Medical Hospital & Healthcare – Healthcare & Nursing

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Medical Hospital & Healthcare – Healthcare & Nursing

This exam covers medical hospital and healthcare of healthcare and nursing.


Non-medical facilities that provide rooms or apartments, meals, housekeeping, medication management, assistance with ADLs as needed, and recreational activities are known as which of the following?

Acute care hospitals

Skilled nursing facilities

Long term care facilities

Residential Care Communities/Assisted Living Facilities- correct


True/False: The U.S. spends less on health care than most other developed countries.

True

False- correct


True or False: As of September 2020, Medicaid expansion has been implemented in all states in the U.S.

True

False


Which of the following is not a leading cause of death in the U.S.?

cancer

heart disease

HIV- correct

Alzheimer’s disease


The annual or monthly amount paid to the insurance company in order to have insurance coverage is called…

Deductible

Premium- correct

Coinsurance

Copayment


Which of the following has been most responsible for increasing the prevalence of chronic diseases?

Increased preventative care- correct

Increased use of tobacco

Increased number of elderly

Increased physician availability


True or False: Part D Medicare covers hospital (inpatient) services and doctor’s visits.

True

False- correct


Which of the following was the most important factor in the decline of mortality (deaths) in the 20th century?

Development of new drugs

Development of vaccines

Safeguarding the food supply

Improvements in essential hygiene- correct


Which of the following is NOT part of the IRON TRIANGLE?

Quality

Access

Cost

Quantity- correct


According to the video on health care spending shown in class, the reason for our high health care costs in the U.S. is:

All of the above

Inability to negotiate for better prices on our own behalf

The increased aging population and their need for more medical services

Malpractice lawsuits and defensive medicine


Most Americans are covered by ___________. 

Medicare.

Private insurance.

Medicaid.

CHIP


The Fee for Service model of insurance reimbursement…

pays practitioner or hospital a fixed amount for each member (patient).

financially rewards doctors for quality and cost control (value).

is also known as “package pricing” or “bundled payment.”

financially rewards doctors for volume (providing more services).


Florida adopted the Medicaid expansion in 2020.

True

False


Which of the following is not one of the ways that access to health care was expanded through the Affordable Care Act (ACA)?

Allowing young adults to remain on their parents’ health plan

Expansion of the primary care workforce through scholarships and loan repayment programs

Excluding coverage for patients who have pre-existing medical conditions- correct

Expanding the Federally Qualified Health Centers (FQHC)


Which of the following are examples of government funded health insurance programs?

Medicaid

All of these are correct- correct

Children’s Health Insurance Program (CHIP)

Medicare


The U.S. has a ____________ health care delivery system.

Single payer

Fee-for-service

Multi-payer

Socialist


Which of the following describes the different levels of insurance plans that are offered through the ACA?

Red, yellow, blue, and green levels

High, medium, and low levels

Bronze, silver, gold, and platinum levels- correct

Difficult, moderate, and easy levels


True or False: Shifts in the U.S. population are expected to change with an increase in non-Hispanic whites and a decrease in all other racial groups between 2012 and 2050.

True

False


Which is better?

The health reform signed in 2010

Affordable Care Act

All of the above

Obamacare


True or False: PACE is available to individuals 50 years of age or older who are certified by their state to need nursing home care but who are able to live safely in the community.

True

False- correct


True or False: The cost of health insurance premiums for a family decreased substantially between 2000 and 2015.

True

False


The U.S. spends about _____ of its Gross Domestic Product (GDP) on health care.

17-18%- correct

10-12%

23-25%

3-5%


Which of the following requirements ensured the same basic benefits for all Americans regardless of the source of insurance coverage?

Essential Health Benefits- correct

The Employer Mandate

The Individual Mandate

Medicaid Expansion


One of the main differences between a Preferred Provider Organization (PPO) and a Health Maintenance Organization (HMO) is:

PPOs require that patients get a referral to see a specialist

PPOs require that patients only see MDs in network

HMOs cost less than PPOs

HMOs offer more choice and freedom


In 1965, Medicare and Medicaid were established as federally funded programs to provide…

Health care access to the elderly and the poor respectively. – correct

Healthcare care access to the homeless.

