California Coast University HCA 200 Final exam

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 advantageb. reimbursement ratesc. business pland. business viability3. 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. cureb. controlc. preventiond. the study of rural road traffic patterns4. The Patient Protection and Affordable Care Act _________.a. helps increase the number of people who are uninsuredb. allows the market to drive costs upc. seeks to improve health care delivery performanced. is surveying Americans about their health care utilization patterns5. 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.Final Examination4HCA 200 The United States Health Care System7. Accounting __________.a. creates the product or serviceb. tracks the flow of money in and out of a businessc. uses technology to manage informationd. includes the product, price, promotion, and distribution to the customer8. Information technology __________.a. creates the product or serviceb. tracks the flow of money in and out of a businessc. includes the product, price, promotion, and distribution to the customerd. uses technology to manage information9. Shareholders may exist in which business ownership configuration?a. corporationb. partnershipc. sole proprietorshipd. collaboration10. A decrease in unemployment and interest rates occurs during the following portion of the economic cycle __________.a. prosperityb. recessionc. depressiond. recovery11. 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 Actb. prohibits referrals to clinical lab services where the provider has a financial interestc. involved the federal government funding construction of private facilities pursuant to a Certificate of Needd. provides for health insurance portability and protects the privacy of health records5Final ExaminationHCA 200 The United States Health Care System13. The Stark I law __________.a. contains special provisions to protect laid-off workers and to encourage electronic records technologyb. prohibits referrals to clinical lab services where the provider has a financial interestc. involved the federal government funding construction of private facilities pursuant to a Certificate of Needd. provides for health insurance portability and protects the privacy of health records14. 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.15. Third-party payers are covered by both state and federal regulations. Two of the federal regulations are ________ and _________.a. COBRA; PPOb. ERISA; HIPAAc. COBRA; EPOd. ERICA; HIPAA16. An enrollment period is a _________.a. binding contract between the payer and the employeeb. binding contract between the payer and employerc. time when employees can utilize benefitsd. time when employees can change providers17. If an employee decides to take advantage of an insurance benefit being offered to them they are known as a/an _________.a. actuaryb. enrolleec. subscriberd. policy holderFinal Examination6HCA 200 The United States Health Care System18. 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.19. 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.20. HIPAA regulates all of the following except:a. portability.b. coverage on a family plan until 26 years old.c. access.d. mandated benefits.21. Prepaid health plans _________.a. are attractive to employers because they know in advance what the cost of providing health care will beb. all involve an IPOc. are attractive to the service provider because the number of patients is fixed and a certain revenue level is guaranteedd. Both a and c are correct.22. Office of Personnel Management administers this program __________.a. Medicareb. FEHBPc. Medicaidd. SCHIP23. 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 on 4 East where he works as an RN.7Final ExaminationHCA 200 The United States Health Care System24. Which of the following are likely eligible for Medicaid?a. the indigentb. childrenc. the elderlyd. the wealthy25. Medicaid eligibility is __________.a. decided on a federal levelb. decided on a state levelc. the same for all statesd. determined based on education26. 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.27. 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.28. When providers feel that financial incentives are inadequate, they may opt out of __________.a. CHAMPUSb. SCHIPc. Medicaidd. FEHBP29. Emergency medicine physicians specialize in the diagnosis and treatment of __________.a. diseases and disorders of the stomach and intestineb. changes in organs, tissues, and cellsc. acute illness or injuryd. diseases and disorders of the mindFinal Examination8HCA 200 The United States Health Care System30. Pathologists specialize in __________.a. diagnosing disease by studying changes in organs, tissues, and cellsb. diseases and disorders of the mindc. diseases and disorders of the stomach and intestined. acute illness or injury31. The health professional responsible for planning patient care is the ___________.a. LPNb. CNAc. CRNAd. RN32. Nurses in