Question 1

Which federal act provided funding for the construction of new hospitals and included provisions for care of the uninsured?

Accepted Answer

The Hill-Burton Hospital Construction Act of 1946

Question 2

A nurse is moving from Texas to Colorado and wants to practice without applying for a new license. Which arrangement allows this mobility?

Accepted Answer

The Nursing Licensure Compact (NLC)

Question 3

Which of the following best describes the difference between Medicare and Medicaid?

Accepted Answer

Medicare is an insurance program funded by payroll deductions; Medicaid is a welfare program based on need or poverty.

Question 4

A hospital is seeking accreditation to receive federal funding. Which organization’s criteria must it meet?

Accepted Answer

The Joint Commission

Question 5

Which of the following is a primary function of the U.S. Department of Health and Human Services (USDHHS)?

Accepted Answer

Publishing the Healthy People document and setting health policy

Question 6

A patient is scheduled for surgery and must sign a document confirming understanding of risks, benefits, and alternatives. Which right is being protected?

Accepted Answer

Informed consent

Question 7

Which federal law enabled portability of health insurance, privacy of medical information, and coverage for preexisting conditions?

Accepted Answer

Health Insurance Portability and Accountability Act (HIPAA) of 1996

Question 8

A nurse is part of a multidisciplinary health-care team. Which of the following best describes the purpose of the 'plan of care'?

Accepted Answer

A tool for communication among providers and a compilation of patient goals and planned approaches

Question 9

Which act established standards for workplace safety and mandated reporting of injuries sustained by workers?

Accepted Answer

Occupational Safety and Health Act (OSHA) of 1970

Question 10

A nurse wants to advocate for patient needs in the legislative process. Which group is most likely to help her influence health-care policy?

Accepted Answer

Political Action Committees (PACs)

Question 11

Which of the following is NOT a criterion for hospital accreditation by The Joint Commission?

Accepted Answer

Setting national health policy

Question 12

A nurse educator is teaching about self-care models. Which theorist developed the self-care model related to nursing practice in 1959?

Accepted Answer

Dorothy Orem

Question 13

Which of the following best explains why hospitals became the centers for health care in the United States?

Accepted Answer

Hospitals had more resources to provide care compared to private doctor’s offices

Question 14

Which federal act changed health care reimbursement by establishing strict rules for payment based on diagnosis-related groups (DRGs)?

Accepted Answer

Tax Equity Fiscal Responsibility Act (TEFRA) of 1982

Question 15

A nurse is reviewing the Patient Care Partnership. Which of the following is NOT an expectation outlined for patients during their hospital stay?

Accepted Answer

Guaranteed access to any specialist without referral

Question 16

Which of the following statements about the Nurse Practice Act is correct?

Accepted Answer

It defines the scope of practice for nurses within each state, with some variations.

Question 17

A nurse is educating a patient about confidentiality. Which federal law requires hospitals to provide a Notice of Privacy Practices?

Accepted Answer

Health Insurance Portability and Accountability Act (HIPAA)

Question 18

Which of the following is a major challenge in health care today related to cost?

Accepted Answer

Maintaining quality care while ensuring cost containment

Question 19

A nurse is teaching about the Patient Protection and Affordable Care Act of 2010. Which of the following was a key provision?

Accepted Answer

Extended health-care coverage to millions of uninsured Americans

Question 20

A nurse is participating in a community outreach program focused on prevention and early intervention. Which national initiative is most closely aligned with this approach?

Accepted Answer

Healthy People 2030

The Role of Government in Health Care: History, Legislation, and Contemporary Issues

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