,TESTBANK FOR Jonas’ Introduction to the U.S.
Health Care System, 10th Edition Goldsteen
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel sheet
if it exists.
4- We have all what you need, we make update
at every time. There are many new editions
waiting you.
5- If you think you purchased the wrong file You
can contact us at every time, we can replace it
with true one.
Our email:
,Jonas’ Introduction to the U.S. Health
Care System
10th EDITION
Raymond L. Goldsteen, DrPH
Karen Goldsteen, PhD, MPH
,Copyright © 2025 Springer Publishing Company, LLC
All rights reserved.
This work is protected by U.S. copyright laws and is provided solely for the use of
instructors in teaching their courses and as an aid for student learning. No part of this
publication may be sold, reproduced, stored in a retrieval system, or transmitted in any
form or by any means, electronic, mechanical, photocopying, recording, or otherwise,
without the prior permission of Springer Publishing Company, LLC.
Springer Publishing Company, LLC
902 Carnegie Center/Suite 140, Princeton, NJ 08540
www.springerpub.com
Test Bank ISBN: 978-0-8261-8076-6
Textbook ISBN: 978-0-8261-8072-8
The author and the publisher of this Work have made every effort to use sources
believed to be reliable to provide information that is accurate and compatible with the
standards generally accepted at the time of publication. The author and publisher shall
not be liable for any special, consequential, or exemplary damages resulting, in whole
or in part, from the readers’ use of, or reliance on, the information contained in this
book. The publisher has no responsibility for the persistence or accuracy of URLs for
external or third-party internet websites referred to in this publication and does not
guarantee that any content on such websites is, or will remain, accurate or appropriate.
Copyright © Springer Publishing Company, LLC. All Rights Reserved. 2
,Chapter 1: Introduction
Multiple Choice Test Questions
1. Today’s Western medicine arose predominantly from which tradition?
a. Homeopathy
b. Chinese medicine
*
c. Allopathy
d. Osteopathy
Correct answer c.) Western medicine is also known as allopathic medicine. The term comes
from the word “allopath,” which gained traction in the 19th century over other traditions of
medicine.
2. The most famous and influential definition of health was developed by which organization?
*
a. World Health Organization (WHO)
b. Centers for Disease Control and Prevention (CDC)
c. American Medical Association (AMA)
d. National Institutes of Health (NIH)
Correct answer a.) The most famous and influential definition of health was developed by
WHO. This definition was first adopted in 1946 and has not been updated since 1948.
3. Which of the following is an example of a social environmental factor that can 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 a toxic waste site
*
d. Living alone
Correct answer d.) The social environment is the context defined by our relationships with
other people. Living alone is an example of a social environmental factor that could threaten
health.
4. 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
Correct answer b.) Primary prevention intends to prevent the development of disease or
injury before it occurs. The use of skin protection is an example of primary prevention since
it can prevent the development of skin cancer.
5. Which of the following is the best example of a provider of medical products, one of the six major
components of health care systems?
*
a. A manufacturer of prosthetic legs
b. A cardiologist
c. A community hospital
Copyright © Springer Publishing Company, LLC. All Rights Reserved. 1
, d. A medical school
Correct answer a.) One of the six major building blocks or components of health care
systems is development of medical products such as vaccines and other technologies needed
for the treatment of health problems. A manufacturer of prosthetic legs is an example of a
provider of medical products that is required for diagnosis and treatment.
6. The U.S. health care system would most accurately be described as which of the following?
a. Centralized
b. Single payer
*
c. Fragmented
d. Unprofitable
Correct answer c.) In the United States, the health care system is more decentralized than
the systems in other Westernized countries. In addition, there is not a single government
entity paying for its operation. The term that most accurately describes the health care system
is “fragmented.”
7. About how many people worked in the health care system in the U.S. in 2022?
a. 2.3 million
b. 5.8 million
*
c. 14.7 million
d. 19.6 million
Correct answer c.) In 2022, about 14.7 million people worked in the health care sector,
accounting for 9.3% of total employment.