Healthcare access to military personnel and veterans and their dependents.

Healthcare access to the mentally ill.


Which of the following is NOT true regarding the history of health insurance?

The first private health insurance in the U.S. was Aetna

The most significant change in government healthcare financing was when Congress approved Medicare and Medicaid.

In World War II private health insurance coverage grew rapidly as an employee fringe benefit.

The demand for health insurance increases as medical technology advances.


Which of the following types of long term care provides the most extensive medical services?

Adult day care

Home health agencies

Residential care communities- correct

Skilled nursing facilities


True or False: In 1983, Congress passed a prospective payment bill, under which hospitals are paid a set amount for each patient in any of the established disease categories and Diagnosis-Related Groups (DRGs).

True- correct

False


True or False: Life expectancy in the U.S. is higher than most other industrialized countries.

True

False


The four major components within our health delivery system are:

Quality, convenience, access and cost

Financing, payment, strategy, and care

Delivery, insurance, strategy, billing

Financing, delivery, insurance, and payment- correct


How long is the ideal nap?

20 minutes- correct

30 minutes

45-60 minutes

10-15 minutes


As of last week’s class, which university had more COVID-19 cases than Canada?

University of Florida

University of Alabama

FAU

Cal Berkeley


Public Health at the city and state level now include some important functions such as which of the following?

Setting standards for automobile safety devices.

Licensing and Accrediting health professionals.

All of these are correct- correct

Supervising the quality of medical payment programs.


A cover letter should essentially repeat what is listed in the resume.

True

False- correct


Professional certification is mandatory for individual health professionals and ensures the employer and the public that a health professional meets an established level of competence in their field.

True

False- correct


Which of the following is NOT one of the driving forces behind the development of hospitals?

Transformation of nursing into a profession by requiring training in caring for the wounded and ill

The migration of the US population out of urban environments; more citizens living in rural areas- correct

Advances in medical eduation, scientific theory, and standardization of academic training for physicians

Advances in medical science, the discovery of antiseptic techniques and sterilization processes, and the use of anesthesia


Licensing refers to a right conferred by a governmental body to practice an occupation or provide a service.

True- correct

False


Certification refers to the action or process of providing an individual with an official document attesting to their status or level of achievement.

True- correct

False


The process by which a professional seeks recurrent learning activities and training beyond that required for the initial license or certificate is referred to as continuing education.

True- correct

False


What are the two types of healthcare teams?

Functional and patient centered- correct

Nurses and doctors

Hospital workers and non-hospital workers

Men and women


It is recommended that job applicants include a cover letter with their resumes regardless of whether a letter was required.

True- correct

False


Today most mental health services are:

Inpatient

Designed to protect the public

Community-based

Involuntary


Healthcare professionals display their understanding of the need for confidentiality in which of the following ways?

Only discussing patient confidential information with those medical personnel who are involved in treating the patient

Upholding their obligation to maintain patient information in a manner that will not permit dissemination beyond the healthcare provider

All of these are correct- correct

Not making comments in public areas about patient information


Direct healthcare services provided by the federal government are limited to the Department of Defense, the US Veteran Administration, Medicare, Medicaid and Indian Health Services.

True

False- correct


States conduct annual telephone surveys of residents as part of this evaluation to pinpoint behaviors that increase risk for chronic disease including diet, physical activity, smoking, and drug and alcohol use. What is the name of the tool used?

Behavior Modification Plan of Action (BMPA)

Behavior Plan of Action (BPA)

Behavioral Risk Factor Surveillance System (BRFSS) – correct

Behavior Risk Assessment (BRA)


HIPAA protects:

Information in medical records

Patient billing information

Health insurance information

All of these are correct- correct


Which of the following best describes ethics?

Listening to one’s conscience

Formal study of moral choices

Making judgments between right and wrong

All of these are correct- correct


Females account for what percentage of the healthcare workers?

80%- correct

50%

20%

35%


There are more private, for profit hospitals than all other categories of hospitals.

True

False- correct


Civil Law covers torts, wrongful acts that result in physical injury, property damages, or damages to a person’s reputation.

True- correct

False


Home health is expected to grow 60%, which is faster than any other healthcare industry in the next decade.

