Deck 11: The Health Care System

Question 1

Which statement best describes the significance of the Health Plan Effectiveness Data and Information Set (HEDIS)?

A)Data are publicized so consumers can make informed decisions about where to go for care
B)Data are used to measure performance in the accreditation of managed care organizations (MCOs)
C)Obvious improvement in the provision of health care has resulted from requiring health care providers to collect and analyze such data
D)Physicians and other health care providers can publicize the data to market their services to new clients.

Answer 1

Data are used to measure performance in the accreditation of managed care organizations (MCOs)

Question 2

Which federal agency is responsible for administering most of the federal health-related activities?

A)Centers for Disease Control and Prevention (CDC)
B)Department of Health and Human Services (HHS)
C)Health Resources and Services Administration (HRSA)
D)National Institutes of Health (NIH)

Answer 2

Department of Health and Human Services (HHS)

Question 3

Which federal agency is responsible for the Women,Infants,and Children (WIC)program,food stamps,and school-based nutrition programs?

A)Aid to Dependent Children Department
B)Department of Agriculture
C)Department of Education
D)Department of Health and Human Services

Answer 3

Department of Agriculture

Question 4

Which best describes the most common organization for receiving personal health care in the United States today?

A)A group of physicians all in a particular specialty group who share an office
B)Community health center that includes educational and social services
C)Fee for service by a physician in practice by himself or herself
D)Managed care organization with capitated payments to providers,both professionals and organizations

Question 5

Which has led to the more recent focus on cooperation between the state and the federal level in relation to public health?

A)The emphasis of Healthy People 2020
B)The ongoing continued restriction of financial resources
C)The new presidential administration's goals
D)The threat of bioterrorism

Question 6

Which best describes one of the current goals for the HHS?

A)Mandate minimum nurse to patient staffing ratios
B)Decrease medical malpractice claims
C)Monitor for health care fraud and abuse
D)Advance scientific knowledge and innovation

Question 7

Who primarily provides care for military personnel,their families,and veterans,as well as Native Americans?

A)Federal government
B)Local health departments
C)Regional health districts
D)State health departments

Question 8

Which report states that nurses should practice to the full extent of their education and training?

A)Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care
B)Keeping Patients Safe: Transforming the Work Environment
C)Priority Areas for National Action
D)The Future of Nursing

Question 9

Which statement about the Agency for Healthcare Research and Quality (AHRQ)is accurate?

A)The AHRQ provides funding for medical and nursing research studies
B)The AHRQ implements strategies to eliminate health disparities across the country
C)The AHRQ works to improve the safety of the health care system by publishing clinical guidelines
D)The AHRQ is a division of the Institute of Medicine.

Question 10

Which best describes the effect of President Clinton's Advisory Commission on Consumer Protection and Quality in the Health Care Industry report (1999)?

A)Created improvement in both physician and nurse educational programs
B)Demonstrated the incredible influence on health care made by the insurance industry
C)Increased national interest in improving health care and seeking reform
D)Stimulated the Institute of Medicine to explore quality in more depth

Question 11

Which functions are responsibilities of the states? (Select all that apply.)

A)Delegating power to localities and holding them accountable for results
B)Creating managed health organizations to decrease state health care costs
C)Establishing and managing local health departments
D)Licensure of professional health care providers
E)Overseeing all insurance programs
F)Providing access to necessary health services

Question 12

Which best describes the approach to health care used by states?

A)Federal funding encourages experimentation in creating new programs
B)Insurance regulations concerning reimbursement cross state lines
C)Information about successful programs is known to legislators
D)States frequently develop new programs as federal funds become available to pay for them.

Question 13

Which health care provider organization is seeing an increase in the demand for their services?

A)Physician practice
B)Hospice service
C)Hospitals
D)Long-term care facilities

Question 14

Which level of government primarily establishes regulations and provides funding for health care?

A)Federal government
B)Local health departments
C)Regional health districts
D)State health departments

Question 15

Which best describes a health disparity that exists in the United States?

A)Caucasians have higher rates of mortality than minority groups
B)Caucasians have increased access to see specialist physicians
C)Minority groups have increased access to government insurance options
D)Minority groups have a higher prevalence of chronic conditions than Caucasians.

Question 16

Which best describes the principal factor behind ongoing legislation on the federal level related to health care?

A)Change is needed to reflect differences in health needs today
B)Efforts must be put in place to control constantly increasing costs
C)There is a need to focus on the population as a whole
D)Technological breakthroughs should be expanded.

Question 17

Which activities would be a responsibility of local health departments? (Select all that apply.)

A)Ensuring quality of nursing education programs
B)Determining the safety of residents' wells
C)Establishing requirements for professionals to maintain their licensure
D)Providing free health screenings
E)Providing health education programs on proper nutrition
F)Inspecting restaurants

Question 18

Which accurately describes the impact that the ACA had on expanding Medicaid?

A)There was no impact as Medicaid is funded by state governments
B)Each state determined if they would accept the federal expansion of Medicaid
C)Program enrollment decreased as less money was invested in Medicaid
D)The cases of fraud and abuse within the Medicaid system rose.

Question 19

Which advanced nurse does not have advanced education in a clinical specialty?

A)Clinical nurse leader
B)Clinical nurse specialist
C)Nurse midwife
D)Nurse practitioner

Question 20

Which best describes how voluntary health agencies fit into the overall health care system?

A)They fill in the gaps between services offered by private and public health systems
B)They primarily serve as sources of financial aid for the underserved
C)They supplement the effort of the public health care system
D)They support research,education,and services for particular groups of patients.

Question 21

Which describes why a health care agency would want to achieve accreditation? (Select all that apply.)

A)Accreditation assesses the quality of services and care of the organization
B)Accreditation requires achievement of certain minimum standards
C)Accreditation instills public confidence in the health care agency
D)Accreditation is necessary in order to be reimbursed for services provided
E)Accreditation provides a means for an organization to get outcomes data
F)Accreditation assists with having the best technology at the agency.

Question 22

Which would most likely be found in a patients' bill of rights? gave? (Select all that apply.)

A)A statement about guaranteeing confidentiality
B)A statement about how to create a living will
C)A statement about who has access to the client's medical information
D)A statement about completing the patient satisfaction survey
E)A statement about who will be the payer of the services provided
F)A statement about patient autonomy when making decisions

Question 23

Which best describes how complementary and alternative therapies differ from traditional health care? (Select all that apply.)

A)Alternative therapies have been documented as ineffective
B)Complementary medicine is expanding because of paid media coverage
C)Nurses rarely are involved in complementary or alternative therapies
D)Providers vary in training and licensure
E)Reimbursement is often unavailable
F)Alternative therapies lack any research related to their effectiveness.

Question 24

Which would be offered as part of the community health services of a local health department? (Select all that apply.)

A)Immunization programs
B)Food inspection programs
C)Health promotion education
D)School-based clinics
E)Maternal-child programs
F)Community-based mental health programs