chapter 1-8 review dynamics
Capitation as a method of reimbursement is best described as which of the following? A) Paying the practitioner or hospital only a percentage of the amount they bill for B) Paying the practitioner or hospital a fixed amount for a specific service C) Paying the practitioner or hospital a percentage based on the number of patients the insurance company refers to them D) Capitation has nothing to do with health insurance or reimbursement.
B) Paying the practitioner or hospital a fixed amount for a specific service
Privately funded long-term care providers that are regulated by federal and/or state governments include which of the following? A) Childcare organizations B) Residential care communities C) Affordable care providers D) In-home support doctors
B) Residential care communities
Which of the following is covered by Medicare Part A? A) All hospital care B) Skilled nursing care C) Drugs D) Transportation to medical appointments
B) Skilled nursing care
Which group developed the first private hospital insurance plan in 1929? A) Coal miners B) Teachers C) Nurses D) Doctors
B) Teachers
Which of the following technology innovations helps provide greater access for patients whose access to health care may be limited? A) Public hospitals B) Telemedicine C) Skilled nursing facilities D) Rehabilitation centers
B) Telemedicine
Which of the following is the federal requirement that is designed to ensure that individuals are not inappropriately placed in nursing homes for long-term care? A) The Federal Long Term Care Screening Test (FLTCST) B) The Preadmission Screening and Resident Review (PASRR) C) The Preadmission Exam for Needs and Disabilities (PEND) D) The Resident Ability Screening Test (RAST)
B) The Preadmission Screening and Resident Review (PASRR)
Which of the following best describes the actions of biomedical engineers? A) They gather and interpret medical statistics. B) They research and develop new medical equipment. C) They perform clinical trials for new medicines. D) They create blueprints for new hospitals.
B) They research and develop new medical equipment.
In 2019, Medicaid provided coverage to how many Americans, which makes it the nation's largest public health insurance program? A) 1 in 10 B) 2 in 10 C) 1 in 5 D) 2 in 5
C) 1 in 5
During what year did the first Baby Boomers turn 65 years old? A) 1999 B) 1980 C) 2011 D) 2002
C) 2011
currently, which of the following is one of the most promising technologies in health care? A) Anti-bleeding gel B) Windows 10 C) 3D printer D) Automated blood count systems
C) 3D printer
.The Medicaid spousal impoverishment provisions allow for which of the following? A) The spouse still living in the community can no longer receive Medicaid benefits. B) The spouse still living in the community is eligible for a set tax reduction. C) A certain amount of the couple's combined resources is protected for the spouse living in the community. D) The spouse still living in the community is entitled to have meals delivered.
C) A certain amount of the couple's combined resources is protected for the spouse living in the community.
According to the World Health Organization (WHO), the best protection against common diseases is which of the following? A) Sleeping eight hours per night B) Proper handwashing C) An adequate diet D) Covering one's mouth when coughing
C) An adequate diet
Which of the following groups of people is eligible for Medicare? A) Age 55 and older B) Age 60 and older C) Any adult with end-stage renal disease D) Any adult with cancer
C) Any adult with end-stage renal disease
Who monitors insurance enrollment numbers and federal dollars spent for health care? A) United States President B) Local congressmen C) Federal government D) Insurance agency
C) Federal government
What was the traditional method of reimbursement for health services before passage of the Affordable Care Act (ACA)? A) Private insurance B) Medicare C) Fee-for-service D) Payer
C) Fee-for-service
Which of the following is an example of clinical functions of health information technology? A) Paper-based health records B) Less expensive prescriptions C) Filmless imaging D) Robotic surgery
C) Filmless imaging
Which of the following best describes a Health Maintenance Organization (HMO)? A) HMOs are fee-for-service organizations. B) Members of an HMO are free to choose their own care provider. C) HMOs cover only care provided by those facilities and providers within the HMO network. D) Members of an HMO are treated according to the severity of their illness.
C) HMOs cover only care provided by those facilities and providers within the HMO network.
The continuing flow of new medical technology results from many factors. Which of the following is an example of those factors? A) Healthcare workers are funding their own research. B) Consumers are unable to manage their own health care. C) Health insurance systems provide payment for new innovations. D) More funding for drugs comes from the U.S. government.