True- correct

False


Which of the following government-funded programs is intended to provide individual healthcare for people with low incomes and who are uninsured?

Medicaid- correct

Medicare

Aetna Health

Med Express


Which of the following are examples of service categories within the healthcare industry?

All of these are correct- correct

Therapeutic Services

Preventive Services

Diagnostic Services


“Scope of Practice” is authorized by laws that determine what someone legally can and cannot do in their work.

True- correct

False


The Patient Bill of Rights does NOT include:

The right to refuse treatment

The right to refuse payment- correct

The right to privacy and dignity

The right to emergency care


Which of the following is NOT true about “Civil Law” in terms of medical liability?

Civil law may include intentional torts like battery and assault.

Malpractice can include inadequate medical advice delivered through social media.

Violoation of civil laws may entitle an injured person to compensation.

All of these are true about civil laws. – correct


The Bureau of Labor Statistics classifies health care into three broad categories. Which of the following is not one of those categories?

Healthcare practitioners and tehcnical occupations

Community and social service occupations and personal care and service occupations

Healthcare support occupations

Healthcare semi-skilled occupations- correct


To sustain their careers over time, healthcare practitioners must be prepared to act in a

professional manner. Which of the following examples would not display professionalism?

Maintaining a steady composure in the face of adversity

Acting in accordance with your organization’s code of ethics

Sharing patient information with other patients who might be interested- correct

Having accountability for your actions


Preventive health care will play an important role in achieving health are through recently expanded, federally funded primary care clinics, and public health clinics funded by city and state governments.

True- correct

False


The most common accusation leveled in a lawsuit against a healthcare practitioner is negligence.

True

False- correct


Resumes should be eye-catching, It is recommended that applicants use bright colors and creative fonts.

True

False- correct


Which of the following industries was one of the largest in 2013 (and projected to generate 4.1 million new jobs between 2012 and 2022)?

Education

Healthcare- correct

Advertising

The legal system


According to our guest speaker, Kevin Allen, people looking to be successful in their career should:

Strive to be in top leadership positions

Stay where they are at

Be authentic

Move to the UK


Guest speaker Dr. Justin Brown attended which of the following universities for his undergraduate education?

University of Washington

Penn State University

University of North Carolina

East Carolina University


The geographic maldistribution of physicians means that:

Not enough physicians choose to work in the central part of the country

Not enough physicians choose to work in developing countries

Not enough physicians choose to work in rural areas- correct

Not enough physicians choose to work in urban settings


Most training programs for LPNs last about 2 years and are offered by vocational or technical schools, or community or junior colleges.

True

False- correct


A nurse who has a doctorate would be called a doctor.

True

False


Which of the following are not factors that will continue to spur demand for pharmacists throughout the 2024 projection period?

Increased rate of chronic diseases

Increased number of hospitals and clinics

Increased number of elderly people

Increased coverage by health insurance plans- correct


Attracting more specialists in the health care industry will help reduce health care costs.

True

False- correct


Certification in an area of specialty is required for physicians and surgeons.

True

False- correct


Advanced practice registered nurses require a master’s degree; most are also certified in a specialty area.

True- correct

False


The current primary focus of nurses training is which of the below?

Pediatric care

Managing chronic disease in community settings

Acute hospital care

Patient education- correct


Formal education and training requirements for physicians generally include:

3 to 8 years of internship and residency

4 years of undergraduate school

4 years of medical school

All of these are correct


Which of the following would NOT be considered an area of specialty for a physician?

Health information management- correct

Obstetrics and gynecology

Palliative and hospice care

Hospitalist

Anesthesiology


In 40 states and the District of Columbia, physician assistants may prescribe medications.

True

False- correct


Which of the following is NOT an advanced practice nurse?

Nurse Practitioners

Nurse Midwives

Physician Assistants- correct

Nurse Anesthetists


An RN has has earned more education and has a higher level of responsibility than an LPN.

True- correct

False


Specialty maldistribution occurs because:

Medical teachnology attracts physicians to specialties

Medical education is oriented toward specialties

Specialists are better able to predict their work hours

All of these are correct- correct

Specialists earn more income


The demand for skilled nurses is at an all-time high. Which of the reasons below is not one of the top three reasons for this increase in demand?