8. Which of the following is an example of a voluntary agency?
*
a. American Heart Association
b. Department of Health and Human Services
c. A privately owned clinic
d. A proprietary hospital
Correct answer a.) Nongovernmental, nonprofit organizations may be referred to as
voluntary agencies. In the United States, examples of this type of organization include the
American Heart Association, the Red Cross, and the Robert Wood Johnson Foundation.
9. Which of the following is an example of tertiary care?
a. Chest x-ray
b. Immunizations
*
c. Open-heart surgery
d. Prescription medication to treat hypertension
Correct answer c.) Tertiary care consists of highly specialized diagnostic, therapeutic, and
rehabilitative services typically available at major medical centers.
10. Employees with high demands and low decision-making latitude are:
a. Less likely to become ill
b. Less likely to experience comorbid conditions
*
c. At high risk for poor health outcomes
d. More likely to contract less communicable diseases
Copyright © Springer Publishing Company, LLC. All Rights Reserved. 2
, Correct answer c.) The demand-control model hypothesizes that employees with the highest
demands and the lowest decision-making latitude are at the highest risk for poor health
outcomes.
11. What was the leading cause of death for people 65 years and older in 2019?
a. Chronic lower respiratory disease
b. Cancer
c. Stroke
*
d. Heart disease
Correct answer d.) In 2019, 25.1% of deaths among people over 65 years were due to heart
disease. This was the leading cause of death for this age group.
12. What was the leading cause of death for people 44 years or younger in 2019?
a. Cancer
b. Gun violence
*
c. Unintentional injuries
d. Suicide and homicide
Correct answer c.) In 2019, the leading cause of death among people between the ages 1 to 9
years, 10 to 24 years, and 25 to 44 years was unintentional injuries.
13. What is the second leading cause of death for people 20 to 24 years old in 2019?
a. Unintentional injuries
*
b. Suicide and homicide
c. Drug overdose
d. Cancer
Correct answer b.) In 2019, suicide and homicide were the second major causes of death
among persons 10 to 24 years.
14. In 2021, 72% of all deaths in the United States occurred among people 65 years and older. How
does this affect the health care system?
*
a. Encourages emphasis on heart disease and cancer
b. Promotes training of nurse practitioners
c. Encourages treatment in ambulatory care settings
d. Fosters research on sexually transmitted diseases
Correct answer a.) In 2021, over half of deaths among people over 65 years were due to
heart disease, cancer, or chronic lower respiratory diseases, so this encourages the health care
system to put emphasis on these issues. In response to this statistic, health care systems may
develop preventative programs and protocols that focus on these health issues.
15. Medical products include which of the following?
*
a. Prescription drugs
b. Ambulatory care
c. Hospital facilities
d. Long-term care facilities
Correct answer a.) Medical products include both equipment and pharmaceuticals.
Prescription drugs fall into the category of pharmaceuticals, so they are an example of a
medical product.
Copyright © Springer Publishing Company, LLC. All Rights Reserved. 3
, 16. Which is an example of primary care?
a. X-rays
b. Surgery
c. Chemotherapy
*
d. Immunization
Correct answer d.) Primary care includes a range of personal treatment and preventative
measures. Immunization is a form of primary care because it prevents or reduces the harmful
effects of certain infectious diseases.
17. Which of the following is a strength of the U.S. health care system?
a. Equitable distribution of and access to health services
*
b. Technical accomplishments
c. Health status of the population compared to dollars spent on health care
d. Macro-efficiency
Correct answer b.) The United States is a global leader in technical accomplishments in
medicine. The U.S. health care system is known for developing products, procedures, and
pharmaceuticals that are on the cutting edge of technology and medicine.
18. Which of the following groups has the highest age-adjusted death rate?
a. White women
b. Black women
*
c. Black men
d. White men
Correct answer c.) When race and ethnic groups are compared, American Indians or Alaska
Native men had a significantly higher age-adjusted death rate than men in all other racial and
ethnic groups. They were followed next by Black men, White men, and Hispanic men.
Among these options, Black men have the highest age-adjusted death rate.
