California Coast University HCA 200 Final exam
California Coast University HCA 200 Final exam
Question
- 1.The medical model includes all of the following except:
- a.illness and disease require treatment.
- b.focus is diagnosis.
- c.focus is on disease prevention.
- d.focus is on treatment.
- 2.The ability to stay in business for a health care facility is based on the facility’s _________.
- a.sustainable competitive advantage
- b.reimbursement rates
- c.business plan
- d.business viability
- Focus areas of Healthy People 2020 and patterns of disease in the population direct research efforts.Research can be directed at all of the following except _________.
- a.cure
- b.control
- c.prevention
- d.the study of rural road traffic patterns
- 4.The Patient Protection and Affordable Care Act _________.
- a.helps increase the number of people who are uninsured
- b.allows the market to drive costs up
- c.seeks to improve health care delivery performance
- d.is surveying Americans about their health care utilization patterns
- 5.Sustainable competitive advantage is described by all of the following except:
- a.varies from business to business.
- b.depends on the objectives the firm is trying to achieve.
- c.helps a business maintain its position in the marketplace.
- d.allows the market to drive costs up.
- 6.All of the following are categories of health occupations except:
- a.service occupations.
- b.professional and related occupations.
- c.management, business, and financial occupations.
- d.labor union officials.
- 7.Accounting __________.
- a.creates the product or service
- b.tracks the flow of money in and out of a business
- c.uses technology to manage information
- d.includes the product, price, promotion, and distribution to the customer
- 8.Information technology __________.
- a.creates the product or service
- b.tracks the flow of money in and out of a business
- c.includes the product, price, promotion, and distribution to the customer
- d.uses technology to manage information
- 9.Shareholders may exist in which business ownership configuration?
- a.corporation
- b.partnership
- c.sole proprietorship
- d.collaboration
- 10.A decrease in unemployment and interest rates occurs during the following portion of the economic cycle __________.
- a.prosperity
- b.recession
- c.depression
- d.recovery
- 11.Profit is __________.
- a.money collected from patients and insurance companies for health care services rendered.
- b.the price paid when an individual or business borrows money.
- c.revenue minus costs.
- d.lacking during times of prosperity.
- 12.The Hill Burton Act __________.
- a.is part of the Social Security Act
- b.prohibits referrals to clinical lab services where the provider has a financial interest
- c.involved the federal government funding construction of private facilities pursuant to a Certificate of Need
- d.provides for health insurance portability and protects the privacy of health records5
- 13.The Stark I law __________.
- a.contains special provisions to protect laid-off workers and to encourage electronic records technology
- b.prohibits referrals to clinical lab services where the provider has a financial interest
- c.involved the federal government funding construction of private facilities pursuant to a Certificate of Need
- d.provides for health insurance portability and protects the privacy of health records
- 14.A market economy is described by all of the following except which of the following?
- a.It is also called a private system.
- b.It is called a free enterprise system.
- c.It has competition as its central feature.
- d.It is not concerned with profit.
- Third-party payers are covered by both state and federal regulations. Two of the federal regulations are ________ and _________.
- a.COBRA; PPO
- b.ERISA; HIPAA
- c.COBRA; EPO
- d.ERICA; HIPAA
- An enrollment period is a _________.
- a.binding contract between the payer and the employee
- b.binding contract between the payer and employer
- c.time when employees can utilize benefits
- d.time when employees can change providers
- If an employee decides to take advantage of an insurance benefit being offered to them they are known as a/an _________.
- a.actuary
- b.enrollee
- c.subscriber
- d.policy holderFinal Examination
- With EPOs all of the following are true except:
- a.patients must select their care providers from those in the network.
- b.patients may choose their physician or hospital.
- c.if the patient chooses to go outside the network the services are not covered.
- d.they are regulated by state insurance law.
- All of the following are true except:
- a.22 states insist on mental health parity.
- b.all 50 states mandate breast cancer screening.
- c.16 states mandate payment of prenatal care.
- d.44 states require external review of health plan decisions.
- HIPAA regulates all of the following except:
- a.
- b.coverage on a family plan until 26 years old.
- c.
- d.mandated benefits.
- Prepaid health plans _________.
- a.are attractive to employers because they know in advance what the cost of providing health care will be
- b.all involve an IPO
- c.are attractive to the service provider because the number of patients is fixed and a certain revenue level is guaranteed
- d.Both a and c are correct.
- 22.Office of Personnel Management administers this program __________.
- a.Medicare
- b.FEHBP
- c.Medicaid
- d.SCHIP
- Which of the following people may be eligible for workers’ compensation?
- a.Julie has an accident on her way to work.
- b.Jan hurt herself while vacationing at the resort where she works as a cook.
- c.Steve fell in the restaurant parking lot on his lunch break.