There is a nationwide shortage of physicians. – correct

The growing aging population with complex health problems require skilled nursing care.

Greater numbers of the newly insured are seeking health care as a result of the Affordable Care Act.

Requirements for quality care are higher, while costs mandated by the Affordable Care Act are lower.


Although requirements vary by state, all states require physicians to be licensed.

True- correct

False


Job opportunities for PAs will be best in states that offer which of the following or PAs?

Wider scope of practice- correct

Reduced number of continuing education hours

Post graduate educational programs

Higher salaries


How many hours of continuing medical education must a physician assistant (PA) complete every two years?

50

24

72

100- correct


Which of the following is the minimum requirement to be eligible for entry into Medical School?

Master’s Degree

Docotorate Degree

3 years of college- correct

Bachelor’s degree


Beginning in 2014, how often must a PA pass a re-certification examination or complete an alternative program learning experience and a take-home examination?

Every 5 years

Every 2 years

Every 7 years

Every 10 years- correct


Registered nurses (RNs) constitute the largest healthcare occupation, with 2.7 million jobs.

True- correct

False


Nurse Anesthetists are the highest paid nurses.

True- correct

False


One of the main tools of physicians treating patients is medication.

True- correct

False


The profession in which we will see the greatest shortage in upcoming years is:

Nurse Practitioners

Physician Assistants

Physicians and surgeons- correct

Registered Nurses


Medical Doctors (MDs) tend to be more holistically-oriented than Doctors of Osteopathy (DOs).

True

False- correct


Primary care physicians are being replaced by nurse practitioners and physician assistants.

True

False


In what settings would PAs provide most of the health care for patients and consult with the supervising physician and other medical professionals as needed or required by law?

Inner-city clinics- correct

Ofice based settings

Academic Medical Centers

Prisons


Clinical nurse specialists provide direct patient care to a certain population of people and/or within a specific medical or surgical specialty and usually require a master’s degree.

True- correct

False


Which specialty employs the largest numbers of physicians?

Family and General Practitioner- correct

Hospitalist

Surgeons

General Internist


According to our news presentations, Omega 3’s were recently shown to help which condition?

Asthma- correct

MS

ALS

Hearing Loss


Social workers assist people by helping in different ways. Which of the following is an example of a way they help others?

Helping people who are facing disabiity

All of these are correct- correct

None of these are correct

Helping them cope or solve issues with family and dealing with relationships

Helping those with substance abuse problems


What is the most common entry-level degree necessary for social workers?

Doctoral Degree

None of these are correct

Associate Degree

Master’s Degree

Bachelor’s degree- correct


True or False? As distinguished from psychiatry, which is a branch of medicine, psychology is a nonmedical science.

True- correct

False


Substance abuse counselors are also called addiction counselors.

True- correct

False


True or False?  CEO Dr. Todd Blum does not typically look to hire people smarter than himself.

True

False- correct


Which health professional uses rehabilitative exercises, reconditioning, and physical education to treat patients who have problems moving in any way?

Primary care sports medicine physicians

All of these are correct

Athletic Trainers

Kinesiotherapists- correct


True or False? A high school diploma is the minimum educational requirement for social and human service assistants, but employers often seek individuals with relevant work experience or education beyond high school.

True- correct

False


True or False? The National Board of Certifying Occupational Therapy certifies occupational therapy assistants through a national certifying exam. Those who pass the test are awarded the title Certified Occupational Therapy Assistant (COTA).

True- correct

False


Applicants to occupational therapy assistant programs can improve their chances of admission by doing which of the following?

Volunteering in nursing care facilities

Taking high school courses in biology and health

All of these are correct- correct

Volunteering in occupational therapy offices


True or False? Typical entry-level education for occupational therapy assistants is an Association Degree; in contrast, occupational therapy aides usually need a Bachelor’s Degree. 

True

False- correct


True or False? The level of education completed often determines job responsibilities. Those with a high school diploma are likely to do lower level work, such as helping clients fill out paperwork. However, assistants with some college education may coordinate program activities or manage a group home.