this setting focus on disease prevention through community education.a. hospitalsb. public health agenciesc. long-term care facilitiesd. medical offices33. Work schedules, supply ordering, and record maintenance are duties of the __________.a. LPNb. staff nursec. nurse supervisord. NP34. The use of NPs is increasing in the __________ setting.a. primary careb. specialtyc. surgicald. pathology35. The median net income for physicians per year in primary care is __________.a. $50,000b. $100,000c. $150,000d. $186,0009Final ExaminationHCA 200 The United States Health Care System36. A CTRS is a __________.a. Certified Tumor Registry Specialistb. Certified Therapeutic Recreation Specialistc. Credentialed Therapist of Respiratory Serviced. Certified Therapist of Respiratory Service37. Which eye care professional makes prescription eyeglasses?a. Optometristb. Ophthalmic lab technicianc. Dispensing opticiand. Ophthalmologist38. 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.39. 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 $200,000.40. Of the following, which position requires an associate’s degree to practice?a. Dentistb. Dental hygienistc. Dental assistantd. Dental lab technician41. Clinical chemistry technologists ___________.a. analyze the chemical and hormonal contents of body fluidsb. examine bacteria and other microorganismsc. focus on the human immune systemd. examine cells for signs of cancerFinal Examination10HCA 200 The United States Health Care System42. The CEO is hired by the __________.a. governing boardb. medical staffc. administrationd. state Board of Health43. This hospital area is responsible for entering initial personal and insurance data.a. medical recordsb. ancillary servicesc. nursingd. admitting Department44. Security and maintenance are part of the __________ area of the organizational chart.a. facilities supportb. nursing supportc. general patient supportd. administrative support45. All of the following are utilization measures except:a. average daily census.b. rates of infection.c. capacity.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.47. Long-term care is anything greater than __________ days.a. 7b. 21c. 30d. 90 11Final ExaminationHCA 200 The United States Health Care System48. 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.49. 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.50. Staffing ratios in long-term care are __________ in hospitals.a. greater thanb. less thanc. equal tod. No data has been collected for this.51. The average age of all assisted living residents is __________.a. 80b.100c 60d. 8452. 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 careb. respite carec. assisted livingd. ICF care53. A LTC system that would provide physical, social, mental health, and financial support would be considered ___________.a. aging in placeb. spending downc. a continuum of cared. IADLFinal Examination12HCA 200 The United States Health Care System54. Medical power of attorney refers to a(n) ___________.a. individual who is able to select the proper attorney for a malpractice caseb. 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 anotherd. a power only the Veteran’s Administration may grant55. All of the following are IADL except:a. managing moneyb. grocery shoppingc. bathingd. housekeeping56. All of the following are primary disease processes that affect the elderly except:a. arthritis.b. athletic injuries.c. cancers.d. dementias.57. Which of the following is not an ethical or political issue related to LTC?a. power of attorneyb. guardianshipc. end-of-life cared. the passage of the Hill-Burton Act58. Violent events usually precede this disorder.a. agoraphobiab. obsessive compulsive disorderc. posttraumatic stress disorderd. generalized anxiety disorder59. Because of its substantial role in financing mental health services, __________ has significant influence regarding the design of mental health service delivery.a. Medicaidb. Medicarec. Blue Cross/Blue Shieldd. private insurance13Final ExaminationHCA 200 The United States Health Care System60. 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 therapyb. treatments relying on drug therapy to somatic and physical treatmentsc. physical or somatic treatments to treatments relying on drug therapyd. the institutional model of care to a general delivery and business model61. Which of the following is not a category of human resource components in mental health care?a. specialty mental health sectorb. home health sectorc. general medical/primary care sectord. human services sector62. 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.63.Among the public payers of mental health care, __________ pays the most.a. Medicaidb. Medicarec. state and local agenciesd. Department of Veterans Affairs64. Which of the following is not a possible risk factor for mental illness?a. family historyb. lack of social supportc. inability to readd. strong support system65. Connecting family history, high-fat diet, and smoking to cardiovascular disease is a(n) __________ measure.a. mortalityb. incidencec. prevalenced. risksFinal Examination14HCA 200 The United States Health Care System66. This agency maintains national health statistics.a. Food and Drug Administrationb. Department of Health and Human Servicesc. Health Resources and Services Administrationd. Centers for Disease Control and Prevention67. 