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1. A small, rural hospital is part of an Accountable Care Organization (ACO) and
is designated as a Level 1 ACO. What is part of this designation?
a. Bonuses based on achievement of benchmarks
b. Care coordination for chronic diseases
c. Standards for minimum cash reserves
d. Strict requirements for financial reporting - answer-ANS: A
A Level 1 ACO has the least amount of financial risk and requirements, but
receives shared
savings bonuses based on achievement of benchmarks for quality measures
and
expenditures. Care coordination and minimum cash reserves standards are
part of Level 2 ACO requirements. Level 3 ACOs require financial reporting
,8. What is the main reason for using the REALM-SF instrument to evaluate
health literacy?
a. It assesses numeracy skills.
b. It enhances patient-provider communication.
c. It evaluates medical word recognition.
d. It measures technology knowledge. - answer-ANS: C
The Rapid Estimate of Adult Literacy in Medicine-Short Form (REALM-SF) is an
easy and fast tool that measures medical word recognition. It does not
evaluate numeracy. The "Ask Me 3" tool enhances patient-provider
communication. This tool does not evaluate understanding of technology.
9. A female patient who is from the Middle East schedules an appointment in a
primary care office. To provide culturally responsive care, what will the clinic
personnel do when meeting this patient for the first time?
a. Ensure that she is seen by a female provider.
b. Include a male family member in discussions about health care.
c. Inquire about the patient's beliefs about health and treatment.
d. Research middle eastern cultural beliefs about health care. - answer-ANS: C
,It is important not to make assumptions about beliefs and practices associated
with health care and to ask the patient about these. While certain practices are
common in some cultural and ethnic groups, assuming that all members of
those groups follow those norms is not culturally responsive.
10. Which behavior is most characteristic of early adolescence?
a. Arguing with parents and teachers
b. Assimilating adult roles and thinking
c. Exhibiting fatigue more frequently
d. Experimenting with sex and risky behaviors - answer-ANS: A
Early adolescents challenge authority, experience wide mood swings, reject the
ideation of childhood, and can be argumentative and disobedient. Middle
adolescents experience fatigue and begin experimenting with sex and risky
behaviors. Late adolescents begin to assimilate adult roles.
11. What is the initial sign of puberty in the adolescent male?
a. Deepening of the voice
b. Elongation of the penis
c. Nocturnal emissions
d. Testicular enlargement - answer-ANS: D
Testicular enlargement is the initial sign of puberty in adolescent males. Penile
growth and nocturnal emissions occur later as does deepening of the voice.
, 12. What is the focus of the Minority Stress Theory?
a. Clarifying the various terms used to describe the LGBTQ community
b. Understanding the health needs of select members of the sexual minority
community
c. Helping health care providers eliminate biases in the care they provide to the
members of the LGBTQ community
d. Facilitating the management of stress related to the lifestyle choices made
by members of sexual minority populations. - answer-ANS: B
The focus of the Minority Stress Theory is to provide a framework to the
understanding of the health disparities in the sexual and gender minority
(SGM) communities. The theory may help achieve some aspect of the other
options, but that is not its focus.
13. What is the medical diagnostic term used to identify transgender patients?
a. Gender dysphoria
b. Gender expression disorder
c. Gender identity disorder
d. Gender role unconformity - answer-ANS: A
Gender dysphoria is the term used to identify transgender patients in order to
justify the medical necessity of treatments for transgender patients. It replaces
the previous "gender identity disorder" designation.