, TESTBANK FOR Health Care Finance, Economics,
and Policy for Nurses, 2nd Edition A Foundational
Guide Rambur
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:
,Instructor’s Test Bank to Accompany
Health Care Finance, Economics,
and Policy for Nurses
A Foundational Guide
Second Edition
Betty Rambur, PhD, RN, FAAN
ISBN: 978-0-8261-5256-5
Copyright © Springer Publishing Company, LLC. All Rights Reserved.
,Copyright © 2021 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
11 West 42nd Street
New York, NY 10036
www.springerpub.com
ISBN: 978-0-8261-5256-5
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.
, Final Exam Test Bank
1. For most privately insured Americans, health insurance is:
a. Employer based
b. Financed by the government
c. Privately purchased
d. None of the above
2. The role of the federal government in the U.S. health care system is:
a. Regulator
b. Major financer
c. Medicaid reimbursement rate setter
d. All of the above
3. A truly free market in health care would require:
a. Adequate information for patients
b. Independent actions between buyers (patients) and sellers (providers)
c. Unencumbered interaction of the forces of supply and demand
d. All of the above
4. In 1965, Medicare was created as:
a. A program to ensure health insurance coverage for the poor
b. A program to reimburse hospitals for care of those over 65 and those with disabilities
c. An insurance program that focuses on those with disabilities
d. An entitlement program for those 65 and above that provides health insurance
5. Health care in the United States:
a. Has emphasized intensive, high-technology care
b. Reimbursed primary care providers at a higher rate than specialists
c. Focused on community-based care rather than acute care
d. All of the above
6. Big data:
a. Is the term used for medical records in patient-centered medical homes
b. Is synonymous with the term value-based data
c. Uses a variety of data sources
d. All of the above
7. All of the following are examples of cost sharing EXCEPT:
a. Deductibles that must be reached before insurance will reimburse providers
b. Copayments that must be paid at each provider visit
c. Essential benefits
d. Coinsurance
8. An element of the health system that challenges the market principle “buyers have
information about the product, or know how to get information about the product” is:
a. Required copayments at the time of reach visit
Copyright © Springer Publishing Company, LLC. All Rights Reserved.
, b. Asymmetry of information between providers and patients
c. Antitrust law
d. All of the above
9. A diagnosis-related group is a:
a. Prospective payment system based upon a fixed reimbursement rate per day
b. Prospective payment system based upon a fixed reimbursement rate per
admission diagnosis
c. Payment system that financially incentivizes long hospital stays
d. All of the above
10. A reimbursement method in which providers and payers share revenue when expenses
are less than expected when serving a particular population:
a. Capitation
b. Fee for service
c. Bundled payments
d. Accountable Care Shared Savings Program
11.Which of the following is a characteristic of care within fee-for-service reimbursement?
a. Coordinated care across provider types
b. An emphasis on high technology, specialist care
c. Focused attention on population health
d. Focused attention on social determinants of health
12. Traditional universal principles of health care ethics include all of the following except:
a. Beneficence
b. Nonmaleficence
c. Role fidelity
d. Population health accountability
13. In general, the best overall predictor of health status is:
a. Social determinants of health
b. Access to specialty care
c. The number of physicians per general population
d. All of the above contribute equally
14. The U.S. employer-based health insurance system:
a. Was the result of careful strategic planning
b. Emerged in the 1920s as a consumer-driven social movement
c. Creates a de facto hidden tax on the employees of the employers who offer
health insurance
d. All of the above
15. Types of boards include:
a. Governing boards with fiduciary responsibility
b. Advisory boards
c. Regulatory boards
d. All of the above
16. The term payers typically refers to all of the following EXCEPT:
a. Insurance companies
b. Governmental entities such as Medicare
Copyright © Springer Publishing Company, LLC. All Rights Reserved.
, c. Governmental entities such as Medicaid
d. Patients
17. Cost sharing:
a. Serves to help health care consumers be more cost conscious
b. Is the same as cost shifting
c. Is prohibited by federal law
d. All of the above
18. Global budgets:
a. Create a financial incentive for overtreatment
b. Create an incentive for care coordination and cost reduction
c. Offer the same financial incentives to providers as fee for service
d. All of the above
19. The Flexner Report:
a. Resulted in the closure of many medical schools that educated women and people
of color
b. Resulted in the closure of many medical schools oriented to what would now be
termed complementary or alternative care
c. Spurred the orientation of medicine toward a bio-medical reductionist model of care
d. All of the above
20. President Franklin D. Roosevelt:
a. Initially envisioned national health insurance as part of the original Social Security Act
b. Along with his wife, Bess, received the first Medicare card in 1965
c. Both a and b
d. Neither a nor b
21. The Affordable Care Act as originally passed included all of the following except:
a. Individual mandates
b. Employer mandates
c. Predetermined out-of-pocket maximums
d. A public option known as Medicare for All
22. The Affordable Care Act as originally passed prohibits which of the following:
a. Cost shifting
b. Lifetime caps on health benefits
c. State testing of reimbursement systems other than fee for service
d. All of the above
23. The Affordable Care Act determination of Essential Benefits:
a. Defines what benefits an insurance product must cover, at a minimum
b. Enables consumers to more easily compare different insurance products
c. Includes options for different levels of cost sharing
d. All of the above
24. An accountable care organization (ACO) is:
a. A group of providers who have agreed to be accountable for overall costs and quality of
care for a given population
b. Mandated for all provider groups of more than 50 providers, but voluntary for smaller
provider groups
c. Only relevant for the patients who are on Medicaid
Copyright © Springer Publishing Company, LLC. All Rights Reserved.
