Health Care Delivery Systems
Final Exam Questions
Course Introduction
This course examines the structure, function, and evolution of health care delivery systems in the United States and globally. Students will explore the organization of hospitals, clinics, and long-term care facilities, as well as the roles of governmental agencies, private organizations, and insurance systems in providing health services. Key topics include health policy, the influence of regulatory bodies, health disparities, access to care, and current challenges in delivering effective and equitable health care. The course emphasizes critical thinking about reform efforts and innovations aimed at improving quality, efficiency, and patient outcomes in modern health care environments.
Recommended Textbook
The United States Health Care System Combining Business Health and Delivery 2nd Edition by Anne
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506 Verified Questions
506 Flashcards
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Chapter
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Sample Questions
Q1) All of the following are examples of locations where long-term care could take place except:
A) clinics.
B) hospitals.
C) rehabilitation centers.
D) adult day care.
Answer: A
Q2) Mental illness:
A) is usually a chronic lifetime disease.
B) strikes one of every 10 adults.
C) is treated 90% of the time.
D) treatment is readily available and inexpensive.
Answer: A
Q3) Health care expenditures account for greater than 15% of the GDP.
. A)True
B)False
Answer: True
Q4) Many approaches are used to describe health care. List two approaches. Answer: economic; delivery systems
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Chapter 2: The Business Side of Healthcare
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Sample Questions
Q1) All of the following are a part of a SWOT analysis except:
A) evaluate opportunities.
B) identify threats.
C) devise an action plan.
D) identify weaknesses.
Answer: C
Q2) The government's role in health care can be described as all of the following except: A) payer.
B) regulator.
C) organizer.
D) provider.
Answer: C
Q3) One component of the HIPAA legislation provides patient privacy protection. A)True
B)False
Answer: True
Q4) The _______________ part of the management process is the manager's feedback loop.
Answer: control
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Chapter 3: The Payment Process: Insurance and Third-Party Payers
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35 Flashcards
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Sample Questions
Q1) The American Health Benefit Exchanges and Small Business Health Option Exchanges:
A) are part of the Patient Protection and Affordable Care Act.
B) require states to establish insurance options for the uninsured and small businesses.
C) require states to establish an office of health insurance consumer assistance.
D) All of the above
Answer: D
Q2) A deductible is the:
A) portion of services paid by the patient.
B) amount paid by the patient before the third-party payer begins to pay.
C) fee paid by employers and employees to the insurance company.
D) negotiated payment for services between the payer and the provider.
Answer: B
Q3) _______________-_______________ _______________ manage health care benefits and process claims for their clients.
Answer: Third-party administrators
Q4) According to the text, _______________% of Americans under age 65 are uninsured.
Answer: about 17
Page 5
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Chapter 4: The Payment Process: Government Payment Programs
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Sample Questions
Q1) Physician's Medicare payments are paid based on limits set by
Q2) The typical Medicaid recipient is a:
A) greater than 65-year-old white person.
B) less than 65-year-old ethnic minority person.
C) less than 18-year-old white person.
D) greater than 18 but less than 65-year-old white person.
Q3) 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.
Q4) Workers' compensation is financed by:
A) employer and employee payments.
B) employer payments only.
C) employee and government payments.
D) employer and government payments.
Page 6
Q5) TRICARE is a provider of health care services. A)True
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Page 7
Chapter 5: Healthcare Providers: Physicians and Nurses
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Sample Questions
Q1) The salaries of LPNs and RNs are comparable.
A)True
B)False
Q2) All of the following are serious concerns for health care professionals except:
A) cost.
B) burnout.
C) latex injuries.
D) LPN licensure.
Q3) The USMLE is a two-step exam that replaced the three-part NBME and FLEX licensing exams.
A)True
B)False
Q4) 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.
Q5) A physician's post-formal education, paid training is called _____________________.
Q6) One of a physician's jobs is to _______________ and treat illnesses.
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Chapter 6: Other Clinical and Non-Clinical Healthcare
Providers
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Sample Questions
Q1) Coders would least likely be found in:
A) private billing practices.
B) government agencies.
C) medical clinics.
D) occupational therapy.
Q2) Which of the following occupations does not require a bachelor's degree?
A) Respiratory therapist
B) Occupational therapist
C) Optometrist
D) Recreational therapist
Q3) Dental lab technicians examine specimens for bacteria and microorganisms.
. Write the word or phrase that best completes each statement or answers the question.
A)True
B)False
Q4) Tests using sound waves may be performed by:
A) EKG technicians.
B) vascular technologists.
C) cardiology technologists.
D) nuclear medicine technologists.
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Chapter 7: Offices, Clinics, and Hospitals
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Sample Questions
Q1) The health information record contains all of the following except the patient's:
A) personal data.
B) medical data.
C) social data.
D) complete work history.
Q2) Identify the three legal business structures that can exist in a professional practice. Address the factors that make them unique.
Q3) Dietary, social service, and pastoral care are part of the _______________ area of the organizational chart.
