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When developing a teaching plan for a class that describes health policy, which of the following would the instructor include as an example of a regulatory health policy? A) Licensure of health professionals ) !ederal subsidies for nursing education ") enefits for needy groups #) Allocating resources among groups $. "ommunity health nurses are attending an in%service program about health policy. Which of the following would the nurses expect to be included in the description? A) &eflect a community's values ) "reated for certain groups, such as influential people ") #eveloped by those outside of the community #) (ndication of needs of the community's poor ). Which of the following would the community health nurse most li*ely identify as the most troubling issue in health care in the +nited ,tates? A) "ost ) -hysical accessibility ") .uality of care #) /he uninsured 0. A group of community health nurses are discussing health care policy in the +nited ,tates. Which of the following reflects the consensus view? A) 1ar*et forces should solve the problem. ) /he government should assume responsibility. ") 2ealth care policy needs to change. #) 2ealth care policy is flawed but ade3uate. 4. When describing public health nursing to a group of community health nurses, which of the following would be identified as its foundation? A) ,ocial mar*eting ) ,ocial 5ustice ") ,ocial disparities #) Advocacy 6. A community health nurse best demonstrates professional advocacy by which action? -ursuing an advanced degree &unning for state congressional seat 7oining a professional organi8ation ecoming a member of a local board

A) ) ") #)

9. When involved in policy formulation, the community health nurse must *eep in mind that which of the following should be the strongest influence? A) ,ocial conditions
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-olitical conditions -ublic need 2ealth planning

:. When engaging in policy analysis, which of the following would the community health nurse do last? A) #efine the problem ) ;ather information ") Loo* for alternatives #) "hoose the approach <. A community health nurse integrates understanding of power and empowerment when wor*ing with clients by demonstrating which of the following? A) -artnership with the clients ) 2ierarchical relationship ") Authority over clients #) "lient autonomy 1=. When influencing policy, which of the following would be *ey for the community health nurse? A) #elay starting until the issues are *nown ) e honest in promoting the cause ") >mphasi8e the benefits of the issue #) -resent complicated arguments 11. Which of the following is an example of a distributive health policy? A) &eporting of communicable disease ) !ederal funds for nursing education ") 1edicare #) Arms control agreement 1$. /he community health nurse is reviewing how managed care today has changed from its initial proposal. Which of the following would the nurse identify as an important change? A) "urrent emphasis on cost containment ) !ocus on choosing a practitioner ") >xpansion in types of care provided #) (ncrease in not%for%profit agencies 1). After a class on nursing and political activism, which statement indicates that the

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teaching was successful? ?urses have 5ust now become increasingly active in the political arena. ?urses are the smallest group of providers with the largest voice. ?urses are considered ma5or political players in Washington. /he A?A provides nurses with a collective political voice.

10. Which of the following would be important for a politically involved nurse to do? ,elect all that apply. A) "ommunicate ideas effectively ) ;et to *now local representatives ") Avoid becoming involved with community boards #) e firm and unyielding in approach >) ,tay current about health care issues 14. A community health nurse has tried numerous times to influence health policy in the local community. Which of the following might the nurse try as a last resort? A) @olunteer some time ) ,erve on a committee ") &un for office #) @ote in the local election 16. A community health nurse identifies a problem of increased infant mortality with adolescent pregnancies. /he nurse decides to address this problem with a health policy. /he nurse is engaging in which stage of the policy process? A) !ormulation ) Adoption ") (mplementation #) >valuation 19. An instructor is preparing a plan for a class on the history of public health nursing advocacy. Which persons would the instructor expect to include? ,elect all that apply. A) "lara arton ) Lillian Wald ") 1ary 1ahoney #) (mogene Aing >) #orothea Brem 1:. A community health nurse is involved in assessing the community's capacity to define strategies to enhance compliance with a policy. /he nurse is wor*ing in which stage of the policy process? A) !ormulation

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Adoption (mplementation >valuation

1<. When analy8ing health policy, which 3uestion would be most important for the community health nurse to as*? A) 2ow much does it cost? ) What is the result? ") Why is it in place? #) Who benefits from it? $=. A community health nurse communicates with a policyma*er about an important issue. Which method would be most effective? A) -ersonal letter ) >%mail ") -hone call #) -ostcard

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Answer Key
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