1) Prevention and lifestyle behavior changes to promote health are not major foci of the
medical model.
2) By understanding the forces of future change one can accurately predict the future of
health care in the United States.
3) Diversification is not achieved through horizontal integration.
4) LTC services are tailored to the needs of the individual patient.
5) Activities of daily living (ADL) are activities necessary for living independently in
the community (such as driving a car, taking medicine, and handling money), and
instrumental activities of daily living (IADL) are activities necessary for basic
functioning (such as eating, bathing, and dressing).
6) The four main HMO models differ according to payment arrangements with
physicians.
7) In the preindustrial era, much of the medical care in the US was provided by
nonphysicians.
8) Managed care has emphasized the use of alternative services to acute hospital care
whenever appropriate.
9) The affluent use hospital services more intensively than the poor.
10) Private pay patients may be admitted to a certified nursing care facility.
11) AIDS is now classified as a chronic condition
12) The U.S. has a mainly public system of financing health care services.
13) This made additional resources available to the FDA, and resulted in a shortened
approval process for new drugs.
a.Kefauver-Harris Drug Amendments, 1962
b.Food and Drug Administration Modernization Act, 1997
c.Orphan Drug Act, 1983
d.Prescription Drug User Fee Act, 1992
14) The Hill-Burton Act was passed to
a.make it mandatory for private insurers to cover hospital services
b.relieve shortage of hospitals
c.curtail the utilization of hospital beds
d.have federal control over community hospitals
15) The majority of beneficiaries receiving health care through Medicare are
a.elderly
b.disabled
c.financially poor
d.those suffering from end-stage renal disease
16) The ACA is an example of ?
a. social justice
b. market justice
c. both a and b
d. neither a nor b
17) E-health has resulted in
a.patient empowerment and a dilution of their dependent role
b.loss of control by physicians over health care delivery
c.increased government regulation
d.increased corporatization of health care delivery
18) Which racial/ethnic group has the highest rate of low birth weight infants?
a. White
b. Black or African American
c. Asian or Pacific Islander
d. Hispanic
19) This law was criticized for slowing down the introduction of new drugs.
a.Prescription Drug User Fee Act, 1992
b.Kefauver-Harris Drug Amendments, 1962
c.Food and Drug Administration Modernization Act, 1997
d.Food, Drug, and Cosmetic Act, 1938
20) What does the ACA mostly likely to accomplish?
a. Expand access
b. Improve quality
c. Reduce cost
d. Reduce administrative waste
21) Without the information on _____, it is almost impossible to know a technologys
usefulness.
a.Quality
b.Cost-efficiency
c.Cost-benefit
d.Efficacy
22) A health insurance plan pays for medical care only after the insured has first paid
$1,000 out of pocket on an annual basis. The $1,000 annual cost is called
a.first-dollar coverage
b.coinsurance
c.premium
d.deductible
23) When afixed monthly fee per enrollee is paid to a provider, it is called
a.Bundled fee
b.Charge
c.Capitation
d.Retrospective reimbursement
24) Cognitive impairment puts an individual at a high risk for
a.clinical depression
b.functional decline
c.chronic ailments
d.acute ailments
25) The primary functions of managed care include all of the following except:
a. Improving quality
b. Achieving efficiencies
c. Setting prices at which providers are paid
d. Controlling patients utilization of services
26) 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?
a. 10%
b. 25%
c. 50%
d. 75%
27) Skilled nursing care is covered under _____ of Medicare.
a.Part A
b.Part B
c.Part C
d.Part D
28) Self insurance was spurred by
a.employers
b.government policy
c.self-employed people
d.managed care organizations
29) Which of the following is not a behavioral risk factor?
a. Irresponsible motor vehicle use
b. Inadequate physical exercise
c. Unsafe neighborhoods
d. Alcohol abuse
30) Under which payment method is a fee schedule used?
a.prospective payment
b.capitation
c.discounted fees
d.fee for service
31) What is incrementalism?
a. The fact that in the U.S., health care is financed by multiple entities
b. The fragmented, uncoordinated delivery of health services
c. Small policy changes that reflect a compromise amongst different groups demands
d. None of the above
32) For whose financial benefit are proprietary hospitals operated?
a.Stockholders
b.The American public
c.The local community
d.The governing body
33) Under the Affordable Care Act what purpose do the exchanges serve?
a.They allow individuals and small businesses to purchase health plans
b.They facilitate enrollment in Medicaid, CHIP, or a private health plan
c.They replace the state insurance commissions
d.They allow states to exchange information to establish a benchmark plan
34) Closely associated with concurrent UR is the function of
a.preauthorization
b.rehabilitation
c.practice profiling
d.discharge planning
35) Which of the following is a characteristic of a socialized health insurance system?
a. Health care is financed through government-mandated contributions by employers
and employees
b. Health care is delivered by government-employed providers
c. Both a and b
d. Neither a nor b
36) What has been one of the main issuesin Massachusetts since the implementation of
the health plan in that state?
a.A large proportion of the population remains uninsured
b.Physicians have left the state in large numbers
c.Emergency department utilization has continued to rise
d.Health disparities have increased among minority groups
37) Inpatient care consists of
a.Services delivered by a hospital
b.Treatment of acute conditions
c.Health care delivered in conjunction with an overnight stay in a facility
d.Care delivered in a licensed facility