17) A staff nurse in a small, rural hospital is concerned about the future of healthcare in the rural
environment. How can this nurse be involved in healthcare policy development? Select all that
apply.
1. Join local and national nursing organizations.
2. Contact elected representatives regarding nursing and healthcare.
3. Act as a patient advocate.
4. Use the Internet to keep current on healthcare policy issues.
5. Serve on the Infection Control committee of the local hospital.
18) The patient is angry about the nursing care delivered on the past two shifts and demands to
see his medical record. What should the nurse consider prior to granting this request?
1. The patient always has the right to view his medical record.
2. In some cases, the patient does not have the right to view his medical record.
3. The patient does not have the right to view his medical record.
4. The patient must have permission from the physician prior to viewing the medical record.
19) The nurse closely follows hospital policy for recording patient charges. After attending a
conference break out session on reimbursement, the nurse realizes that the hospital policy is in
violation of Medicare rules. Is this nurse guilty of fraud?
1. Yes, but since the nurse was following hospital policy no charges can be filed.
2. Yes, this is a clear example of fraud.
3. No, but the hospital is clearly guilty of fraud.
4. No, fraud requires intention to do wrong.
Learning Outcome: LO 11. Analyze the impact of healthcare fraud on the healthcare system.
20) Which question, asked of a patient, reflects the observance of the Patient Self-Determination
Act of 1990?
1. Have you recently changed physicians?
2. Why did you come to the hospital today?
3. Do you have a durable power of attorney?
21) The nurse is considering “blowing the whistle” on a potential Medicare fraud situation
occurring in a physician’s office. The nurse has worked at this office for 12 years and has many
friends among the staff and patients. What incentive does this nurse have for assuming the
whistleblower role?
1. The nurse is entitled to a percentage of any money recovered.
2. After the nurse exposes the potential fraud, the nurse’s responsibility in the case is complete.
3. By law, the nurse can be subject to no negative actions related to whistleblowing.
4. The nurse can “leak” the information to a news source first and still be protected by
whistleblowing laws.
22) The nurse has been invited to join the healthcare facility’s interprofessional ethics committee.
What factors should the nurse consider when making a decision about this invitation? Select all
that apply.
1. The decisions made by these committees are advisory in nature.
2. Most of the cases discussed by these committees are related to financial considerations.
3. Nurses are generally active members in these committees and talk freely about ethical issues
in nursing.
4. It might be best for the nurse to gain experience on a nursing ethics committee before joining
an interprofessional committee.
5. The nurse can expect to be well compensated for work done on the committee.
23) Consumer advocacy is more common today in healthcare policy. What are the common
concerns that consumers have? Select all that apply.
1. Increasing costs of care
2. Impersonal care
3. Decreased communication
4. Provider competence
24) Identify strategies that will help the nurse prevent malpractice lawsuits. Select all that apply.
1. Effective communication
2. Establishing security rules
3. Effective leadership
4. Caring attitude
5. Following the rules
25) Identify typical healthcare areas in which the states have input. Select all that apply.
1. Public health and safety
2. Provision of indigent care
3. Purchase care
4. Regulation
5. Resource allocation
26) Healthcare delivery has experienced many changes and problems. Based on an examination
of these changes and problems what would you consider a major concern today?
1. Cost is not related to quality.
2. Healthcare is complex.
3. Quality care is improving rapidly.
4. A functional system is more costly.
27) Nursing: Scope and Standards of Practice (ANA, 2010) describes the model of professional
nursing practice regulation. What is the base on which this model stands?
1. Nursing practice acts and rules and regulations
2. Scope of practice, standards of practice, code of ethics, specialty certification
3. Healthcare policies and procedures
4. Self-determination
28) Healthcare in the U.S. would best be described by which of the following statements?
1. The U.S. has a national healthcare system.
2. The U.S has universal health coverage insurance.
3. The U.S. has a local, state, and federal system of healthcare.
4. The U.S. focuses on a public system to provide care.
29) You are serving on a state committee to develop a state health policy. Which of the following
strategies should be done early in the process?
1. Coalition building
2. Select the solution
3. Monitor the outcomes
4. Implement the policy
30) What changes in the organization of healthcare delivery services does the Affordable Care
Act of 2010 support? Select all that apply.
1. Nurse-managed health centers
2. Accountable Care Organizations
3. Increase number of acute care hospitals
4. Medical homes
5. Focus on state run clinics