C) Health insurance systems provide payment for new innovations
The Bureau of Labor Statistics classifies healthcare into three broad categories. Which category requires the highest degree of education? A) Healthcare support occupations B) All categories require a high degree of education. C) Healthcare practitioners and technical occupations D) Community and social service occupations and personal care and service occupations
C) Healthcare practitioners and technical occupations
Which of the following readmission diagnoses were monitored in 2012 for failure to meet standards, causing lower Medicare payments to hospitals? Choose all that apply A) High blood pressure B) Diabetes C) Heart attack D) Stroke E) Urinary tract infection F) Pneumonia
C) Heart attack D) Stroke F) Pneumonia
Which of the following are two main factors associated with the increased prevalence of chronic and degenerative diseases? A) Better hospitals and physicians B) Antibiotics and vaccines C) Longevity and increased number of the elderly D) Increased access to health care and lower costs
C) Longevity and increased number of the elderly
Which of the following would you identify as being one of the most common preventive services? A) Dental examination B) Vision screening C) Mammography D) Neurological screening
C) Mammography
The most significant change in government healthcare financing was when Congress approved which of these health insurance programs with the passage of Title XVIII and Title XIX, respectively, of the Social Security Act of 1965? A) CDC B) CHIPS C) Medicaid D) ACA
C) Medicaid
What types of communities do federally funded primary care health centers serve? A) High-income communities B) Middle-class working communities C) Medically underserved communities D) Business communities
C) Medically underserved communities
In 2050, the age group 65 years and older is best described by which of the following? A) A population that has 47% fewer people than it has today B) A population of 63,000 C) More racially, ethnically diverse D) A population living mostly in Florida
C) More racially, ethnically diverse
the Patient Protection and Affordable Care Act (H.R. 3590), modified by the Health Care and Education Reconciliation Act of 2010 (H.R. 4872), is also known as which of the following? A) Small Business Health Options Program (SHOP) B) Gross domestic product (GDP) C) Obamacare D) Navigators
C) Obamacare
The Omnibus Budget Reconciliation Act of 1987 (OBRA 87) was enacted in response to concerns regarding which of the following? A) The rising cost of health insurance premiums B) The overcrowding of hospitals C) Poor quality of care and inadequate regulation in U.S. nursing homes D) The lack of qualified physicians in the hospitals
C) Poor quality of care and inadequate regulation in U.S. nursing homes
Which of the following best describes the method of funding for health care in the United States? A) Blue Cross and Medicare B) Medicare and Medicaid C) Private payers and public programs D) None of these are correct.
C) Private payers and public programs
A nursing home that provides the level of care closest to hospital care is which of the following? A) Sub-acute facility B) Step down unit C) Skilled nursing facility D) Long-term care facility
C) Skilled nursing facility
Which of the following is a reason for the rising costs of healthcare? A) Adequate preventive services B) The use of inexpensive medical technology C) The aging of the population D) The increasing division between economic classes
C) The aging of the population
8. Medical terminology is best described by which of the following? A) Latin interpretation of medical terms B) Medical version of English C) The language used in medicine D) A secret code used to document patient histories
C) The language used in medicine
Which of the following statements best describes the "fee-for-service" model of payment? A) Services are paid for on a sliding scale considering severity. B) Services are paid for depending on the person's ability to pay. C) The payer is financially rewarded for volume of services rather than for quality of service or cost control. D) All services are prepaid at a set fee for each.
C) The payer is financially rewarded for volume of services rather than for quality of service or cost control.
Which of the following is a common condition that requires rehabilitation services? A) Head injury B) Hernia surgery C) Child birth D) Blood transfusion
A) Head injury
What are the two leading causes of death in people 65 years and older? A) Heart disease and cancer B) Falls and pneumonia C) Stroke and Alzheimer's D) Autoimmune diseases and kidney failure
A) Heart disease and cancer
In the second half of the nineteenth century in the United States, the most critical health problems were related to which of the following? A) Industrialization B) Preserved food and water C) New housing D) Household size
A) Industrialization
Which of the following is an example of a social determinant of health (SDOH)? A) Lack of nutritious food B) Obesity C) Gene mutations D) Technology
A) Lack of nutritious food
Which of the following best describes the fact that healthcare workers are not distributed according to the population or health needs in certain geographic areas? A) Maldistribution of health personnel B) Equitable distribution of health personnel C) Malfunction of healthcare needs D) Lack of stable healthcare system
A) Maldistribution of health personnel
Medicare Part B covers which of the following? A) Medical equipment B) Hospital stays C) Inpatient care D) Drugs
A) Medical equipment
Which of the following organizations was established to support 1,200 free clinics in nearly all states within the United States? A) National Association of Free Clinics B) Free Clinics USA C) Association of Clinical Medicine D) National Clinic Association
