Biology

This hospital area is responsible for entering initial personal and insurance data.

a. medical records

b. ancillary services

c. nursing

d. admitting Department

44. 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

45. 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. 7

b. 21

c. 30

d. 90 11

Final Examination

HCA 200 The United States Health Care System

48. 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 than

b. less than

c. equal to

d. No data has been collected for this.

51. The average age of all assisted living residents is __________.

a. 80

b.100

c 60

d. 84

52. 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

53. 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. IADLFinal Examination

12

HCA 200 The United States Health Care System

54. 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

55. All of the following are IADL except:

a. managing money

b. grocery shopping

c. bathing

d. housekeeping

56. 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 attorney

b. guardianship

c. end-of-life care

d. the passage of the Hill-Burton Act

58. 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

Final Examination

HCA 200 The United States Health Care System

60. 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

61. 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

62. 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. Medicaid

b. Medicare

c. state and local agencies

d. Department of Veterans Affairs

64. 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

65. Connecting family history, high-fat diet, and smoking to cardiovascular disease is a(n)

__________ measure.

a. mortality

b. incidence

c. prevalence

d. risks

Final Examination

14

HCA 200 The United States Health Care System

66. 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

67. 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

68. Public health focuses on ___________.

a. prevention issues

b. curative medical care

c. foundation support

d. environmental health

69. 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 immunizations

b. communicable disease control

c. raising funds for the American Cancer Society

d. community assessment

71. 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.15

Final Examination

HCA 200 The United States Health Care System

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