California Coast University HCA 200 Final exam

California Coast University HCA 200 Final exam

Question

  1. 1.The medical model includes all of the following except:
  2. a.illness and disease require treatment.
  3. b.focus is diagnosis.
  4. c.focus is on disease prevention.
  5. d.focus is on treatment.
  6. 2.The ability to stay in business for a health care facility is based on the facility’s _________.
  7. a.sustainable competitive advantage
  8. b.reimbursement rates
  9. c.business plan
  10. d.business viability
  11. 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 _________.
  12. a.cure
  13. b.control
  14. c.prevention
  15. d.the study of rural road traffic patterns
  16. 4.The Patient Protection and Affordable Care Act _________.
  17. a.helps increase the number of people who are uninsured
  18. b.allows the market to drive costs up
  19. c.seeks to improve health care delivery performance
  20. d.is surveying Americans about their health care utilization patterns
  21. 5.Sustainable competitive advantage is described by all of the following except:
  22. a.varies from business to business.
  23. b.depends on the objectives the firm is trying to achieve.
  24. c.helps a business maintain its position in the marketplace.
  25. d.allows the market to drive costs up.
  26. 6.All of the following are categories of health occupations except:
  27. a.service occupations.
  28. b.professional and related occupations.
  29. c.management, business, and financial occupations.
  30. d.labor union officials.
  31. 7.Accounting __________.
  32. a.creates the product or service
  33. b.tracks the flow of money in and out of a business
  34. c.uses technology to manage information
  35. d.includes the product, price, promotion, and distribution to the customer
  36. 8.Information technology __________.
  37. a.creates the product or service
  38. b.tracks the flow of money in and out of a business
  39. c.includes the product, price, promotion, and distribution to the customer
  40. d.uses technology to manage information
  41. 9.Shareholders may exist in which business ownership configuration?
  42. a.corporation
  43. b.partnership
  44. c.sole proprietorship
  45. d.collaboration
  46. 10.A decrease in unemployment and interest rates occurs during the following portion of the economic cycle __________.
  47. a.prosperity
  48. b.recession
  49. c.depression
  50. d.recovery
  51. 11.Profit is __________.
  52. a.money collected from patients and insurance companies for health care services rendered.
  53. b.the price paid when an individual or business borrows money.
  54. c.revenue minus costs.
  55. d.lacking during times of prosperity.
  56. 12.The Hill Burton Act __________.
  57. a.is part of the Social Security Act
  58. b.prohibits referrals to clinical lab services where the provider has a financial interest
  59. c.involved the federal government funding construction of private facilities pursuant to a Certificate of Need
  60. d.provides for health insurance portability and protects the privacy of health records5
  61. 13.The Stark I law __________.
  62. a.contains special provisions to protect laid-off workers and to encourage electronic records technology
  63. b.prohibits referrals to clinical lab services where the provider has a financial interest
  64. c.involved the federal government funding construction of private facilities pursuant to a Certificate of Need
  65. d.provides for health insurance portability and protects the privacy of health records
  66. 14.A market economy is described by all of the following except which of the following?
  67. a.It is also called a private system.
  68. b.It is called a free enterprise system.
  69. c.It has competition as its central feature.
  70. d.It is not concerned with profit.
  71. Third-party payers are covered by both state and federal regulations. Two of the federal regulations are ________ and _________.
  72. a.COBRA; PPO
  73. b.ERISA; HIPAA
  74. c.COBRA; EPO
  75. d.ERICA; HIPAA
  76. An enrollment period is a _________.
  77. a.binding contract between the payer and the employee
  78. b.binding contract between the payer and employer
  79. c.time when employees can utilize benefits
  80. d.time when employees can change providers
  81. If an employee decides to take advantage of an insurance benefit being offered to them they are known as a/an _________.
  82. a.actuary
  83. b.enrollee
  84. c.subscriber
  85. d.policy holderFinal Examination
  86. With EPOs all of the following are true except:
  87. a.patients must select their care providers from those in the network.
  88. b.patients may choose their physician or hospital.
  89. c.if the patient chooses to go outside the network the services are not covered.
  90. d.they are regulated by state insurance law.
  91. All of the following are true except:
  92. a.22 states insist on mental health parity.
