Gordis EpidemiologyGerontologic Nursing 6th Edition By Authors Sue Meiner, and Jennifer, Exams of Nursing

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HCA460 | (HCN2124A)

Week 1-4 QUIZZES

(Health Care Administration

Capstone)

Exam Elaborations Questions and Answers

Graded A+

Health Care Administration Capstone (HCA460) Weeks 1-4 Quiz Exam elaborate questions and Answers

1. The primary way to charge for healthcare services in the Unites States is via the method. a. Fee-for-service b. Capitation c. Bundled payment d. Concierge
2. All of the following contribute to an increasing burden on the U.S. healthcare system EXCEPT: a. An expanding elderly population b. A shortage of doctors, hospitals and nurses c. Increased obesity d. Chronic illnesses

3. Nancy has been diagnosed with breast cancer. Rather than wait several months for treatment

in her home country of Canada, she travels to the United States for immediate treatment. Nancy could be described as a. A healthcare collectivist b. An interstate patient c. An example of the practice of cost shifting d. A medical tourist

4. Joe and Molly Wilson lack access to healthcare. Which of the following is LEAST likely to explainwhy? a. Their urban residence b. Their age c. Their employment status d. Their ethnicity

5. Which of the following challenges constitutes the essence of the modern U.S.

healthcare debate? a. Balancing the goals of cost control, quality, and access b. Improving the health of the population without adding to the federal debt c. Providing universal coverage in a free-market system d. Balancing incentives and mandates in a free-market system

11. Which of the following would be MOST likely to work with infants and

toddlers whohave, or are at risk for, developmental delays?

a. clinical social worker

b. occupational therapist

c. psychiatric social worker

d. health psychologist

12. After completing medical school and an internship, Timothy has chosen to focus on the evaluation and treatment of conditions such as upper respiratory infections, sudden muscle and joint injuries, hypertension, routine infant or child assessment, joint and related disorders, malignancies, and diabetes mellitus. Timothy’s specialty is MOST likely in. a. Family practice b. Rheumatology c. Pediatrics d. Internal medicine
13. A psychologist is qualified to do all of the following EXCEPT a. hold individual and family therapy sessions. b. diagnose serious mental, behavioral, or emotional disorders. c. develop programs to raise awareness of psychological issues. d. prescribe medication to reduce the symptoms of mental illnesses.
14. Which of the following factors DOES NOT explain today’s relative nursing shortage? a. A significant number of nurses are either leaving nursing for a new job or retiring early. b. Many nursing students abandon their studies before completing their program. c. There is a lack of graduate-degree nursing faculty to teach in nursing programs. d. Although many opportunities for advancement are available, nurses are not aware of them.
15. You are a general practitioner who is interested in treating lung and heart disease, arthritis, Alzheimer’s disease, bone loss, incontinence, vision and hearing impairment, and Parkinson’s disease. A good specialty for you to consider would be _. a. Geriatrics b. Audiology c. Internal medicine d. Optometry

16. Regulation of the fast-food industry is most closely an example of a. a. judicial decision b. operational decision c. macro policy d. rule and regulation
17. What percentage represents the U.S. market share of the global medical technologies industryas of 2012? a. Less than 20% b. Almost 40% c. Just over 60% d. More than 80%
18. The decision to extend the deadline for enrollment in the state insurance exchanges establishedby the Affordable Care Act is an example of a. a. judicial decision b. macro policy c. operational decision d. rule and regulation
19. In the context of public health, “surveillance” means all of the following EXCEPT a. keeping track of the number of people infected and their locations. b. watching the general population for signs of an outbreak. c. communication between national, state, and local health agencies regarding outbreak. d. restricting the movement of people who may have been exposed to illness.
20. According to the author, the public and private health systems have a relationship. a. doctor–patient b. Adversarial c. Partnership d. Parent-child

26. Experimental research designs typically take place in a highly controlled environment to test a(n). a. dependent variable. b. independent variable. c. theory. d. Hypothesis.
27. Lauralynn pays for all her medical care herself, directly to the health care provider. In other words, her payments are through a(n). a. single-owner practice. b. marketplace plan. c. single-payer insurance. d. individual payer plan.
28. Which country spends the lowest percent of its gross domestic product on health care, according to OECD data? a. Switzerland. b. Mexico c. Canada d. Germany
29. Of the ten developed countries that were compared in 2015, which has the highest life expectancy? a. Japan b. The United States c. The Netherlands d. Canada
30. According to Bronfenbrenner’s ecological model, a girl’s face-to-face interactions with her siblings would be part of her. a. Mesosystem b. Exosystem c. Microsystem d. Macrosystem

