1) In the preindustrial period, Europe was more advanced than the US in medical
science.
2) Thanks to technology, HIV/AIDS has become a chronic disease.
3) All states require assisted living facilities to be licensed by the state.
4) All states are required to have the same set of eligibility requirements for Medicaid.
5) By prescribing minimum medical loss ratios in health plans, the ACA will limit the
percentage of premium revenue a health plan can use for administration, marketing, and
profits.
6) The presence of an agent does not ensure that disease will occur.
7) Under the Medicare program, eligibility criteria and benefits are consistent
throughout the US.
8) The health status of American Indians no longer lags significantly behind other
racial/ethnic groups.
9) When bills for compulsory health insurance were introduced in several states, they
were supported by American employers.
10) Primary care practice in most industrialized countries is public.
11) Nursing facilities must be certified by the state in which they operate.
12) Sharing of existing resourceswithout joint ownership of assets.
a.Acquisition
b.Merger
c.Joint venture
d.Alliance
13) Rational integration between long-term care and non-long-term care services
a.helps individualize a plan of care
b.facilitates the delivery of total care
c.establishes better working relationships between the various partners of care
d.helps identify the level of long-term care that is most appropriate for the patient
14) Fill in the blank: In the U.S., Midwiferys role in the management of pregnancies
has been _______, compared to Europe.
a. Central
b. Peripheral
c. Ubiquitous
d. None of the above
15) Demand-side rationing is the same thing as:
a. Nonprice rationing
b. Price rationing
c. Both a and b
d. Neither a nor b
16) Which type of long-term care service is predominantly used in the United States?
a.Informal care
b.Home health care
c.Nursing home services
d.Respite care
17) The health care sector constituted what percentage of the U.S. gross domestic
product in 2011?
a. 8%
b. 18%
c. 28%
d. 38%
18) The Nurse Reinvestment Act of 2002 provides:
a. Grants and scholarships for nurses
b. Funding for nurse retention programs
c. Funding for further education for nurses
d. All of the above
19) Cultural authority was conveyed to the medical profession mainly through
a.the development of the AMA
b.advances in medical science
c.patients’ dependency
d.licensing
20) Holistic health adds which element to the World Health Organization definition of
health?
a. Physical
b. Mental
c. Spiritual
d. Social
21) Which type of health care facility employs the most people in the U.S.?
a. Physicians offices and clinics
b. Hospitals
c. Nursing and personal care facilities
d. None of the above
22) The percentage of active primary care generalist physicians has:
a. Decreased since 1949
b. Increased since 1949
c. Remained steady since 1949
d. Unknown: this number has only been tracked since 1970
23) The amount of reimbursement is determined before the services are delivered.
a.Retrospective reimbursement
b.Cost-plus reimbursement
c.Prospective reimbursement
d.Fee-for-service
24) The institutional infrastructure of long-term care delivery is going through a cultural
change that emphasizes
a.improved quality of care
b.evidence-based care
c.enriched living environments
d.higher staff to patient ratios
25) Basic assistance with ADLs is provided mainly by
a.physical therapists
b.licensed nurses
c.paraprofessionals
d.occupational therapists
26) The Patient Protection and Affordable Care Act was vehemently opposed by the
AMA.
27) How is average length of stay calculated?
a.Days of care/discharges
b.By cumulating patient days
c.Inpatient days/capacity
d.Discharges X inpatient days
28) Prospective utilization review includes
a.precertification
b.discharge planning
c.review of medical records
d.efforts to reduce length of stay
29) Which of the following entities in the U.S. employs lobbyists?
a. Physicians
b. Insurance companies
c. Large employers
d. All of the above
30) For hospitalizations, Medicare beneficiaries must pay a deductible
a.each time they are admitted to a hospital
b.once per benefit period
c.on discharge from a hospital
d.None of the above
31) Physician maldistribution occurs by:
a. Specialty
b. Geography
c. Both a and b
d. Neither a nor b
32) Allied health professionals include:
a. Osteopaths
b. Dentists
c. Physician assistants
d. None of the above
33) Which piece of legislation had important implications for rural hospitals?
a. Rural Hospital Act of 1992
b. Omnibus Budget Reconciliation Act (OBRA) of 1986
c. Access to Care Act of 1988
d. Higgins-Branyan Act of 2004
34) Cost-efficiency evaluates marginal benefits in relation to
a.marginal safety
b.marginal costs
c.flat of the curve
d.outcomes
35) Physicians are employees of the HMO.
a.Preferred providers
b.IPA model
c.Staff model
d.Independent practice association
36) Crude birth rate is calculated by:
a. Dividing the number of live births in a period of time by the total population
b. Dividing the total population by the number of live births in a period of time
c. Dividing the number of live births in a period of time by the number of women aged
15-44 in the population
d. Dividing the number of women aged 15-44 in the population by the number of live
births in a period of time
37) Under the fee-for-service system, providers had the incentive to
a.deliver more services than what would be medically necessary because a greater
volume would increase their revenues
b.use less technology because they could increase their revenues by not using costly
procedures
c.indiscriminate cost increases because they could get paid whatever they would charge
d.increase the level of quality in order to attract more patients
38) MCO stands for:
a. Managed Clinical Office
b. Managed Care Office
c. Managed Care Organization
d. Managed Clinical Organization
39) What is the meaning of the term Access?
a. All citizens have health insurance coverage
b. Availability of services
c. Employer-based health insurance
d, Ability to get health care when needed