, d. Only relevant for those ACOs who are in a shared savings program
25. Patient-centered medical homes typically include all of the following EXCEPT:
a. Functional integration
b. Structural integration
c. Comprehensive health services
d. Coordination of care
26. Directors and Operators Insurance:
a. May be provided to individuals on governing boards
b. Is necessary for individuals on advisory boards
c. Is mandatory for individuals on regulatory boards
d. All of the above
27. Which principle of ethics requires caregivers to involve the patient in medical decision-
making?
a. Paternalism
b. Fidelity
c. Beneficence
d. Autonomy
28. Which of the following is a major criticism of fee-for-service reimbursement?
a. Overutilization and overtreatment are incentivized
b. Accountability horizons stretch across a population and through intergenerational time
c. Care coordination may emphasize social support over medical care
d. There may be an undersupply of specialty physicians
29. Nurses can influence public policy by:
a. Voting
b. Running for office
c. Contacting state or federal policy makers
d. All of the above
30. In general, which payer mix would create the greatest financial advantage for the
organization?
a. 20% commercial insurance, 20% Medicare, 60% Medicaid
b. 40% commercial insurance, 20% Medicare, 40% Medicaid
c. 80% commercial insurance, 10% Medicare, 10% Medicaid
d. None of the above. Each of these provide the same amount of reimbursement
31. Mergers and hospital acquisition of physician practices:
a. Have been spurred by the Affordable Care Act
b. Have resulted in marked decreases in costs in the reconfigured organization
c. Have resulted in marked increases in quality in the reconfigured organization
d. All of the above
32. Types of hospitals in the United States include:
a. Critical access hospitals
b. Community hospitals
c. Tertiary care hospitals
d. All of the above
Copyright © Springer Publishing Company, LLC. All Rights Reserved.
and Policy for Nurses, 2nd Edition A Foundational
Guide Rambur
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:
,Instructor’s Test Bank to Accompany
Health Care Finance, Economics,
and Policy for Nurses
A Foundational Guide
Second Edition
Betty Rambur, PhD, RN, FAAN
ISBN: 978-0-8261-5256-5
Copyright © Springer Publishing Company, LLC. All Rights Reserved.
,Copyright © 2021 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
11 West 42nd Street
New York, NY 10036
www.springerpub.com
ISBN: 978-0-8261-5256-5
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.
, Final Exam Test Bank
1. For most privately insured Americans, health insurance is:
a. Employer based
b. Financed by the government
c. Privately purchased
d. None of the above
2. The role of the federal government in the U.S. health care system is:
a. Regulator
b. Major financer
c. Medicaid reimbursement rate setter
d. All of the above
3. A truly free market in health care would require:
a. Adequate information for patients
b. Independent actions between buyers (patients) and sellers (providers)
c. Unencumbered interaction of the forces of supply and demand
d. All of the above
4. In 1965, Medicare was created as:
a. A program to ensure health insurance coverage for the poor
b. A program to reimburse hospitals for care of those over 65 and those with disabilities
c. An insurance program that focuses on those with disabilities
d. An entitlement program for those 65 and above that provides health insurance
5. Health care in the United States:
a. Has emphasized intensive, high-technology care
b. Reimbursed primary care providers at a higher rate than specialists
c. Focused on community-based care rather than acute care
d. All of the above
6. Big data:
a. Is the term used for medical records in patient-centered medical homes
b. Is synonymous with the term value-based data
c. Uses a variety of data sources
d. All of the above
7. All of the following are examples of cost sharing EXCEPT:
a. Deductibles that must be reached before insurance will reimburse providers
b. Copayments that must be paid at each provider visit
c. Essential benefits
d. Coinsurance
8. An element of the health system that challenges the market principle “buyers have
information about the product, or know how to get information about the product” is:
a. Required copayments at the time of reach visit
Copyright © Springer Publishing Company, LLC. All Rights Reserved.
