Passage of policy

A The executive branch administers and regulates policy. The legislative branch proposes policy (as bills) and passes policy (as laws). The judicial branch interprets laws.

A nurse would like to become involved in political action. Which of the following actions would be most appropriate for the nurse to accomplish this goal? (Select all that apply.) a. Become a member of the state nurses association. b. Be friendly with everyone, whether supportive or not of your ideas. c. Don't expend time on local activities but ask to be appointed on the state level. d. Focus all your efforts on your specialty practice area and your employment site act.

A, B

Which of the following best describe the importance of the World Health Organization (WHO) to the United States? (Select all that apply.) a. Provides daily information on disease occurrences. b. Establishes international standards for antibiotics and vaccines. c. Creates international legislation regarding international cooperation. d. Supports national programs to fight disease.

A, B Some WHO services that benefit all countries (including the United States) are providing day-to-day information service on the occurrence of internationally important diseases; publishing the international list of causes of disease, injury, and death; monitoring adverse reactions to drugs; and establishing international standards for antibiotics and vaccines.

Which of the following activities are the responsibilities of the Centers for Disease Control and Prevention (CDC)? (Select all that apply.) a. Conduct research to enhance disease prevention. b. Detect and investigate infectious disease problems. c. Develop and advocate public health policies. d. Publish national goals for promoting health and preventing disease.

A, B, C

A nurse is testifying at a committee meeting about a health bill. Which of the following actions should be taken by the nurse? (Select all that apply.) a. Briefly describe personal education, experience, and expertise in the area. b. Discuss how the bill affects more than just nurses. c. Include factual data and, if possible, statistical information in visual form. d. Include the names of famous persons in the media who agree with you.

A, B, C The nurse must share a bit of personal education, experience, and expertise to be seen as a credible source. The testimony must go beyond just nursing's interest and include accurate, credible data

A nurse is visiting a state legislator to encourage the legislator to vote for a particular health bill that the state nurses association has endorsed. Which of the following actions would be most important for the nurse to complete? (Select all that apply.) a. Allow the legislator or staff to ask questions. b. Be friendly and engage in small talk so that rapport can be established. c. Be aware that legislators are well informed; don't insult the legislator by stating information that is obvious. d. Have a handout that summarizes all the major points in support of the bill.

A, D The nurse should not waste time with small talk but briefly present his or her stand, emphasizing other nurses who support the bill, because numbers count.

A bill with the potential to decrease health care services is passed by Congress. Which of the following actions should the nurse take to influence the bill's implications? a. Exercise veto power by calling for petitions from health care agencies. b. Contact the regulatory agency and participate in public hearings. c. Call members of congress to request that they rescind the legislation that was passed. d. Discuss the change in services with the administrators at the hospital.

B

Which of the following statements best describes the law in relation to clinical practice by nursing students? a. Students are considered certified until licensure is obtained. b. Students are expected to meet the same standard of care as the professional nurse. c. Students are not legally liable for errors because they practice under the license of their instructor. d. Students have a scope of practice determined by the nurse practice act.

B

A nurse is determining whether a hospital has the right to require infected patients to be isolated against their will. To which type of law will the nurse refer? a. Common law b. Constitutional law c. Legislation and regulation d. Judicial law

B Constitutional law provides the right to intervene in a reasonable manner to protect the health, safety, and welfare of the citizenry.

Which of the following describe the significance of the passage of The Public Health Threats and Emergencies Act? (Select all that apply.) a. It funded ongoing activities of the public health system. b. It led to improved water quality and food safety guidelines. c. It included funding for public health activities. d. It validated that the public health system was prepared for terrorism.

B, C The focus of this law was to address emerging threats to the public's health and authorize the Secretary of HHS to take appropriate response actions during a public health emergency, including investigations, treatment, and prevention

A nurse meets with a senator to lobby for passage of a bill to increase funding for interpreter services. With which of the following branches of the government is the nurse working? a. Constitutional branch of government b. Executive branch of government c. Legislative branch of government d. Judicial branch of government

C

Which of the following agencies has the most influence on the health and welfare of US citizens? a. Agency for Healthcare Research and Quality (AHRQ) b. Centers for Disease Control and Prevention (CDC) c. US Department of Health and Human Services (USDHHS) d. World Health Organization (WHO)

C

Which of the following laws established programs for provision of health services for women and children and supported community-oriented nursing practice? a. Early Periodic Screening and Developmental Testing (EPSDT) Initiative b. Healthy People 2000 Initiative c. Sheppard-Towner Act d. State Child Health Improvement Act (SCHIP)

C

Which of the following statements best describes why the federal government has become involved in health care? a. The states asked the federal level to become involved. b. Because of rising costs to the states, the federal budget needed to be used to pay for necessary services. c. The Constitution gives the federal government the power to promote the general welfare. d. This step was necessary to standardize care on a national level.

C

Which of the following statements by a client indicates a lack of understanding regarding an appropriate reason to sue for professional negligence? a. "Because the health care workers didn't turn my mother every 2 hours, she developed bedsores." b. "I received permanent nerve damage because they would not remove a cast that was too tight." c. "My daughter wasn't given a call light, and for a whole shift no one checked on her condition." d. "They amputated the wrong leg during surgery."

C

Who is responsible for determining the scope of practice for registered nurses? a. American Nurses Association b. Federal legislators c. State legislators d. US Department of Health and Human Services

C

A nurse wishes to see a bill passed to support funding for the use of interpreters for clients with limited English proficiency. Which of the following would be the best time for the nurse to request support from the local senator, who is not on the committee that is reviewing this bill? a. When the bill is first assigned to a committee b. When the bill is discussed and debated within the committee c. When the bill moves out of committee to be heard by the entire Senate d. When the bill passes the Senate and moves to the House of Representatives

C Once the bill is passed by committee and moves out of committee to be heard by all senators, it will be important to contact this senator, who will then be in a position to act on it.

A nurse is advocating for the public health department to increase the number of public health nurses that it employs. Which of the following factors should the nurse emphasize? a. Providing disease investigation training b. Providing research opportunities c. Providing leadership experiences d. Providing salaries commensurate with responsibilities

D

The state board of nursing has written new regulations to clarify in a more concrete manner what the nurse practice act allows and requires. Which of the following effects will this change have on nurses in this state? a. None, because they are just helpful guidelines for maximum safety b. None, because they just give specifics that may change over time c. Major, because prudent nurses would follow such regulations d. Major, because these rules and regulations have the effect of law and must be obeyed

D

What was the significance of the 1979 Surgeon General's report? a. It planned the goals and priorities for the entire Veterans Administration medical system. b. It vastly increased funding for health promotion activities. c. It identified the use of tobacco as a cause of lung cancer. d. It created national goals for promoting health and preventing disease.

D