31. All of Luis’s family members and friends encourage him and tell him that he is a resilient, optimistic person, despite the fact that he has severe rheumatoid arthritis. What type of social support system does this scenario describe? a. Informational b. Instrumental c. Emotional d. Spiritual
32. Dr. Ramsden is a general practitioner who addresses the care of the entire person—body, mind, and spirit. What kind of health care does Dr. Ramsden most likely provide to his patients? a. Biomedical b. Holistic c. Targeted d. Clinical
33. Which of the following best describes when an individual can experience the stages of grief? a. Only when a loved one dies. b. Only if the individual is already depressed. c. During any type of major loss. d. During private conversations with family.
34. Mortality rate studies of ten developed countries suggest what about the United States? a. The U.S. has the highest infant mortality rate but the lowest maternal mortality rate. b. The U.S. has the lowest infant mortality rate but the highest maternal mortality rate. c. The U.S. has the lowest infant mortality rate and the lowest maternal mortality rate. d. The U.S. has the highest infant mortality rate and the highest maternal mortality rate.
35. All the following are among Giddens’ elements of social class that are the most critical to a society’s health dynamics EXCEPT:. a. Genetics b. Income c. Education d. Occupation

41. Joan, whose leg is in a cast, is glad to be able to use her grabber to pick up a magazine that she dropped. However, John, who has his leg in a cast too, is angry that he has to use his grabber to pick up a magazine that he dropped. How would the IFC model explain this difference? a. John must be experiencing more pain than Joan is. b. John is a pessimist, and Joan is an optimist. c. Two people with the same health condition perceive similar situations differently. d. Two people with the same health condition cannot have the same level of participation.
42. The use of the term disability as a construct to prevent discrimination based on disability statusis a designation. a. Medical b. Social c. Legal d. Economical
43. Lamont is autistic to the degree that he can take his regular bus from school to his group home, but he is unable to describe the directions to someone else. What is the IFC term for Lamont’s limitation? a. participation restriction. b. technology ceiling. c. physical impairment. d. body structure constraint.
44. Evidence-based medicine expands the discussion of what constitutes. a. the patient’s point of view. b. a scientific model. c. the science of medicine. d. a living organism.
45. Assessment, assignment, intervention, and evaluation are the four steps of. a. the IFC core. b. patient prognosis. c. the rehab cycle. d. patient classification.

46. Among the following, which is the best example of an acute condition? a. diabetes. b. cancer. c. Pneumonia. d. Hypertension.
47. Kristi knows not to drink alcohol during her pregnancy because it may produce birth defects in her baby. In this scenario, alcohol is a. a. genetic factor. b. Pathology. c. transitional factor. d. teratogen.
48. What does QALY specifically measure? a. early death b. years lived at perfect health c. years of disability due to disease d. disease burden
49. The IFC lists all the specific treatment targets that have been agreed upon by the client’s rehabilitation team. a. assignment map b. categorical profile c. assessment sheet d. intervention table
50. Which of the following is an independent risk factor? a. drinking unsanitary water. b. carrying a virus. c. having a broken leg. d. recovering from surgery.

56. Managerial accounting is prospective as well as retrospective. a. True b. False
57. The real key to understanding finance is understanding the elements of finance and their relationship to each other. a. True b. False
58. The manager with a process viewpoint generally is responsible for: a. clinical outcomes. b. the reporting function of the organization. c. data accumulation. d. All of these are correct.
59. The healthcare industry is primarily a(n): a. manufacturing industry. b. service industry. c. electronic information industry. d. managed care industry.
60. By illustrating information flow, flowsheets answer which of the following questions? a. What is the specific piece of information? b. Who is initially responsible for this piece of information? c. How does the information enter the system? d. All of these are correct.
61. Of the four segments that make a healthcare financial system work, which one reports about the effect occurring from an event? a. The original records b. The information system c. The accounting system d. The reporting system

