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Homework answers / question archive / Question 1) A 55-year-old male had a stroke with left-sided paralysis

Question 1) A 55-year-old male had a stroke with left-sided paralysis

Health Science

Question 1)

A 55-year-old male had a stroke with left-sided paralysis. He is a Medicaid recipient who has been in a nursing home for 1 year and would like to transition to an assisted living facility. Which program could help fund this transition?

 

Money Follows the Person

 

Elderly Nutrition Program

 

 

Continuing Care at Home

 

Program of All-Inclusive Care for the Elderly

 

 

Question 2    

Approximately what percentage of GDP was spent on health care in 2009?

 

7%

 

17%

 

 

27%

 

37%

 

 

Question 3    

A service is cost-efficient when:

 

the desired health outcome is achieved.

 

the patient's insurance plan saves money.

 

 

the benefit received is greater than the cost incurred to provide the service.

 

the insurance company did not lose money and the patient did not have to pay out of pocket.

 

 

Question 4 

Children under age 18 comprise approximately what percentage of the homeless population?

 

10.4%

 

22.8%

 

 

43.2%

 

61.3%

 

 

Question 5    

Comparing health care before and after the Affordable Care Act (ACA), what continues to be the main concern?

 

?The availability of health insurance for individuals with pre-existing conditions

 

The overall cost of health insurance and health care services

 

 

Federal control of health care services

 

The increase in taxpayer dollars spent on health care

 

 

Question 6    

Health policies are used in what capacity?

 

To give benefits to a particular group or institution

 

To spread out benefits

 

 

To take money from one group and allocate it for another group

 

To collect and save benefits

 

 

Question 7    

How does the quality improvement organization (QIO) program differ from the Centers for Medicare and Medicaid Services' (CMS) other efforts to enhance quality?

 

The QIO program provides patients with information about the quality of care at U.S. hospitals.

 

The QIO program focuses on helping Medicare and Medicaid beneficiaries.

 

 

The QIO program offers incentives to physicians for reporting quality measures.

 

The QIO program allows Medicare beneficiaries to file complaints about quality of care.

 

 

Question 8    

In general, most of the uninsured populations in the United States are:

 

in better health.

 

older adult employees.

 

 

living in the northeast states.

 

using fewer health services than the insured.

 

 

 

 

Question 9 

In long-term care case management, services of freestanding case managers are used in the ________ model.

 

integrated care

 

brokerage

 

 

managed care

 

consolidated

 

 

Question 10 

In the absence of specific therapy to interrupt transmission of HIV, an infected woman has what percent chance of having a child born with HIV?

 

10%

 

20%

 

 

50%

 

75%

 

 

Question 11 

Medicare is primarily for people who meet the following eligibility requirement.

 

Elderly

 

Low-income

 

 

Children

 

Disabled

 

 

Question 12 

Most Americans believe that a 4-year degree prepares students for today's job market:

 

very well.

 

somewhat well.

 

 

not too well.

 

not at all well.

 

Question 13 

Most of the funding for meals-on-wheels is authorized under:

 

Section 1915(c) waivers.

 

the Older Americans Act.

 

 

the Affordable Care Act.

 

Medicaid.

 

Question 14 

Primary care physicians will need to become comprehensivists mainly because of:

 

advances in medical technology.

 

a growing number of people with complex chronic conditions.

 

 

a greater emphasis on patient-centered care.

 

the adoption of the medical home model in health care delivery.

 

 

Question 15 

Private health insurance is also referred to as:

 

mandatory health insurance.

 

public insurance.

 

 

employee health insurance.

 

voluntary health insurance.

 

 

Question 16 

The first proprietary hospitals in the United States were established by:

 

business corporations.

 

wealthy industrialists.

 

 

physicians.

 

religious organizations.

 

 

Question 17 

The government proposes to increase taxes in order to fund a program that would enable the poor to buy more healthful and environmentally friendly foods. This would be an example of a:

 

distributive policy.

 

redistributive policy.

 

 

regulatory tool.

 

welfare extension.

 

 

 

 

 

 

Question 18 

The institutional infrastructure of long-term care delivery is going through a cultural change that emphasizes:

 

improved quality of care.

 

evidence-based care.

 

 

enriched living environments.

 

higher staff-to-patient ratios.

 

 

Question 19 

The National Health Planning and Resources Development Act of 1974 is noted for which of the following?

