US Health Care Systems Exam
Questions with 100% Solved
Answers
The major distinction between skilled-nursing and residential care facilities is that skilled
nursing facilities:
A. provide care in both community and institutional settings.
B. provide care primarily for people requiring intensive nursing, rehabilitation, or related
services.
C. typically accommodate relatively self-sufficient residents.
D. primarily provide at-home care. - Answer-B. provide care primarily for people
requiring intensive nursing, rehabilitation, or related services.
Which of the following was not a driver of expanded home care services during the
1980s through the 1990s?
A. Assertions by increased numbers of older persons of their desire to remain in their
own homes for care, whenever possible.
B. audits documenting significant fraud and abuse of Medicare billing.
C. Decreased availability of informal care-givers available to assist their family members
D. The Olmstead Supreme Court decision upholding the right of citizens to receive care
in the community - Answer-B. audits documenting significant fraud and abuse of
Medicare billing.
Which of the following best describes the informal long-term care system?
A. group living facilities where residents may come and go as they please
B. care and assistance provided in the home by family members and friends
,C. adult day care facilities
D. assistance with activities of daily living from a home care agency - Answer-B. care
and assistance provided in the home by family members and friends
Respite care is best defined as:
A. services that temporarily relieve informal caregivers through assistance in the home
or through institutional placement on a temporary basis.
B. legally required "rest periods" for caregivers of dependent family members by which
employers are required to give paid leaves of absence.
C. temporary, Medicaid-supported vacations for caregivers of a physically or mentally-
dependent family member.
D. permanent patient placement in a residential care facility. - Answer-A
The enactment of Medicare and Medicaid in 1965 affected the long-term care industry
in many ways. Which of the following was NOT an effect of the Medicare and Medicaid
enactment on the long-term care industry?
A. Provision of more stable reimbursement sources than previously available from
private pay and charitable sources
B. Prohibition of for-profit providers' participation in Medicare and Medicaid long-term
care reimbursement
C. Establishment of minimal standards of care to qualify for Medicare and Medicaid
reimbursement
D. Provision of resources for older and disabled Americans and those lacking the ability
to pay for care - Answer-
The hospice movement is concerned with care for terminally ill patients. Which of the
following is not a major goal of hospice care?
A. decreasing costs of care for the terminally ill by avoiding use of expensive technology
B. providing an alternative to the curative/intervention approach of medical care for the
terminally ill
C. providing state-of-the-art pain relief interventions while supporting the patient and
his/her family through the life-death transition
, D. supporting terminally ill patients' sense of independence throughout their dying
process - Answer-A. decreasing costs of care for the terminally ill by avoiding use of
expensive technology
The "naturally occurring retirement community" is best defined as
A. a federally-designated geographic area with a high proportion of older Americans.
B. groups of federally-funded senior services centers in a defined geographic area that
offer congregate meals and social activities.
C. apartment complexes, neighborhoods, or sections of communities where residents
have opted to age-in-place.
D. a not-for-profit organization-operated campus of facilities and services for Medicare
beneficiaries. - Answer-C
What has mental health care terminology changed to - Answer--it has changed to
"behavioral health care", with "psychiatric care" a medical sub-specialty
What has the concept of "patient" been replaced with - Answer--has been replaced with
consumer, or person/people with a psychiatric, substance abuse disorder or mental
health issue
From colonial times through the 1940s, where was mental health treatment primarily
conducted - Answer--it was primarily conduced in state and county-operated institutions:
jails, almshouses, and inpatient facilities
What is the leading cause of disability in the U.S and Canada - Answer--
Neuropsychiatric disorders
How did WWI and WWII veterans highlight the need for mental health services in the
United States - Answer--thousands came home with shell-shocked disorders (shocked
due to a sudden alarming experience)
When did psychoactive medication develop? What did this allow - Answer--developed in
1950s, this allowed mentally ill persons to transition to outpatient treatment
Congressional Commision on Mental Health - Answer--helped develop community-
based outpatient facilities and the deinstitutionalization of previously institutionalized
individuals
-federal support help expand community mental health centers
Treatment Site Shift 1955 - Answer--1955: 77% of mentally ill were institutionalized
-1990: 67% of mentally ill were treated in outpatient settings
Questions with 100% Solved
Answers
The major distinction between skilled-nursing and residential care facilities is that skilled
nursing facilities:
A. provide care in both community and institutional settings.
B. provide care primarily for people requiring intensive nursing, rehabilitation, or related
services.
