Intro to Health Care Final Exam Review Questions With Correct Solutions

Intro to Health Care Final Exam Review According to our text the type of facilities or organizations with the greatest number of jobs in health care are physician offices - ANS True The wellness model is a viewpoint about health that focuses on the treatment of the disease - ANS False The Flint, MI water crisis will mitigate the need for an epidemiological study to be conducted - ANS True In the two decades following 2010, millions of Americans will reach age 65. This concerns the health care industry because: - ANS there will be an increased need for geriatric care The study of disease in the population is: - ANS Epidemiology All of the following are health care facilities except: A) HMO B) physician offices C) long-term care facility D) hospital - ANS HMO Health care policy addresses all of the following issues except: A) cultural B) cost C) access D) quality - ANS Cultural The medical model includes all of the following except: A) focuses on disease prevention B) illness and disease require treatment C) focus on diagnosis D) focus on treatment - ANS Focus on disease prevention The Centers for Disease Control and Prevention do all of the following except: A) monitor hospital compliance with HIPAA B) survey Americans about their health C) reported in 2009 that over 65% of the responded rated their health as "very good" or excellent D)collect health statistics - ANS Monitor hospital compliance with HIPAA In 2009, the U.S. spent ______ on health care expenditures - ANS $2.5 trillion All of the following are examples of where long term care could take place except: A) clinics B) hospitals C) rehabilitation centers D) adult day care - ANS Clinics The intentions of the Patient Protection and Affordable Care Act: - ANS Seek to improve health care performance Manage care can be described by all of the following except: A) maintains a sustainable noncompetitive advantage B) has the objective of only providing those services that are needed C) manages the price paid for services D) manages the patient's utilization of services - ANS Maintains a sustainable noncompetitive advantage Which statement is accurate regarding organizational structure of these governmental agencies: - ANS The U.S. Department of Labor is over the U.S. Bureau of Labor Statistics Which statement is accurate regarding organizational structure of these governmental agencies: - ANS The U.S. Department of Health and Human Services is over the U.S. Centers for Disease Control Your instructor gave you a specific organization to check to look into for you health care job outlook, it was - ANS The U.S. Bureau of Labor Statistics In comparison to teach other - which type of health insurance policy will a patient pay the most "out of pocket" in they go outside their health service provider network - ANS HMO Which statistical report did the instructor specifically speak of to check your chosen health career job out look - ANS Occupational The abbreviation LTC stands for: - ANS Long term care Quality of care, access to care, and cost of care - these are the ______ trade-offs we must constantly work to balance in health care - ANS Policy Primary care physicians primarily see patients for preventive care - ANS Nursing professionals compromise the largest health occupation - ANS True The salaries of LPNs and RNs are comparable - ANS False All states require physician assistants to pass a national certifying examination - ANS True Dental assistants do the bulk of health assessment, x-rays, and teeth cleaning - ANS False Physician assistants may prescribe medications - ANS True Understanding the musculoskeletal system and employing a holistic approach describes: - ANS Osteopathic medicine To practice medicine, in most states, a physician must complete all of the following except: A) serve as a health aide B) graduate from a formal educational program C) pass a licensing exam d) complete on the job training - ANS Serve as a health aide Fighting disease using proven, traditional treatment modalities is: - ANS Allopathic medicine Among the lists provided, choose the correct answer that ranks the primary place of employment for physicians, the secondary, and finally the area least likely - ANS Group practice (most), hospitals (secondary), and solo practice (least) Gastroenterologist specialize in the diagnosis and treatment of - ANS Disease and disorders of the stomach and intestine All of the following are concerns in the health care industry except: A) oversupply of physicians B) managed care C) quality of care D) access to care - ANS Oversupply of physicians Among the list, health professionals responsible for patient planning care is the - ANS RN Out of the five states of the nursing process which one is the third stage or step - ANS Care planning The National Registry of Emergency Medical Technicians (NREMT) has four levels of service providers. Out of the provided answers below which denotes the higher skill level for these emergency workers - ANS EMT paramedic Typical schooling for a chiropractor is: - ANS 4 years at a school specific to chiropractic training and education The organizations that employ most of the medical imaging technologists are: - ANS Hospitals Which profession focuses on improving patients' ability to perform daily living and work skills - ANS Occupational therapists Which of the following occupations prepare tissue samples for the pathologist to view - ANS Histology technician There is a certain medical code for a chest x-ray that is performed on a patient. This code is provided to the insurance company for billing. Under which guideline would one look for this billing code - ANS CPT Out of all the health care professions below, which is the fastest growing in terms of new jobs - ANS