 

The shift from cost containment to improvement of quality as the principal theme in federal health policy

 

The shift from cost containment to improvement of access as the principal theme in federal health policy

 

 

The shift from improvement of access to cost containment as the principal theme in federal health policy

 

The shift from improvement of quality to cost containment as the principal theme in federal health policy

 

 

Question 20 

The Newborns' and Mothers' Health Protection Act of 1996 prohibits a health plan to offer less than ________ hours of inpatient stay following a cesarean section.

 

48

 

72

 

 

96

 

120

 

 

Question 21 

This law provided incentives for pharmaceutical firms to develop new drugs for health problems that affected a relatively small number of people.

 

Prescription Drug User Fee Act of 1992

 

Kefauver-Harris Drug Amendments of 1962

 

 

Orphan Drug Act of 1983

 

Food and Drug Administration Modernization Act of 1997

 

 

 

 

 

Question 22 

To be classified as a critical access hospital, the number of acute care beds should not exceed:

 

20.

 

25.

 

 

35.

 

50.

 

 

Question 23 

True or False? Administrative costs are charges associated with management of the financing, insurance, delivery, and payment functions of health care.

 

True

 

False

 

 

Question 24 

True or False? As of January 2017, thirty-one states and the District of Columbia had signed legislation to expand Medicaid.

 

True

 

False

 

 

Question 25 

True or False? Availability of a qualified workforce is determined mainly by ecological factors.

 

True

 

False

 

 

Question 26 

True or False? By law, an HMO is prohibited from having an exclusive contract with a group practice.

 

True

 

False

 

 

 

 

 

Question 27 

True or False? Ecological factors often have global consequences.

 

True

 

False

 

 

Question 28 

True or False? Elements of the Donabedian model are outcomes, structure, and process.

 

True

 

False

 

 

Question 29 

True or False? Given the aging of the population, training in geriatrics is on the rise among physicians and nurses.

 

True

 

False

 

 

Question 30 

True or False? Hawaii and Oregon are two examples of states where universal access has been achieved in the United States.

 

True

 

False

 

 

Question 31 

True or False? Health care costs for the elderly are nearly three times more than those for the nonelderly.

 

True

 

False

 

 

Question 32 

True or False? Ideological lines among politicians play a large part in whether or not major initiatives ever move forward.

 

True

 

False

 

 

Question 33 

True or False? In the IPA model, the IPA rather than the HMO contracts with the physicians.

 

True

 

False

 

 

Question 34 

True or False? Knowledge in comparative effectiveness research (CER) will grow more quickly if new studies are undertaken.

 

True

 

False

 

 

Question 35 

True or False? Lack of insurance can result in the increased need for more expensive emergency health care.

 

True

 

False

  

Question 36 

True or false? Managed care increased the rate of growth in health spending between 1993 and 2000.

 

True

 

False

 

 

Question 37 

True or False? Medicare trustees project that the trust fund was depleted in 2010.

 

True

 

False

 

 

Question 38 

True or False? Medicare will not meet the growing need for long-term care services.

 

True

 

False

 

 

Question 39 

True or False? Quality of health care is the main distinguishing factor between a general hospital and a specialty hospital.

 

True

 

False

 

 

Question 40 

True or False? Recent surveys have demonstrated that Americans are willing to forego technological innovation and the availability of new technology in favor of universal health insurance coverage.

 

True

 

False

 

 

Question 41 

True or False? Registered nurses undergo the same training as licensed practical nurses.

 

True

 

False

 

 

Question 42 

True or False? Sensor technology is an example of a force that may impact the direction of health care.

 

True

 

False

 

Question 43 

True or False? The ACA of 2010 places severe limitations on new physician-owned hospitals and on the expansion of existing ones.

 

True

 

False

 

Question 44 

True or False? The existence of so many specialty areas gives physicians greater lobbying power in health care policy.

 

True

 

False

 

 

Question 45 

True or False? The health status of American Indians no longer lags significantly behind other racial/ethnic groups.

 

True

 

False

 

 

Question 46 

True or False? The legislature is responsible for implementing legislation.

 

True

 

False

 

 

Question 47 

True or False? The majority of Medicaid beneficiaries and enrollees in Medicare Advantage plans receive health care services through managed care organizations.

 

True

 

False

 

 

Question 48 

True or False? The number of informal caregivers in the United States has been gradually increasing.

 

True

 

False

 

Question 49 

True or False? The purpose of clinical practice guidelines is to provide a plan to manage a clinical problem based on evidence or consensus, to lower costs, and to improve health outcomes.

 

True

 

False

 

Question 50 

True or False? There is a high degree of uniformity across states in the scope of practice for advance practice nurses.

