, TESTBANK FOR Sultz and Young's Health Care USA Understanding Its
Organization and Delivery Tenth Edition Johnson
Important Notes
The file includes the complete test bank, organized chapter by chapter.
A sample of selected pages has been provided for preview.
All available appendices and Excel files (if included in the original resources) are
provided.
Quizzes, Midterm and final exams are included (if available in the original resources).
We continuously update our files to ensure you receive the latest and most accurate
editions.
New editions are added regularly – stay connected for updates!
⚠️Note on Answer Keys: If the answer key is not included within the chapter
questions, you will find the complete answers and solutions at the end of each
chapter.
✅ Why Buy From Us?
📚 Complete & organized chapter-by-chapter – no missing content, no guessing.
⚡ Instant digital delivery – get your file the moment you pay, no waiting.
📅 Always up to date – we track new editions so you always get the latest version.
💬 Friendly support – real humans ready to help, anytime you need us.
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🛡️Our Guarantees
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correct version, free of charge.
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,Import Settings:
Base Settings: Brownstone Default
Information Field: Complexity
Information Field: Ahead
Information Field: Subject
Information Field: Title
Information Field: Feedback
Information Field: Taxonomy
Information Field: Objective
Highest Answer Letter: D
Multiple Keywords in Same Paragraph: No
NAS ISBN13: 9781284211641, add to Ahead, Title tags
Chapter: Chapter 01 – Quiz
Multiple Choice
1. Understanding individual parts of a system as well as how these parts interact through recurring
patterns to produce a whole describes which theory?
A) General Systems Theory
B) Systems Thinking Theory
C) Theory of Change
D) Social Science Theory
Ans: B
Complexity: Moderate
Ahead: Systems Theory and Foundations
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
2. George Engel 1970s “biopsychosocial model” was a better way to understand:
A) psychology.
B) disease expression.
C) biopsychology.
D) social science.
Ans: B
Complexity: Moderate
Ahead: Systems Theory and Foundations
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
3. System thinking could be applied to health because the model recognized the interaction of which
factors?
A) Biological
B) Psychological
1
,C) Sociological
D) All of these are correct.
Ans: D
Complexity: Easy
Ahead: Systems Theory and Foundations
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
4. “Groups of interacting, interrelated, or interdependent components that form a complex and unified
whole best describes a(n):
A) society.
B) organization.
C) system.
D) foundation.
Ans: C
Complexity: Easy
Ahead: Systems Theory and Foundations
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
5. Attributes of Complex Adaptive Systems include which of the following?
A) Agents, interconnections, self-organization, emergence, and co-evolution
B) Functionality, usability, reliability, performance, and supportability
C) Dependability, efficiency, predictability, reliability, and responsiveness
D) Nonlinearity, emergence, spontaneous order, adaptation, and feedback loops
Ans: A
Complexity: Moderate
Ahead: Systems Theory and Foundations
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
6. Allowing healthcare professionals to assess the interactions and interdependencies among parts of a
system and seek out opportunities to generate sustainable solutions describes:
A) complex adaptive systems.
B) complex thinking.
C) systems thinking.
D) problem solving.
Ans: C
Complexity: Moderate
Ahead: Systems Thinking
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
7. The WHO defines health as:
2
,A) the state of being free from illness or injury.
B) a form of complete physical, mental, and social well-being and not merely the absence of disease or
infirmity.
C) the extent of an individual’s continuing physical, emotional, mental, and social ability to cope with their
environment.
D) the highest attainable standard of health is one of the fundamental rights of every human being without
distinction of race, religion, political belief, economic or social condition.
Ans: B
Complexity: Moderate
Ahead: Health System
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
8. Health determinants include which of the following five categories?
A) Genetics, behavior, environmental and physical influences, medical care, and social factors
B) Material circumstances, psychosocial circumstances, health status, and behavioral and biological
factors
C) Social, economic, cultural, and physical environments and education
D) Policymaking, social factors, health services, individual behavior, and biology and genetics
Ans: D
Complexity: Moderate
Ahead: Health System
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
9. An approach that serves as a catalyst to compel ministries (or government departments and agencies)
to work with the health ministry (or the Department of Health and Human Services in the United States) to
address the public health implications and potential unintended consequences that affect the health of
individuals, communities, and the nation describes:
A) critical success factors.
B) Health in All Policies.
C) WHO Health System Framework.
D) Health System Building Blocks.
