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

3. 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.

15. 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

16. 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

17. 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

18. 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 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

23. 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

24. Which of the following are likely eligible for Medicaid?

a. the indigent

b. children

c. the elderly

d. the wealthy

25. 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

26. 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. 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

30. 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

31. The health professional responsible for planning patient care is the ___________.

a. LPN

b. CNA

c. CRNA

d. RN

32. 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

33. Work schedules, supply ordering, and record maintenance are duties of the __________.

a. LPN

b. staff nurse

c. nurse supervisor

d. NP

34. The use of NPs is increasing in the __________ setting.

a. primary care

b. specialty

c. surgical

d. pathology

35. The median net income for physicians per year in primary care is __________.

a. $50,000

b. $100,000

c. $150,000

d. $186,000

36. 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

37. Which eye care professional makes prescription eyeglasses?

a. Optometrist

b. Ophthalmic lab technician

c. Dispensing optician

d. Ophthalmologist

38. 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. Dentist

b. Dental hygienist

c. Dental assistant

d. Dental lab technician

41. 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

42. The CEO is hired by the __________.

a. governing board

b. medical staff

c. administration

d. state Board of Health

43. 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

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. IADL

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

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

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.

72. 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

73. Several hundred people participate in this drug-testing phase.

a. Phase II

b. Phase I

c. Phase III

d. Phase IV

74. Gene correction research is being used in the treatment of ___________.

a. HIV/AIDS

b. multiple sclerosis

c. SARS

d. Parkinson’s disease

75. 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.

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.

78. 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. 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. 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 Institute

b. National Institutes of Health

c. Food and Drug Administration

d. Indian Health Services

83. In 2006 the life expectancy in the U. S. was __________ years.

a. 85

b. 71

c. 67

d. 77 17

84. Cigarette smoking is responsible for __________ deaths per year.

a. 156,000

b. 443,000

c. 610,000

d. 750,000

85. 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 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

88. 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. 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

92. 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 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

94. 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.

96. 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. 25

b. 75

c. 50

d. 80

100. 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