A) general patient support
B) administrative support
C) nursing support
D) facilities support
Q4) Physicians are hospital employees as is everyone on the administrative side of the organizational chart.
A)True
B)False
Q5) Payroll is part of the _______________ business function.
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Chapter 8: Tertiary Care: the Long-Term Care Continuum
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Sample Questions
Q1) Adult day care provides socialization and treatment.
A)True
B)False
Q2) 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.
Q3) Differentiate between an ADL and IADL.
Q4) What percent of adults age 85 and older require ADL or IADL assistance?
A) 10
B) 40
C) 30
D) 20
Q5) Long-term care is defined as:
A) care for the elderly.
B) care for the disabled.
C) health care services to an individual for more than 60 days.
D) health care services to an individual for more than 90 days.
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Chapter 9: Mental Health Services: a Combination of Systems
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Sample Questions
Q1) The State Care Acts:
A) centralized financial responsibility for the care of individuals with mental illness in every state government.
B) called for an expansion of neuropathology in mental hospitals.
C) called for bringing mental health services to the public in their communities.
D) were a federally funded effort to discover to what extent consumer-operated programs as an adjunct to traditional mental health services are effective in improving the outcomes of people with serious mental illness.
Q2) Mental illness, including drug abuse, affects _______________ of the U.S. population.
A) less than 10%
B) greater than 20%
C) greater than 30%
D) less than 20%
Q3) List three of the identified mental health treatment types identified in the text.
Q4) Explain some of the factors that result in the underutilization of mental health services.
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Chapter 10: The Public Health System: the Governments
Role
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Sample Questions
Q1) Leper colonies were part of the early days of public health.
A)True
B)False
Q2) The nation's capital was moved from Philadelphia because of a public health issue.
A)True
B)False
Q3) Epidemiology is:
A) the study of the history of a disease.
B) determining if there is more or less of a disease than in the past.
C) the continuous search for and documentation of disease.
D) the study of skin diseases and disorders.
Q4) Responsibilities of state departments of health include all of the following except:
A) conducting inspections of restaurants and factories.
B) assuring the safety of foods, cosmetics, and medications nationally.
C) carrying out national and state mandates designed to protect health.
D) conducting the planning and evaluation of health programs.
Q5) Identify and explain two of the Centers for Disease Control and Prevention's achievements that have resulted in increased longevity for Americans.
Page 13
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Chapter 11: Medical Technology, Pharmaceuticals, and Pharmacological Research
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Sample Questions
Q1) Once a drug has been approved to market, it can only be recalled by the pharmaceutical company.
A)True
B)False
Q2) 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
Q3) Technology in health care can be viewed both positively and negatively. Using cost, access, or the human aspect of health care, identify two advantages and two disadvantages of the increased use of technology in health care.
Q4) Blind randomized trials are:
A) new tools which scientists can use to examine millions of compounds a year to screen for good ideas or drug leads.
B) phase I research studies.
C) phase II research studies.
D) studies where volunteers do not know whether they are receiving the drug, a placebo, or standard treatment.
Page 14
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Chapter 12: Healthcare Research and Prevention
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Sample Questions
Q1) List two reasons for health care research.
Q2) The federal government's expenditures for health care research equals about _______ billion a year.
A) $60
B) $10
C) $75
D) $30
Q3) Curative describes research designed to:
A) identify a disease definitively.
B) decrease the symptoms/severity of a disease.
C) keep a disease from occurring.
D) eliminate a disease.
Q4) In 2009 the influenza virus that was spreading around the world was the:
A) H1N1.
B) H7N7.
C) Asian flu (H2N2).
D) Hong Kong flu (H3N2).
Q5) Clinical trials are used widely in health care. Identify and explain the benefits and risks of clinical trials with at least one example of each.
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Chapter 13: Cultural Competency, Health Literacy, and Healthcare Ethics
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Sample Questions
Q1) In the United States, unlike most of the industrialized world, the only people with a right to health care are:
A) newborns.
B) preschoolers.
C) young adults.
D) the 65+ age group.
Q2) Discuss Kantian theory and its application in health care ethics.
Q3) All of the following are ethnic minority groups in the U.S. except:
A) Asian.
B) Native American/Alaskan Native.
C) Caucasian.
D) Hispanic/Latina.
Q4) Paternalism means :
A) justice.
B) do no harm.
C) father knows best.
D) everyone is equal.
Q5) Discuss the elements in a professional code of ethics.
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Q6) In ____________ theory, health care is viewed as a basic human and citizen right.
Chapter 14: International Healthcare
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Sample Questions
Q1) Which of the following countries does not have a variant of the single payer system?
A) Australia
B) France
C) Germany
D) Spain
Q2) The first hospital in Mexico was founded in ________.
A) 1610.
B) 1791.
C) 1854.
D) 1901.
Q3) 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.
Q4) _________________ has a population of one billion.
Q5) About what percentage of Mexicans are uninsured?
Q6) Canada spends about how much per capita on health care?
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