1) Registered nurses undergo the same training as licensed practical nurses.
2) Americans generally demonstrate a high degree of agreement on major health policy
issues.
3) The uninsured consist mostly of adults under age 65 .
4) There is a high degree of uniformity across states in the scope of practice for advance
practice nurses.
5) Compared to other nations, the U.S. uses a larger share of its economic resources for
health care.
6) The U.S. Constitution requires that all bills involving taxation must originate in the
U.S. House of Representatives.
7) The CEO has the primary responsibility for defining a hospital’s mission and its
long-term direction.
8) In recent years, skilled nursing facilities have been the fasted growing segment of the
institutional continuum.
9) In the US, both patients and practitioners generally equate high-quality care with
high-intensity care.
10) More than half of osteopaths (DOs) are generalists.
11) Ecological factors often have global consequences.
12) In the IPA model, the IPA rather than the HMO contracts with the physicians.
13) Under the Medicaid program, eligibility criteria and benefits are consistent
throughout the US.
14) Tax policy in the U.S. provides an incentive to obtain employer-paid health
insurance.
15) The two broad goals of Healthy People 2010 are to eliminate health disparities and
improve the quality of healthcare services.
16) Historically, Presidents have not had a substantial impact on national health policy.
17) Women visit health care providers more often than men.
18) Subacute care is designed for patients who remain critically ill during the postacute
phase of illness.
19) The Affordable Care Act will make every American insured when fully
implemented.
20) The majority of Medicaid beneficiaries and enrollees in Medicare Advantage plans
receive health care services through HMOs.
21) Why was SCHIP created?
a. To provide health insurance to the elderly who do not qualify for Medicare
b. To provide health insurance to low-income children who do not qualify for Medicaid
c. To provide health insurance to immigrants who qualify for neither Medicare nor
Medicaid
d. All of the above
22) This law provided incentives for pharmaceutical firms to develop new drugs for
health problems that affected a relatively small number of people.
a.Prescription Drug User Fee Act, 1992
b.Kefauver-Harris Drug Amendments, 1962
c.Orphan Drug Act, 1983
d.Food and Drug Administration Modernization Act, 1997
23) A continuing care retirement community (CCRC)
a.provides only independent living options in a secure environment
b.provides different levels of long-term care options in one location
c.delivers no clinical services, such as nursing care and rehabilitation
d.must be certified as a NF
24) In general, how do bronze, silver, gold, and platinum health plans differ?
a.They differ according the benefits offered
b.They differ according to cost sharing
c.They differ according to both benefits and cost sharing
d.They differ according to the length of service with an employer
25) Historically, which interest group was the most powerful in opposing national
health insurance during the 1900s?
a.Trade unions
b.Employers
c.The American Medical Association
d.The Republican party
26) An experienced health care professional, such as a nurse practitioner,coordinates an
individuals total health care.
a.case management
b.utilization review
c.gatekeeping
d.closed-panel utilization
27) Which of the following is likely to result in fewer unmet needs and better utilization
of services for HIV/AIDS patients?
a.Hospice care
b.Home- and community-based services
c.Services managed by the Area Agencies on Aging
d.Case management
28) What is the main purpose of the Agency for Healthcare Research and Quality?
a. To regulate hospitals
b. To conduct and support research with respect to health care services and procedures
c. To evaluate the effectiveness and safety of pharmaceuticals
d. None of the above
29) The elderly do not constitute a homogeneous group; hence
a.they have more chronic ailments than acute episodes
b.the LTC system must be integrated with the rest of the health care delivery system
c.most elderly people live independently
d.a variety of long-term care services are necessary
30) The biggest share of national health spending is attributed to
a.hospitals
b.physicians
c.prescription drugs
d.nursing home care
31) Magnet hospitals have been found to
a.attract and retain well-qualified nurses
b.attract privately-insured patients
c.serve a disproportionately high number of seriously ill patients
d.excel in innovative processes of care delivery
32) What was the purpose of certificate of need (CON) laws.
a.Monitor the diffusion of new technology
b.Control the flow of federal funds for private projects
c.Control new health service programs
d.Control new construction and modernization projects
33) RVUs reflect
a.units of services delivered
b.resource inputs
c.the dollar value of services
d.coding of physician services
34) What is the likely impact of the ACA on primary care?
