HLTH 3355 EXAM 1
A fixed prepayment per person to the healthcare provider for an agreed-upon array of services, as which of the following A capitation B value C fixed price D cost
A
In 2002 about how many people were employed in the United States and healthcare services, occupations, practitioners, and technical occupations, and healthcare support occupations A 9 million B 13, million C 15, million D 18, million
A
In 2016, the average life expectancy for men in the organization for economic cooperation and development member countries with 78.1 years the highest life expectancy for men was 81.7 years in Switzerland the lowest was 69.8 in Latvia what was the life expectancy of men in the United States? A 76.1 B 79.1 C 81.1 D 80.1
A
In 2016, which region of the country had the most physician office visits per 100 persons A north east B West C south D Midwest
A
In 2017 what was the per capita spending on healthcare based on the national health expenditures? A about $10,700 B about $20,400 C about $13,300 D none of the above
A
In 2018, the office of the national coordinator for health information, technology issued a report on progress toward achieving health information exchange, which healthcare organizations had made the most progress towards HIE A acute care hospitals B physician offices C nursing homes D home health agencies
A
People who work in the United States food service industry are unlikely to have employer sponsored health insurance. How does this impact workers in this industry? A inequitable access to healthcare B inefficiency of healthcare C ineffectiveness of healthcare D lack of patient safety
A
Since 1976 what is true about investor owned community hospitals A their number has increased B their number has stayed about the same C their number has decreased D they account for more hospitals than nonprofit hospitals
A
What are the three criteria for evaluating healthcare systems? A quality equity efficiency B cost-effectiveness accessibility outcomes C structure process outcomes D mortality, morbidity, life expectancy
A
What percentage of Americans under the age of 65 were covered by private health insurance in 2017 A about 66% B about 58% C about 60% D about 70%
A
What percentage of prescriptions is filled with generic non-branded, or non-patented drugs A 90% B 80% C 40% D 9%
A
Which federal department oversees the school breakfast and lunch programs? A US Department of agriculture B department of health and human services C Department of veteran affairs D Department of labor
A
Which federal department oversees, the hospitals and clinics of the various branches of the military A department of defense B Department of health and human services C Department of veteran affairs D Department of labor
A
Which government health program provides coverage primarily for older adults and those with disabilities A Medicare B veterans affairs C Medicaid D department of defense
A
Which of the following following terms refers to the production of a given level of healthcare goods and services at the minimum cost A productive efficiency B allocative, efficiency C clinical effectiveness D equity of healthcare
A
Which of the following is one of the factors that has contributed to the rapid growth, and the number of advanced practice registered nurses? A a decline in the number of primary care physicians B an increase in the overall number of registered nurses C a decreased scope of practice for APRN D nursing reforms implemented during Vietnam war
A
Which of the following reports brought a new perspective to preventing medical errors A to Err is human by the Institute of medicine B mirror mirror on the wall by Commonwealth fund C national scorecard on US health system performance by the commonwealth fund D national healthcare, quality and disparities reports by the agency for healthcare research and quality
A
Which type of healthcare facility must be located in or serve a medically underserved area ( MUA) A federally qualified health center B industrial health service unit C school health clinic D hospice
A
A shortage of registered nurses in the 1950s led to which of the following A development of the physician, assistant profession B development of licensed practical nurses C an increase in the number of physicians D increased specialization in medical practice
B
Examples of conventional medical supplies include A digital thermometers B latex gloves C surgical instruments D wheelchairs
B
From 2008 to 2017 what was the annual rate of increase in healthcare spending based on the national health expenditures NHE A below 4% B below 6% C below 8% D below 10%
B
In 2016, the average infant mortality rate in the organization for economic cooperation and development. Member countries was 3.9 deaths per 1000 live births. The highest infant mortality rate was 12.1 per 1000 live births in Mexico the lowest was 0.7 per 1000 live births in Iceland, what was the infant mortality rate in the United States? A 7.9 B 5.9 C 10.9 D 2.9
B
