Global Exam 2

Under which of the following situations are health care costs entirely paid for by the national health insurance? When the person: Has a long-term chronic illnesses Has had major surgery Is 65 years of age or older 1 and 2 only

*1 and 2 only* Has a long-term chronic illnesses Has had major surgery

Why did states sue the federal government over the passage of the Affordable Care Act? a. States questioned the constitutionality of requiring individuals to purchase healthcare insurance. b. States questioned the mandate of requiring states to expand their Medicaid coverage. c. A and B d. States disputed the increase of the age of dependent coverage to age 26.

*A and B* a. States questioned the constitutionality of requiring individuals to purchase healthcare insurance. b. States questioned the mandate of requiring states to expand their Medicaid coverage.

The Center for Medicare and Medicaid Innovation responsibilities will include: a. Researching different payment and delivery systems. b. Implementing a hospital reimbursement based on the hospital's percentage of preventable Medicare readmissions. c. Provide Medicare beneficiaries with home primary care. d. A and B

*A and B* a. Researching different payment and delivery systems. b. Implementing a hospital reimbursement based on the hospital's percentage of preventable Medicare readmissions.

The National Health Workforce Commission is responsible for: a. Reviewing health care workforce needs. b. Making recommendations to ensure that national policies are in alignment with consumer needs. c. Establishing special loan programs for nursing. d. A and B. e. A, B and C

*A and B* a. Reviewing health care workforce needs. b. Making recommendations to ensure that national policies are in alignment with consumer needs.

One hundred percent of residents in Japan had universal coverage by: - 1920 - 1940 - 1958 - 1998

- 1958

Health care delivery in Japan is: - Decentralized - Fully standardized - Undated - The best in the world

- decentralized

The average number of children Japanese women give birth to in their lifetimes is: - Relatively low - 2.0 - 1.43 - Similar to fertility rates in developing countries

1.43

The Social Security Fund Act of 2001 sets the rates for health insurance based on earned income at which of the following percents? 8.50% 7.25% 5.25% 4.25%

5.25%

According to the U.S. Census Bureau, the number of uninsured in the U.S. rose to more than: - 38 million - 45 million - 50 million - 60 million

50 million

An Institute of Medicine (IOM) research study estimates that the average number of patients in the U.S. who die as a result of medical errors is: - 44,000 - 71,000 - 80,000 - 98,000

71,000

The overall life expectancy in the United States is: - 85 - 80 - 75 - 70

80

In 2011, health care budgetary shortfalls in France were predicted to exceed which of the following? €2 billion €5 billion €9 billion €13 billion

9 billion

Major religions of the UK include: A. Anglican, Roman Catholic and Muslim B. Protestant, Roman Catholic, Anglican C. Roman Catholic and Muslim D. Protestant and Muslim

A. Anglican, Roman Catholic and Muslim

A nurse from Wales wishing to practice in Scotland must do which of the following? A. Register with the regulatory authority B. Apply directly to the hiring organization C. Successfully complete the licensing exam in Wales D. Apply to the Nurse Midwife Council for verification of their qualifications

A. Register with the regulatory authority

When coping with illness, the rich religious tradition among African Canadians is compared to that of African Americans. In particular, if they don't appear to be recovering, they welcome: A. Death as a "home going." B. Consultation with their pastor or minister C. An opportunity for prayer D. An opportunity to fast for a miraculous healing

A. death as home going

Which of the following is true of the Barnardos organization? It: A. is a leading charitable organization in United Kingdom B. provides emotional and mental health support for physician and nurses C. focuses on correcting family problems. D. offers early intervention initiatives for elders unable to pay for services

A. is the leading charitable organization in the UK

Which of the following is considered a non-core services for which Canada permits private insurance companies to directly bill patients for? A. Private rooms B. Oral surgery performed in the hospital C. Extensive general surgery D. Birth Control

A. private rooms

Which of the following describes how physicians are paid under the Italian National Health System? A. Private Insurance B. Capitation Basis C. Regional Taxation D. Out-of-Pocket

B. Capitation Basis

Italy's success in providing healthcare can be attributed to: A. Hiring more physicians B. Cost containment strategies C. Improved data collection D. Improved technology

