The forces for the proposed bill are roughly as persuasive, powerful, and well financed as the forces against the proposed bill. Which describes the most likely outcome?

Correct Answer: B

Rationale: It is far easier to defeat a bill than get one passed; therefore, the opposition always has the advantage.

Correct Answer: C

Rationale: The law was extended several times, and then it was not renewed by the Bush administration. The program was renewed again by the Obama administration in the Children's Health Insurance Reauthorization Act of 2009.

Correct Answer: C

Rationale: One of the state health care functions is assessment of health needs based on statewide data collection. This could be done by monitoring the incidence of influenza in the state. Setting up a flu shot clinic would most likely be done at the local level, while lobbying for health care reform would most likely be done at the federal level. Serving as a volunteer for a campaign may be something a nurse would do, but would not be specifically related to employment by the state public health department.

Correct Answer: B

Rationale: How an issue is defined determines what the possible approaches to resolution might be. With all the demands on legislators' time, it is difficult for an issue to be seen as important enough to have action taken. Defining the issue as crucially important and worthy of a place on the agenda for possible action is the most critical step.

Correct Answer: C

Rationale: Nurses know how to communicate, collaborate, negotiate, and serve as leaders who can make themselves heard. However, the various nursing subgroups do not agree on public policies.