1) Compared to tertiary care, primary care services are more complex and specialized.
2) Globalization of health care has produced positive effects in both developed and
developing countries.
3) Medicare trustees project that the trust fund will be depleted by 2010 .
4) The legislature is responsible for implementing legislation.
5) The term e-health applies only to the electronic delivery of health care by qualified
health care professionals.
6) The ACA will make everyone insured.
7) Utilization is better controlled under a closed-panel plan than under an open-panel
plan.
8) Quality of health care is the main distinguishing factor between a general hospital
and a specialty hospital.
9) Under community rating, people are charged the same premium regardless of health
risk.
10) Stark Laws prohibit self-referrals except when a referring physician has an
ownership interest in the whole hospital.
11) Gene therapy promises to replace the use of medications and surgeries in some
areas.
12) Hawaii and Oregon are two examples where universal access has been achieved in
the United States.
13) One distinguishing feature of HMOs is that they use discounted fees as the primary
method of paying providers.
14) The Newborns’ and Mothers’ Health Protection Act of 1996 prohibits a health plan
to offer less than _____ of inpatient stay following a normal vaginal delivery.
a.24 hours
b.48 hours
c.3 days
d.4 days
15) Unlike the United States, the first hospitals in Europe were established by
a.the government
b.religious orders
c.rich donors
d.trade unions
16) Which hospitals provide services to children in communities that do not have
specialty children’s hospitals.
a.Rehabilitation hospitals
b.General hospitals
c.Long-term care hospitals
d.Specialized hospitals
17) What is the ultimate aim of a highly integrated organization?
a.Deliver a seamless array of services
b.Bring physicians and hospitals together to compete with managed care
c.Become a risk bearing entity
d.Obtain government contracts to participate in Medicaid and Medicare Advantage
18) What is the incentive under fee-for-service reimbursement?
a.Payers have the incentive to reduce reimbursement
b.Patients have the incentive to consume more services than necessary
c.Providers have an incentive to deliver nonessential services
d.Insurers have an incentive to reduce premium costs
19) Under the Hospital Survey and Construction Act of 1946, the responsibility for
hospital planning
a.remained in the hands of the federal government
b.was delegated to local county and city governments
c.was given to the states
d.was given to private insurers
20) Which of the following is a power of Congress?
a. Power of taxation
b. Power to use any reasonable means not prohibited by the Constitution to carry out
the will of the people
c. Power to spend
d. All of the above
21) Decline in ADLs is likely to be most pronounced in
a.patients needing nursing home care
b.people entering a CCRC
c.people who need to be transferred to a hospital
d.people needing adult day care services
22) Which ownership type constitutes the largest group of hospitals and hospital beds in
the United States?
a.Private for-profit
b.Federal
c.Private nonprofit
d.State and local government
23) In the preindustrial era, _____ often functioned as surgeons.
a.butchers
b.tailors
c.clergymen
d.barbers
24) Why did physicians remain independent of corporate settings even after the medical
profession became well recognized?
a.Hospitals were unable to pay high enough salaries to physicians
b.Physicians disliked salary arrangements
c.Licensure laws had not yet been passed
d.Physicians who took up practice in a corporate setting were castigated by the medical
profession
25) During the World War II period, health insurance became employer-based because
of
a.endorsement from Blue Cross and Blue Shield plans
b.wage freezes
c.disputes between labor and management about the cost of health care
d.union demands
26) National health expenditures (E) =
a.P x Q
b.Q / P
c.P / Q
d.(P x Q) / P
27) Typically, tertiary care:
a. Is highly specialized
b. Does not depend on technology
c. Takes place outside of traditional healthcare facilities
d. All of the above
28) Organized medicine
a.Concerted activities of physicians through the American Medical Association
b.Affiliation of physicians with medical schools
c.Standardized practice of medicine
d.Unionization of physicians
29) SMI provides
a.hospital coverage
b.skilled nursing facility coverage
c.prescription drugs
d.physician services
30) One reason womens health centers were created is:
a. Women have more money than men
b. Women seek care more often than men
c. Women have shorter lifespans than men
d. None of the above
31) Two organizations cease to exist, and a new corporation is formed.
a.Acquisition
b.Merger
c.Joint venture
d.Alliance
32) Which of the following cannot be classified as a community hospital?
a.Specialty hospital
b.Proprietary hospital
c.Long-stay hospital
d.Children’s hospital
33) One of the most disconcerting aspects of government regulation of long-term care is
a.inadequacy of regulations
b.inconsistent application of regulations within and across regions
c.overregulation
d.inconsistencies between the regulatory requirements and delivery of care
34) To participate in Medicare and Medicaid, a health care facility must be
a.conditioned
b.accredited
c.certified
d.licensed
35) Which of the following can contribute positively to a person’s quality of life?
a.Palliation
b.Assessment
c.Plan of care
d.Total care
36) Certain allergy medications containing pseudoephedrine are available without
prescription, but must be kept behind the pharmacy counter and sold only in limited
quantities upon verification of a person’s identity.
a.Food and Drugs Act, 1906
b.Food, Drug, and Cosmetic Act, 1938
c.Kefauver-Harris Drug Amendments, 1962
d.Patriot Act 2006
37) Discounted fees are
a.discounted capitated fees
b.used to shift risk from the financiers to the insurers
c.used to share maximum risk with providers
d.a modified form of fee for service
38) Emergency departments, in most cases, are equipped to provide:
a. Primary care services
b. Secondary care services
c. Tertiary care services
d. Both b and c
39) Average daily census is a measure of a hospital’s
a.daily capacity
b.average admissions per day
c.days of care
d.number of inpatients served daily
40) National health care programs in other countries often use the following mechanism
to control total health care expenditures?
a.Third parties
b.Capitation
c.Global budgets
d.A single-payer system
41) A hospital that is accredited by the Joint Commission
a.is deemed to have met licensure requirements
b.receives the designation of magnet hospital
c.must comply with the conditions of participation
d.is deemed to have met certification requirements
42) The first hospitals in the United States served mainly
a.the poor
b.the wealthy
c.those needing surgery
d.government officials
43) Which age group in the U.S. has had the highest average annual percent growth
over the past 30 years?
a. Over 85
b. 65-84
c. 45-64
d.25-44
44) Gatekeeping heavily depends on the services of a
a.primary care physician
b.case manager
c.disease consultant
d.nurse practitioner
45) In the preindustrial era, asylums were built by ____ to accommodate patients with
severe and chronic mental illness.
a.the federal government
b.private entrepreneurs
c.psychiatrists
d.the state governments
46) What is the primary mechanism that enables people to obtain health care services?
a.Availability of services
b.Health insurance
c.Payment for services
d.Control of expenditures
47) Which legislation created the State Childrens Health Insurance Plan (SCHIP)?
a. Balanced Budget Act of 1997
b. State Childrens Health Insurance Act of 1997
c. Kids First Act of 1997
d. Omnibus Reconciliation Act of 1997
48) Fill in the blank: Compared to metropolitan and suburban areas, there is a/an _____
of physicians in rural areas.
a. Shortage
b. Surplus
c. Equal amount
d. Unknown number
49) Medical cost inflation is influenced by all of the following factors except:
a. Waste and abuse
b. Increase in elderly population
c. Decrease in uninsured
d. Growth of technology
50) What is the key determinant of the need for long-term care?
a.A disabling accident
b.An acute episode
c.Presence of multiple chronic conditions
d.Dependency because ofinability to perform tasks of daily living