Global Exam 2

Additional ways of financing health care in France includes: 1. assessments on gambling winnings 2. assessments on taxes 3. proceeds from union benefits 4. voluntary contributions

1

France's threefold health care goal includes all of the following except: 1. Decreasing costs 2. Single health insurer 3. Compulsory salary based premiums 4. Choice of physicians

1

The purpose of the Protection Maternelle et infantile (PMI) program in France is best described as, a program specifically to: 1. Provide basic preventive care for mother and child 2. Improve overall care of infants and children 3. Improve prenatal care during first pregnancies 4. Educate parents on protecting infants from infections

1

Supplemental private insurance is a form of payment for which: 1. 30% of the population has coverage 2. Everyone has coverage 3. Few can afford because of the high premiums 4. Only those 65 years of age are covered

2

The most accurate description of Agence Nationale d' Accreditation et d'Evaluation en Santè (ANAES) is which of the following? It is designed to: 1. Train staff in to develop better country wide emergency protocols 2. Develop practice guidelines to improve quality care outcomes 3. Improve out-patient, primary care throughout the country 4. Develop evaluation plans for initial and post assessments

2

Which of the following best accounts for the success that France has enjoyed in achieving overall good health care outcomes? France: 1. Has an abundance of financial resources 2. Commits significant resources to funding prevention 3. Receives significant financial support from non-government organizations 4. Uses monies from their overfunded pension plan

2

The Social Security Fund Act of 2001 sets the rates for health insurance based on earned income at which of the following percents? 1. 8.50% 2. 7.25% 3. 5.25% 4. 4.25% 5. More than 8.50

3

Which of the following best describes Frances' compulsory premium? They are: 1. payments made by employers 2. health care coverage for the unemployed 3. automatically deducted from all employees' pay 4. calculated on a sliding fee scale

3

The purpose of epidemiological surveying of diseases is most accurately to do which of the following? 1. Promote early treatment 2. Educate the public about how diseases spread 3. Obtain quality care outcomes 4. Predict outbreaks and contain diseases

4

Under which of the following situations are health care costs entirely paid for by the national health insurance? When the person: 1. Has a long-term chronic illnesses 2. Has had major surgery 3. Is 65 years of age or older 13 4. 1 and 2 only

4

Which of the following most accurately explains the payment of a bill for services after a person visits a doctor in France? 1. The entire bill is paid for by the government 2. The government pays 50% of the bill and insurance pays 50% 3. Insurance pays 70% and the government pays 30% 4. The government pays 70%

4

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

Administrative responsibility for Brazil's health care system rests with which of the following? A) The Ministry of Health B) The Family Health Office C) The Southeastern Region D) The Civilian Council

A

Health care delivery in Japan is: A. Decentralized B. Fully standardized C. Undated D. The best in the world

A

Health care in India primarily focuses on: A. Acute care B. Long term rehabilitation C. Prevention D. Primary care

A

Historically the health care system in Cuba has focused on all the following except: A. Acute care B. Tertiary care C. Specializations D. Research

A

How is health care 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)

A

Japan is commonly known around the world as the: A. Aging society B. Brain drain society C. Society of youth explosion D. Technology society

A

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

The Physician's Bill of Rights is best described as: A. A philosophical statement conveying that the physician is the most important person in the health care system B. A document listing the rights of physicians C. Part of the contractual agreement between the Ministry of Health and the physician outlining physician's rights D. Signaling the consumer that the physician makes the rules

A

The concept "WE-ISM" can best be explained as: A. A strong commitment to family B. A pledge to support family, friends, and neighbors C. Modeling for others than hard work pays off D. Encouraging family to stay together

A

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

A

The majority of road accidents in Brazil occur among which group? A) Adult males between the ages of 35 and 50 B) Adolescent males between the ages of 15 and 19 2 C) Adult males over the age of 20 D) Adult males over the age of 65

A

The root causes of Russia's population decline can be attributed to: A) Alcoholism and smoking B) Low birth rates and high mortality rates C) The high rate of adolescent male suicide D) The economic crisis of 2008

