Chapter 16

Drugs that can be purchased without a prescription as part of self-care are

over-the-counter drugs.

Capitation refers to

payment of a fixed monthly amount to a health-care provider per enrolled patient, regardless of the type or number of services provided.

An optometrist

performs eye exams and prescribes and fits lenses.

Treating a minor health problem yourself without seeking professional help is

self-care.

When choosing a health care provider, you should examine all of the following EXCEPT

their membership in local organizations such as country clubs or service clubs.

All patients have the legal right to access their medical records.

true

If you are concerned about the costs of health care, which of the following practices should you avoid?

using the emergency room for your routine health care

Your father was laid off six months ago but recently started a new job. He was able to keep his health insurance during the transition through

COBRA.

The health insurance program jointly funded by the states and the federal government that provides coverage for low-income individuals and families is

Medicaid.

A 70-year-old retired person would be eligible for health insurance coverage through

Medicare.

The federally funded health insurance program that covers 99 percent of the U.S. population age 65 and older is

Medicare.

Which of the following statements is NOT true about costs in the U.S. health care system?

New technologies are lowering costs.

Which of the following symptoms probably does NOT warrant professional medical advice?

You develop a low-grade fever and sore throat.

Your mom's doctor works at a hospital accredited by the Joint Commission. This type of accreditation indicates that

all practitioner education, licensing, and training qualifications have been verified.

Conventional Western medical practice is known as

allopathic medicine.

The term defensive medicine refers to actions taken to

avoid malpractice claims.

The 2010 Affordable Care Act (ACA) was designed to do all of the following EXCEPT

deny health care coverage to those with preexisting conditions.

Over-the-counter drugs are commonly used for all of the following EXCEPT

diabetes.

Categories established by the federal government to determine how much a hospital will be reimbursed for the care of a patient with a particular condition or multiple conditions are

diagnosis-related groups.

In a 2014 survey, approximately what percentage of college students said they had no health insurance?

5 percent

Originally health insurance only covered major medical expenses. What effect did this type of coverage have on the medical system?

It encouraged doctors to provide more medical procedures for patients.

Self-care involves all of the following EXCEPT

avoiding medication and taking a "tough it out" approach to illness.

Physician assistants

can provide treatment and write prescriptions when supervised by a physician.

If an insurance policy covers 90 percent of your total medical bills, the remaining 10 percent that you must pay is your

coinsurance amount.

Managed care is based on

coordination of health care.

A set fee that an insurance plan requires that patients pay at the time of service (per office visit or prescription) is the

copayment

Most private health insurance plans require the patient to a pay a certain amount each year toward health care expenses before the plan benefits begin; this amount is the

deductible.

Medical decision making based on clinical expertise, patient values, and data from scientific research is known as

evidence-based practice.

An optometrist holds a medical degree and can perform eye surgery.

false

Due to the differences in training, an osteopathic physician would probably have more experience dealing with which condition than a medical doctor?

low back pain

The legal term for improper or negligent treatment of a patient by a health care provider that results in loss or harm to the patient is

malpractice.

Before receiving any care, patients must be made aware of the treatment plan and any potential risks involved. This is known as the right

of informed consent.

Your primary care provider suspects that you may have an unusual infection in your eyes. To whom would he or she refer you?

ophthalmologist

In a clinical trial for a new pain medication, Hayden was given an inactive substance instead of an actual drug. After taking it, however, his headache improved. This resulted from the

placebo effect

Before the Affordable Care Act, if you had a history of back problems and needed health insurance, it was unlikely that your new insurance plan would cover any treatment related to your back problems until the policy had been in effect for a period of time. Your back problem was considered a(n)

preexisting condition

A payment made to an insurance company, usually on a monthly basis, to cover the cost of an insurance policy is the

premium.

The ACA is intended to improve the quality of health care by emphasizing

preventative care.

If you have moved to a new town and want to find a physician you can see for annual wellness exams and the treatment of routine ailments, you are seeking a(n)

primary care practitioner.

Communication with health care providers can be improved by all of the following EXCEPT

relying on your health care provider for all information on health care issues.