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Chapter 34: Engagement in the Policy Development Process
10 problems · 0 figures34-1 §34.RQ source ↗
Which action would the nurse perform in the policy formulation phase of the stage-sequential model of policy development?
- a.Carrying out a food inspection in a restaurant
- b.Collecting data on communicable diseases
- c.Developing goals and measurable objectives
- d.Providing health status assessments
Answer
C. Developing goals and measurable objectives
The stage-sequential model of policy development is a process that uses five steps to create a policy: agenda setting, policy formulation, policy adoption, policy implementation, and policy evaluation. In the policy formulation stage, the nurse is involved in making a plan and setting goals and objectives to solve an identified problem.
34-2 §34.RQ source ↗
Which type of policy is the public health nurse engaging in when trying to reduce the speed limit around a community playground?
- a.Social policy
- b.Nursing policy
- c.Health policy
- d.Public policy
Answer
D. Public policy
Public policies are aimed at improving health through local, state, or national regulations.
34-3 §34.RQ source ↗
Which assessment finding will the nurse anticipate in a family in the cycle of poverty?
- a.The family has created the conditions that keep them impoverished.
- b.Members of the family have a low level of education.
- c.Poverty is created by the family’s laziness.
- d.The family has social connections and support systems.
Answer
B. Members of the family have a low level of education.
The cycle of poverty is a series of events that occur between generations. The main idea is that once a person or family becomes impoverished, it is almost impossible to change their economic status, and an external intervention is needed to break the cycle. One characteristic of a family in the cycle of poverty is the low level of education among the family members.
34-4 §34.RQ source ↗
Which action by a nurse represents engagement in political action at the workplace level?
- a.Developing billboards about the dangers of teenage vaping
- b.Being a member of a committee to promote community health screenings
- c.Joining the political action committee of a professional organization
- d.Running for a local political office
Answer
B. Being a member of a committee to promote community health screenings
In the workplace, the nurse can engage in political action by serving on a committee that promotes a healthy community through screenings.
34-5 §34.RQ source ↗
Which action would a nurse perform when involved in the development of health policy at the meso-level?
- a.Developing free statewide vaccination clinics
- b.Performing scoliosis screenings in a local elementary school
- c.Supporting a bill to reduce out-of-pocket costs for insulin
- d.Collaborating on a county disaster relief policy
Answer
A. Developing free statewide vaccination clinics
Three generalized groups participate in the creation of health policies: private institutions (micro-level), state- and regional-level agencies and lawmakers (meso-level), and federal agencies and lawmakers (macro-level). At the meso-level, health care policies concern the county, state, or larger geographical region, such as developing vaccination clinics at the state level.
34-6 §34.RQ source ↗
Which community partners would the nurse collaborate with to determine the zoning issues involved in planning a community hiking trail?
- a.Primary community partners
- b.Secondary community partners
- c.Key community partners
- d.Elected community partners
Answer
C. Key community partners
Key community partners have an interest or expertise in an area of policy, such as a zoning official who can help the nurse with zoning regulations in the development of a hiking trail.
34-7 §34.RQ source ↗
Which type of policy brief is the public health nurse utilizing when providing city management with a summary of the latest research on how green spaces improve the health of a community?
- a.Information brief
- b.Issue brief
- c.Policy brief
- d.Policy impact brief
Answer
A. Information brief
An information brief provides a concise summary of the current research on a policy method, approach, or other related concerns.
34-8 §34.RQ source ↗
Which stage of the stage-sequential model of policy development is the nurse engaged in when determining the effectiveness of a policy?
- a.Policy evaluation
- b.Policy implementation
- c.Policy formulation
- d.Policy adoption
Answer
A. Policy evaluation
The nurse determines a policy’s effectiveness during the policy evaluation stage of the stage-sequential model of policy development.
34-9 §34.RQ source ↗
The public health nurse is involved in developing a community health program to improve nutrition using the Centers for Disease Control and Prevention’s Health in All Policies (HiAP) approach. Which action will the nurse take?
- a.Engage all sectors to produce change
- b.Produce change using the local health department
- c.Present a plan for change to community partners
- d.Develop short-term goals for program development
Answer
A. Engage all sectors to produce change
The CDC’s HiAP is a collaboration across all sectors to integrate and articulate health considerations into policymaking to improve the health of all communities.
34-10 §34.RQ source ↗
Which action by the nurse is an example of influencing social justice at the state level?
- a.Raising awareness of the need for childhood vaccinations within a community
- b.Providing health information to clients in their choice of language
- c.Educating state senators about social determinants of health
- d.Working with a national organization to advocate for health care for transgender individuals
Answer
C. Educating state senators about social determinants of health
Nurses can influence local, state, and national social justice policies. At the state level, the nurse can influence social justice policies by educating members of Congress about the health needs of transgender individuals.
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Problems and answers are adapted from Population Health for Nurses by Jessica Ochs, Sherry L. Roper and Susan M. Schwartz, OpenStax, and are used under the CC BY-NC-SA 4.0 licence. Access for free at https://openstax.org/books/population-health/pages/1-introduction. Illustrations: Copyright Rice University, OpenStax, under CC BY-NC-SA 4.0 license. This adaptation is released under the same licence, is non-commercial, and is neither affiliated with nor endorsed by OpenStax or Rice University.