A

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

A

Victims of a major motor vehicle accident in Ghana will most likely: A. Be rushed to the nearest hospital by a passerby, family member, or friend B. Be taken to the closest traditional healer C. Be taken by ambulance to the nearest hospital D. Never be taken to the hospital

A

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

Where would you expect to find a patient with HIV/AIDS being cared for in the Cuban health care system? A. A Sanatorium type facility B. A Hospital clinic C. A HIV/AIDS designated community based clinic D. In their homes

A

Which of the following is NOT one of the largest religious groups in Ghana? A. Episcopalian B. Catholic C. Muslim D. Protestant

A

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

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

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

A

Which of the following statements reflect India's infant mortality rate? A. 85:1,000 live births B. High rate C. Moderate D. 54:1,000 live births

A

Although the infant mortality rate in Ghana is a challenge, which of the following statements best reflects infant mortality during the last decade? It has: A. steadily increased B. steadily decreased C. remained relatively unchanged D. decreased slightly

B

Approximately 70% of Indian hospitals are: A. Government owned and operated B. Privately owned and operated C. Operated by a religious order D. In rural areas of India

B

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

Cuba has committed considerable effort and resources in the area of research into the epidemiology and treatment of diseases. Which health problem is not among those included in these efforts? A. Dengue fever B. Obesity C. Tuberculosis D. Sickle cell disease

B

In India, death is considered: A. a time to reflect on reincarnation B. a natural occurrence C. stressful transition from life D. unwelcomed, very sad occasion

B

In Russia's decentralized system of health care, which of the following is responsible for administering health services to the population? A) The Ministry of Health B) Regions and municipalities C) Feldsher Stations D) Specialized hospitals

B

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

B

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

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

Other than native African, there is a strong presence of ________ in Ghana. A. Japanese B. Dutch C. Germans D. Americans

B

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 11 D. community-based hospitals

B

The Bolsa Familia Family Program requires meeting the following conditions: A) Children must attend school and successfully complete math and science tests B) Children must attend school and be immunized C) Children must attend school and follow the family program diet D) Children must attend school and follow the family program exercise regimen

B

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

B

The historical event which profoundly affects Russia's poor health outcomes is: A) The Chernobyl Disaster B) The break-up of the Soviet Union C) World War I D) World War II

B

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

B

The majority of physicians in Ghana practice in urban areas. The fewest number of physicians practice in what region? A. Northern B. Volta C. Winneba D. Burkina Faso

B

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 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

Which of the following best describes Brazil's health care financing? A) Adequate funding B) Chronic underfunding C) Predominately tax based D) Predominately private funding

B

Which of the following best describes health care spending in Russia? A) On par compared other countries in transition B) Low compared to other European countries C) Fluctuates in an uncertain economy D) Rises above the recommended expenditure on health

B

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

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

B

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

Which of the following statements most accurately describes the health care workforce in Cuba? There is a/an: A. Good supply of well-trained physicians B. Modest, but adequate salary compensation package for physicians and nurses C. Internationally respected physician workforce D. Physicians and nurses work in partnership teams

B

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

B

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

Approximately 700,000 Indians die each year from which of the following? A. Heart disease B. Infectious respiratory problems C. Diarrheal illnesses D. Cancer

C

Approximately what percentage of Brazil's population depends on the National Health system for medical care? A) 30% B) 25% C) 70% D) 80%

C

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

Cuba's overall successful public health record is most attributed to: A. Health care expenditures that exceed what the U.S spends on health care B. Requiring medical students to complete 3 years of national service after medical school C. The emphasis placed on healthy lifestyles, and managing resources D. Balancing traditional and biomedical health care practices

C

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

C

Medical help in the rural areas of Russia can be found at A) Urgent Care Units B) Family Health Clinics C) Feldsher Stations D) Dispensaries

C

One hundred percent of residents in Japan had universal coverage by: A. 1922 B. 1940 C. 1958 D. 1998