19. Which of the following is true of the prevalence of diabetes?
a. Prevalence is much higher in White Americans than in other racial and ethnic groups
b. Prevalence is higher for persons above the federal poverty level (FPL)
c. Prevalence is lower in men
*
d. Prevalence is lower in women
Correct answer d.) The prevalence of diabetes is higher in men than in women: 15.4% in
men compared to 14.1% in women.
20. Among persons 18 to 64 years, how many report having no functional limitations?
a. 55%
b. 61%
*
c. 66%
d. 73%
Correct answer c.) Among persons 18 to 64 years, about 66 percent report having no
functional limitations, while only about 34% of those 65 and older had no limitations.
21. Which determinants of health category includes socioeconomic status and race and ethnicity?
a. Physical environment
Copyright © Springer Publishing Company, LLC. All Rights Reserved. 4
, *
b. Social environment
c. Genetic inheritance
d. Health behaviors
Correct answer b.) Socioeconomic status and race and ethnicity are both part of the social
environment. They are both examples of attributes conferred on individuals within a social
context.
22. A chronic disease is a health condition that lasts how long?
a. 3 to 6 months
b. 6 months to 1 year
*
c. 1 year or more
d. 2 years or more
Correct answer c.) Chronic diseases are health conditions that last 1 year or more. They
must also require ongoing medical attention and/or limit activities of daily living to be
categorized as a chronic disease.
23. In 2019, what was the most prevalent chronic condition among Medicare fee-for-service
beneficiaries?
a. High cholesterol
b. Arthritis
*
c. High blood pressure
d. Heart disease
Correct answer c.) In 2019, the most prevalent chronic condition among Medicare Fee-For-
Service beneficiaries was high blood pressure (57%), followed by high cholesterol (49%) and
arthritis (34%).
24. Which of the following are considered unintentional injuries?
*
a. Falls
b. Assault
c. Gun violence
d. Self-harm
Correct answer a.) Injuries resulting from assault, gun violence, and self-harm are
considered intentional.
25. What is the principal health agency within the United States federal government?
a. Centers for Disease Control and Prevention (CDC)
b. National Center for Disease Statistics (NCDS)
*
c. Department of Health and Human Services (DHHS)
d. National Institutes of Health (NIH)
Correct answer c.) The principal health agency of the federal government is the DHHS. The
DHHS is responsible for the federal role in the state-run public assistance programs, and the
main federal programs in biomedical research, regulation, financing, and public health.
Copyright © Springer Publishing Company, LLC. All Rights Reserved. 5
, Chapter 2: The Settings for Health Care Delivery
Multiple Choice Test Questions
1. Which of the following led to the expansion of the hospital system in America in the early 20th
century?
a. The increasing need to house the poor
*
b. The rapid advance of medical science
c. Advances in transportation technology
d. Spiraling medical costs
Correct answer b.) It was the rapid advance of medical science that led to the expansion of
the hospital system and of individual hospitals. This advance also led to the evaluation of
hospitals as the center of the medical care system.
2. What is the primary organization that counts and classifies hospitals in the United States?
a. American Medical Association (AMA)
b. Agency for Healthcare Research and Quality (AHRQ)
*
c. American Hospital Association (AHA)
d. Department of Health and Human Services (HSS)
Correct answer c.) The AHA surveys nearly all hospitals in the United States each year and
uses survey findings to create detailed overviews of each hospital. The AHA also classifies
hospitals as one of four types.
3. Which of the following is an essential characteristic of a community hospital?
a. Long-term care
b. Orthopedic care
*
c. Nonfederal
d. More than 500 beds
Correct answer c.) Community hospitals include all nonfederal, short-term general, and
special hospitals whose facilities and services are available to the public.
4. How many hospitals of all types were there in the United States in 2017?
a. 10,358
b. 7,956
*
c. 6,210
d. 3,790
Correct answer c.) In 2017, there were 6,210 hospitals falling in the general, special,
rehabilitation, and psychiatric categories.
5. How many community hospitals were there in the United States in 2017?
a. 9,362
b. 7,962
c. 6,262
*
d. 5,262
Copyright © Springer Publishing Company, LLC. All Rights Reserved. 1
Health Care System, 10th Edition Goldsteen
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel sheet
if it exists.
