HCA200 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 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.Final Examination

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HCA 200 The United States Health Care
System

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

Final Examination

HCA 200 The United States Health Care
System

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

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HCA 200 The United States Health Care
System

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

on 4 East where
he works as an RN.7

Final Examination

HCA 200 The United States Health Care
System

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 mindFinal
Examination

8

HCA 200 The United States Health Care
System

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. $186,0009

Final Examination

HCA 200 The United States Health Care
System

36. A CTRS is a __________.

a. Certified Tumor try 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

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HCA 200 The United States Health Care
System

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 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

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.Final Examination

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HCA 200 The United States Health Care
System

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

Final Examination

HCA 200 The United States Health Care
System

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. 50Final Examination

18

HCA 200 The United States Health Care
System

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.19

Final Examination

HCA 200 The United States Health Care
System

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

Explanation & Answer

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