Final Exam

Question 1

US healthcare industry has historically been based on the provision of outpatient services (T/F)

Answer 1

False

Question 2

Almshouses were primarily operated by local governments and were used to quarantine people who had contagious diseases (T/F)

Answer 2

False

Question 3

Oldest type of hospitals are?

Answer 3

Public hospitals

Question 4

Which is not true for voluntary hospitals?
Focus on their community
Largest group of hospitals
Have the lowest utilization rates
They are privately owned

Answer 4

Have the lowest utilization rates

Question 5

Which type of hospital provide more charitable care and receives more payments from CMS?

Answer 5

Safety net hospitals

Question 6

Which can be used to reduce medication errors by analyzing the process of providing medications?

Answer 6

Plan-Do-Study-Act (PDSA)

Question 7

Medicare is the largest single payer of home health services (T/F)

Answer 7

True

Question 8

The social security act required state Medicaid programs to cover Medicare premiums for lower income individuals (T/F)

Answer 8

False

Question 9

It is well known that health has several determinants or influences that impact the status of an individual’s health. Which of the following statements is true regarding the determinants of health?
Lifestyle factors such as exercise and diet are indirect determinants of health
Most individuals do not have any external influences on their health
Determinants of health will not lead to health disparities 99% of the time
None of these

Answer 9

None of these

Question 10

It is important to note that all facilities must be licensed, but do not have to be accredited. (T/F)

Answer 10

True

Question 11

The function of public health organizations is to provide services to the community. They target populations rather than individuals. They include child immunization programs, health screenings in schools, community health services, substance abuse programs, and sexually transmitted disease control. (T/F)

Answer 11

True

Question 12

Why are life expectancy rates calculated?
They are often used as a comparison measure of a country’s health status
They can be used to compare both male and female life expectancy rates
They calculate the average life expectancy of a country
All of these are correct

Answer 12

All of these are correct

Question 13

What is the difference between the life expectancy of a female and male in the US?

Answer 13

Females typically live longer than males

Question 14

Which of the following is not a point on the epidemiology triangle?
Host
Environment
Agent
Speed

Answer 14

Speed

Question 15

Which is not true?
Chronic disease hospitals are examples of LTC hospitals
Rural hospitals tend to see more elderly patients
Community hospitals are short-term
Cost-plus gives mostly Medicaid reimbursement for rural hospitals

Answer 15

Cost-plus gives mostly Medicaid reimbursement for rural hospitals

Question 16

Which one is secondary prevention?
Smoking cessation
Employee safety education
Colonoscopy
Immunization programs

Answer 16

Colonoscopy

Question 17

When healthcare providers give care to someone who has no funding source and designate the care provided as “duty to treat” (T/F)

Answer 17

True

Question 18

Which is not a social determinant of health?
Healthcare
Education
Housing
Economic stability

Answer 18

Housing

Question 19

Approximately one-third of the visits were uninsured individuals at hospital. (T/F)

Answer 19

False

Question 20

Even though the majority of the alternative medicine practitioners are not under insurance yet chiropractors and acupuncturists are now brought under insurance payment (T/F)

Answer 20

True

Question 21

Which statement is true?
There are fewer than the average OECD nurse/1000 population in the US
Every state in the US is providing enough support to control infant mortality
HC in Mexico is doing an excellent job in preventing dementia
US has one of the lowest tobacco smoking rates

Answer 21

US has one of the lowest tobacco smoking rates

Question 22

Which is not a goal for CDC?

Answer 22

Treating patients having critical diseases

Question 23

Which one is the lead federal public health agency responsible for determining human health effects associated with toxic exposures?