4- We have all what you need, we make update
at every time. There are many new editions
waiting you.
5- If you think you purchased the wrong file You
can contact us at every time, we can replace it
with true one.
Our email:
,Jonas’ Introduction to the U.S. Health
Care System
10th EDITION
Raymond L. Goldsteen, DrPH
Karen Goldsteen, PhD, MPH
,Copyright © 2025 Springer Publishing Company, LLC
All rights reserved.
This work is protected by U.S. copyright laws and is provided solely for the use of
instructors in teaching their courses and as an aid for student learning. No part of this
publication may be sold, reproduced, stored in a retrieval system, or transmitted in any
form or by any means, electronic, mechanical, photocopying, recording, or otherwise,
without the prior permission of Springer Publishing Company, LLC.
Springer Publishing Company, LLC
902 Carnegie Center/Suite 140, Princeton, NJ 08540
www.springerpub.com
Test Bank ISBN: 978-0-8261-8076-6
Textbook ISBN: 978-0-8261-8072-8
The author and the publisher of this Work have made every effort to use sources
believed to be reliable to provide information that is accurate and compatible with the
standards generally accepted at the time of publication. The author and publisher shall
not be liable for any special, consequential, or exemplary damages resulting, in whole
or in part, from the readers’ use of, or reliance on, the information contained in this
book. The publisher has no responsibility for the persistence or accuracy of URLs for
external or third-party internet websites referred to in this publication and does not
guarantee that any content on such websites is, or will remain, accurate or appropriate.
Copyright © Springer Publishing Company, LLC. All Rights Reserved. 2
,Chapter 1: Introduction
Multiple Choice Test Questions
1. Today’s Western medicine arose predominantly from which tradition?
a. Homeopathy
b. Chinese medicine
*
c. Allopathy
d. Osteopathy
Correct answer c.) Western medicine is also known as allopathic medicine. The term comes
from the word “allopath,” which gained traction in the 19th century over other traditions of
medicine.
2. The most famous and influential definition of health was developed by which organization?
*
a. World Health Organization (WHO)
b. Centers for Disease Control and Prevention (CDC)
c. American Medical Association (AMA)
d. National Institutes of Health (NIH)
Correct answer a.) The most famous and influential definition of health was developed by
WHO. This definition was first adopted in 1946 and has not been updated since 1948.
3. Which of the following is an example of a social environmental factor that can 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 a toxic waste site
*
d. Living alone
Correct answer d.) The social environment is the context defined by our relationships with
other people. Living alone is an example of a social environmental factor that could threaten
health.
4. 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
Correct answer b.) Primary prevention intends to prevent the development of disease or
injury before it occurs. The use of skin protection is an example of primary prevention since
it can prevent the development of skin cancer.
5. Which of the following is the best example of a provider of medical products, one of the six major
components of health care systems?
*
a. A manufacturer of prosthetic legs
b. A cardiologist
c. A community hospital
Copyright © Springer Publishing Company, LLC. All Rights Reserved. 1
, d. A medical school
Correct answer a.) One of the six major building blocks or components of health care
systems is development of medical products such as vaccines and other technologies needed
for the treatment of health problems. A manufacturer of prosthetic legs is an example of a
provider of medical products that is required for diagnosis and treatment.
6. The U.S. health care system would most accurately be described as which of the following?
a. Centralized
b. Single payer
*
c. Fragmented
d. Unprofitable
Correct answer c.) In the United States, the health care system is more decentralized than
the systems in other Westernized countries. In addition, there is not a single government
entity paying for its operation. The term that most accurately describes the health care system
is “fragmented.”
7. About how many people worked in the health care system in the U.S. in 2022?
a. 2.3 million
b. 5.8 million
*
c. 14.7 million
d. 19.6 million
Correct answer c.) In 2022, about 14.7 million people worked in the health care sector,
accounting for 9.3% of total employment.