62. The concept of flowsheets explains and illustrates the flow of: a. Activities. b. accounts receivable. c. accounts payable. d. All of these are correct.
63. Of the four segments that make a healthcare financial system work, which segment provides evidence that an event has occurred? a. The reporting system b. The accounting system c. The original records d. The information system
64. Flowsheets are useful because they portray who is responsible for what piece of information asit exits the system. a. True b. False
65. Within the strategic planning cycle, stakeholders can be both internal and external. a. True b. False
66. Projections are based on assumptions that are expected to exist. They reflect actions that are expected to occur. a. True b. False
67. Mission, vision, and value statements can recognize legislation that restricts activities of the organization. a. True b. False

74. The federal government’s planning requirements are important because they provide guidance through regulated concepts and a framework for strategic planning. a. True b. False
75. In regard to strategic planning by agencies in the U.S. federal government, which of the following statements is correct? a. Agency performance plans are required. b. Agency performance reports are required. c. Requirements make the strategic plan operational because they hold the agencies accountable. d. Unmet goals may require a performance improvement plan. e. All of these are correct
76. A vision statement is the same as a mission statement. a. True b. False
77. The Affordable Care Act created new areas of focus between the relationship of finance to service delivery. a. True b. False
78. In fiscal year 2014, Medicaid health expenditures for acute care were paid at what percentage? a. 35% b. 45% c. 55% d. 65%
79. Federal law requires that state Medicaid programs make Disproportionate Share Hospital (DSH) payments to certain qualifying hospitals. Government statistics for 2014 show that the largest spending increase in DSH payments was for: a. radiology services. b. emergency room visits. c. prescription drugs. d. None of these are correct.

80. A strategic relationship exists between the finance flow from third-party reimbursement and the: a. pharmaceutical manufacturers. b. healthcare industry. c. medical device suppliers. d. None of these are correct.
81. The Medicare Access and Children’s Health Insurance Program (CHIP) Reauthorization Act (MACRA) put an end to the Sustainable Growth Rate (SGR), which was used by CMS to controlspending by Medicare on physician services. a. True b. False
82. The Quality Payment Program (QPP) is comprised solely of the Merit-Based Incentive PaymentSystem. a. True b. False
83. The act that made it possible for organizations to put pressure on healthcare providers to decrease costs is called. a. Health Security Act b. Health Maintenance Organization Act of 1973 c. Health Insurance Portability and Accountability Act d. Patient Safety and Quality Improvement Act
84. This act limited the use of pre-existing medical conditions to prevent an employee from obtaining health insurance coverage and mandated healthcare providers to protect electronic personal health information. What is it called? a. Health Insurance Portability and Accountability Act b. Patient Protection and Affordable Care Act c. Health Maintenance Organization Act of 1973 d. Patient Safety and Quality Improvement Act

90. Hospital spending increased in the 1960s due to. a. the development of Health Maintenance Organizations b. an increase in reimbursement rates c. the aging baby boomer population d. an increase in vulnerable populations and elderly
91. The largest accrediting agency of healthcare organizations in the United States is. a. Center for Medicare and Medicaid b. The Joint Commission c. Center for Improvement in Healthcare Quality d. Agency for Healthcare Research and Quality
92. holds providers of care to a higher standard and distinguishes their organizations as leaders in healthcare. a. Certification b. Licensure c. Accreditation d. Recognition
93. National Committee for Quality Assurance monitors the quality of care delivered by . a. Hospitals b. managed healthcare plans c. public health d. home health
94. The U.S. Department of Health and Human Services monitors quality on all of the followingEXCEPT. a. patient care safety b. timeliness of patient care c. equity in patient care d. utilization of patient care

95. Three organizations besides The Joint Commission can offer accreditation to healthcare organizations. Which is NOT one of the three? a. Det Norske Veritas Healthcare, Inc. b. Healthcare Facilities Accreditation Program c. Center for Improvement in Healthcare Quality d. National Committee of Quality Assurance
96. Certification is awarded. a. to organizations in compliance with the national patient safety goals b. for specific programs that demonstrate a commitment to excellence c. prior to receiving accreditation status d. to physicians who demonstrate excellence in care
97. The Kefauver-Harris Drug Amendment’s purpose was to. a. stop false advertising of the drugs markets to consumers b. ensure drug companies prove safety and provide evidence of a drug’s effectiveness c. stop animal testing for pharmaceuticals d. mandate the use of safety caps on all medications
98. is the same as the “80-20 rule.” a. The Pareto principle b. Parsimony c. Balanced measures d. Sampling
99. Evaluating the metrics to be used in QI against the clinical quality guidelines should be done in which phase of the QI process? a. Plan b. Do c. Act d. Study