C

One of Brazil's outstanding achievements in health care is: A) A decline in premature deaths related to alcoholism B) Improved services to the elderly C) A decline in infant mortality for children under 5 years of age D) Improved emergency services

C

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 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

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

The Japanese health care system was most inspired by which country? A. England B. Denmark C. Germany D. Italy

C

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

C

The average overall life expectancy in Ghana in 1997 was approximately 53 years old. In 2010 it: A. Dropped to 50 B. Increased approximately 5 years C. Increased approximately 7 years D. Dropped slightly to 52

C

The estimated life expectancy of Russian males is: A) Age 72 B) Age 16 C) Age 60 D) Age 45

C

Under the Soviet regime, the Semashko System of health care emphasized A) Control of alcohol and drug consumption B) Control of high abortion rates C) Control of infectious diseases D) Control of the healthcare budget

C

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

Which of the following best describes Brazil's epidemiological transition? A) A rise in obesity B) A decrease in neuropsychiatric disorders C) A rise in non-communicable diseases D) A rise in cardiovascular diseases

C

Which of the following best describes Brazil's health care strategy? A) Alternative medicine B) Community-based health care centers C) The Family Health Program D) Urgent care clinics

C

Which of the following best describes Russia's current health status? A) One of the top health systems in the world B) A model example of primary care C) Substandard worldwide and below Western standards D) A model example of evidence-based practice

C

Which of the following best describes significant progress made in treating major diseases in Cuba? A. Treatment of cancer B. Preventing the spread of waterborne diseases and infections C. The use of community based polyclinics D. Preventing obesity related health problems

C

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

Which of the following is NOT among the many environmental challenges causing public health problems in Ghana? A. tropical climate of rainy and dry seasons B. malaria breeding mosquitoes C. regular chemical spills D. unclean drinking water

C

Which of the following is the leading cause of death in Brazil? A) HIV/AIDS B) Adolescent suicide C) Circulatory Diseases D) Diabetes

C

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

Approximately 40% is of India budget is spent on: A. Acute care B. Primary care initiatives C. Community based prevention D. Secondary and tertiary inpatient care

D

By the turn of the 21st Century Russia's population had diminished by A) 400,000 people B) One million people C) 4 million people D) 6 million people

D

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

Health care problems considered endemic to India include: A. Type I diabetes B. cholera, CR-Malaria C. Leprosy D. Diarrheal illnesses and tuberculosis

D

In Brazil, alternative medicine is regarded as: A) A recreational pastime B) A passing fad C) An obsession of the rich D) An integral part of the culture

D

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

In addition to the mortality rates of adolescent males, which group in Russia has raised growing concerns? A) The population over 60 B) Working women aged 35-64 C) Adolescent females ages 15-18 D) Middle-aged males 40-64

D

Indians are offered incentives for: A. ensuring their children graduate from high school B. limiting the number of children they have C. practicing Hinduism D. voluntary male sterilization.

D

Indians have a view of health that is most accurately describes as: A. optimistic B. pessimistic C. Herbalist D. Fatalistic

D

Obesity is almost unheard of in Ghana. This is partly attributed to: A. Walking long distances B. Eating a vegetable enriched diet C. Eating poultry and fish D. All of the above

D

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

Reflexology is best described as: A. Physical therapy implanting needles into deep tendons B. Massaging the skull to relieve headaches C. The same as Shiatsu D. foot massage

D

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

D

When a person becomes ill in the Cuban system they are least likely to seek care at which of the following? A. Community based clinic (polyclinic) B. Herbalist C. Nurse or physician neighbor D. Hospital emergency room

D

Which of the following describes India's overall life expectancy? A. 85 B. 75 C. 65 D. Less than 65

D

Which of the following statements best reflect Cuba's health care system? A. The poorer communities receive the best access to care. B. The greatest challenges are lack of immunizations to protect children C. Efforts to reduce the high infant and neonatal mortality rate severely taxes the health care budget D. Maternal mortality presents a challenge

D