a. increase
b. decrease
c. stay the same
d. unknown
35) Why are discharge statistics more accurate than admission statistics as a count of
inpatients served by a hospital?
a.Deaths are not counted as discharges
b.Deaths are counted as discharges
c.Babies are born in hospitals
d.Some newborn infants need critical care
36) Private health insurance is also referred to as
a.mandatory health insurance
b.public insurance
c.employee health insurance
d.voluntary health insurance
37) The elements of the Epidemiology Triangle of disease occurrence include all of the
following except:
a. Environment
b. Agent
c. Society
d. Host
38) Under free market conditions, the relationship between the quantity of medical
services demanded and the price of medical services is:
a. Unknown
b. Equal
c. Direct
d. Inverse
39) Healthy People 2020 is the first national initiative to advocate:
a. improvement of health status
b. reduction of disparities
c. leading the world in general well-being
d. focusing on a broad array of health determinants
40) In the US, federal qualified health centers are funded to
a. meet all health care needs of the uninsured
b. provide primary care to all citizens
c. serve as a safety-net for those who have difficulty getting needed primary care
d. serve minority patients only
41) Fill in the blank: Historically, inpatient care developed ________ outpatient care.
a. Before
b. After
c. At the same time as
d. In the absence of
42) Which of the following countries has a National Health System (NHS)?
a. Japan
b. Great Britain
c. Australia
d. Germany
43) What is the Minimum Data Set (MDS)?
a.It is a data collection instrument used mainly for clinical research
b.It facilitates the determination of case-mix groups in rehabilitation hospitals
c.It is a patient assessment instrument for skilled nursing facilities
d.It facilitates the determination of ambulatory payment classifications in outpatient
centers
44) What is the main function of the Medicare Payment Advisory Commission
(MedPAC)?
a.To determine Medicare reimbursement to various providers
b.To advise the US Congress on various issues affecting the Medicare program
c.To control total Medicare expenditures
d.To establish Medicare policy
45) Self-care with professional support.
a.Preauthorization
b.Prospective utilization review
c.Disease management
d.Closed-panel utilization
46) According to a US Supreme Court decision, individual states can decide whether or
not to expand their Medicaid programs to comply with the ACA.
47) The U.S. healthcare system can best be described as:
a. Expensive
b. Fragmented
c. Market-oriented
d. All of the above
48) To be classified as a Critical Access Hospital, the number of acute care beds should
not exceed
a.20
b.25
c.35
d.50
49) A free market in healthcare requires:
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
50) The Donabedian Model includes all of the following elements except:
a. Outcomes
b. Costs
c. Structure
d. Process
51) What was the main purpose of the 1946 Hill-Burton Act?
a. Expansion of the availability of health services and improved hospital facilities
b. Creation of a national health insurance plan
c. Regulation of physicians salaries
d. Raising the legal drinking age to 21 years
52) Under the DRG method of reimbursement, an acute care hospital is paid
a.a per-diem rate based on the DRG classification
b.a fixed amount for a particular DRG classification
c.a fixed amount for each day of care
d.an amount based on the use of resources in treating a patient
53) A new corporation created by two partnering organizations remains independent.
a.Acquisition
b.Merger
c.Joint venture
d.Alliance
54) Physicians and hospitals in the US began consolidating and integrating mainly in
response to
a.increased government regulation
b.pressures to contain costs
c.the growth of managed care
d.the demand for higher quality
55) By law, federal matching funds to the states for Medicaid cannot be less than
a.25%
b.33%
c.50%
d.80%
56) What is the purpose of incorporating evidence-based practices into the delivery of
long-term care?
a.To identify a patients specific needs
b.To determine whether a person needs community-based or institutional services
c.To improve the quality of care
d.To ensure the delivery of total care
57) The phenomenon called ‘moral hazard’ results directly from
a.the uninsured status of a segment of the U.S. population
b.inadequate payment to providers
c.managed care enrollment
d.health insurance coverage
58) Which country spends the most in administrative health care costs?
a. United States
b. Germany
c. UK
d. Australia
59) Who is likely to bear the most financial risk under the IPA model?
a.The IPA
b.The providers
c.The HMO
d.The employers