8. Which of the following is an example of a voluntary agency?
*
a. American Heart Association
b. Department of Health and Human Services
c. A privately owned clinic
d. A proprietary hospital
Correct answer a.) Nongovernmental, nonprofit organizations may be referred to as
voluntary agencies. In the United States, examples of this type of organization include the
American Heart Association, the Red Cross, and the Robert Wood Johnson Foundation.
9. Which of the following is an example of tertiary care?
a. Chest x-ray
b. Immunizations
*
c. Open-heart surgery
d. Prescription medication to treat hypertension
Correct answer c.) Tertiary care consists of highly specialized diagnostic, therapeutic, and
rehabilitative services typically available at major medical centers.
10. Employees with high demands and low decision-making latitude are:
a. Less likely to become ill
b. Less likely to experience comorbid conditions
*
c. At high risk for poor health outcomes
d. More likely to contract less communicable diseases
Copyright © Springer Publishing Company, LLC. All Rights Reserved. 2
, Correct answer c.) The demand-control model hypothesizes that employees with the highest
demands and the lowest decision-making latitude are at the highest risk for poor health
outcomes.
11. What was the leading cause of death for people 65 years and older in 2019?
a. Chronic lower respiratory disease
b. Cancer
c. Stroke
*
d. Heart disease
Correct answer d.) In 2019, 25.1% of deaths among people over 65 years were due to heart
disease. This was the leading cause of death for this age group.
12. What was the leading cause of death for people 44 years or younger in 2019?
a. Cancer
b. Gun violence
*
c. Unintentional injuries
d. Suicide and homicide
Correct answer c.) In 2019, the leading cause of death among people between the ages 1 to 9
years, 10 to 24 years, and 25 to 44 years was unintentional injuries.
13. What is the second leading cause of death for people 20 to 24 years old in 2019?
a. Unintentional injuries
*
b. Suicide and homicide
c. Drug overdose
d. Cancer
Correct answer b.) In 2019, suicide and homicide were the second major causes of death
among persons 10 to 24 years.
14. In 2021, 72% of all deaths in the United States occurred among people 65 years and older. How
does this affect the health care system?
*
a. Encourages emphasis on heart disease and cancer
b. Promotes training of nurse practitioners
c. Encourages treatment in ambulatory care settings
d. Fosters research on sexually transmitted diseases
Correct answer a.) In 2021, over half of deaths among people over 65 years were due to
heart disease, cancer, or chronic lower respiratory diseases, so this encourages the health care
system to put emphasis on these issues. In response to this statistic, health care systems may
develop preventative programs and protocols that focus on these health issues.
15. Medical products include which of the following?
*
a. Prescription drugs
b. Ambulatory care
c. Hospital facilities
d. Long-term care facilities
Correct answer a.) Medical products include both equipment and pharmaceuticals.
Prescription drugs fall into the category of pharmaceuticals, so they are an example of a
medical product.
Copyright © Springer Publishing Company, LLC. All Rights Reserved. 3
, 16. Which is an example of primary care?
a. X-rays
b. Surgery
c. Chemotherapy
*
d. Immunization
Correct answer d.) Primary care includes a range of personal treatment and preventative
measures. Immunization is a form of primary care because it prevents or reduces the harmful
effects of certain infectious diseases.
17. Which of the following is a strength of the U.S. health care system?
a. Equitable distribution of and access to health services
*
b. Technical accomplishments
c. Health status of the population compared to dollars spent on health care
d. Macro-efficiency
Correct answer b.) The United States is a global leader in technical accomplishments in
medicine. The U.S. health care system is known for developing products, procedures, and
pharmaceuticals that are on the cutting edge of technology and medicine.
18. Which of the following groups has the highest age-adjusted death rate?
a. White women
b. Black women
*
c. Black men
d. White men
Correct answer c.) When race and ethnic groups are compared, American Indians or Alaska
Native men had a significantly higher age-adjusted death rate than men in all other racial and
ethnic groups. They were followed next by Black men, White men, and Hispanic men.
Among these options, Black men have the highest age-adjusted death rate.