True- correct

False


According to Kelly Terry, DPT, you should rely on which strategy to maximize your chances of acceptance in PT schools:

Visit the schools- correct

Apply close to the deadline

Only apply to schools near your home

Take biology as an undergraduate student


Speech-language pathologists perform which of the following job duties?

Treat and help prevent communication disorders

Diagnose language disorders

All of these are correct- correct

Assess and treat swallowing disorders


A speech disorder can be any of the following except:

Difficulty producing speech sounds

Controlling voice projection

All of these are correct

Difficulty maintaining speech rhythm

People who speak a different language- correct


True of False? Licensing is required to practice as a physical therapist aide.

True

False- correct


True or False? Employment of athletic trainers is projected to grow 21% from 2014 to 2024., much faster than the average for all occupations, because of their role in preventing injuries and reducing health care costs.

True- correct

False


True or false? in 2015, the Athletic Trainers Strategic Alliance made the decision to require a master’s degree for all entry-level athletic trainers.

True- correct

False


True or False? A doctoral degree from a program accredited by the Council on Academic Accreditation is the requirement for licensure for entry-level audiologists.

True- correct

False


The field of psychology offers a number of specializations. These include which of the following?

School and social psychology

All of these are correct- correct

Clincial psychology

Rehabilitation psychology

Engineering psychology


Physical therapists may engage in professional activities such as which of the following?

Research

Education

All of these are correct- correct

Administration

Consultation


True or False? Orthotists and prosthetists do not require a degree or certification before beginning work in the field.

True

False- correct


Prior to 2015, what was the minimum requirement for athletic trainers?

High School Diploma

Bachelor’s degree- correct

Master’s Degree

None of these are correct

Associate Degree


Psychology is best defined by which of the following?

A study of the bones and muscles and how they interact

A scientific approach to identifying the areas of the brain and their functions

An introductory field to becoming a brain surgeon

A scientific approach to gathering, quantifying, analyzing, and interpreting data on why people act as they do- correct


True of False? Athletic trainers that work in a sports setting typically have schedules that are more flexible and they need to work fewer hours overall.

True

False


True or False? In clinical, counseling and school psychology, the requirements for the doctoral degree include an internship of at least 5 years.

True

False- correct


Social workers may be employed in a variety of settings, including which of the following?

Child welfare agencies

Hospitals

All of these are correct- correct

Colleges and universities


Which of the following professional roles focuses on improving athletic performance or treating muscle or bone injuries?

All of these are correct

Kinesiotherapists

Primary care sports medicine physicians

Athletic Trainers

Clinical exercise physiologists


Which of the following statements about occupational therapists is not true?

They prescribe medications to help patients deal with disabilities- correct

All of these are true

They help patients cope with physical and emotional effects of disability

They use a variety of techniques designed to help patients deal with disabilities

They treat people with mental, physical, developmental, or emotional disabilities


Physical therapists treat a variety of patients with different types of problems. Their patients may include which of the following?

All of these are correct- correct

People with heart disease

Accident victims

People with back pain

Persons with head injuries


Which of the statements below best describes the field of mental health professionals?

None of these are correct

Working with patients to increase mobility after an injury

Working with patients to enhance their ability to perform ADLs after an accident or injury

Working with patients to prevent, diagnose, and treat mental disorders- correct


According to guest speaker Dr. Todd Blum, pay ranks where in terms of satisfiers?

Number one

Last

In the middle

Bottom third


True or False? Many clinical managers are directly accountable to a board of trustees who determine specific unit policies and objectives for their departments.

True

False


True or False? As the chief executive officer (CEO), a person would be responsible for speaking before civic groups, promoting public participation in health programs, and coordinating the activities of the hospital or facility with those of government or community agencies.

True- correct

False


True or False? Health services managers are employable in areas such as outpatient clinics, nursing homes, rehabilitation facilities, and dentist offices.

True- correct

False


True or False? In a large community hospital, the healthcare administrator is responsible for day-to-day management of the service units.

True

False- correct


True or False? Because of the need to satisfy demand for financial viability, cost containment, and public and professional accountability, chief administrators need leadership abilities as well as technical skills.

True- correct

False


True or False? When performing fluoroscopies, radiologic technologists prepare solutions for the patient to drink.