, b. Asymmetry of information between providers and patients
c. Antitrust law
d. All of the above
9. A diagnosis-related group is a:
a. Prospective payment system based upon a fixed reimbursement rate per day
b. Prospective payment system based upon a fixed reimbursement rate per
admission diagnosis
c. Payment system that financially incentivizes long hospital stays
d. All of the above
10. A reimbursement method in which providers and payers share revenue when expenses
are less than expected when serving a particular population:
a. Capitation
b. Fee for service
c. Bundled payments
d. Accountable Care Shared Savings Program
11.Which of the following is a characteristic of care within fee-for-service reimbursement?
a. Coordinated care across provider types
b. An emphasis on high technology, specialist care
c. Focused attention on population health
d. Focused attention on social determinants of health
12. Traditional universal principles of health care ethics include all of the following except:
a. Beneficence
b. Nonmaleficence
c. Role fidelity
d. Population health accountability
13. In general, the best overall predictor of health status is:
a. Social determinants of health
b. Access to specialty care
c. The number of physicians per general population
d. All of the above contribute equally
14. The U.S. employer-based health insurance system:
a. Was the result of careful strategic planning
b. Emerged in the 1920s as a consumer-driven social movement
c. Creates a de facto hidden tax on the employees of the employers who offer
health insurance
d. All of the above
15. Types of boards include:
a. Governing boards with fiduciary responsibility
b. Advisory boards
c. Regulatory boards
d. All of the above
16. The term payers typically refers to all of the following EXCEPT:
a. Insurance companies
b. Governmental entities such as Medicare
Copyright © Springer Publishing Company, LLC. All Rights Reserved.
, c. Governmental entities such as Medicaid
d. Patients
17. Cost sharing:
a. Serves to help health care consumers be more cost conscious
b. Is the same as cost shifting
c. Is prohibited by federal law
d. All of the above
18. Global budgets:
a. Create a financial incentive for overtreatment
b. Create an incentive for care coordination and cost reduction
c. Offer the same financial incentives to providers as fee for service
d. All of the above
19. The Flexner Report:
a. Resulted in the closure of many medical schools that educated women and people
of color
b. Resulted in the closure of many medical schools oriented to what would now be
termed complementary or alternative care
c. Spurred the orientation of medicine toward a bio-medical reductionist model of care
d. All of the above
20. President Franklin D. Roosevelt:
a. Initially envisioned national health insurance as part of the original Social Security Act
b. Along with his wife, Bess, received the first Medicare card in 1965
c. Both a and b
d. Neither a nor b
21. The Affordable Care Act as originally passed included all of the following except:
a. Individual mandates
b. Employer mandates
c. Predetermined out-of-pocket maximums
d. A public option known as Medicare for All
22. The Affordable Care Act as originally passed prohibits which of the following:
a. Cost shifting
b. Lifetime caps on health benefits
c. State testing of reimbursement systems other than fee for service
d. All of the above
23. The Affordable Care Act determination of Essential Benefits:
a. Defines what benefits an insurance product must cover, at a minimum
b. Enables consumers to more easily compare different insurance products
c. Includes options for different levels of cost sharing
d. All of the above
24. An accountable care organization (ACO) is:
a. A group of providers who have agreed to be accountable for overall costs and quality of
care for a given population
b. Mandated for all provider groups of more than 50 providers, but voluntary for smaller
provider groups
c. Only relevant for the patients who are on Medicaid
Copyright © Springer Publishing Company, LLC. All Rights Reserved.
, d. Only relevant for those ACOs who are in a shared savings program
25. Patient-centered medical homes typically include all of the following EXCEPT:
a. Functional integration
b. Structural integration
c. Comprehensive health services
d. Coordination of care
26. Directors and Operators Insurance:
a. May be provided to individuals on governing boards
b. Is necessary for individuals on advisory boards
c. Is mandatory for individuals on regulatory boards
d. All of the above
27. Which principle of ethics requires caregivers to involve the patient in medical decision-
making?
a. Paternalism
b. Fidelity
c. Beneficence
d. Autonomy
28. Which of the following is a major criticism of fee-for-service reimbursement?
a. Overutilization and overtreatment are incentivized
b. Accountability horizons stretch across a population and through intergenerational time
c. Care coordination may emphasize social support over medical care
d. There may be an undersupply of specialty physicians
29. Nurses can influence public policy by:
a. Voting
b. Running for office
c. Contacting state or federal policy makers
d. All of the above
30. In general, which payer mix would create the greatest financial advantage for the
organization?
a. 20% commercial insurance, 20% Medicare, 60% Medicaid
b. 40% commercial insurance, 20% Medicare, 40% Medicaid
c. 80% commercial insurance, 10% Medicare, 10% Medicaid
d. None of the above. Each of these provide the same amount of reimbursement
31. Mergers and hospital acquisition of physician practices:
a. Have been spurred by the Affordable Care Act
b. Have resulted in marked decreases in costs in the reconfigured organization
c. Have resulted in marked increases in quality in the reconfigured organization
d. All of the above
32. Types of hospitals in the United States include:
a. Critical access hospitals
b. Community hospitals
c. Tertiary care hospitals
d. All of the above
Copyright © Springer Publishing Company, LLC. All Rights Reserved.
