Community Chapter 10

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Many such hospitals have consolidated or closed.
b.
Not needing to expand, hospitals have used the funds to upgrade their facilities.
c.
They have continued to use such funds to expand.
d.
When funding ceased, so did hospital expansion.
a.
Clara Barton
b.
Florence Nightingale
c.
Lavinia Dock
d.
Lillian Wald
a.
Clara Barton
b.
Florence Nightingale
c.
Lavinia Dock
d.
Lillian Wald
a.
The amount of financing and lobbying behind each choice
b.
The beliefs, attitudes, and values of the policy
c.
The preferences of the majority of American voters
d.
The president’s ongoing encouragement for one particular choice
a.
Solutions to problems of public concern are developed.
b.
A rational, logical problem-solving decision-making process is implemented.
c.
Public safety nets for vulnerable populations are created.
d.
Economic and business management principles are applied.
a.
The belief exists that those without insurance could obtain insurance if they worked hard enough.
b.
People find it difficult to agree on what the ideal paradigm should be.
c.
People realize the media have exaggerated the problems that result from lack of insurance.
d.
Serious reallocation of resources would have to occur.
a.
Appeals to the common sense and good nature of the citizens
b.
Establishes social mores that enable groups to control individuals’ behaviors
c.
Passes and enforces law
d.
Uses fear reinforced by police power
a.
The citizens would rise up in rebellion if actions were outrageous.
b.
The lack of funds to implement actions are seen as unreasonable by a majority of voters.
c.
Only the actions authorized by the Constitution are legitimate.
d.
The states would rebel and withdraw from the union.
a.
Amendments to the Constitution
b.
Articles of the Constitution of the United States
c.
Declaration of Independence
d.
Gettysburg Address
a.
Any individual citizen
b.
Federal government
c.
Local government
d.
State government
a.
Through the ability to tax local residents to meet local needs
b.
Through the people themselves who band together to create the community
c.
Power delegated from the federal level to the local level
d.
Power delegated from the states
a.
Private sector policies are slow, deliberate, and reactive to events.
b.
Private sector policies are determined by the opinions and feelings of those employed in that sector.
c.
Private sector policies are based on economics and market trends.
d.
Private
a.
The bill is dead.
b.
The bill returns to both houses to see if enough votes can be obtained to pass the bill even without the president signing the bill.
c.
The bill becomes law.
d.
The bill sits there until the president signs it or vetoes it.
a.
The bill will be debated through a public hearing.
b.
The bill will fail.
c.
The bill will pass.
d.
The bill will remain in the legislature until one side or the other has a majority of votes.
a.
Health Insurance Portability and Accountability Act of 1996 (HIPAA)
b.
Family Support Act of 1988
c.
Health Maintenance Organization Act of 1973 (HMO)
d.
Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA)
a.
Individuals who were required to obtain employment lost their health coverage.
b.
Many were happy to be off the government dole and self-supporting.
c.
Persons sought and obtained employment that often included insurance benefits.
d.
The food stamp program decreased in size.
a.
The law included goals and programs but no funding to achieve them.
b.
The law received extensive support by both Republicans and Democrats.
c.
The law was extended, not renewed by the Bush administration, and then renewed by the Obama administration.
d.
The law was passed by the majority of states but not by the federal government.
a.
Additional restrictions in coverage were imposed.
b.
Experimental treatments were approved for reimbursement.
c.
Reimbursement procedures became more efficient.
d.
A prescription drug benefit was added.
a.
Set up a flu shot clinic at a neighborhood church
b.
Lobby for health care reform to cover more preventive services
c.
Monitor the incidence of influenza in the state
d.
Serve as a volunteer for a state legislator’s campaign
a.
Any employment in the project would be only temporary, so it would be difficult to find professionals to staff the program.
b.
It is challenging to find appropriate sites located in the target area from which to offer the pilot project service.
c.
No one wants to accept free services if they include being a guinea pig in a research project.
d.
Offering a service establishes a precedent and a sense of entitlement, so it is difficult to discontinue the program.
a.
Convincing both political parties and independents to support the proposed policy
b.
Defining the issue and placing it on the agenda for possible action
c.
Determining who has vested interest in what aspects of the policy
d.
Trying to simplify the proposed legislation so the public will support it
a.
Meeting outside the clinical area allows for more effective informal learning based on discussion and interaction.
b.
Role models are typically the major influence on nurses choosing to become politically active.
c.
Students are often given extra credit from their instructor for such community involvement.
d.
Such groups want students to attend their meetings to encourage them to join and to accept a committee responsibility.
a.
Nurses are not listened to by politicians.
b.
Nurses are not perceived as leaders in the health care field.
c.
Nurses do not act or do not agree on what changes are needed.
d.
Nurses do not know how to negotiate, communicate, and collaborate to create change.
a.
Although there was disagreement, both groups agreed to behave politely and professionally.
b.
Both associations had formed a coalition to collaborate on a bill that would benefit patients.
c.
Because the legislators had asked both groups to appear, the groups did not have a choice.
d.
The two groups were sharing costs and expenses, but their testimony would give opposing viewpoints.
a.
Be seen as a reliable and credible source of accurate information
b.
Convince colleagues in nursing to join their local nursing organization and write to encourage legislators to vote according to nurses’ goals
c.