B. Cost containment strategies

Italian hospitals are paid on nationally pre-determined rates based on: A. Regional Taxation B. DRGs C. Co-payments D. Weighted Capitation

B. DRGs

Which of the following presents a critical staffing issue for the Italian Healthcare system? A. Emergency Staff shortage B. Nursing Shortage C. GP Shortage D. X-ray Technician Shortage

B. Nursing Shortage

Italy's healthcare system is ranked as: A. The leading model of healthcare worldwide B. Second to France as the best in the world C. Below OECD standards D. Third best in the world

B. Second to France as the best in the world

The ultimate responsibility for administration of Italy's health care system rests with: A. Social Services B. The Ministry of Health C. Primary Care Providers D. Italy's Regions

B. The ministry of health

Which of the following identifies the most frequent consumers of CAM in Italy? A. Elderly B. Women C. Substance Abusers D. Men

B. Women

Sick elders especially at the end-of-life are cared for in which of the following settings? A. specialized institutions funded by the NHS B. in their family homes C. church based care facilities D. community-based hospitals

B. in their family homes

Canada's health care system can best be described as including all the following except: A. Single payer system B. Negotiating fee for services without consumer co-payments C. Complemented by insurance and direct out-of-pocket payments D. Having global budgets for hospitals and physicians E. Negotiating fee for services and no consumer co-payments.

B. negotiating fee for service without consumer co-pays

The professional regulatory authority in the UK granting registration of nurses within and outside the European Union is called: A. The Council of Nursing and Midwives B. The Nursing Midwifery Council C. The Ministry of Health D. Royal Council on Licensing Professional Nurses

B. the nursing midwifery council

The Italian National Institute of Social Security provides cash benefits to people who have been assessed as A. Partially disabled and receive 10% financial assistance from their families B. Partially disabled and employed part-time C. 100% disabled and dependent D. 100% disabled and receive 10% financial assistance from their families

C. 100% disabled and dependent

A fifth principle was added to the four basic principles of the National Medical Care Insurance Act. Of the principles listed below which is the fifth? It must: A. Be comprehensive B. Offer universal coverage to all legal and illegal residents C. Accessible D. Be portable E. Be publicly administrated

C. Accessible

Which health issue is highly debated for public coverage in Italy? A. Plastic Surgery B. Laser Surgery C. Dental Services D. Bone Density Testing

C. Dental Services

The North-South Divide in Italy refers to: A. Equitable allocation of health care funds B. Health coverage for the North and South C. Regional disparities in access to healthcare D. The rise of adolescent suicide

C. Regional disparities in access to healthcare

Since decentralization in 1992, what level of government is responsible for equitable distribution of the essential levels of care? A. The LHAs B. The National Institute of Social Security C. The Regions D. The Federal Bureau of Health

C. The Regions

Which of the following explains the statement that the NHS in the UK has "a yo-yo attitude toward workforce planning" creating a worsening of shortages of nurses and physicians: A. Poor pay forcing migration B. Reducing work hours of physicians and nurses C. Cutting jobs of nurses and physicians in order to save money D. Poor conditions in the places of employment

C. cutting jobs of nurses and physicians to save money

As Canada approached physician saturation during the early 1990s it enacted a major policy decision that cut by 10 percent, which of the following? A. physician salaries B. physician positions C. first year medical school admissions D. the number of hours physicians worked

C. first year medical school admissions

The Equality and Human Rights Commission is responsible for which of the following? A. Preventing discrimination of hospitalized patients who have disabilities B. addressing care equity in mentally ill patients C. offering equitable care to all residents irrespective of their race or disability status D. providing equitable care to hospitalized older adult patients

C. offering equitable care to all residents irrespective of their race or disablility

Which of the following best accounts for the success that France has enjoyed in achieving overall good health care outcomes? France: Has an abundance of financial resources Commits significant resources to funding prevention Receives significant financial support from non-government organizations Uses monies from their overfunded pension plan

Commits significant resources to funding prevention

Despite Canada's nearly perfect literacy rate, illiteracy is high among which groups of people? A. Older adults B. Acadians C. Native Americans D. Francophones