A) National Association of Free Clinics
Which of the following is a service provided by a hospice? A) Pain management associated with dying B) Financial support C) Substance abuse counseling D) Transportation
A) Pain management associated with dying
Commonly used health information technology solutions include which of the following? Choose all that apply. A) Patient registration B) Electronic health records C) Electronic prescribing D) Telepathic time travel E) Bar coding F) Meal preparation
A) Patient registration B) Electronic health records C) Electronic prescribing E) Bar coding
Medicaid is the federal-state cooperative health insurance plan for which group of people? A) People not eligible for health insurance through an employer B) People who can afford to buy health insurance C) People over the age of 65 D) Children
A) People not eligible for health insurance through an employer
In 2003, the AHA (American Hospital Association) developed the Patient Care Partnership, which resulted in which of the following? A) Replacement of the Patient's Bill of Rights (The Consumer's Rights) B) Explanation of informed consent C) All Americans earning the right to health insurance D) Privatization of hospitals
A) Replacement of the Patient's Bill of Rights (The Consumer's Rights)
Robots are being used in many areas of care. Which of the following is the best example of this? A) Robots used by surgeons to ensure that surgery is more precise B) Robots used by nurses to answer call bells C) Robots used by dietary departments to deliver meals to patient floors D) Robots used to drive patients to appointments
A) Robots used by surgeons to ensure that surgery is more precise
The use of electronic communications and information technologies to provide or support clinical care at a distance is known as which of the following? A) Telemedicine B) Telephone C) Computerized care D) Telecare
A) Telemedicine
What is the most significant change in health care in the United States in the past 10 years? A) The number of individuals who have access to health care due to the implementation of the Affordable Care Act B) The number of people on Medicare and Medicaid C) The new diseases people are getting D) The number of new drugs that are being manufactured
A) The number of individuals who have access to health care due to the implementation of the Affordable Care Act
Which of the following best describes the variety of technologies that provide healthcare practitioners with diagnostic and treatment recommendations? A. A clinical decision support system (CDSS) B. The medical community C. Physician group practices D. Nursing technology association
A. A clinical decision support system (CDSS)
What is the intention of the Patient's Bill of Rights? A) To have a legally binding document to protect patients B) To state the responsibilities of the staff toward the patient C) To state the responsibilities of the hospital and staff toward the patient and his or her family (The Consumer's Rights) D) To protect the hospitals from being sued
C) To state the responsibilities of the hospital and staff toward the patient and his or her family (The Consumer's Rights)
Electronic materials management refers to which of the following? A) Tracking all medical supplies that require electronic energy B) Tracking inventory of electronic supplies C) Tracking and managing of inventory of medical supplies, drugs, and other materials D) Tracking infectious waste disposal
C) Tracking and managing of inventory of medical supplies, drugs, and other materials
Examples of government or public health insurance programs include which of the following? A) National Institutes of Health B) Medicare and Medicaid C) Department of Health and Human Services D) Aetna and Blue Cross
B) Medicare and Medicaid
According to the Alzheimer's Association, about how many people age 65 and older have the disease? A) One in five B) One in ten C) One in fifteen D) One in twenty
B) One in ten
Which of the following is a major force affecting the development of hospitals? A) Advances in travel medicine B) Advances in nutrition education C) Transformation of nursing into a profession by requiring training D) Computer technology
C) Transformation of nursing into a profession by requiring training
In the healthcare industry, what percentage of healthcare workers do hospitals employ? A) 8% B) 12% C) 26% D) 39%
D) 39%
Medical technology includes products used to do which of the following? A) Diagnose diseases B) Treat diseases C) Monitor human conditions D) All of these are correct.
D) All of these are correct.
Privately funded long-term care providers that are regulated by federal and/or state governments include which of the following? A) Hospice B) Residential care communities C) Adult day care D) All of these are correct.
D) All of these are correct.
The aging of our population has important implications on which of the following? A) Caregiving B) Social services C) Health care D) All of these are correct.
D) All of these are correct.
Which of the following is a component of improving the health of all Americans? A) Data collection and documenting trends in risk factors B) Disseminating reliable and accurate information C) Gaining an understanding of the healthcare needs D) All of these are correct.
D) All of these are correct.
Which of the following is an essential health benefit required by all qualified health plans? A) Prescription drugs B) Behavioral health treatment C) Laboratory services D) All of these are correct.
D) All of these are correct.
Which of the following statements about Medicaid is true? A) It serves as a supplemental insurance for disabled people. B) It pays Medicare premiums. C) It covers prescription drugs. D) All of these are correct.
D) All of these are correct.