  93. b.all 50 states mandate breast cancer screening.
  94. c.16 states mandate payment of prenatal care.
  95. d.44 states require external review of health plan decisions.
  96. HIPAA regulates all of the following except:
  97. a.
  98. b.coverage on a family plan until 26 years old.
  99. c.
  100. d.mandated benefits.
  101. Prepaid health plans _________.
  102. a.are attractive to employers because they know in advance what the cost of providing health care will be
  103. b.all involve an IPO
  104. c.are attractive to the service provider because the number of patients is fixed and a certain revenue level is guaranteed
  105. d.Both a and c are correct.
  106. 22.Office of Personnel Management administers this program __________.
  107. a.Medicare
  108. b.FEHBP
  109. c.Medicaid
  110. d.SCHIP
  111. Which of the following people may be eligible for workers’ compensation?
  112. a.Julie has an accident on her way to work.
  113. b.Jan hurt herself while vacationing at the resort where she works as a cook.
  114. c.Steve fell in the restaurant parking lot on his lunch break.
  115. d.Scott heard an odd popping noise as he transferred a patient from the bed to the chair
  116. Which of the following are likely eligible for Medicaid?
  117. a.the indigent
  118. b.children
  119. c.the elderly
  120. d.the wealthy
  121. Medicaid eligibility is __________.
  122. a.decided on a federal level
  123. b.decided on a state level
  124. c.the same for all states
  125. d.determined based on education
  126. All of the following are true about compliance programs except:
  127. a.all claims submitted for payment must have appropriate documentation.
  128. b.providers should receive regular training to stay current with Medicare and Medicaid regulations.
  129. c.they are mandatory under the Patient Protection and Affordable Care Act.
  130. d.upcoding is encouraged.
  131. All of the following describe the 2010 Patient Protection and Affordable Care Act regarding fraud and abuse except:
  132. a.there will be enhanced oversight of new providers.
  133. b.there will be provider screening.
  134. c.a database to share information across states and federal programs is being developed.
  135. d.penalties for false claims will be decreased.
  136. When providers feel that financial incentives are inadequate, they may opt out of _________.
  137. a.CHAMPUS
  138. b.SCHIP
  139. c.Medicaid
  140. d.FEHBP
  141. 29.Emergency medicine physicians specialize in the diagnosis and treatment of __________.
  142. a.diseases and disorders of the stomach and intestine
  143. b.changes in organs, tissues, and cells
  144. c.acute illness or injury
  145. d.diseases and disorders of the mind
  146. Pathologists specialize in __________.
  147. a.diagnosing disease by studying changes in organs, tissues, and cells
  148. b.diseases and disorders of the mind
  149. c.diseases and disorders of the stomach and intestine
  150. d.acute illness or injury
  151. The health professional responsible for planning patient care is the ___________.
  152. a.LPN
  153. b.CNA
  154. c.CRNA
  155. d.RN
  156. Nurses in this setting focus on disease prevention through community education.
  157. a.hospitals
  158. b.public health agencies
  159. c.long-term care facilities
  160. d.medical offices
  161. Work schedules, supply ordering, and record maintenance are duties of the __________.
  162. a.LPN
  163. b.staff nurse
  164. c.nurse supervisor
  165. d.NP
  166. The use of NPs is increasing in the __________ setting.
  167. a.primary care
  168. b.specialty
  169. c.surgical
  170. d.pathology
  171. The median net income for physicians per year in primary care is __________.
  172. a.$50,000
  173. b.$100,000
  174. c.$150,000
  175. d.$186,000
  176. A CTRS is a __________.
  177. a.Certified Tumor Registry Specialist
  178. b.Certified Therapeutic Recreation Specialist
  179. c.Credentialed Therapist of Respiratory Service
  180. d.Certified Therapist of Respiratory Service
  181. Which eye care professional makes prescription eyeglasses?
  182. a.Optometrist
  183. b.Ophthalmic lab technician
  184. c.Dispensing optician
  185. d.Ophthalmologist
  186. All of the following are true about dieticians except:
  187. a.they provide medical nutrition therapy to patients.
  188. b.a master’s degree is required to practice.
  189. c.they may be employed in wellness programs.