D. Francophones

In Italy, which of the following best describes the role of the GP in primary care? A. Information Seeker B. Boundary Spanner C. Harmonizer D. Gatekeeper

D. Gatekeeper

A frequent complaint of Italian healthcare users is A. Lack of coverage for plastic surgery B. Poor medical advice C. Not enough doctors to address their needs D. Long wait lists for each level of care they may require

D. Long wait lists for each level of care they may require

The leading cause of death in Canada is: A. Heart disease B. Stroke C. Respiratory problems D. Cancer

D. cancer

People in Northern Ireland are envious of those in England because England has: A. Better health care services B. Free prescription coverage C. Short waiting times s to see specialists D. None of the above

D. none of the above

The most accurate description of Agence Nationale d' Accreditation et d'Evaluation en Santè (ANAES) is which of the following? It is designed to: Train staff in to develop better country wide emergency protocols Develop practice guidelines to improve quality care outcomes Improve out-patient, primary care throughout the country Develop evaluation plans for initial and post assessments

Develop practice guidelines to improve quality care outcomes

The Japanese health care system was most inspired by which country? - England - Denmark - Germany - Italy

Germany

The two basic types of medical insurance in Japan are: - National health insurance and employer, employee health insurance - National health insurance and coverage specifically for older adults - National health insurance and social health plans - Employee benefits program and National health insurance

National health insurance and employer, employee health insurance

The purpose of the Protection Maternelle et infantile (PMI) program in France is best described as, a program specifically to: Provide basic preventive care for mother and child Improve overall care of infants and children Improve prenatal care during first pregnancies Educate parents on protecting infants from infections

Provide basic preventative care for mother and child

Which of the following statements about the physician workforce in Japan in 2006 is most accurate? - The average hospital physician earned more than 14 million yen (over 145,000 USD) - There were on average 6 physicians per 1,000 people in the population - More than 60% of the physicians practiced in primary care - There was a major shortage of pediatricians

The average hospital physician earned more than 14 million yen (over 145,000 USD)

What is the purpose of the Pre-Existing Condition Insurance Plan? a. Provides health insurance coverage to individuals who have preexisting conditions and have had no health insurance coverage for 6 months. b. Provides health insurance coverage to individuals who have retired early and have no health insurance coverage until they are eligible for Medicare. c. Provides health insurance coverage to those individuals who are not eligible for either Medicare or Medicaid. d. None of these statements are correct

a. provides health insurance coverage to individuals who have a preexisting conditions and have had no health insurance coverage for 6 months

Japan is commonly known around the world as the: - Aging society - Brain drain society - Society of youth explosion - Technology society

aging society

Which statements are correct about Medicaid and Medicare? a. Medicaid will expand to include individuals who are not Medicare eligible. b. From 2014-2016, the federal government will assist states with Medicaid payments. c. The CHIP program will maintain existing coverage for children through 2015. d. All are correct statements. e. All are false statements.

all are correct

Which of these are essential health benefits? a. Prescription drugs b. Emergency services c. Maternity and newborn care d. All are essential health benefits.

all are essential health benifits

The majority of funding under the revised New Gold Plan of 1994 was allocated for which of the following: - Long term rehabilitation - Home care aides - Respite care - All of these

all of these

Additional ways of financing health care in France includes: assessments on gambling winnings assessments on taxes proceeds from union benefits voluntary contributions

assesments on gambling winnings

Which of the following best describes Frances' compulsory premium? They are: payments made by employers health care coverage for the unemployed automatically deducted from all employees' pay calculated on a sliding fee scale

automatically deducted from all employees' pay

What is the purpose of the Summary of Benefits Coverage (SBC)? a. Provides information to physicians about health insurance coverage. b. Provides health insurance benefits information, which enables consumers to compare different insurance plans. c. A and B d. None are correct statements

b. Provides health insurance benefits info, which enables consumers to compare diff insurance plans