- d.Scott heard an odd popping noise as he transferred a patient from the bed to the chair
- Which of the following are likely eligible for Medicaid?
- a.the indigent
- b.children
- c.the elderly
- d.the wealthy
- Medicaid eligibility is __________.
- a.decided on a federal level
- b.decided on a state level
- c.the same for all states
- d.determined based on education
- All of the following are true about compliance programs except:
- a.all claims submitted for payment must have appropriate documentation.
- b.providers should receive regular training to stay current with Medicare and Medicaid regulations.
- c.they are mandatory under the Patient Protection and Affordable Care Act.
- d.upcoding is encouraged.
- All of the following describe the 2010 Patient Protection and Affordable Care Act regarding fraud and abuse except:
- a.there will be enhanced oversight of new providers.
- b.there will be provider screening.
- c.a database to share information across states and federal programs is being developed.
- d.penalties for false claims will be decreased.
- When providers feel that financial incentives are inadequate, they may opt out of _________.
- a.CHAMPUS
- b.SCHIP
- c.Medicaid
- d.FEHBP
- 29.Emergency medicine physicians specialize in the diagnosis and treatment of __________.
- a.diseases and disorders of the stomach and intestine
- b.changes in organs, tissues, and cells
- c.acute illness or injury
- d.diseases and disorders of the mind
- Pathologists specialize in __________.
- a.diagnosing disease by studying changes in organs, tissues, and cells
- b.diseases and disorders of the mind
- c.diseases and disorders of the stomach and intestine
- d.acute illness or injury
- The health professional responsible for planning patient care is the ___________.
- a.LPN
- b.CNA
- c.CRNA
- d.RN
- Nurses in this setting focus on disease prevention through community education.
- a.hospitals
- b.public health agencies
- c.long-term care facilities
- d.medical offices
- Work schedules, supply ordering, and record maintenance are duties of the __________.
- a.LPN
- b.staff nurse
- c.nurse supervisor
- d.NP
- The use of NPs is increasing in the __________ setting.
- a.primary care
- b.specialty
- c.surgical
- d.pathology
- The median net income for physicians per year in primary care is __________.
- a.$50,000
- b.$100,000
- c.$150,000
- d.$186,000
- A CTRS is a __________.
- a.Certified Tumor Registry Specialist
- b.Certified Therapeutic Recreation Specialist
- c.Credentialed Therapist of Respiratory Service
- d.Certified Therapist of Respiratory Service
- Which eye care professional makes prescription eyeglasses?
- a.Optometrist
- b.Ophthalmic lab technician
- c.Dispensing optician
- d.Ophthalmologist
- All of the following are true about dieticians except:
- a.they provide medical nutrition therapy to patients.
- b.a master’s degree is required to practice.
- c.they may be employed in wellness programs.
- d.they may practice in teaching settings.
- All of the following are true about podiatrists except:
- a.they provide 39% of all foot care.
- b.they must graduate from an accredited college of podiatric medicine.
- c.they must complete a hospital residency.
- d.average salaries are $200,000.
- Of the following, which position requires an associate’s degree to practice?
- a.Dentist
- b.Dental hygienist
- c.Dental assistant
- d.Dental lab technician
- Clinical chemistry technologists ___________.
- a.analyze the chemical and hormonal contents of body fluids
- b.examine bacteria and other microorganisms
- c.focus on the human immune system
- d.examine cells for signs of cancerFinal Examination
- The CEO is hired by the __________.
- a.governing board
- b.medical staff
- c.administration
- d.state Board of Health
- This hospital area is responsible for entering initial personal and insurance data.
- a.medical records
- b.ancillary services
- c.nursing
- d.admitting Department
- Security and maintenance are part of the __________ area of the organizational chart.
- a.facilities support
- b.nursing support
- c.general patient support
- d.administrative support
- All of the following are utilization measures except:
- a.average daily census.
- b.rates of infection.
- c.
- d.average length of stay.
- 46.All of the following are examples of public hospitals except:
- a.Veteran’s Administration hospitals.
- b.state psychiatric hospitals.
- c.county hospitals.
- d.hospitals owned by corporations.
- Long-term care is anything greater than __________ days.
- a.7
- b.21
- c.30
- d.90
- The chief of the medical staff is described by all of the following except:
- a.leads the medical staff.
- b.elected by the other medical staff members.
- c.always the chief of cardiology.
- d.interacts with the board and the management team.
- Outsourcing is __________.
- a.buying goods or services from another provider rather than performing them by the business.
- b.a utilization measure.
- c.a quality measure.
- d.mandated by Medicare.
- Staffing ratios in long-term care are __________ in hospitals.
- a.greater than
- b.less than
- c.equal to
- d.No data has been collected for this.
- The average age of all assisted living residents is __________.