  190. d.they may practice in teaching settings.
  191. All of the following are true about podiatrists except:
  192. a.they provide 39% of all foot care.
  193. b.they must graduate from an accredited college of podiatric medicine.
  194. c.they must complete a hospital residency.
  195. d.average salaries are $200,000.
  196. Of the following, which position requires an associate’s degree to practice?
  197. a.Dentist
  198. b.Dental hygienist
  199. c.Dental assistant
  200. d.Dental lab technician
  201. Clinical chemistry technologists ___________.
  202. a.analyze the chemical and hormonal contents of body fluids
  203. b.examine bacteria and other microorganisms
  204. c.focus on the human immune system
  205. d.examine cells for signs of cancerFinal Examination
  206. The CEO is hired by the __________.
  207. a.governing board
  208. b.medical staff
  209. c.administration
  210. d.state Board of Health
  211. This hospital area is responsible for entering initial personal and insurance data.
  212. a.medical records
  213. b.ancillary services
  214. c.nursing
  215. d.admitting Department
  216. Security and maintenance are part of the __________ area of the organizational chart.
  217. a.facilities support
  218. b.nursing support
  219. c.general patient support
  220. d.administrative support
  221. All of the following are utilization measures except:
  222. a.average daily census.
  223. b.rates of infection.
  224. c.
  225. d.average length of stay.
  226. 46.All of the following are examples of public hospitals except:
  227. a.Veteran’s Administration hospitals.
  228. b.state psychiatric hospitals.
  229. c.county hospitals.
  230. d.hospitals owned by corporations.
  231. Long-term care is anything greater than __________ days.
  232. a.7
  233. b.21
  234. c.30
  235. d.90
  236. The chief of the medical staff is described by all of the following except:
  237. a.leads the medical staff.
  238. b.elected by the other medical staff members.
  239. c.always the chief of cardiology.
  240. d.interacts with the board and the management team.
  241. Outsourcing is __________.
  242. a.buying goods or services from another provider rather than performing them by the business.
  243. b.a utilization measure.
  244. c.a quality measure.
  245. d.mandated by Medicare.
  246. Staffing ratios in long-term care are __________ in hospitals.
  247. a.greater than
  248. b.less than
  249. c.equal to
  250. d.No data has been collected for this.
  251. The average age of all assisted living residents is __________.
  252. a.80

b.100

c 60

  1. d.84
  2. 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?
  3. a.adult day care
  4. b.respite care
  5. c.assisted living
  6. d.ICF care
  7. A LTC system that would provide physical, social, mental health, and financial support would be considered ___________.
  8. a.aging in place
  9. b.spending down
  10. c.a continuum of care
  11. d.IADL
  12. Medical power of attorney refers to a(n) ___________.
  13. a.individual who is able to select the proper attorney for a malpractice case
  14. b.individual given health care decision power for another person who is deemed incapable of making decisions.
  15. c.automatic power which any caregiver has for the care decisions of another
  16. d.a power only the Veteran’s Administration may grant
  17. All of the following are IADL except:
  18. a.managing money
  19. b.grocery shopping
  20. c.bathing
  21. d.housekeeping
  22. All of the following are primary disease processes that affect the elderly except:
  23. a.
  24. b.athletic injuries.
  25. c.
  26. d.
  27. Which of the following is not an ethical or political issue related to LTC?
  28. a.power of attorney
  29. b.guardianship
  30. c.end-of-life care
  31. d.the passage of the Hill-Burton Act
  32. Violent events usually precede this disorder.
  33. a.agoraphobia
  34. b.obsessive compulsive disorder
  35. c.posttraumatic stress disorder
  36. d.generalized anxiety disorder
  37. 59.Because of its substantial role in financing mental health services, __________ has significant influence regarding the design of mental health service delivery.
  38. a.Medicaid
  39. b.Medicare
  40. c.Blue Cross/Blue Shield
  41. d.private insurance13
  42. 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 __________.