In 2018 about how many people were employed in the United States and healthcare services, occupations, practitioners and technical occupations, and healthcare support occupations A 9 million B 13, million C 15, million D 18, million
B
Pharmaceuticals are distinct from other medical products, in that they A require extensive research and development B are design to be metabolized in the body and work on the biochemical level C are typically only used once D may be purchased cheaply
B
What is the second leading cause of death for people 20 to 24 years old A unintentional injuries B suicide and homicide C aids, D cancer
B
What issue has the biggest impact on job satisfaction and retention among registered nurses? A educational requirements B nurse to patient ratio C nurses manager relationships D medical Director expectations
B
What percent of health consumption expenditures was paid by private health insurance companies in 2017 A about 30% B about 36% C about 40% D about 46%
B
Which of the following best characterizes Primary Care A provided in inpatient hospital setting B addresses, most common health, problems of individuals residing in communities C best provided by specialists D increasingly provided by MDs
B
Which of the following is a significant power residing with the states? A provision of immunizations B health, professions, licensing authority C administration of VA hospitals D inspection of nuclear power plants
B
Which of the following is a significant trend in the hospital sector today? A rapid expansion of new hospitals and rural areas B increased in horizontally and vertically, integrated health systems C, decrease in financial relationship between physician and the hospital D emphasis on the community based chronic disease control programs
B
Which of the following is a strength of the US healthcare system? A equitable distribution of and access to health services B technical, accomplishments, C health status of the population compared with dollar spent on healthcare D macro efficiency
B
Which of the following is an example of primary prevention, A visual examination by a dermatologist B use of sunscreen C biopsy of a mole D radiation therapy
B
Which of the following is the largest group of health professionals in the United States? A physicians MDs B registered nurses C licensed, practical nurses D physician assistant
B
Which of the following led to the expansion of the hospital system, and of individual hospitals in the America in the early 20th century A the increasing need to house the poor B the rapid advance and increasing complexity of medical science C advances, and transportation technology D spiraling, medical costs
B
Which of the following payers provides the most financial support for nursing homes A Medicare B Medicaid C private insurance companies D charitable organizations
B
Which of the following would be included under process in the Donabedian model? A material resources, such as medical supplies B diagnosing a medical condition C changes in populations D organizational characteristics
B
Which of the following would fall under the authority of the legislative branch of government? A adjudication of malpractice lawsuit B passage of a law that prevents manufactures from including harmful substances in consumer products C delivery of healthcare services to veterans D determining the guilt or innocence of a person charged with practicing without a license
B
About 42% of the persons 65 and older report having no functional limitations among persons, 18 to 64 years how many have no functional limitations A 55% B 60% C 70% D 80%
C
Addictive and dangerous drugs with established medical uses are A available over-the-counter B available behind the counter C available with a prescription with additional controls established by DEA schedules D not available regardless
C
And 2016 most emergency department visits occurred in what kind of hospital A government hospital B proprietary for profit hospital C voluntary not for profit hospital D teaching hospital
C
Expenditures on medical products, and other goods and services in support of the US healthcare delivery system constitute what percentage of national health expenditures A 5% B 10% C 20% D 40%
C
Implantable medical devices are most likely to be regulated as A class I devices by the FDA B class II devices by the FDA C class III devices by the FDA D PPI exclusions by a GPO
C
In 2016, the average life expectancy for women in the organization for economic cooperation and development. Member countries was 83.4 years. The highest life expectancy for women was 87.1 years in Japan the lowest was 77.8 in Mexico what was the life expectancy of women in the United States? A 83.1 B 79.1 C 81.1 D 80.1
C
In 2017, Medicare spending was what percent of total national health expenditures A 10% B 15% C 20% D 25%
C
In 2017, the national health expenditures were approximately $3.49 trillion what percent of the gross national product was that A about 8% B about 12% C about 18% D about 21%
C
In 2017, which entity paid the greatest amount of national health expenditures NHE A private health insurance companies B patients out-of-pocket C federal government D state government