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 Preventionb. Department of Health and Human Servicesc. Health Resources and Services Administrationd. Centers for Medicare and Medicaid Services68. Public health focuses on ___________.a. prevention issuesb. curative medical carec. foundation supportd. environmental health69. 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.70. Functions of county and city health departments do not include ___________.a. adult and child immunizationsb. communicable disease controlc. raising funds for the American Cancer Societyd. community assessment71. 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.15Final ExaminationHCA 200 The United States Health Care System72. This legislation required drug safety testing.a. 1962 Amendment to the Food, Drug, and Cosmetic Actb. Food, Drug, and Cosmetic Act of 1938c. Food and Drug Act of 1906d. 1959 Kefauver Senate hearings73. Several hundred people participate in this drug-testing phase.a. Phase IIb. Phase Ic. Phase IIId. Phase IV74. Gene correction research is being used in the treatment of ___________.a. HIV/AIDSb. multiple sclerosisc. SARSd. Parkinson’s disease75. The medical technology industry employs about ___________ people.a. 256,000b. 423,000c. 591,000d. 725,00076. 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.77. 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.Final Examination16HCA 200 The United States Health Care System78. 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.79. The FDA does not require which of the following in direct-to-consumer advertising?a. accuracyb. claims must be supported by substantial evidencec. information must reflect a balance of risks and benefitsd. the cost of the drug compared to other drugs must be stated80. The government’s role in prevention is all of the following except:a. research.b. funding.c. informing.d. marketing products.81. 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.82. Which of the following is not a department of DHHS?a. National Eye Instituteb. National Institutes of Healthc. Food and Drug Administrationd. Indian Health Services83. In 2006 the life expectancy in the U.S. was __________ years.a. 85b. 71c. 67d. 77 17Final ExaminationHCA 200 The United States Health Care System84. Cigarette smoking is responsible for __________ deaths per year.a. 156,000b. 443,000c. 610,000d. 750,00085. All of the following are smoking cessation treatments found to be effective except:a. counseling.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.87. In Rights theory, health care is described as a __________.a. basic human and citizen rightb. resource to be allocated where it will do the most goodc. right for only the fewd. resource for only the most disadvantaged88. All of following are cultural values in America except:a. group superiority.b. humanitarianism.c. science and technology.d. equal health care for all.89. Research suggests that those who are not health literate experience almost __________% more hospitalizations than their health literate counterparts.a. 15b. 30c. 40d. 50Final Examination18HCA 200 The United States Health Care System90. Kantian theory ___________.a. tells people they ought to treat others as they want to be treated themselvesb. views health care as a basic rightc. implies that health care resources should be allocated where they will do the most goodd. states that each person is to have an equal right to basic liberties91. The life expectancy in Sweden is __________ years.a. 85b. 81c. 67d. 7792. 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. France.d. Japan.93.All of the following are false about the REALM except it ___________.a. is used to assess cultural competencyb. asks patients to define medical termsc. stands for Rapid Estimate of Adult Literacy in Medicined. has not been used to assess health literacy94. 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.95. 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.19Final ExaminationHCA 200 The United States Health Care System96. 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.97. 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.98. 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.99. _________% of health care in Canada is funded publicly and delivered privately.a. 25b. 75c. 50d. 80100. Which of the following is not a role of the Canadian federal government?a. pay for dentistryb. provide funds to deliver services to the provincesc. deliver services to special groups such as veterans and First Nations and Inuit peopled. provide public health, health promotion programs, and health care research