Answer 23

ASTDR

Question 24

Local health department inspect and license healthcare facilities such as hospitals and nursing homes (T/F)

Answer 24

False

Question 25

Federal government provides the most direct services to the population compared to state and local health departments (T/F)

Answer 25

False

Question 26

Department of homeland security cannot help with? Surge capacity force Disaster assistance Training and Tech assistance to international physicians for their disaster management Developing resilience

Answer 26

Training and Technical assistance to international physicians for their disaster management

Question 27

The Americans with Disabilities Act required state Medicaid programs to cover Medicare premiums for lower income individuals (T/F)

Answer 27

True

Question 28

Who does not pay for long term care? Employer paid insurance Personal funds Medicare Medicaid

Answer 28

Employer paid insurance

Question 29

Most continuing care retirement communities and assisted living facilities are paid fore by the individual (T/F)

Answer 29

True

Question 30

In-person workers are bullied at a higher rate than remote workers (T/F)

Answer 30

False

Question 31

In which doctor-patient relationship model is based on a legal foundation, assumes there is an agreement between the two parties, assuming mutual goals

Answer 31

Contractual model

Question 32

To justify a public health program for the community, what is not mandatory? Public health must provide public education The proportionality of the freedom of choice outweighs public health intervention Minimal infringement on individual freedoms should be considered first Effectiveness of the program

Answer 32

Proportionality of the freedom of choice outweighs public health intervention

Question 33

In which case does a death occur by medication provided by physician's prescription?

Answer 33

Physician-assisted death

Question 34

In the US, presumed consent is accepted for organ transplantation (T/F)

Answer 34

False

Question 35

Xenotransplantation, which is the transfer of organs from on species to another (T/F)

Answer 35

True

Question 36

For people aged >65y, Medicaid covers medically necessary short-term or acute care such as doctor visits, prescription drugs, and hospital stays (T/F)

Answer 36

False

Question 37

A _____ contract includes housing, residential services, amenities, and unlimited access to healthcare at budgeted monthly rates

Answer 37

Extensive contract

Question 38

What is true about the Green House care (LTC)? A network of contractors and volunteers offer services that would typically be offered in a working community This unique type of nursing home focuses on creating a residence only for the older population Daily staff are CNAs Membership org dues are approx 500

Answer 38

The daily staff are CNAs

Question 39

Most LTC insurance policies are comprehensive (T/F)

Answer 39

True

Question 40

The majority of office bullying happens over email (T/F)

Answer 40

False

Question 41

There is proper federal legislation in the US that forbids workplace bullying (T/F)

Answer 41

False

Question 42

The concept under which individual freedom will be restricted for the sake of public health activities in order to protect the community is called

Answer 42

Paternalism

Question 43

Allied healthcare professionals represent nearly one third of the healthcare workforce (T/F)

Answer 43

False

Question 44

The people who sell the organs to the diseased individuals are making informed choices and most governments know about the digital market of organ donation (T/F)

Answer 44

True

Question 45

Dentists primarily work as generalists at the hospital (T/F)

Answer 45

False

Question 46

Example of lateral violence?

Answer 46

nurse to nurse agression

Question 47

Which is not true for LTC financing? Nationally, the median annual cost of a private room in a nursing home is more than $90,000 Majority of Americans plan for LTC financing Medicaid is providing the majority of funding The federal government has been examining different alternatives to purchase LTC insurance options

Answer 47

Majority of Americans plan for LTC financing

Question 48

CNMs must be recertified every year (T/F)

Answer 48

False

Question 49

Life insurance typically provide a lump sum to the beneficiary (T/F)

Answer 49

True

Question 50

Deferred LT annuities are available to individuals up to age 65 (T/F)

Answer 50

False

Question 51

In which facilities are typically age restricted, have increased security, offer a range of social activities, and those patients who cannot live independently are admitted

Answer 51

Skilled nursing facilities

Question 52

Which is not community care? Hospice care Senior care Adult day care centers Meals on wheels

Answer 52

Hospice care

Question 53

Which one does not help in reducing depression?

Answer 53

Pastoral counseling

Question 54

According to the ADA definition, mental impairment is not Specific learning disabilities Mental or psychological disorder Anatomical expansion of the brain Emotional or mental illness

Answer 54

Anatomical expansion of the brain

Question 55

Per member per month is another way of saying?

Answer 55

Capitation

Question 56

What is the impact of a plan having a max out of pocket liability for an insured?