  43. a.residential care to outpatient talk therapy
  44. b.treatments relying on drug therapy to somatic and physical treatments
  45. c.physical or somatic treatments to treatments relying on drug therapy
  46. d.the institutional model of care to a general delivery and business model
  47. Which of the following is not a category of human resource components in mental health care?
  48. a.specialty mental health sector
  49. b.home health sector
  50. c.general medical/primary care sector
  51. d.human services sector
  52. Deinstitutionalization of people committed to psychiatric hospitals and changes in psychiatric treatment led to all of the following except:
  53. a.self-help programs.
  54. b.drop-in centers.
  55. c.case-management services.
  56. d.fewer treatment options.
  57. Among the public payers of mental health care, __________ pays the most.
  58. a.Medicaid
  59. b.Medicare
  60. c.state and local agencies
  61. d.Department of Veterans Affairs
  62. Which of the following is not a possible risk factor for mental illness?
  63. a.family history
  64. b.lack of social support
  65. c.inability to read
  66. d.strong support system
  67. Connecting family history, high-fat diet, and smoking to cardiovascular disease is a(n) __________ measure.
  68. a.mortality
  69. b.incidence
  70. c.prevalence
  71. d.risks
  72. This agency maintains national health statistics.
  73. a.Food and Drug Administration
  74. b.Department of Health and Human Services
  75. c.Health Resources and Services Administration
  76. d.Centers for Disease Control and Prevention
  77. This agency works to provide health care to people who live in areas where health care is not readily available.
  78. a.Centers for Disease Control and Prevention
  79. b.Department of Health and Human Services
  80. c.Health Resources and Services Administration
  81. d.Centers for Medicare and Medicaid Services
  82. Public health focuses on ___________.
  83. a.prevention issues
  84. b.curative medical care
  85. c.foundation support
  86. d.environmental health
  87. Epidemiologists investigate all of the following except:
  88. a.where a disease outbreak occurred.
  89. b.who is affected by a disease.
  90. c.how a disease affected a victim.
  91. d.the genetic material of a bacterium.
  92. Functions of county and city health departments do not include ___________.
  93. a.adult and child immunizations
  94. b.communicable disease control
  95. c.raising funds for the American Cancer Society
  96. d.community assessment
  97. Policy development is ___________.
  98. a.the collective decision about what actions are most appropriate for the health of the state or nation.
  99. b.making sure the necessary actions are actually taken.
  100. c.the study of the history of a disease and its distribution throughout a society.
  101. 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.
  102. This legislation required drug safety testing.
  103. a.1962 Amendment to the Food, Drug, and Cosmetic Act
  104. b.Food, Drug, and Cosmetic Act of 1938
  105. c.Food and Drug Act of 1906
  106. d.1959 Kefauver Senate hearings
  107. Several hundred people participate in this drug-testing phase.
  108. a.Phase II
  109. b.Phase I
  110. c.Phase III
  111. d.Phase IV
  112. Gene correction research is being used in the treatment of ___________.
  113. a.HIV/AIDS
  114. b.multiple sclerosis
  115. c.SARS
  116. d.Parkinson’s disease
  117. The medical technology industry employs about ___________ people.
  118. a.256,000
  119. b.423,000
  120. c.591,000
  121. d.725,000
  122. 76.All of the following are true about ELSI except:
  123. a.it stands for ethical, legal, and social issues.
  124. b.in the U.S. the program is part of the Human Genome Project (HGP) budget.
  125. c.in the U.S. 3-5% of the HGP budget is devoted to this.
  126. d.ELSI is concerned with cost/benefit issues in pharmaceuticals.
  127. Medications that consumers can buy for themselves without a prescription are:
  128. a.generic drugs.
  129. b.over-the-counter drugs.
  130. c.investigational drugs.
  131. d.disease-specific drugs.
  132. All of the following are true about an IND except:
  133. a.it is submitted to begin clinical tests on human subjects.
  134. b.it is first approved by an Institutional Review Board.
  135. c.IND stands for investigational new drug application.
  136. d.if it is approved, phase I testing begins.
  137. The FDA does not require which of the following in direct-to-consumer advertising?
  138. a.accuracy
  139. b.claims must be supported by substantial evidence
  140. c.information must reflect a balance of risks and benefits
  141. d.the cost of the drug compared to other drugs must be stated
  142. 80.The government’s role in prevention is all of the following except:
  143. a.
  144. b.
  145. c.
  146. d.marketing products.