What is the purpose of the Physician Compare website? a. It allows healthcare consumers to review information about the quality of the physician. b. It allows consumers to find out which physicians accept Medicare. c. It allows consumers to find out which physicians accept Medicaid. d. All are correct statements

b. it allows consumers to find out which physicians accept medicare

The Public Health Option is a. A state contract with health insurers to offer two state plans. b. A member-run organization in all 50 states that targets high income individuals. c. A federal contract with health insurers to offer two state plans. d. Part of the American Health Benefit Exchange. e. C and D.

c. A federal contract with health insurers to offer two state plans. d. Part of the American Health Benefit Exchange. *e. C and D*

France's threefold health care goal includes all of the following except: Decreasing costs Single health insurer Compulsory salary based premiums Choice of physicians

decreasing costs

Supplemental private insurance is a form of payment for which: 30% of the population has coverage Everyone has coverage Few can afford because of the high premiums Only those 65 years of age are covered

everyone has coverage

The benefits of smaller hospitals joining integrated delivery systems include: - Financial protection - Immediate improvement in cash flow - Debt forgiveness - Creative financial planning

financial protection

Reflexology is best described as: - Physical therapy implanting needles into deep tendons - Massaging the skull to relieve headaches - The same as Shiatsu - Foot massage

foot massage

How is healthcare in Canada is funded? A. General taxes and Medicare B. Totally by the government C. Out of pocket sliding fee scale for those employed D. Contributions from Non-government organizations (NGOs)

general taxes and medicare

Which of the following best reflects care delivery in the U.S.? It is primarily: - primary care - community based - outpatient based - hospital based

hospital-based

It is suggested that the U.S. government could save as much as $100 billion dollars a year by doing which of the following? - Decreasing Medicaid costs - Decreasing Medicaid and Medicare costs - Eliminating the Medicaid program - Lowering administrative costs

lowering administrative costs

The Independent Payment Advisory Board was established to: a. Compare the outcomes of disease treatments. b. Provide Medicare beneficiaries with at home primary care. c. Will publish data that will enable consumers to compare the quality of long term facilities. d. Provide technical assistance to primary care providers about health promotion. e. None of these answers are correct

none are correct

Which of the following statements most accurately reflect Japan's infant mortality rate? It is: - Approximately 10 per 1,000 live births - One of the lowest in the world - One of the highest in the world - Approximately 25 per 1,000 live births

one of the lowest in the world

Which of the following is a major criticism of the Affordable Care Act? - It extends coverage up to age 35 - It does not covers the costs for immunizations - People are not covered after age 26 - A person can no longer choose their physicians

people are not covered after age 26

The Affordable care Act is based on which of the following premises? That, - If you pass the legislation and offer the plan, consumers will utilize the services - People with primary care providers are more likely to receive preventive care, and are more satisfied - Insurance companies are not consumer friendly - Most consumers really cannot afford health insurance

people with PCPs are more likely to receive preventative care, and are more satisfied

The purpose of epidemiological surveying of diseases is most accurately to do which of the following? Promote early treatment Educate the public about how diseases spread Obtain quality care outcomes Predict outbreaks and contain diseases

predict outbreaks and contain diseases

The majority of hospitals in Japan are: - Privately owned and operated - Publically owned and operated - Owned and operated by Non-government organizations (NGO) - Owned and operated by religious orders

privately owned and operated

Community and Migrant Health Centers C/MHCs are best known for which of the following? - Providing quality services to low income and vulnerable populations. - Limiting the number of consumers seen in order to decrease cost - Providing primary care directly proportional to their budget - Providing access to specialty services

providing quality services to low income and vulnerable populations

Which of the following statements is true of The Affordable Insurance Exchange? - American citizens and legal immigrants who are already covered can use this to cover gaps in their existing plan. - Individuals who do not have coverage can petition the government for permission to obtain coverage through this Exchange. - The Exchange is available to small businesses with fewer than 100 employees. - Individuals and businesses using the Exchange will not qualify for additional tax credits.

the Exchange is available to small businesses with fewer than 100 employees

Which of the following most accurately explains the payment of a bill for services after a person visits a doctor in France? The entire bill is paid for by the government The government pays 50% of the bill and insurance pays 50% Insurance pays 70% and the government pays 30% The government pays 70%

the government pays 70%