19. Which of the following is true of the prevalence of diabetes?
a. Prevalence is much higher in White Americans than in other racial and ethnic groups
b. Prevalence is higher for persons above the federal poverty level (FPL)
c. Prevalence is lower in men
*
d. Prevalence is lower in women
Correct answer d.) The prevalence of diabetes is higher in men than in women: 15.4% in
men compared to 14.1% in women.
20. Among persons 18 to 64 years, how many report having no functional limitations?
a. 55%
b. 61%
*
c. 66%
d. 73%
Correct answer c.) Among persons 18 to 64 years, about 66 percent report having no
functional limitations, while only about 34% of those 65 and older had no limitations.
21. Which determinants of health category includes socioeconomic status and race and ethnicity?
a. Physical environment
Copyright © Springer Publishing Company, LLC. All Rights Reserved. 4
, *
b. Social environment
c. Genetic inheritance
d. Health behaviors
Correct answer b.) Socioeconomic status and race and ethnicity are both part of the social
environment. They are both examples of attributes conferred on individuals within a social
context.
22. A chronic disease is a health condition that lasts how long?
a. 3 to 6 months
b. 6 months to 1 year
*
c. 1 year or more
d. 2 years or more
Correct answer c.) Chronic diseases are health conditions that last 1 year or more. They
must also require ongoing medical attention and/or limit activities of daily living to be
categorized as a chronic disease.
23. In 2019, what was the most prevalent chronic condition among Medicare fee-for-service
beneficiaries?
a. High cholesterol
b. Arthritis
*
c. High blood pressure
d. Heart disease
Correct answer c.) In 2019, the most prevalent chronic condition among Medicare Fee-For-
Service beneficiaries was high blood pressure (57%), followed by high cholesterol (49%) and
arthritis (34%).
24. Which of the following are considered unintentional injuries?
*
a. Falls
b. Assault
c. Gun violence
d. Self-harm
Correct answer a.) Injuries resulting from assault, gun violence, and self-harm are
considered intentional.
25. What is the principal health agency within the United States federal government?
a. Centers for Disease Control and Prevention (CDC)
b. National Center for Disease Statistics (NCDS)
*
c. Department of Health and Human Services (DHHS)
d. National Institutes of Health (NIH)
Correct answer c.) The principal health agency of the federal government is the DHHS. The
DHHS is responsible for the federal role in the state-run public assistance programs, and the
main federal programs in biomedical research, regulation, financing, and public health.
Copyright © Springer Publishing Company, LLC. All Rights Reserved. 5
, Chapter 2: The Settings for Health Care Delivery
Multiple Choice Test Questions
1. Which of the following led to the expansion of the hospital system in America in the early 20th
century?
a. The increasing need to house the poor
*
b. The rapid advance of medical science
c. Advances in transportation technology
d. Spiraling medical costs
Correct answer b.) It was the rapid advance of medical science that led to the expansion of
the hospital system and of individual hospitals. This advance also led to the evaluation of
hospitals as the center of the medical care system.
2. What is the primary organization that counts and classifies hospitals in the United States?
a. American Medical Association (AMA)
b. Agency for Healthcare Research and Quality (AHRQ)
*
c. American Hospital Association (AHA)
d. Department of Health and Human Services (HSS)
Correct answer c.) The AHA surveys nearly all hospitals in the United States each year and
uses survey findings to create detailed overviews of each hospital. The AHA also classifies
hospitals as one of four types.
3. Which of the following is an essential characteristic of a community hospital?
a. Long-term care
b. Orthopedic care
*
c. Nonfederal
d. More than 500 beds
Correct answer c.) Community hospitals include all nonfederal, short-term general, and
special hospitals whose facilities and services are available to the public.
4. How many hospitals of all types were there in the United States in 2017?
a. 10,358
b. 7,956
*
c. 6,210
d. 3,790
Correct answer c.) In 2017, there were 6,210 hospitals falling in the general, special,
rehabilitation, and psychiatric categories.
5. How many community hospitals were there in the United States in 2017?
a. 9,362
b. 7,962
c. 6,262
*
d. 5,262
Copyright © Springer Publishing Company, LLC. All Rights Reserved. 1