 

True

 

False

 

 

Question 51 

True or False? The U.S. Constitution requires that all bills involving taxation must originate in the U.S. House of Representatives.

 

True

 

False

 

 

Question 52 

True or False? Uninsured people are more likely to postpone seeking medical care, compared to insured people.

 

True

 

False

 

 

Question 53 

True or False? Whether payment for health care services is made by the government or by a private insurance company, individual patients pay a price far higher than the actual cost of the service.

 

True

 

False

 

 

Question 54 

True or False? Women in the United States live longer than men but suffer greater morbidity and poorer health outcomes.

 

True

 

False

 

 

Question 55 

What are small area variations?

 

Geographic variations in health care practice

 

Demographic variations in health care practice

 

 

Both geographic variations in health care practice and demographic variations in health care practice

 

Neither geographic variations in health care practice nor demographic variations in health care practice

 

 

 

Question 56 

What criteria must an elderly person meet in order to participate in the PACE program?

 

An elderly person must need only community-based long-term care services.

 

An elderly person must be a Medicaid beneficiary.

 

 

An elderly person must have been certified for nursing home placement.

 

An elderly person must undergo preadmission screening and resident review (PASRR).

 

 

Question 57 

What does the federal Ryan White CARE Act fund?

 

Care for underserved rural and urban populations

 

Skin cancer screening programs

 

 

School-based health services in predominantly minority neighborhoods

 

Development of treatment and care options for persons with HIV and AIDS

 

 

Question 58 

What is an interest group?

 

A group of lawmakers within Congress with a particular area of interest

 

A group of appointed judges with a particular political viewpoint

 

 

An independent, nongovernmental group, united by a policy area, that lobbies and advocates its point of view to lawmakers

 

A group that represents a variety of individuals and entities, such as medical specialists and hospitals, working together to protect its own interests

 

 

Question 59 

What is the main question that comparative effectiveness research seeks to answer?

 

How can best practices be adopted in clinical care delivery?

 

What works best for which patients?

 

 

What new research should be undertaken to improve quality?

 

Why did a particular treatment not produce expected results?

 

Question 60 

What is the main use of regenerative medicine?

 

To revive an individual who is near death

 

To repair damaged genes

 

 

To provide substitutes for life-giving products such as blood

 

To repair damaged organs and tissues

 

 

Question 61 

What is the major health challenge of the migrant population?

 

Heart disease

 

Cancer

 

 

Infectious disease

 

HIV/AIDS

 

 

Question 62 

What is the primary aim of international health regulations?

 

To prevent and respond to acute public health risks

 

Global dissemination of clinical practice guidelines

 

 

To ban the development and stockpiling of biological agents

 

To call upon international assistance in the event of major disasters

 

 

Question 63 

What is the primary purpose of certificate-of-need statutes?

 

To increase utilization of primary care services

 

To decrease Medicaid reimbursements for specialty care

 

 

To control capital expenditures by health facilities

 

To reduce provision of unnecessary health care services

 

 

Question 64 

What payment method is used in primary care case management to reimburse physicians?

 

Capitation

 

Discounted fees

 

 

Fee for service

 

Salaries

 

 

 

 

 

 

Question 65 

When comparing hospital utilization and costs in the United States with those of other developed countries, what appears to be the greatest concern with hospitals in the United States?

 

The length of hospital stays

 

The number of hospital beds

 

 

The number of hospital discharges

 

The cost of hospital stays

 

 

Question 66 

Which age group in the United States has had the highest average annual percentage growth over the past 30 years?

 

Over 85

 

65-84

 

 

45-64

 

25-44

 

 

Question 67 

Which entity oversees the licensure of health care facilities?

 

The Joint Commission

 

Federal government

 

 

State government

 

Local county or city government

 

 

Question 68 

Which equation determines health care spending?

 

Expenditures (E) equal price (P) minus quantity (Q).

 

Expenditures (E) equal price (P) plus quantity (Q).

 

 

Expenditures (E) equal price (P) divided by quantity (Q).

 

Expenditures (E) equal price (P) times quantity (Q).

 

 

 

 

 

 

Question 69 

Which of the following could be classified as being the highest health care cost and is continuing to increase?

 

Multipayer system

 

Prospective payment system

 

 

Clinical research

 

Prescription drugs

 

 

Question 70 

Which of the following factors was particularly important in promoting the growth of office-based medical practice in the postindustrial period?

