1) Since 1975, the rates of change in medical inflation have remained consistently and
continuously above the rates of change in the CPI.
2) Under the medical model, health is defined as a complete state of physical, mental,
and social well-being, and not just the absence of disease or infirmity.
3) Medicare does not pay for regular adult day care services.
4) Health insurance plans are allowed to have annual dollar limits on a persons medical
benefits.
5) Under the ACA, private health insurance will no longer be the main source of
coverage.
6) Health insurance increases the demand for health care services.
7) The U.S. health care system is administratively controlled by an agency of the
government.
8) There has been a decreasing number of international medical graduates (IMGs) in the
U.S. since 1980 .
9) The government health coverage program for the elderly and certain people with
disabilities is called Medicaid.
10) In certified nursing care facilities, different levels of services are delivered to
Medicare and Medicaid patients based on the source of financing.
11) A chronic condition is relatively severe, episodic, and often treatable.
12) Licensure of a health care facility is directly tied to the quality of care it delivers.
13) The number of active nurses has steadily increased over time.
14) Women incur higher use of hospital services than men, even after childbirth-related
utilization is factored out.
15) Corporatization of medicine has resulted in delivering the same quality of health
care at a lesser cost.
16) Health care costs for the elderly are nearly 3 times more than those for the
non-elderly.
17) What was the function of a pesthouse in the preindustrial period?
a.To house people who had a contageous disease
b.To provide refuge to those who were threatened by pests
c.To eradicate pests
d.To treat contageous diseases
18) Among HMOs, which model is the most successful in terms of the share of all
enrollments?
a.Staff model
b.Group model
c.Network model
d.IPA model
19) Hospital-based transitional care units must be certified as
a.an acute care hospital
b.a SNF
c.a NF
d.both SNF and NF
20) Gatekeeping ______ secondary care services.
a.bypasses
b.encompasses the delivery of
c.requires a referral for
d.does not control
21) The roles and responsibilities of health services administrators include:
a. Leadership and strategic direction
b. Departmental management
c. Program oversight
d. All of the above
22) Which department of the DHHS supports research on health care quality, cost, and
access?
a.National Institutes of Health
b.Agency for Healthcare Research and Quality
c.Institute of Medicine
d.American Health Quality Assocation
23) Countries whose health systems are oriented more toward primary care achieve:
a. Higher satisfaction with health services among their populations
b. Higher expenditures in the overall delivery of care
c. Worse health outcomes
d. None of the above
24) Cost is shifted from people in poor health to the healthy when
a.premiums are based on experience rating
b.people purchase individual private health insurance policies instead of group policies
c.first-dollar coverage is predominant
d.premiums are based on community rating
25) In the U.S. health care system, which of the following creates a separation between
financing and delivery?
a.Payment
b.Moral hazard
c.Insurance
d.Phantom providers
26) How is community-oriented primary care (COPC) different from primary care?
a. COPC does not believe in the link between primary and secondary prevention
b. COPC adheres more strongly to the biomedical model
c. COPC adds a population-based approach to identifying and addressing community
health problems
d. All of the above
27) According to the CDC, which factor contributes most to premature death in the U.S.
population?
a. Lifestyle and behaviors
b. Lack of medical care
c. Social and environmental factors
d. Genetic makeup
28) Which of the following plays a primary role in individualizing long-term care
services to the patient’s needs?
a.Coordination of various services
b.Physician’s orders
c.An individual assessment
d.A discharge report from the hospital
29) What was the main conclusion of the Rand Health Insurance Experiment
a.Cost sharing lowered health care utilization without any significant health
consequences
b.Cost sharing lowered health care utilization but there were significant health
consequences
c.Cost sharing did not affect health care utilization
d.Cost sharing increased health care utilization
30) What is the role of an institutional review board (IRB)?
a.Establish guidelines for the method of conducting research
b.Verify the results of clinical trials
c.Approve and monitor research that involves human subjects
d.All of the above
31) Which of the following is a typical setting for ambulatory care services?
a. Sports medicine clinics
b. Physicians offices
c. Dialysis centers
d. All of the above
32) Before the launch of the Affordable Care Act, surveys showed that over 50% of
Americans disapproved the ACA.
33) Which method of risk assessment is required by the ACA for individual and
small-group health insurance?
a.Experience rating
b.Pure community rating
c.Adjusted community rating
d.Risk selection
34) Concurrent UR in a hospital will be primarily concerned with the
a.disease process
b.length of stay
c.preauthorizations
d.quality management
35) Closed-panel plan.
a.No new physicians can be added to the plan
b.New enrollees are not accepted by the plan
c.The enrollee cannot switch from one plan to another
d.The enrollee is restricted to the providers on the panel
36) In a hospital classified as short stay, the ALOS is not morethan
a.5 days
b.10 days
c.15 days
d.25 days
37) Which two barriers will prevent the US health care system from reaching an ideal
state?
a.Anthro-cultural factors; technological change
b.The American mindset in terms of expectations; inadequacies in the existing
infrastructure
c.Cost of health care; social and demographic forces
d.Employment-based health insurance; insurance companies
38) What financial benefit does a small rural hospital gain by qualifying for the
designation, Critical Access Hospital?
a.It can receive specific federal grants for serving vulnerable populations
b.It can use its beds for either acute care or long-term care as needed
c.It can increase its profitability by receiving special payments for emergency services
d.It can receive cost-plus reimbursement under Medicare Part A
39) Why did the first Blue Cross plans cover only hospital care?
a.The AMA objected to the inclusion of physician services
b.There was little demand for including other types of health care services
c.Initial hospitalization was required in order to compensate a beneficiary for loss of
income
d.The Blue Cross commission determined that including other types of health care
services would be unprofitable
40) What is tertiary prevention?
a. Early detection and treatment of disease
b. Rehabilitative therapies and monitoring of health to prevent complications or further
illness, injury, or disability
c. Reduction of the probability that a disease will develop in the future
d. None of the above
41) Most of the expenditures for long-term care services, both community-based and in
institutions, is paid by
a.private long-term care insurance
b.employer-based health insurance
c.Medicare
d.Medicaid and other public sources
42) At a fundamental level, medical technology deals with
a.production of new equipment to provide more advanced health care
b.the application of scientific knowledge for improving health and creating efficiencies
c.using discoveries made in basic sciences to deliver health care
d.new drugs, devices, and biologics
43) What was the main purpose of the Kerr-Mills program (1960)?
a. Provision of federal grants to state government programs assisting the elderly
b. Provision of federal grants to state government programs assisting the poor
c. Provision of federal grants to state government programs assisting children
d. None of the above
44) In national health care systems, total expenditures are controlled mainly through
a.cost shifting
b.underwriting
c.supply-side rationing
d.demand-side rationing