Which of the following is an example of health information technology? A) Joint replacements B) Drugs C) Digestible sensors D) Computer software for patient history
D) Computer software for patient history
What project has identified gene mutations that transmit risk for disease and response to drugs used to treat disease? A) Globalization Project B) Clinical Preventative Project C) The National Prevention Project D) Genome Project
D) Genome Project
.Medicare health insurance is divided into four parts. Which part covers prescription medications? A) Medicare A B) Medicare B C) Medicare C D) Medicare D
D) Medicare D
Which of the following is an individual employed and trained to assist consumers in selecting and enrolling in a Qualified Health Plan (QHP)? A) Small Business Health Options Program (SHOP) B) Gross Domestic Product (GDP) C) Obamacare D) Navigators
D) Navigators
The majority of healthcare employees work in which setting? A) Hospitals B) Clinics C) Nursing homes D) Offices of health practitioners
D) Offices of health practitioners
What is the name of the program supported by the CMS that provides comprehensive preventive, primary, acute, and long-term care services so that older individuals with chronic care needs can continue living in the community? A) Medicaid B) Medicare C) Pacer D) PACE
D) PACE
In 2010, which of the following could no longer be used to exclude an applicant from obtaining health insurance? A) Age and race B) Number of individuals living in the residence C) Ability to pay for services D) Pre-existing medical conditions
D) Pre-existing medical conditions
Mental health facilities in the United States began as state hospitals whose primary purpose was to do which of the following? A) Trial psychotropic drugs B) Provide shelter for the homeless C) Treat the patient D) Protect the public
D) Protect the public
By 2017, what was a key contributor to lowering National Health Expenditure? A) Physician training B) Clinic hours C) Decreased illness D) Reduced uncompensated hospital admissions
D) Reduced uncompensated hospital admissions
Which of the following best refers to the method of submitting and following up with claims made to government payers, insurance companies, and patients for services rendered to a patient? A) Accounts receivable B) The revenue cycle C) Accounts payable D) The billing process
D) The billing process
TRUE or FALSE: Managed Care Organizations are divided primarily into HMOs, PPOs, and Exclusive Provider Organizations.
true
TRUE or FALSE: ACOs that failed to meet the standard for quality and cost savings were financially responsible for the healthcare costs of patients instead of Medicare.
true
TRUE or FALSE: In some parts of the country, new health workers are finding it difficult to obtain jobs.
true
TRUE or FALSE: Managed Care Organizations is a healthcare delivery system designed to manage cost, utilization, and quality.
true
TRUE or FALSE: Nearly two-thirds of total Medicaid expenditures cover either the elderly or persons with disabilities.
true
TRUE or FALSE: Probably the most familiar type of ambulatory care and the type that most people receive is in an office of either a private or group practice or in a noninstitutional clinic.
true
TRUE or FALSE: The Aging Network is a system of federal, state, and local entities committed to supporting older Americans in living independently in their homes and communities.
true
TRUE or FALSE: The traditional method of reimbursement for health services before the passage of the Affordable Care Act was fee-for-service.
true
the impact on the individual with low literacy skills is more frequent medical errors, illness and disability, and loss of wages. Approximately what percentage of adults in the United States have low literacy skills? A) 1/3 B) 50% C) 2/3 D) 27%
A) 1/3
Which of the following are examples of zoonotic diseases caused by viruses? (Choose all correct answers) A) Avian (bird) influenza B) Common cold virus C) Herpes duplex D) Ebola E) Coronavirus COVID-19
A) Avian (bird) influenza D) Ebola E) Coronavirus COVID-19
8. The mission of the U.S. Department of Health and Human Services is to enhance and protect the health and wellbeing of all Americans by providing for effective health and human services and fostering advances in medicine, public health, and social services. The focus of public health is the community instead of the individual. A) Both are True B) Both are False C) The first statement is True while the second statement is False D) The first statement is False while the second statement is True
A) Both are True
If you are considering a career in the healthcare field, there are many opportunities, and some careers require only a high school diploma. According to the U.S. Bureau of Labor Statistics, 8 of the 20 fastest growing occupations are healthcare related. A) Both are True B) Both are False C) The first statement is True while the second statement is False D) The first statement is False while the second statement is True
A) Both are True
Most diseases of today are associated with personal lifestyle. The federal government has very much to do with the direction of healthcare. A) Both are True B) Both are False C) The first statement is True while the second statement is False D) The first statement is False while the second statement is True
A) Both are True
Numerous HIPAA regulations target concerns about the confidentiality and security of patient information and the steps that must be taken to maintain privacy in the digital world. One significant benefit of electronic health records is that information contained within them can be shared with other healthcare providers across different healthcare organizations. A) Both are True B) Both are False C) The first statement is True while the second statement is False D) The first statement is False while the second statement is True