True- correct

False


True or False? Magnetic resonance imaging (MRI) and computed tomography (CT) both use nonionizing radio frequencies to generate image contrast.

True

False- correct


True or False? A master’s degree in radiation therapy is usually required by most employers of radiation therapists.

True

False


True or False? A dosimetrists is a technician who is responsible for calculating the dose of radiation that is used in a cancer treatment.

True- correct

False


True or False? Chemo and Radiation therapy are always used in conjunction when treating cancer.

True

False


Which organization allows surgical first assistants the opportunity to obtain certification?

CSA designation from the National Surgical Assistants Association

All of these are correct. – correct

SA-C designation from the American Board of Surgical Assistants

CFSA designation from the National Board of Surgical Technology and Surgical Assisting


Aside from their job training, what other skills set would surgical technologists most likely need to have?

Flexible, reliable, easy to communicate with

Conscientious, have manual dexterity, be emotionally stable- correct

Tall, good personality, trustworthy

Personable, have good communication skills, dependable


Technologists who use ultrasound to examine the heart chambers, valves, and vessels are referred to as which of the following?

Cardiographic technicians

Electrocardiograph technicians

Surgical Technologists

Cardiac sonographers- correct


The technologists who assist physicians in the diagnosis of disorders affecting circulation are known as which of the following?

Cardiac sonographers

Cardiographic technicians

Surgical Technologists

Vascular technicians- correct


During a cardiac catheterization procedure, the cardiovascular technologist is responsible for which of the following?

Keeping the family members updated

Inserting the cardiac catheter

Monitoring the patient for signs of arrhythmia- correct

Recording all of the events that take place in the cardiac laboratory


Who typically performs laboratory tests?

Nurses

Physicians

Pharmacists

Laboratory scientists- correct


What does the clinical scientist do with the results after testing and examining a specimen?

Relay the results to the physician- correct

All of these are correct.

Notify the patient directly of the results

Record all of the results into the patient’s bedside medical chart


Which of the following job locations are applicable to clinical laboratory scientists and technicians?

Physician offices

Hospitals

Ambulatory centers

All of these are correct.


Many employers prefer applicants who are certified. Which of the following is a recognized professional association capable of offering certification?

Board Registry of the American Society for Clinical Pathology (ASCP)

Board of Registry of American Association of Bioanalysts

American Medical Technologists

All of these are correct. – correct


According to the Bureau of Labor Statistics, which is part of the U.S. Department of Labor, the median hourly wage for phlebotomist in 2014 was:

$15.33 per hour.

$12.50 per hour.

$13.75 per hour.

$14.74 per hour.


Which of the following use phlebotomists to perform blood draws?

Hospitals

Diagnostic laboratories

Blood donor centers

All of these are correct. – correct


Which of the following associations offers certification for phlebotomists?

National Center for Competency Testing (NCCT)

American Medical Technologists (AMT)

American Society for Clinical Pathology (ASCP)

All of these are correct.


Which specific sonographer would help diagnose and treat conditions primarily involving the gallbladder, bile ducts, kidneys, liver, and pancreas?

Breast sonographers

Neuro sonographers

Abdominal sonographers- correct

Echocardiographers


Which of the following is projected to remain the principal employer of diagnostic medical sonographers?

Private physician offices

Hospitals- correct

Specialty clinics

Extended care facilities


True or False? Radiation therapists work primarily in outpatient cancer treatment centers.

True

False


True or False? Radiation therapists on the medication radiation oncology team use machines called linear accelerators to administer radiation treatments to cancer patients.

True- correct

False


True or False? Health service managers are individuals who work in many different positions; planning, organizing, and coordinating the delivery of health care.

True- correct

False


True or False? Associate or assistant administers may be responsible for budget and finance, depending on the size of the facility.

True- correct

False


Technologists must adhere to safety standards when preparing radiopharmaceuticals to help do which of the following?

Keep costs to a minimum

Keep confidentiality at its highest priority

None of these is correct.

Keep radiation exposure as low as possible- correct


Which of the following complex types of testing is performed by clinical laboratory scientists?

Biological

Bacteriological

Chemical

All of these are correct.  – correct


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