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 facilitys _________.
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. $50000
b. $100000
c. $150000
d. $186000
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 masters 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 $200000.
40. Of the following which position requires an associates 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. Veterans 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 Steves 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 Veterans 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

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