A) Both are True
Other than being administered by CMS, Medicaid and Medicare structures have little in common.Requirements for personnel specifically prepared to serve older people will greatly exceed the current supply. A) Both are True B) Both are False C) The first statement is True while the second statement is False D) The first statement is False while the second statement is True
A) Both are True
Racial and ethnic minority populations have increased from 17.5% of the older adult population in 2003 to 21.2% in 2013, and are projected to increase to 28.5% in 2030. Changes in the racial and ethnic composition of the U.S. population will have significant consequences for the nation's health. A) Both are True B) Both are False C) The first statement is True while the second statement is False D) The first statement is False while the second statement is True
A) Both are True
Apps refer to software programs developed to run on a computer or mobile device in order to accomplish a specific purpose, and some examples of medical technology include apps that can do which of the following? Choose all that apply. A) Conduct vision and hearing tests B) Simulate surgical procedures C) Treat patients D) none of these are right
A) Conduct vision and hearing tests B) Simulate surgical procedures
Which of the following are goals of the Affordable Care Act (ACA) of 2010? (Choose all that apply) A) Decrease the number of uninsured B) Increase the need for prescription drug use C) Increase the quality and efficiency of health care D) Decrease the need for medical testing and equipment E) Slow the rising costs of healthcare F) Decrease use of preventative health services
A) Decrease the number of uninsured C) Increase the quality and efficiency of health care E) Slow the rising costs of healthcare
In the coming years, what is the projection for healthcare personnel prepared to serve the older population? A) Demand will exceed supply. B) Supply will exceed demand. C) Supply and demand will equalize. D) There is no way to make this projection.
A) Demand will exceed supply.
Changes in the way health care is being paid for in both the public and private sectors will impact healthcare personnel and career opportunities. Which of the following best describes the way in which career opportunities will be impacted? A) Future healthcare workers can expect to find more jobs in clinics, ambulatory care, and home care centers. B) Future healthcare workers can expect to find more jobs in hospitals. C) Future healthcare workers can expect to find more jobs in nursing care facilities. D) Future healthcare workers can expect to accept extreme pay cuts.
A) Future healthcare workers can expect to find more jobs in clinics, ambulatory care, and home care centers.
In what year was Medicare expanded to include those with certain disabilities, chronic kidney disease, and ALS? A) 1965 B) 1973 C) 1980 D) 1994
B) 1973
Private funding is primarily through private health insurance, with what percentage of Americans having employer-sponsored health insurance in 2015? A) 27% B) 57% C) 65% D) 75%
B) 57%
Which of the following refers to an individual patient health record stored in a computer database for easy access by physicians and other healthcare workers regardless of the setting? A) Health information record B) An electronic health record (EHR) C) Patient chart D) Patient progress notes
B) An electronic health record (EHR)
What technology can sort through data in public health settings to predict the spread of infectious diseases or assist a healthcare provider in decision making? A) Applied behavior analysis (ABA) B) Artificial intelligence (AI) C) Secure health information exchange D) Critical data review
B) Artificial intelligence (AI)
Which of the following will be the most important disability associated with our aging population? A) Contagious diseases B) Chronic diseases C) Acute diseases D) None of these are correct.
B) Chronic diseases
A smoking cessation class offered to the public through the local hospital would likely be considered a component of which category of healthcare service? A) Rehabilitation B) Disease prevention services C) Health promotion services D) Diagnosis and treatment of illness
B) Disease prevention services
How are hospitals categorized in the United States? A) Mortality and morbidity rates B) Function, length of stay, and financial support or ownership C) Financial support or ownership and average length of stay D) Function, length of stay, and number of physicians
B) Function, length of stay, and financial support or ownership
The four broad categories of healthcare include which of the following? A) Medicine B) Health promotion and disease prevention C) Physical therapy D) Pharmacy
B) Health promotion and disease prevention
In the next decade, the greatest increases will be seen in which setting? A) Hospitals B) Home health care C) Offices of health practitioners D) Laboratories
B) Home health care
Which of the following became a controversial issue associated with the Affordable Care Act (ACA) and women's preventive health services? A) Insurance coverage for frequent mammograms B) Insurance coverage for prescription contraceptives C) Insurance coverage for early gynecology exams D) Insurance coverage for weight management
B) Insurance coverage for prescription contraceptives
Which of the following factors has contributed to a greater use of prescription drug use? A) Implementation of the World Health Organization B) Medicare Part D C) A combined vaccine series D) Reduced use of prescription drugs
B) Medicare Part D