- a.80
b.100
c 60
- d.84
- When Diane and Steve return from vacation, Steve’s mom expresses her desire to get out more. Diane wants to return to work as opposed to being a full-time caregiver for her mother-in-law. Which care option should they explore, excluding total out-of-home care?
- a.adult day care
- b.respite care
- c.assisted living
- d.ICF care
- A LTC system that would provide physical, social, mental health, and financial support would be considered ___________.
- a.aging in place
- b.spending down
- c.a continuum of care
- d.IADL
- Medical power of attorney refers to a(n) ___________.
- a.individual who is able to select the proper attorney for a malpractice case
- b.individual given health care decision power for another person who is deemed incapable of making decisions.
- c.automatic power which any caregiver has for the care decisions of another
- d.a power only the Veteran’s Administration may grant
- All of the following are IADL except:
- a.managing money
- b.grocery shopping
- c.bathing
- d.housekeeping
- All of the following are primary disease processes that affect the elderly except:
- a.
- b.athletic injuries.
- c.
- d.
- Which of the following is not an ethical or political issue related to LTC?
- a.power of attorney
- b.guardianship
- c.end-of-life care
- d.the passage of the Hill-Burton Act
- Violent events usually precede this disorder.
- a.agoraphobia
- b.obsessive compulsive disorder
- c.posttraumatic stress disorder
- d.generalized anxiety disorder
- 59.Because of its substantial role in financing mental health services, __________ has significant influence regarding the design of mental health service delivery.
- a.Medicaid
- b.Medicare
- c.Blue Cross/Blue Shield
- d.private insurance13
- The discovery in the late 20th century that there was a biochemical basis for some of the major categories of mental illness led to all of the following changes except from __________.
- a.residential care to outpatient talk therapy
- b.treatments relying on drug therapy to somatic and physical treatments
- c.physical or somatic treatments to treatments relying on drug therapy
- d.the institutional model of care to a general delivery and business model
- Which of the following is not a category of human resource components in mental health care?
- a.specialty mental health sector
- b.home health sector
- c.general medical/primary care sector
- d.human services sector
- Deinstitutionalization of people committed to psychiatric hospitals and changes in psychiatric treatment led to all of the following except:
- a.self-help programs.
- b.drop-in centers.
- c.case-management services.
- d.fewer treatment options.
- Among the public payers of mental health care, __________ pays the most.
- a.Medicaid
- b.Medicare
- c.state and local agencies
- d.Department of Veterans Affairs
- Which of the following is not a possible risk factor for mental illness?
- a.family history
- b.lack of social support
- c.inability to read
- d.strong support system
- Connecting family history, high-fat diet, and smoking to cardiovascular disease is a(n) __________ measure.
- a.mortality
- b.incidence
- c.prevalence
- d.risks
- This agency maintains national health statistics.
- a.Food and Drug Administration
- b.Department of Health and Human Services
- c.Health Resources and Services Administration
- d.Centers for Disease Control and Prevention
- This agency works to provide health care to people who live in areas where health care is not readily available.
- a.Centers for Disease Control and Prevention
- b.Department of Health and Human Services
- c.Health Resources and Services Administration
- d.Centers for Medicare and Medicaid Services
- Public health focuses on ___________.
- a.prevention issues
- b.curative medical care
- c.foundation support
- d.environmental health
- Epidemiologists investigate all of the following except:
- a.where a disease outbreak occurred.
- b.who is affected by a disease.
- c.how a disease affected a victim.
- d.the genetic material of a bacterium.
- Functions of county and city health departments do not include ___________.
- a.adult and child immunizations
- b.communicable disease control
- c.raising funds for the American Cancer Society
- d.community assessment
- Policy development is ___________.
- a.the collective decision about what actions are most appropriate for the health of the state or nation.
- b.making sure the necessary actions are actually taken.
- c.the study of the history of a disease and its distribution throughout a society.
- d.the use of surveillance data to determine changes in the number of infected persons so the appropriate action can be taken when infection rate gets too high.
- This legislation required drug safety testing.
- a.1962 Amendment to the Food, Drug, and Cosmetic Act
- b.Food, Drug, and Cosmetic Act of 1938
- c.Food and Drug Act of 1906
- d.1959 Kefauver Senate hearings
- Several hundred people participate in this drug-testing phase.
- a.Phase II
- b.Phase I
- c.Phase III
- d.Phase IV
- Gene correction research is being used in the treatment of ___________.
- a.HIV/AIDS
- b.multiple sclerosis
- c.SARS
- d.Parkinson’s disease
- The medical technology industry employs about ___________ people.
- a.256,000
- b.423,000
- c.591,000
- d.725,000
- 76.All of the following are true about ELSI except:
- a.it stands for ethical, legal, and social issues.
- b.in the U.S. the program is part of the Human Genome Project (HGP) budget.