MA Your instructor went over the fact that fewer physicians work in and own their own "solo" practice or private group practice. In lecture we summed up the reasons for this in one word. What is the one word used to describe the main or overarching reason for most physicians to move out of solo practice or private group practices - ANS Sustainability A professional who performs testing services. A _______ usually has more training that a technician - ANS Technologist Physicians order a variety of ________ tests - ANS Laboratory Radiation therapists do not image the body, but rather use radiation to treat and kill ______ cells and tumors - ANS Cancer A hospital conducting business comparisons to other hospitals is comparing - ANS To the industry The primary purpose of the Patient Protection and Affordable Care Act was to expand access to insurance coverage - ANS True A not for profit hospital is described by all of the following except A) provide health care for both the underserved and those with health care financial provisions B) will take cash for payment C) may lose money in providing services for patients without insurance or financial resources D) has the goal of making money above expenses - ANS Has the goal of making money above expenses Which was enacted to provide for smoother transition or continuity between health insurance plans for patients - ANS HIPAA All of the following are types of health care facilities except: A) physician's office B) HMO C) long term care facility D) hospital - ANS HMO Ambulatory services treat admitted inpatients - ANS False Accounting - ANS Tracks the flow of money in and out of a business An increase in price level at any given time is: - ANS Inflation Which is an example of "organizing" in the duties of management - ANS Efficient use and throughput of supplies The government will often reduce interest rates and cut taxes to stimulate spending during the - ANS Recovery CAH funding - ANS Comes from the federal government for states to distribute through grants Which is an example of "planning" in the duties of management - ANS Strategic forecasting, setting objectives, setting goals The necessity for a health care organization to obtain a Certificate of Need is an example of the government being a: - ANS Regulator of health care providers There is always a trade off in various structures within a business. For sole proprietorship it can be viewed as an advantage to be able to make all the decisions, but sole proprietorships take on all the ______ - ANS Risks Sharing hazards or consequences in a partnership might be an advantage, but on the other hand each partner must also share all the ______ as well - ANS Rewards The Joint Commission is operated by the federal government - ANS True Risk is limited to the investor's original up front money put into the business in this type of structure - ANS Corporation As demand for products or services go up then prices go - ANS Up One key way hospitals try to improve the chances for appropriate payment from all health insurers is to - ANS Become TJC accredited The unemployment rate is a factor considered by health care administrators when making decisions for the organization - ANS True Which is an example of "controlling" in the duties of management - ANS Assessing the results from the objectives that have been carried out What percent of Americans do not have health insurance - ANS 17% In general, the largest the risk pool for a health insurance plan the: - ANS Lower the premium Charlie's recent physician office visit was not paid at all by the insurance company. It was his first claim of the year. The claim totaled $200. The reason the claim was denied was likely related to Charlie's: - ANS Deductible Provide an example of a service that is commonly pointed out as "not covered" in a health insurance plan, but that an insurance person might wonder if it is covered - ANS Acupuncture In order to calculate risks and help and insurance company figure out if the organization can make money from insuring various risk pools and/or individuals the insurance company will hire: - ANS An actuary Each year an insured person needs to decide what set of benefits or insurance p lan to go with for the next year. This range of time in which to decide is called the: - ANS Enrollment period The only way to get health insurance is through an employer - ANS False Premiums are the - ANS Negotiated payment for coverage between the payer and the provider All employers must provide health insurance - ANS False In some HMO's physicians' salaries are paid through the HMO - ANS True A primary care (general practitioner) physician sees a patient in her office for symptoms of cough and chest congestion. The medical coder in the office sends a claim to the patient's insurance company. The medical coder used which of the following to code for this service - ANS ICD-9-CM The majority of low income families that do not have health insurance have at least one full time working adult in the family - ANS True Which would be indicative of a PPO - ANS A patient chooses a provider who is not preferred, those services are provided at a higher rate An EOB is an invoice (a bill) for charges from the provider - ANS False A deductible is the: - ANS Amount paid by the patient before the third-party payer begins to pay The copayment - ANS Portion of the services paid by the patient at point of service An "insurance policy" is an agreement negotiated between an individual patient and a provider of health services as to how much the provider is going to charge for services - ANS False Max Shapiro's health care insurance company informed him that he must pay the bill from the provider first and then the insurance company will reimburse him. Max is paying for the what type of health insurance - ANS Indemnity health insurance Health insurance... A) can be a PPO B) shifts the risk of loss to the provider C) can be an HMO D) all of the above - ANS All of the above Mya Kamiri is a retiree from General Motors and has a health plan from GM that carries on after her retirement. she is over age 65 and is, and as a result, automatically qualified for Medicare. Mya signs up for Medicare in addition to her GM plan. What must be in place in order for claims to be processed correctly and in the right order - ANS Coordination of benefits clause ICD-9-CM is used for billing the payer for procedures performed in hospitals and outpatient facilities - ANS False Which of the following is not a type of health insurance plan - ANS Health Common Procedures Coding System This part of the Medicare program pays for the physician services, outpatient hospital care, and some services and supplies - ANS Medicare Part B This part of the Medicare program pays for inpatient hospital services, critical access to hospitals, and skilled nursing facilities - ANS Medicare Part A A revision of the Medicare+Choice offered under Part C of Medicare. The title of this revision is? - ANS Medicare advantage Federal Employees Health Benefits Program (FEHBP) is an employer sponsored health insurance program available to employees of the federal government - ANS True A federal program that targets low income children whose parents do not qualify for Medicaid yet are unable to afford private health insurance. What is the name of this program? - ANS State Children's Health Insurance Program (SCHIP) Centers for Medicare & Medicaid Services (CMS) is the federal agency that administers the Medicare and Medicaid programs; previously known as the Health Care Financing Administration (HCFA) - ANS True TRICARE is a health insurance program offered by the Department of Defense to military personnel - ANS True Medigap is an optional part of the Medicare program, and offers additional insurance to cover the gaps in Part A and Part B coverage - ANS True Health care providers are prohibited under federal law from referring patients to laboratories or other health services in which they have a financial interest. This illegal practice is called what? - ANS Kickbacks, or self-referral arrangements A federal state program that funds health care primarily on the basis of the recipient's income - ANS Medicaid The most recent major Medicare modification from federal legislation, In particular, it added coverage for prescription drugs. This modification is titled what? - ANS Medicare Prescription Drug, Improvement, and Modernization Act of 2003 All of the following are governmental funded health coverage plans or programs except A) Tricare B) Medicare A C) Workers Compensation D) SCHIP E) Medicare D F) Medicaid - ANS Workers Compensation Prospective Payment System (PPS) is a payment system in which the amount of reimbursement is determined prior to the patient receiving services and is based on the patient's classification into a diagnostic related group (DRG) - ANS True A program that provides health care benefits to employees who are injured on the job - ANS Workers Compensation A federal program that pays health care costs for the elderly, the permanently disabled, and those with end stage renal disease - ANS Medicare Which type of fracture is the #1 fracture that leads to patients needing long term care - ANS Hip The DVA is the largest integrated health system in the United States - ANS True ADLs are: - ANS Activities of daily living The 'Chief of Staff" in hospital structure is the health care administrator of the hospital - ANS False Provide a technology example, that the instructor talked about in class, that has assisted in long term patients to able to stay in their home for their care - ANS Pain pump The largest group of long term caregivers - ANS Unpaid caregivers such as companions/spouses, adult children Privately owned hospitals cannot operate on a not-for-profit basis - ANS False 1) Provides services that are an extension of the types of services provided at a hospital. For instance ranging from ventilator care to intensive rehabilitation programs 2) Monitor functional ability assessing, monitoring of medications and treatment of chronic condition. Much like long term room and board 3) Primarily for assisting in critical ADLs - ANS 1) Skilled nursing facility 2) Intermediate care facility 3) Extended care facility What is not true about CAHs - ANS Located in urban regions Ambulatory care services facilities have patients coming to them that are fully mobile and can get to the facility on their own - ANS True Hospitals are required to seek accreditation from an accrediting organization - ANS False _______ is a legal precedence (laws on the books) that prohibit activities that lesson the competition, such as, too many buy-outs and merging of practices that eventually lead to a monopoly - ANS Antitrust Which type of care involves routine hospitalization and surgery on a short term basis - ANS Secondary Every hospital must be licensed to operate by the state in which it is located - ANS True Cancer centers of America Hospitals would be classified as - ANS Tertiary care hospitals According to typical hospital structure the chief executive office answers to (reports to) the hospital governing board - ANS True Some school age children use long term care services - ANS True All of the following are IADL except: A) bathing B) managing money C) grocery shopping D) housekeeping - ANS Bathing Which is an organization that grants or denies accreditation of hospitals - ANS The Joint Commission All of the following are ADLs except: A) shopping B) bathing C) toileting D) dressing - ANS Shopping _____ ______ (2 words) facilities that treat patients need access to health care services