C. typically accommodate relatively self-sufficient residents.
D. primarily provide at-home care. - Answer-B. provide care primarily for people
requiring intensive nursing, rehabilitation, or related services.
Which of the following was not a driver of expanded home care services during the
1980s through the 1990s?
A. Assertions by increased numbers of older persons of their desire to remain in their
own homes for care, whenever possible.
B. audits documenting significant fraud and abuse of Medicare billing.
C. Decreased availability of informal care-givers available to assist their family members
D. The Olmstead Supreme Court decision upholding the right of citizens to receive care
in the community - Answer-B. audits documenting significant fraud and abuse of
Medicare billing.
Which of the following best describes the informal long-term care system?
A. group living facilities where residents may come and go as they please
B. care and assistance provided in the home by family members and friends
,C. adult day care facilities
D. assistance with activities of daily living from a home care agency - Answer-B. care
and assistance provided in the home by family members and friends
Respite care is best defined as:
A. services that temporarily relieve informal caregivers through assistance in the home
or through institutional placement on a temporary basis.
B. legally required "rest periods" for caregivers of dependent family members by which
employers are required to give paid leaves of absence.
C. temporary, Medicaid-supported vacations for caregivers of a physically or mentally-
dependent family member.
D. permanent patient placement in a residential care facility. - Answer-A
The enactment of Medicare and Medicaid in 1965 affected the long-term care industry
in many ways. Which of the following was NOT an effect of the Medicare and Medicaid
enactment on the long-term care industry?
A. Provision of more stable reimbursement sources than previously available from
private pay and charitable sources
B. Prohibition of for-profit providers' participation in Medicare and Medicaid long-term
care reimbursement
C. Establishment of minimal standards of care to qualify for Medicare and Medicaid
reimbursement
D. Provision of resources for older and disabled Americans and those lacking the ability
to pay for care - Answer-
The hospice movement is concerned with care for terminally ill patients. Which of the
following is not a major goal of hospice care?
A. decreasing costs of care for the terminally ill by avoiding use of expensive technology
B. providing an alternative to the curative/intervention approach of medical care for the
terminally ill
C. providing state-of-the-art pain relief interventions while supporting the patient and
his/her family through the life-death transition
, D. supporting terminally ill patients' sense of independence throughout their dying
process - Answer-A. decreasing costs of care for the terminally ill by avoiding use of
expensive technology
The "naturally occurring retirement community" is best defined as
A. a federally-designated geographic area with a high proportion of older Americans.
B. groups of federally-funded senior services centers in a defined geographic area that
offer congregate meals and social activities.
C. apartment complexes, neighborhoods, or sections of communities where residents
have opted to age-in-place.
D. a not-for-profit organization-operated campus of facilities and services for Medicare
beneficiaries. - Answer-C
What has mental health care terminology changed to - Answer--it has changed to
"behavioral health care", with "psychiatric care" a medical sub-specialty
What has the concept of "patient" been replaced with - Answer--has been replaced with
consumer, or person/people with a psychiatric, substance abuse disorder or mental
health issue
From colonial times through the 1940s, where was mental health treatment primarily
conducted - Answer--it was primarily conduced in state and county-operated institutions:
jails, almshouses, and inpatient facilities
What is the leading cause of disability in the U.S and Canada - Answer--
Neuropsychiatric disorders
How did WWI and WWII veterans highlight the need for mental health services in the
United States - Answer--thousands came home with shell-shocked disorders (shocked
due to a sudden alarming experience)
When did psychoactive medication develop? What did this allow - Answer--developed in
1950s, this allowed mentally ill persons to transition to outpatient treatment
Congressional Commision on Mental Health - Answer--helped develop community-
based outpatient facilities and the deinstitutionalization of previously institutionalized
individuals
-federal support help expand community mental health centers
Treatment Site Shift 1955 - Answer--1955: 77% of mentally ill were institutionalized
-1990: 67% of mentally ill were treated in outpatient settings
