1. All of the following statements about woman entering retirement are correct except:
a. Women often live longer than men, have little or no protection from private pension, and face restrictive widow-survivorship policies
b. Women are more likely to spe
d. There are no differences between men's and women's social security benefits since the ACA was enacted in 2010.
2. According to the IOM Future of Nursing Report: Leading Change, Advancing Health as depicted in Mason (2016), what challenges face NP's in their quest to achieve full practice authority? Select ALL CORRECT ANSWERS:
a. Although individual physicians may
a. Although individual physicians may be supportive of NP's, organized medicine is not.
c. NP's lack interested groups and partners outside of nursing to help broaded their appeal
d. NP's have partnered with lobbyists and have presented compelling, eviden
4. Which nurse leader left medical school to return to nursing, est. the Visiting Nurses Service at the Henry Street Settlement in NYC, and participated in the establishment of the National Organization of Public Health Nursing?
a. Lillian Wald
5. Several US legislative policies are specifically directed at women. Reasons for this include: SELECT ALL THAT APPLY:
a. The large number of women who serve on national and state legislative committee and are persistent in advocating for women's needs.
b. Infant mortality and maternal mortality are directly related to the availability and affordability of comprehensive, preventable healthcare
c. Women have unique reroductiv health needs leading to heated debates about who has control over a pregnant wom
8. Advocacy by the Federal Trade Commission on behalf of NP is important b/c this: SELECT ALL OF THE ABOVE:
a. Supports removing barriers to independent practice on the basis that such acts are against the interests of consumers and restricts competition
a. Supports removing barriers to independent practice on the basis that such acts are against the interests of consumers and restricts competition with other providers.
9. The nurse leader who established the Visiting Nurse Service and helped to establish the Nation Organization of Public Health Nursing is said to have been successful in advocating for the needs of patients and nurses based on her unique leadership style
c. Developing a highly evolved hierarchical model of healthcare in urban and rural settings.
11. Which of the following are major attributes of health policy? Select all that APPLY.
a. Health policy addresses a public policy goal
b. Health policy results from law and is legally binding without exception
c. Decision are made by authorized governme
a. Health policy addresses a public policy goal
c. Decision are made by authorized government institutions
d. The decision-making process is subject to public review and public input
12. The branch of government responsible for the execution of laws passed by legislature is:
a. Legislative
b. Judicial
c. Executive
d. Local
c. Executive
13. An example of health policy defined and regulated at a state level is:
a. American with Disabilities Ace (ADA)
b. Scope and Standards of nursing practice
c. Health insurance portability and accountability ace (HIPPA)
d. Patient Safety and Quality Impr
b. Scope and Standards of nursing practice
14. The ACA can be categorized into four main initiatives. They are:
a. Expand/improve access, coordinate care, create values, reform payment
b. Patient preference, individualized care, transparency, accountability
c. Improve quality, system redesign, pay
a. Expand/improve access, coordinate care, create values, reform payment
5. The US spends more per person on health care than any other nation yet performs worse than other nations in which of the following indications?
a. The prevalence of diabetes and obesity in children
b. Life expectancy at birth for both males and females
d. All of the above
16. Political philosophy addresses 2 key issues. They are:
a. Distribution of maternal goods, rights, and liberties
b. Ethical decision-making and behaviors specific to politicians
c. Possession an determination of political power
d. The American voter de
a. Distribution of maternal goods, rights, and liberties
c. I'm possession an determination of political power
17. The enactmanet of Medicare is an example of a/an______________ policy:
a. Regulatory
b. Social
c. Private
d. Allocative
d. Allocative
18. The 2 most controversial provision of the ACA are:
a. Expanding employer-based insurance coverage and value-based payments
b. State and federal insurance exchanges and new payment models
c. Medicaid expansion and the individual mandate
d. Coordination
c. Medicaid expansion and the individual mandate
19. The major policy issues the US Military Health System and VHA most need to address to improve health care services fro veteran include: (SELECT ALL THAT APPLY):
a. Seamless transition/re-entry of men and women moving from active duty to non-military s
a. Seamless transition/re-entry of men and women moving from active duty to non-military societal roles
b. Timely access to care; minimizing long wait times to be seen
c. Sexual assault, suicide prevention, and post-traumatic stress disorder
20. According to Mason (2016),
lack of public awareness of mental health and substance abuse laws
is the top most challenge specific to the implementation of EVP's that support and enhance recovery-based psychiatric rehabilitation.
a. True/false
true
Barriers to end the cannabis prohibition and make it medically legal and available to patients include:
A. Misinformation and censorship of information to politicians and the public
B. Pharmaceutical industry pressure to reduce competition with analgesics
D. All of the above
Which sequence of events accurately describes the steps in the lawmaking process?
