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    Exam Review

    1. Who has the primary responsibility of cost containment in the United States?
      A)
      The patients
      B)
      Both physicians and patients
      C)
      The private sector
      D)
      The nursing unions
    2. Which of the following is attributed to the rising cost of healthcare?
      A)
      Hospital downsizing in the United States
      B)
      Transition from primarily government institutions to community institutions
      C)
      Advanced sanitation, nursing and medical services
      D)
      Third-party payment
    3. How did managed care organizations (MCOs) garner enormous buying power?
      A)
      By integration of several organizations under the same ownership or contractual arrangements
      B)
      By shared savings program under the ACA
      C)
      By providing an array of health care services to a large community
      D)
      By enrolling a large segment of the insured population
    4. What is referred to as a community hospital?
      A)
      A nonfederal short-stay hospital whose services are available to the general public
      B)
      Nongovernment and privately owned
      C)
      Government ownership (federal, state, or local)
      D)
      Often located in large urban areas
    Page 1 of 13

    Exam Review

    1. Monitoring a patient's prognosis for recovery becomes important in which type of utilization review?
      A)
      Concurrent
      B)
      Preauthorization
      C)
      Retrospective
      D)
      Prospective
    2. Which of the following does adult foster care facilities mostly provide?
      A)
      Part-time or intermittent skilled nursing care.
      B)
      Nursing care, psychosocial therapies, and rehabilitation.
      C)
      A social setting.
      D)
      Room, board, and personal care.
    3. Which of the following groups of people pay for the benefits of Medicare?
      A)
      Health insurance companies
      B)
      Only doctors and nurses
      C)
      Hospital employees
      D)
      Taxpayers
    4. Why is organizational integration important?
      A)
      Pharmacy services available
      B)
      Provides food services to meet the nutritional and therapeutic requirements of the patients
      C)
      There is maintenance of medical records on each patient
      D)
      It is necessary for economic reasons
    Page 2 of 13

    Exam Review

    1. What is Precision Medicine?
      A)
      Medical model of health care delivery
      B)
      Variations in practice
      C)
      Increase in the elderly population
      D)
      Goes a step beyond personalized medicine by taking into account environmental and lifestyle factors.
    2. According to Shi and Singh "Essentials of the U.S. Healthcare System," what percentage of the healthcare workforce do hospitals employ?
      A)
      10%
      B)
      39%
      C)
      50%
      D)
      75%
    3. What are some legal and ethical issues that hospitals face? Select all that apply.
      A)
      Obtaining patient's consent before treatment
      B)
      Women are admitted to hospitals more often than men, but men incur longer stays.
      C)
      Only a few hospitals in some major US cities
      D)
      Discussion of alternatives
      E)
      Patient's participation in decision making
    4. Which of the following types of hospitals would a patient diagnosed with mental illness be referred to?
      A)
      Psychiatric hospital
      B)
      Rehabilitation hospital
      C)
      Teaching hospital
      D)
      Children's hospital
    Page 3 of 13

    Exam Review

    1. Which of the following is not a health maintenance organization (HMO) model?
      A)
      Car model
      B)
      Network model
      C)
      Group model
      D)
      Staff model
    2. Which element is included in the staff model of managed care?
      A)
      Physicians are paid at higher rates than private organizations
      B)
      The health maintenance organization (HMO) employs its own fixed-salary physicians.
      C)
      Meets the nutritional and therapeutic requirements of the patients
      D)
      Registered nurses are sponsored by agency staffing companies
    3. Quality indicators can have micro perspectives and macro perspectives. What does macro perspective do?
      A)
      Promotes the use of performance measurements in health care
      B)
      Focus on individual services at the point of delivery
      C)
      Reflect the performance of the entire health care delivery system
      D)
      Look at the performance of an individual or organization
    4. Which of the following contributed to the growth of hospitals from 1930 to 1980?
      A)
      Prospective Payment System (PPS)
      B)
      The growth of managed care
      C)
      Technological advances
      D)
      Increased use of skilled nursing
    Page 4 of 13

    Exam Review

    1. What is an example of a foreseeable trend in the future of health services delivery?
      A)
      Cost cutting
      B)
      Demographics
      C)
      Quicker discharge of patients
      D)
      Level of education of healthcare personnel
    2. Which of the following does long-term care include?
      A)
      Care in a nursing home
      B)
      Care in ambulatory clinics
      C)
      Care provided by nurses
      D)
      Care in a hospital setting
    3. What is one reason that cost-control efforts in the United States have not been successful?
      A)
      Wastage at clinics
      B)
      Global healthcare issues
      C)
      Poor patient outcomes
      D)
      Cost shifting
    4. What is referred to as "days of care"?
      A)
      Total number of inpatient days incurred by a population over a given period of time
      B)
      The number of days a patient stays in a hospital
      C)
      The total number of patients admitted
      D)
      The length of time patients are treated in a clinic
    Page 5 of 13

    Exam Review

    1. Waste and abuse is a reason for rising healthcare costs. Which of the following is a contributory factor?
      A)
      Chronic disease prevention and management
      B)
      Fraud
      C)
      Unequal access to health care
      D)
      Competitive approaches
    2. What was the first major stage of the hospital evolution?
      A)
      Private inpatient facilities
      B)
      Community homeless shelters
      C)
      University-based medical centers
      D)
      Almshouses
    3. What is the organization of hospital capacity?
      A)
      The number of beds set up, staffed, and made available by a hospital for inpatient use
      B)
      Well-to-do, private-pay patients using hospitals.
      C)
      Transition from primarily government institutions to community institutions
      D)
      Construction and operation of a hospital
    4. What three factors are critical in differentiating between the types of managed care organization (MCOs)?
      A)
      CEO with responsibility for operations
      B)
      Payment and risk-sharing
      C)
      Organized physician staff
      D)
      Choice of providers
      E)
      Different ways of arranging services
    Page 6 of 13