 

Urbanization

 

Educational reform

 

 

Science and technology

 

Dependency

 

 

Question 71 

Which of the following is an example of a health policy?

 

A hospital's guidelines for reporting incidents

 

The recommended vaccine schedule in the United States

 

 

The minimum hours nursing staff must work in order to receive health benefits

 

The number of vacation days a health care worker may have yearly

 

 

Question 72 

Which of the following is an example of a patient receiving care based on vertical integration?

 

A patient who requires postoperative rehabilitation care is transferred to the rehabilitation facility that is linked to the hospital, and the surgeon will continue to be the primary care provider.

 

A patient who requires more intense monitoring is transferred to the intensive care unit that is directly above the medical unit the patient was originally on.

 

 

A patient who was travelling after starting a new prescribed medication needed a prescription refill and was able to receive services at the pharmacy that is linked to the same pharmacy in the patient's hometown.

 

A patient who requires follow-up earlier than the scheduled appointment cannot get an appointment with the primary care physician, but is able to be seen by another physician in the group.

 

 

Question 73 

Which of the following is an example of a significant difference that exists across various racial/ethnic groups on health-related lifestyles and health status?

 

African American women who are 40 years of age and older are more likely to 
have yearly mammograms than the Asian female population.

 

Low birth weights were highest among African Americans in 2014.

 

 

Asian women had a higher percentage of cervical cancer in 2014 than Hispanic 
and White females.

 

Hispanic females are more likely to have had multiple pregnancies by age 25.

 

 

Question 74 

Which of the following is a reason that no specific programs exist to serve the needs of minority populations in the United States?

 

There is little consensus among policy makers on what can or should be done to design professional education, sensitivity to special needs, and services in appropriate areas.

 

The Office of Minority Health did not receive authorization to improve the health of minority populations.

 

 

Policy makers could not get enough support to approve a budget for programs that will only serve minority populations.

 

Programs for nonminority populations are already lacking and are a priority first within the United States.

 

 

Question 75 

Which of the following is the leading cause of death for children and adolescents?

 

Asthma

 

Depression

 

 

Unintentional injuries

 

Lack of immunizations

 

 

Question 76 

Which of the following is true for a 40-year-old man who rarely exercises and eats few fruits and vegetables?

 

These lifestyle habits increase his susceptibility to HIV/AIDS.

 

The effects of his lifestyle can be offset by medical interventions.

 

 

He is at increased risk for chronic disease.

 

He would likely be denied health insurance.

 

 

Question 77 

Which of the following powers of Congress enforces state conformance with federal policy?

 

Power of taxation

 

Power to carry out the will of the people

 

 

Power to spend

 

Power to make all laws

 

 

Question 78 

Which of the following was identified by the Institute of Medicine (Crossing the Quality Chasm, 2001) as an area for quality improvement?

 

Timeliness

 

Security

 

 

Efficacy

 

Outcomes

 

 

Question 79 

Which of the following would be an example of the mission of the Agency for Healthcare Research and Quality (AHRQ)?

 

The cost of a generic prescription drug increases due to research and development costs.

 

The cost of health insurance premiums has increased to offset the law that protects patients from being denied coverage.

 

 

The use of urinary catheters in hospitals has significantly decreased because evidence has shown they cause more harm than good.

 

Community health centers are reserved for use by underprivileged populations.

 

 

Question 80 

Which of the following would describe the impact of a PCMH on the patient's experience and quality of care?

 

Disappointing

 

Positive

 

 

Expensive

 

Inefficient

 

 

 

Question 81 

Which racial/ethnic group has the highest rate of uninsurance?

 

White

 

Black or African American

 

 

Asian or Pacific Islander

 

Hispanic

 

 

Question 82 

Which racial/ethnic group is least likely to use mammography?

 

White

 

Black or African American

 

 

Asian or Pacific Islander

 

Hispanic

 

 

Question 83 

Which type of MCO has achieved the greatest success in employment-based enrollment?

 

HMOs

 

PPOs

 

 

POS plans

 

Exclusive provider plans

 

 

Question 84 

Who has the highest risk of developing human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) in the United States?

 

Women living in crowded conditions

 

Hispanics living in an urban setting

 

 

Blacks living in the rural South

 

Children living below poverty level

 

Question 85 

Why should rising health care costs be controlled?

 

Higher prices allow businesses to stay competitive.

 

An increase in health care costs impacts high-income Americans.

 

 

Americans refrain from other goods and services in order to afford growing health care costs.

 

Higher costs limit the ability of larger companies to offer health benefits.

 

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