- c.in the U.S. 3-5% of the HGP budget is devoted to this.
- d.ELSI is concerned with cost/benefit issues in pharmaceuticals.
- Medications that consumers can buy for themselves without a prescription are:
- a.generic drugs.
- b.over-the-counter drugs.
- c.investigational drugs.
- d.disease-specific drugs.
- All of the following are true about an IND except:
- a.it is submitted to begin clinical tests on human subjects.
- b.it is first approved by an Institutional Review Board.
- c.IND stands for investigational new drug application.
- d.if it is approved, phase I testing begins.
- The FDA does not require which of the following in direct-to-consumer advertising?
- a.accuracy
- b.claims must be supported by substantial evidence
- c.information must reflect a balance of risks and benefits
- d.the cost of the drug compared to other drugs must be stated
- 80.The government’s role in prevention is all of the following except:
- a.
- b.
- c.
- d.marketing products.
- All of the following are true about the NIH except:
- a.it has 25 different centers.
- b.it controls a research budget of $30 billion/year.
- c.it has 75 buildings on 300 acres.
- d.it only approves prevention research.
- Which of the following is not a department of DHHS?
- a.National Eye Institute
- b.National Institutes of Health
- c.Food and Drug Administration
- d.Indian Health Services
- In 2006 the life expectancy in the U. S. was __________ years.
- a.85
- b.71
- c.67
- d.77 17
- Cigarette smoking is responsible for __________ deaths per year.
- a.156,000
- b.443,000
- c.610,000
- d.750,000
- All of the following are smoking cessation treatments found to be effective except:
- a.
- b.prescription non-nicotine medication.
- c.surgical intervention.
- d.over-the-counter and prescription nicotine replacement products.
- 86.Which of the following is not true about worksite-based programs for health promotion and disease prevention?
- a.In one survey, 72% of employers provided education in lifestyle behaviors.
- b.Plans to help employees quit smoking cost $0.89 to $4.92 per smoker compared to treating smoking-related illness at $6 to $33 per smoker.
- c.For every $1 spent on wellness programs the employer saves $10 in health insurance costs.
- d.In some programs employees receive monetary incentives to complete health assessments or participate in weight management or tobacco cessation programs.
- In Rights theory, health care is described as a __________.
- a.basic human and citizen right
- b.resource to be allocated where it will do the most good
- c.right for only the few
- d.resource for only the most disadvantaged
- All of following are cultural values in America except:
- a.group superiority.
- b.
- c.science and technology.
- d.equal health care for all.
- Research suggests that those who are not health literate experience almost __________% more hospitalizations than their health literate counterparts.
- a.15
- b.30
- c.40
- d.50
- 90.Kantian theory ___________.
- a.tells people they ought to treat others as they want to be treated themselves
- b.views health care as a basic right
- c.implies that health care resources should be allocated where they will do the most good
- d.states that each person is to have an equal right to basic liberties
- 91.The life expectancy in Sweden is __________ years.
- a.85
- b.81
- c.67
- d.77
- Countries that meet the test for justice and fairness for their health care systems include all of the following except:
- a.Great Britain.
- b.United States.
- c.
- d.
93.All of the following are false about the REALM except it ___________.
- a.is used to assess cultural competency
- b.asks patients to define medical terms
- c.stands for Rapid Estimate of Adult Literacy in Medicine
- d.has not been used to assess health literacy
- In Mexico, health care is delivered by all of the following except:
- a.public institutions.
- b.state and federal governments.
- c.Ayurevedic practitioners.
- d.private hospitals.
- All of the following are true about the Mexican Social Security Institute (IMSS) except it __________.
- a.was founded in 1900.
- b.is purpose is to provide public health to all Mexican citizens.
- c.was founded in 1943.
- d.operates its own clinics and hospitals for insured workers.
- This system of care provision in Mexico that covers 3% of the population caters to the wealthy and tourists and makes high quality care accessible in the:
- a.public system.
- b.comprehensive system.
- c.private system.
- d.universal system.
- All of the following are positive advances that have occurred within the Mexican health care system except:
- a.catastrophic health cost has been reduced by 9%.
- b.life expectancy is now 80.
- c.malaria cases have dropped 60%.
- d.Mexican children now receive the same vaccinations as Canadian children.
- Which of the following does not describe the Canadian health care delivery system?
- a.It is described as a mixed system.
- b.It is possible to have completely private health care.
- c.The vast majority of care is provided through a single payer model.
- d.It is described as a market economy model.
- _________% of health care in Canada is funded publicly and delivered privately.
- a.25
- b.75
- c.50
- d.80
- Which of the following is not a role of the Canadian federal government?
- a.pay for dentistry
- b.provide funds to deliver services to the provinces
- c.deliver services to special groups such as veterans and First Nations and Inuit people
- d.provide public health, health promotion programs, and health care research