Offer to make large donations to the legislator who can forward nursing’s agenda
d.
Visit every single legislator so the nurse is recognized in this role
a.
Be prepared to contribute to campaigns of legislators who vote consistently with nursing goals
b.
Be prepared to confront verbally those on the opposite side of legislative issues
c.
Be prepared to provide testimony and comment on relevant issues
d.
Be prepared to visit schools of nursing to present about the current legislative issues
a.
Asking students to remain informed regarding proposed legislation
b.
Communicating, with rationales, her stand on proposed legislation to legislators
c.
Remaining uninvolved so incorrect information is not inadvertently given
d.
Writing letters to the local newspaper asking nurses to become involved
a.
“Good for you. We should all stay out of such dirty game playing!”
b.
“I am sorry to hear that but I do understand.”
c.
“It doesn’t matter; politics have nothing to do with nursing practice.”
d.
“It won’t take much time to join ANA and pay dues so their lobbyist can represent you.”
a.
As PACs are a reality of political life, nursing needs to be heard.
b.
Contributing money may result in a future political appointment.
c.
Only money really has any influence on legislative votes.
d.
PACs are being used to increase nursing salaries and working conditions.
a.
All hospitals are now required to report errors made that are a result of low nurse staffing.
b.
The Centers for Disease Control and Prevention (CDC) is monitoring the incidence of medical errors caused by nurse understaffing.
c.
The Registered Nurse Safe Staffing Act was passed by Congress in 2013.
d.
Legislation has been suggested that staffing systems require the input of direct care registered nurses.
a.
Build or join a private entrepreneurial practice to provide lower cost services to underserved groups
b.
Participate in public discussions regarding quality and managed care
c.
Support nursing research done that demonstrates positive clinical and economic outcomes
d.
Write managed care organizations to request that nurses receive reimbursement for health services to clients
a.
Below $23,550
b.
Below $25,250
c.
Below $28,550
d.
Below $32,250
a.
Providing control and oversight of the occupation
b.
Creating licensing laws to control entry into the profession
c.
Determining appropriate requirements for education into the profession
d.
Establishing standards for practice
e.
Protecting the interests of the practitioners
f.
Safeguarding the public trust
Establishing standards for practice
Protecting the interests of the practitioners
Safeguarding the public trust
a.
Directions to a destination provided by a police officer
b.
Court decisions related to legislative law
c.
Delegation of responsibility for a task by a physician
d.
Executive decisions, such as your employer requirements
e.
Laws passed by your state or the federal government
f.
Rules and regulations from agencies, such as the state board of nursing
Laws passed by your state or the federal government
Rules and regulations from agencies, such as the state board of nursing
a.
Environmental issues such as industrial toxins or carcinogenic commercial products
b.
Global, not local, problems such as spread of antibiotic-resistant bacteria
c.
Need to move from containment and treatment to social intervention
d.
Pressure from industrialized nations to emphasize chronic diseases rather than infectious diseases
e.
Realization that government actions influence the basic human right of health
f.
Worldwide pandemics such as human immunodeficiency virus (HIV) and swine flu, which require a different approach
Global, not local, problems such as spread of antibiotic-resistant bacteria
Need to move from containment and treatment to social intervention
Realization that government actions influence the basic human right of health
Worldwide pandemics such as human immunodeficiency virus (HIV) and swine flu, which require a different approach
a.
Achieve a plan for universal basic health care for citizens
b.
Create social and physical environments that promote good health
c.
Eliminate health disparities
d.
Eliminate preventable disease, disability, injury, and premature death
e.
Achieve health equity
f.
Promote healthy behaviors at every stage of life
Eliminate preventable disease, disability, injury, and premature death
Promote healthy behaviors at every stage of life
a.
Legislated a funding increase for RN staffing
b.
Changed from process evaluation to outcome evaluation when evaluating care
c.
Established guidelines for the use of restraints
d.
Created health maintenance organizations nationwide
e.
Added prescription drug benefits for Medicaid recipients
f.
Required all states to review certificates of need before agencies could expand
Established guidelines for the use of restraints
Added prescription drug benefits for Medicaid recipients
a.
A national committee was established to have hearings and study the problem further.
b.
Increased funds were allocated for health planning and health care.
c.
Many of the recommendations were adopted on the federal level.
d.
The Health Objectives Planning Act of 1990 was passed.
e.
The federal government began to identify and monitor national health care goals.
f.
The president addressed the American people about the need for health care reform.
The federal government began to identify and monitor national health care goals.
a.
Portability of insurance coverage
b.
COBRA, maintaining coverage for those who lose their jobs
c.
Insurance companies having a total monopoly in a certain geographic area
d.
Insurance companies setting limits on coverage of longer than 12 months
e.
Insurance companies charging seriously ill persons more than healthy persons
f.
Insurance companies paying the same for mental health coverage as for physical illnesses
Insurance companies setting limits on coverage of longer than 12 months
a.
Collecting and analyzing health data
b.
Creating integrated health information systems
c.
Allocating resources to treat specific diseases
d.
Encouraging partnerships and strategic alliances
e.
Creating transaction-based relationships
f.
Leveraging resources to steer the larger health system
Encouraging partnerships and strategic alliances
Leveraging resources to steer the larger health system
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