immediately - ANS Acute care A practice that is organized as a sole proprietorship is - ANS Privately onwed This contains two types of patient data: 1) financial, personal, and social data, and 2) medical data such as, nut not limited to, medical history, treatments, patient condition, and treatment results - ANS Health Information Record Respite care provides caregiving relief for the - ANS Caregiver Adult day care qualifies as long term care - ANS True Only about half the people who have mental illness get adequate treatment. Name three reasons why many do not seek help for mental health problems - ANS 1) economic and insurance status 2) cultural barriers 3) stigma of mental illness Which of the following is not true about the Diagnostic and Statistical Manual of Mental Disorders - ANS It is used only in the United States Which of the following is false about the voluntary support network sector of mental health services - ANS Self help groups do not provide a sector in the support network for mental health services Out of all the public dollars that are spent on mental health, which government reimbursement source spends the most - ANS Medicaid One mental health indicator that can be assessed by experts is how person interacts in close relationships - ANS True Primary care practitioners do not provide mental health services. These services must be provided by mental health specialists - ANS False Al-Anon is an example of volunteer community based treatment organization - ANS True Mental health care reformers Dorethea Dix and Horace Mann, promoted all of the following except: A) removing those with mental health problems out of asylums and placing them into every day society B) somatic treatments C) psychosocial treatments characterized by "moral sensibilities" D) baths, exercise, special diets - ANS Removing those with mental health problems out of asylums and placing them into everyday society The U.S. mental health system is very structured and integrated - ANS False Match the disorder with the type 1) Eating disorder 2) major depression 3) Alzheimers behavioral disorder, mood disorder, cognitive disorder - ANS 1) behavioral disorder 2) mood disorder 3) cognitive disorder Which of the following is not one of the historical eras of mental health care in the United States - ANS Consumer-Operated Service Program All of the following characterize mental illness except: A) alterations in thinking B) a positive outlook on life C) alterations in behavior D) alterations in mood - ANS A positive outlook on life It was not until the late 20th century when scientists began to find there was a biochemical basis for schizophrenia - ANS True Some legislator propose bills or laws that focus on improving parity. Parity refers to - ANS Equality of benefits between insurance coverage for mental health and medical coverage Mental illness and its burden onto society is second only to what other ailment - ANS Ischemic cardiac disease Mental illness (which includes substance abuse of drugs and/or alcohol) strikes _____% of the population - ANS 26 More U.S. adults suffer from mental illness than from substance abuse - ANS True Mental disorders and substance abuse are not linked together for diagnostic and cost accounting purposes - ANS False Public health's min focus is on curative care - ANS False Epidemiologists investigate all of the following except: A) where a disease outbreak occurred B) who is affected by a disease C) how a disease affected a victim D) the genetic material of a bacterium - ANS The genetic material of a bacterium All of the following are ways a new drug is marketed in the United States except A) medical journals and conference reporting B) asking the FDA to advertise the drug C) marketing by drug representatives of pharmaceutical companies D) reaching patient directly paid advertising - ANS Asking the FDA to advertise the drug 20 people died from cardiovascular disease this year is a(n) ______ measure - ANS Mortality The severe side effects of thalidomide became apparent when physicians were using this drug for its - ANS Unintended purpose Foundations are not: - ANS groups that provide direct medical care ______ is one way to control the price of prescription drugs after the patent has expired - ANS Generic drugs Under the streets of some ancient civilizations were ______ and drainage systems, which were put in place for better sanitation - ANS Sewers Current U.S. regulations permit the advertisement of cigarettes in television and other broadcasting media - ANS False This step in the public health initiatives is called the ______ step. It involves making sure that the necessary actions are always taken - ANS Assurance In the United States, all but two states have state health department - ANS False Cigarette packaging warning labels include a warning fro the head of the U.S. Public Health Service. The title of this person is ______ ______ - ANS Surgeon general Which of the following does not use high temperatures to effect pathological tissue - ANS Cryotherapy In comparison to Canada, drugs purchased in the United States - ANS Cost nearly three times as much ______ is an example of one nongovernmental agency that provides public health services (name one) - ANS Red Cross Epidemiology is: - ANS The study of the history of a disease Both the pharmaceutical industry and medical technology spend vast amount of dollars in exploring new ways to provide for consumers and come up with new products. For companies in these industries they each conduct ______ to come up with these products - ANS R&D Fiber optics, microwave, and cryotherapy are used in: - ANS Minimally invasive surgery A process used today in killing harmful microorganisms in milk is named after the person that proved microorganisms cause disease. Who was this person - ANS Louis Pasteur Researchers and physicians conducting gene therapy use vector viruses to ______ genes - ANS Deliver 100 new cases of cardiovascular disease is a(n) ______ measure - ANS Incidence Functions of county and city health departments do not include - ANS Raising funds for the American Cancer Society Blind randomized trials are: - ANS Studies where volunteers do not know whether they are receiving the drug, a placebo, or standard treatment Which of the following specifically focuses on providing access to health services for low income, uninsured people who live in areas where health care is not ready available - ANS HRSA 100,000 total cases of cardiovascular disease is a(n) ______ measure - ANS Prevalence In this type of gene therapy pieces of chromosomes are rearranged, but no genetic material is gained or lost in the cell - ANS Translocation In Michigan, the State Department of Community Health reports directly to the state governor - ANS False The goal of public health is to protect the community from hazards of group life - ANS True All of the following are true about an IND except: A) it is submitted to begin clinical tests on human subject B) it is first approved by an Institutional Review Board C) IND stands for investigational new drug application D) if it is approved, phase 1 testing begins - ANS It is fist approved by an Institutional Review Board Which medical imaging modality (method) uses positrons as a mechanism to create medical images - ANS PET About 20 to 100 people participate in this new drug trial phase to determine if there are any severe adverse effects - ANS Phase 2 Gene correction research is being used in the treatment of - ANS Parkinson's Disease The taxing of seamen for their medical care started in 1789 through a congressional act. This established hospitals and services for their health care. Over time this led to what federal program - ANS Public Health Service It is used by the federal government to support their involvement in public health. The federal government has the ability to tax people to provide for the ______ ______ - ANS General welfare A side effect of the market model for health care is that most services end up being offered in more rural areas - ANS False All of the following describe the private portion of the Mexican health system except: A) state workers are covered in this system B) it caters to the tourist trade C) high quality care can be assessed D) 3% of the population is covered by this system - ANS State workers are covered in this system The life expectancy in Japan is - ANS 82 A major initiative of Health People 2020 is to make health care more equitable across all sectors of the population - ANS True CDC stands for: - ANS Centers for Disease Control and Prevention Those seeking services for medical care outside their country of citizenship are part of a trend called ______ ______ - ANS Medical tourism The leading cause of death in the United States is - ANS Heart disease Military and employees of the Mexican government owned petroleum company are provided health care coverage through: - ANS Their own aspect of the public health system Many other developed countries see their availability of health care in the same perspective as we do to have the public education system of kindergarten through 12 - ANS True Which governmental organization monitors or tracks disease prevalence and would be most likely responsible to alter the public of a possible epidemic - ANS CDC The rate for number of doctors per unit of population in India is - ANS Low All of the following are true about the Canadian system except: A) universal coverage is in place B) there is a private sector fee-for service C) the public system does not cover dentistry and optometry D) it is an example of a market economy model - ANS It is an example of a market economy model Control describes research designed to - ANS Decrease the number of symptoms/severity of a disease To define how "health" will be measured in Healthy People 2020 initiatives, HP 2020 adheres to the idea of HRQOL refers to both ______ and ______ aspects of health - ANS physical, mental The Health Promotion Model works off three major components. Which of the three major components focuses on educating the patient and is intended to impact their approach or habits - ANS Behavior-specific cognitions and affect Mexico maintains the private aspect of their healthcare system partly because they would like to attract those from outside of their country to retire there - ANS True The health care delivery system within which health care is determined by supply and demand is - ANS Market economy model The Canadian federal government makes special provisions to deliver services to all of the following minority groups except A) Asians B) Veterans C) First Nations People D) Inuit Peopl - ANS Asians Ayurveda is part of the traditional health care system of - ANS India Morbidity refers to the unhealthy state of an individual or population. Such as,"the morbidity of this population with such and such disease is..." - ANS True Curative activities receive the least health care research dollars - ANS False Traditional medicine treatments in India include all of the following except: A) surgery B) diet C) massage D) spiritual guidance - ANS Surgery The NIH and CDC both reside under the DHHS - ANS True Health care research is conducted by all of the following: government, some universities, not for profit organizations, and pharmaceutical compnies - ANS True All of the following are examples of curative research except: A) correction to a congenital heart abnormality B) reducing the symptoms of menopause C) removal of a tumor D) hysterectomy - ANS Reducing the symptoms of menopause Curative describes research developed to - ANS Eliminate a disease