A. Drafting > Public Hearing > Select File > General File > Final Reading > Executive Action
B. Research > Public Hearing > General File > Select File > Final Reading > Exec
D. Introduction > Public Hearing > General File > Select File > Final Reading > Executive Action
Nebraska is the only state in the union that has:
A. State laws that conflict with federal laws
B. A bicameral system
C. A unicameral system
D. Its own constitution
C. A unicameral system
The fastest growing segment of the Medicare program today is Palliative Care.
True/False
False
what is the fastest growing segment of the medicare program?
hospice care
Clinical experts have likened failure to talk to patients about end-of-life issues to which of the following?
A. Failure to use sterile technique
B. Ordering medications without checking for allergies
C. Committing a life-threatening medical error
D. All
D. All of the above
Policy and political issues facing nursing in long-term care include:
A. Perceived or actual problems of poor quality of care
B. Weak enforcement of federal quality regulations
C. Both A and B
D. A only
C. Both A and B
If the president stops or delays a piece of legislation from becoming law, this veto can only be over-ridden by a __________________________majority vote in both houses.
A. One-half
B. Three-fourths
C. Two-thirds
D. Five-eighths
C. Two-thirds
The treatment of chronic disease in the United States accounts for which percent of the nation's health care budget?
A. 12%
B. 25%
C. 55%
D. 75%
D. 75%
Nonpartisanship
Lawmakers can base their actions on their own personal beliefs-non party beliefs.
The Nebraska Legislature is also this.
Bills can only be introduced by a member of Congress or State Legislator
T/F
True
4 Actions Committees can take on a bill
1. move forward as is to
General file
2. move forward with
revisions/amendments
3. not move bill forward
postpone
4. not take any action on bill
kill it
(all these actions require majority vote)
4 actions President or Governor can decide to do with a bill
1. Return the bill unsigned with an objection
2. Sign the bill into law
3. Decline to act on it
4. Veto the bill
President or Governor has ____ days to decide on what to do with a bill
5 days
6 Contemporary Issues in Government
1. National Debt
2. Polarization of D vs. R
3. Loss of moderates
4. presidential power
5. ACA
6. Immigration issues
Electoral Process
1. Choosing the candidates
2. Campaigning
3. Getting the best candidate
4. Primary Elections
5. General Elections
6. Presidential Elections
What are the 3 initiatives to improve pt. safety from Evelyn McKnight Honor Reform?
1. Safety by
incentives
, paying people for good job.
2. Safety by
design processes
to help keep people safe.
3. Safety by
culture (empowerment)
if you see something going on, you should have right to speak up and report it so that it can be addressed.
What does NDNQI stand for and what is the purpose of it?
National Database Nursing Quality
Largest database specific to nursing sensitive indicators
(on test).
what nurses can prevent in hospitals (UTI, line infections, wounds, etc.)
Money wise for a bill what are the two 'a' words we need to know
a bill must be:
authorized
appropriated
Do mandated nurse to patient ratio make much of a difference in patient safety and care?
NO!
what are the 3 things that help improve patient safety and care ahead of nurse to patient ratio?
C.R.C.D.L
1. Collaboration, meaningful recognition, effective communication
2. Decision making
3. Leadership type in place
what are: Magnet Designated Programs? good example of ______-based programs.
whole quality program that has different provision in it, show many different course of magnet,
empowerment
, how able are staff to make decisions to effect work, self-staffing in place (nurses get together and have foundation to do own staffing).
These p
What is an example of a regulatory process?
HIPPA
(will be on test)
1. Which of the following is the best example of a Value-Based Staffing Program?
A. The Magnet Designation Program
B. Mandated nurse to patient staffing ratio programs
C. The Hospital Consumer Assessment of Health Care Providers and Systems
D. The America
A. The Magnet Designation Program
4. Implementation of a successful change process is related more to the leadership of an organization than whether the organization is unionized, a Magnet facility, or a non-designated hospital culture.
A. True
B. False
A. True
5. According to the American Association of Critical Care Nurses' research study key components to creating and maintaining healthy work environments include all of the following EXCEPT:
A. Mandated nurse to patient staffing ratios
B. Effective communicat
A. Mandated nurse to patient staffing ratios
6. Factors that limit nursing's success around the world in shaping policy depends on the country's (SELECT ALL THAT APPLY)
A. A perception of the image of nursing, perceived value, and social status
B. A professional nursing educational preparedness
C. M
A. A perception of the image of nursing, perceived value, and social status
B. A professional nursing educational preparedness
D. Ratio of nurses to other healthcare workers and gender issues
8. A research strategy that has been successful to advance health and social policies for children is the use of childhood well-being indicators. Examples of Childhood Well-Being indicators include (Select all that apply)
A. Immunization rates
B. Poverty
ALL
1. Characteristics commonly associated with the concept of Health Care Economics include price, cost, and: (Select all that apply)
a. Pay-for-performance
b. Supply and demand
c. Value
d. Cost effectiveness and efficiency
b. Supply and demand
c. Value
d. Cost effectiveness and efficiency
4. The nurse completing an admission assessment notices the new patient has a foley catheter placed and attached to a leg bad. The urine is very cloudy in color. What information is MOST important for the nurse to document in order to avoid Medicare reimb
a. The foley catheter and suspected catheter-associated urinary tract infection (CAUTI are present on administration.