  147. All of the following are true about the NIH except:
  148. a.it has 25 different centers.
  149. b.it controls a research budget of $30 billion/year.
  150. c.it has 75 buildings on 300 acres.
  151. d.it only approves prevention research.
  152. Which of the following is not a department of DHHS?
  153. a.National Eye Institute
  154. b.National Institutes of Health
  155. c.Food and Drug Administration
  156. d.Indian Health Services
  157. In 2006 the life expectancy in the U. S. was __________ years.
  158. a.85
  159. b.71
  160. c.67
  161. d.77 17
  162. Cigarette smoking is responsible for __________ deaths per year.
  163. a.156,000
  164. b.443,000
  165. c.610,000
  166. d.750,000
  167. All of the following are smoking cessation treatments found to be effective except:
  168. a.
  169. b.prescription non-nicotine medication.
  170. c.surgical intervention.
  171. d.over-the-counter and prescription nicotine replacement products.
  172. 86.Which of the following is not true about worksite-based programs for health promotion and disease prevention?
  173. a.In one survey, 72% of employers provided education in lifestyle behaviors.
  174. 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.
  175. c.For every $1 spent on wellness programs the employer saves $10 in health insurance costs.
  176. d.In some programs employees receive monetary incentives to complete health assessments or participate in weight management or tobacco cessation programs.
  177. In Rights theory, health care is described as a __________.
  178. a.basic human and citizen right
  179. b.resource to be allocated where it will do the most good
  180. c.right for only the few
  181. d.resource for only the most disadvantaged
  182. All of following are cultural values in America except:
  183. a.group superiority.
  184. b.
  185. c.science and technology.
  186. d.equal health care for all.
  187. Research suggests that those who are not health literate experience almost __________% more hospitalizations than their health literate counterparts.
  188. a.15
  189. b.30
  190. c.40
  191. d.50
  192. 90.Kantian theory ___________.
  193. a.tells people they ought to treat others as they want to be treated themselves
  194. b.views health care as a basic right
  195. c.implies that health care resources should be allocated where they will do the most good
  196. d.states that each person is to have an equal right to basic liberties
  197. 91.The life expectancy in Sweden is __________ years.
  198. a.85
  199. b.81
  200. c.67
  201. d.77
  202. Countries that meet the test for justice and fairness for their health care systems include all of the following except:
  203. a.Great Britain.
  204. b.United States.
  205. c.
  206. d.

93.All of the following are false about the REALM except it ___________.

  1. a.is used to assess cultural competency
  2. b.asks patients to define medical terms
  3. c.stands for Rapid Estimate of Adult Literacy in Medicine
  4. d.has not been used to assess health literacy
  5. In Mexico, health care is delivered by all of the following except:
  6. a.public institutions.
  7. b.state and federal governments.
  8. c.Ayurevedic practitioners.
  9. d.private hospitals.
  10. All of the following are true about the Mexican Social Security Institute (IMSS) except it __________.
  11. a.was founded in 1900.
  12. b.is purpose is to provide public health to all Mexican citizens.
  13. c.was founded in 1943.
  14. d.operates its own clinics and hospitals for insured workers.
  15. 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:
  16. a.public system.
  17. b.comprehensive system.
  18. c.private system.
  19. d.universal system.
  20. All of the following are positive advances that have occurred within the Mexican health care system except:
  21. a.catastrophic health cost has been reduced by 9%.
  22. b.life expectancy is now 80.
  23. c.malaria cases have dropped 60%.
  24. d.Mexican children now receive the same vaccinations as Canadian children.
  25. Which of the following does not describe the Canadian health care delivery system?
  26. a.It is described as a mixed system.
  27. b.It is possible to have completely private health care.
  28. c.The vast majority of care is provided through a single payer model.
  29. d.It is described as a market economy model.
  30. _________% of health care in Canada is funded publicly and delivered privately.
  31. a.25
  32. b.75
  33. c.50
  34. d.80
  35. Which of the following is not a role of the Canadian federal government?
  36. a.pay for dentistry
  37. b.provide funds to deliver services to the provinces
  38. c.deliver services to special groups such as veterans and First Nations and Inuit people
  39. d.provide public health, health promotion programs, and health care research