Answer 56

Lower out of pocket costs

Question 57

In which situation a person will be not eligible for Medicare?

Answer 57

Pregnant women

Question 58

Medical equipment like wheelchairs, walkers, and hospital beds support falls in which part of Medicare?

Answer 58

Part B

Question 59

Which is not true for Medicaid Cover more people than Medicare Individuals receiving SSI may be eligible for Medicaid Coverage is effective either on date of app or first day of the month Most states do not cover children coming from higher income levels for Medicaid

Answer 59

Most states do not cover children coming from higher income levels for Medicaid

Question 60

What is not true about workplace bullying? The majority of bullies are men Many of the victims do not report workplace bullying The majority of the employers are victims of workplace bullying The majority of Americans are aware of the abusive behavior to others in the workplace

Answer 60

Majority of the employers are victims of workplace bullying

Question 61

Which is not recommended to eliminate workplace bullying?

Answer 61

Adapting a policy of acceptable tolerance in the workplace

Question 62

Which is not a proper step to prevent discrimination in the workplace? Develop and implement a rigorous statistical analysis of pay distribution Develop and pay for audits Train managers on providing objective performance evaluation Discourage any compensation for good team behavior

Answer 62

Discourage any compensation for good team behavior

Question 62

When a physician avoid any responsibility of taking care of a patient and referring high risk patient's to other providers, is called

Answer 62

Negative defensive medicine

Question 63

Which program was initiated in response to the number of children who are uninsured in the US?

Answer 63

CHIP

Question 64

A medical care program called ___ was developed to respond to the growing needs of retired members

Answer 64

TRICARE

Question 65

Which one is the oldest type of managed care where a patient should consult with the PCP first to get to the specialist?

Answer 65

HMOs

Question 66

Example of social insurance is?

Answer 66

Medicare

Question 67

After ACA, Medicaid eligibility and coverage has been decreased among the lower income population (T/F)

Answer 67

False

Question 68

Which is a state administered program (not federal)? Worker's comp CHIP TRICARE PACE

Answer 68

Worker's comp

Question 69

Which is not an effect of COVID on US HC system?

Answer 69

Increase in life expectancy

Question 70

Countries with universal healthcare system have a single payer system (T/F)

Answer 70

True

Question 71

French government makes it very difficult for people with preexisting conditions to purchase insurance from companies (T/F)

Answer 71

False

Question 72

In which type of insurance, the risk is spread among those paying individuals

Answer 72

Group insurance

Question 73

Which can provide health analytics consulting from health organizations

Answer 73

Watson health

Question 74

Which act helps to promote security of patient information and confidentiality in a secure environment?

Answer 74

HIPAA

Question 75

Which is not true about FSA accounts

Answer 75

Uniform coverage does not apply here

Question 76

Which is true for managed care characteristics? Provide incentives to discourage health service resources utilization Establish measures to estimate cost increase Establish criteria for their members to utilize MCO Establish relationships with organizations and patientsthe

Answer 76

Establish criteria for their members to utilize the MCO

Question 77

Under which managed care model can physicians sign with many HMOs

Answer 77

IPAs

Question 78

Which type of service where provider provides the service and then can bill the MCOs on the fee schedule

Answer 78

Discounted fees

Question 79

Surveys related to MCOs indicate that the more managed care networks the physician contracts with, the higher satisfied they are with managed care (T/F)

Answer 79

False

Question 80

To reduce the drug costs MCOs we should focus more on specialized drugs instead of generic (T/F)

Answer 80

False

Question 81

Which part of Medicaid is hospital insurance?

Answer 81

Part A

Question 82

Self insurance refers to individuals purchasing their own insurance when they do not get coverage from their employer (T/F)

Answer 82

False

Question 83

Switzerland citizens enjoy the best HC of the world with lower costs than other European countries and 99.5% are enrolled in Universal HC (T/F)

Answer 83

False

Question 84

In France, physicians who do not work for the government at the hospital can charge more than those who do (T/F)

Answer 84

True

Question 85

For healthcare, Canada uses?

Answer 85

National health insurance