5. The ACA, and specifically the expansion of Medicaid, is expected to increase across to care, improve the quality of care to lower-income patients, provide for greater population coverage, and enable participation in preventative health and wellness ini
a. True
6. Staff nurses have the ability to contribute to the health care organization's (HC0) efforts to achieve pay-for-performance standard through which of the following interventions? (Select all that apply)
a. Patient/family education
b. Following evidence-
a. Patient/family education
b. Following evidence-based standards of care
d. Accurate and timely documentation
8. The fundamental purpose of a health insurance exchange is to:
a. Channel insurance dollars into one federally-administered insurance system
b. Create an online market place for the safe and purchase of health insurance for customers.
c. Discourage comp
b. Create an online market place for the safe and purchase of health insurance for customers.
9. Prior to the ACA, people with pre-existing medical conditions were discriminated against and often unable to qualify for health care insurance coverage.
a. True
b. False
a. True
10. A form of prospective payment being tested by Medicare, private insurers, and Accountable Care Organizations (ACO) paying a flat rate for an episode of care rather than by individual service is called:
a. Bundled payment
b. Fee for service payment
c.
a. Bundled payment
T/F: According to Katie (Neb Med Defense Lawyer)*
Do NOT carry your own malpractice insurance
*
TRUE
the hospital covers their workers and when you go to court, you want the hospital lawyers to work for you and not have to deal with both lawyers and who covers who on what.
What are the 4 elements of liability?
1.
duty or obligation
2. breach of this duty via
omission or commission
3.
Harm
occurred
4.
Proof
that breach caused harm
What is the primary responsibility of the Licensure board?
protect the patient!
How does the state board of nursing regulate the practice of nursing?
-License renewal
-continuing education required
-report if you've been fired
-report first hand knowledge of something bad that happened
Who investigates these reports in Nebraska?
nurses!
Must see negligence/malpractice ______________________ in order to report it. NOT rely in hearsay.
FIRST HAND
if you suspect something, go to charge nurse &/or clinical faculty (if student).
Do mandated staffing ratios ensure patient and nurse safety?
NO! (evidence does not show any improvement)
Besides State boad, who else has regulations impacting nurses?
DHHS, CMS, TJC, Federal/State Laws, workplace policies
what is a "duty
adhere to a standard of reasonable care while performing any acts that could foreseeably harm others. "Standard of Care
legal causation
logical sequence of events
When translating research into practice it is important to understand that:
a. Nurses are knowledge workers who analyze data.
b. Nurses are able to aggregate data
c. Nurses make decisions based on data
d. All of the above
d. all of the above
The intended benefits of Meaningful Use of electronic health records includes all of the following except:
a. Patient empowerment
b. Accuracy of the medical record
c. Access of important information to providers who have a need to know
d. Ease of coding a
d. Ease of coding and billing for insurance companies
Provision 9 of the American Nurses' Association Code of Ethics describes the complementary roles of professional nursing associations and their members as being responsible for:
a. Articulating nursing values
b. Maintain the integrity of the profession an
d. All of the above
A collection of people united by some common passion who work together to influence the political process is/are called: select the best answer:
a. Lobbbyists
b. Interest group
c. Grassroots mobilizers
d. Electoral influences
b. Interest group
Barrier to successful advocacy include all of the following except:
a. Lack of education and training in advocacy during formal nursing education
b. Fear of retaliation from employers if a nurse speaks up about safety issues in the workplace
c. Working in
c. Working in an empowered organization that encourages open and honest dialogue
One of the most controversial advocacy activities within the profession of nursing to date has been around the topic of:
a. Legislative lobbying
b. Inter-professional education
c. Collective bargaining
d. Equitable pay
c. Collective bargaining
The best way for a nurse to learn the ropes of policy, politics, and advocacy is through: select all that apply:
a. Education
b. Experience
c. Mentoring
d. Avoidance
a. Education
b. Experience
c. Mentoring
Nurses have some significant advantages when it comes to working to influence an elected official. These advantages include:
a. They are viewed as credible as validated by the Gallup most honest and ethical polls
b. They are the largest group of health ca
d. All of the above.