C
In 2018, which of the following is true about medical schools in the United States A predominantly sponsored by private organizations B an applicant to admission ratio of 4 to 1 C most affiliated with a university D women comprise 70% of medical students
C
The US healthcare system would most accurately be described as which of the following a centralized B single payer C fragmented D unprofitable
C
The occupational safety and health administration is involved in which of the following A conducting research on air pollution B administering the food stamp program C preventing injuries among factory workers D providing healthcare for military veterans
C
Today's Western medicine arose, predominantly from which tradition, A homeopathy B, Chinese medicine, C allopathy D osteopathy
C
Unlike the drug industry companies in the medical device industry A maintain an arms length separation with physicians B try to sell their products directly to patients C work closely with physicians on new products and tailoring their use D typically only sell only conventional products or only high technology products
C
What is the leading cause of death for people 44 years or younger A cancer B aids, C unintentional injuries, D suicide homicide
C
What was the top reason for visiting the emergency department in 2016? A auto accident B gunshot wound C stomach and abdominal pain and cramps D Pain not specific to a body system
C
Which of the following is an example of tertiary care A chest x-ray B an immunization C open heart surgery D treatment for hypertension
C
Which of the following is the oldest and largest healthcare accrediting organization in the United States? A the leapfrog group B agency for healthcare research and quality C the joint commission D national quality forum
C
Which of the following procedures would most likely be performed in an ambulatory surgery center? A heart transplantation B cesarean section C arthroscopic surgery D emergency, dental care
C
At each level of government, federal state, and local, what branches of government have some responsibility and authority for health and health services A legislative branch B executive branch C judicial branch D all three branches
D
Biologic differ from conventional drugs, in that they are A the result of random processes, no one understands B relatively cheap since they derive from natural processes C Not regulated by the FDA since they are biological in nature D complex mixtures produced through biotechnology and living organisms
D
Government provides personal healthcare services to A military personnel and their families B prisoners C some persons with specific diseases, such as tuberculosis D all of the above
D
How many community hospitals were there in the United States in 2017? A 9362 B 7962 C 6262 D 5262
D
In 2017, average administrative cost for healthcare and the 10 largest organization for economic co-operation and development OECD countries was 3%. What was the administrative cost for healthcare in the United States that year? A 5.3% B 6.3% C 7.3% D 8.3%
D
Income to pharmaceutical companies for prescription drugs in 2017 was A $325 million B $3.25 billion C $32.5 billion D $325 billion
D
Periodically shortages and supply have been a problem for which profession A registered nurses B physicians, MD C primary care, physicians D all of the above
D
Prevalence of diabetes is lowest in which of the following groups, A whites compared to all other racial and ethnic groups. B persons above 400% of the poverty level compared to persons below the poverty level C women compared to men D, all of the above.
D
When a hospital is reimbursed for actual cost in an additional percentage of those costs, the payment mode is which of the following A cost B fee for service C fixed price D cost plus
D
Which division of the US Department of health and human services is responsible for improving the quality of healthcare, and reducing its costs A substance abuse and mental health services administration B national institutes of health C centers for disease, control, and prevention D agency for healthcare research and quality
D
Which of the following factors is most likely to lead to a shortage of primary care, physicians? (MDs) A number of Primary Care residencies B in adequate number of medical schools C need for primary care physicians D A and C
D
Which of the following is an example of a social environment factor that would threaten health A having an abnormal gene that is associated with increased risk for heart disease B working daily with farm machinery, C living near toxic waste site D living alone
D
Which of the following programs is funded by the center for Medicare and Medicaid services CMS, and administered by the states A Medicare B Medica C CHIP D Medicaid, and CHIP
D
once approved, medical devices A are rapidly adopted B never have to be price competitive C are proven safe D these long sales cycles, depending on the purchaser, and their switching costs
D