Ans: B
Complexity: Moderate
Ahead: Health System Building Blocks
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Application
10. The Institute for Healthcare Improvement developed a framework for healthcare improvement in
response to increasing healthcare costs, quality concerns, chronic health conditions, and an aging
population. This framework best describes:
A) Triple Aim.
B) Framework for Safe, Reliable, and Effective Care.
C) Framework for Improving Health Equity.
D) Model for Improvement.
Ans: A
3
,Complexity: Moderate
Ahead: Health System Building Blocks
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
11. The Institute for Healthcare Improvement Triple Aim for Populations consists of which of the following
dimensions?
A) Population health
B) Per capita cost
C) Experience of care
D) All of these are correct.
Ans: D
Complexity: Moderate
Ahead: Health System Building Blocks
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
12. The Triple Aim framework consists of pursuing which of the following dimensions?
A) Improving the patient experience of care (including the ability of patients to access high-quality care
that patients are satisfied with)
B) Improving the health of the population
C) Reducing the per capita cost of health
D) All of these are correct.
Ans: D
Complexity: Moderate
Ahead:
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
13. The United States does not have a well-integrated and coordinated healthcare delivery system
everyone enjoys. Which of the following describes the major subsystems of United States Healthcare
Delivery?
A) Seeks to achieve efficiency by integrating the basic functions of healthcare delivery
B) There are multiple subsystems developed either through market forces or as a result of policy
initiatives to address the needs of certain population segments.
C) Employs mechanisms to control (manage) utilization of medical services
D) Determines the price at which the services are purchased and how much the providers get paid
Ans: B
Complexity: Moderate
Ahead: Major Subsystems of United States Healthcare Delivery
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
4
,14. Major subsystems of the United States Health System include Managed Care System, Military and
Veterans Systems, Vulnerable Population System, Indian Health System, Integrated Delivery Systems,
Long-term Care System, Public Health System, and:
A) Community Health System.
B) Home Care System.
C) Behavioral Care System.
D) Psychiatric Care System.
Ans: C
Complexity: Moderate
Ahead: Major Subsystems of United States Healthcare Delivery
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
15. Basic characteristics that differentiate the Unites States healthcare delivery system from that of other
countries include which of the following?
A) No central governing agency and little integration and coordination
B) A technology-driven delivery system focusing on acute care
C) Delivery of health care under imperfect market conditions
D) All of these are correct.
Ans: D
Complexity: Moderate
Ahead: Distinguishing Characteristics of the United States Health System
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
16. An integrated delivery system (IDS) is best described as:
A) a vertically integrated health service networks that include physicians, hospitals, post-acute services,
and sometimes offer health insurance.
B) a network of organizations that provides, or arranges to provide, a coordinated continuum of services
to a defined population and is willing to be held clinically and fiscally accountable for the outcomes and
health status of that population.
C) an organized, coordinated, and collaborative network that links various healthcare providers to provide
a coordinated, vertical continuum of services to a particular patient population or community.
D) an organization or group of healthcare providers, which aligns local healthcare facilities and man- ages
them with one governing board through ownership or formal agreements.
Ans: B
Complexity: Moderate
Ahead: Integrated Delivery Systems
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
True/False
1. True/False? Health determinants are the varied factors that affect the health status of populations or
groups of people.
5
,Ans: True
Complexity: Easy
Ahead: Health System
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
2. True/False? All health systems have common elements or building blocks necessary for a functioning
health system despite the unique health determinants and population health.
Ans: True
Complexity: Easy
Ahead: Health System
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
3. True/False? Access means the ability to purchase healthcare services at any price.
Ans: False
Complexity: Moderate
Ahead: A Technology-Driven Delivery System Focusing on Acute Care
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
4. True/False? In the United States, the delivery of health services is mostly in private hands, and so
health care is fully governed by free-market forces.
Ans: False
Complexity: Moderate
Ahead: Delivery of Health Care Under Imperfect Market Conditions
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
5. True/False? A stakeholder is an individual, group, organization, or entity interested in an issue, topic, or
outcome.
Ans: True
Complexity: Moderate
Ahead: Major Stakeholders in United States Health System
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
6
,Import Settings:
Base Settings: Brownstone Default
Information Field: Complexity
Information Field: Ahead
Information Field: Subject
Information Field: Title
Information Field: Feedback
Information Field: Taxonomy
Information Field: Objective
Highest Answer Letter: D
Multiple Keywords in Same Paragraph: No
NAS ISBN13: 9781284211641, add to Ahead, Title tags
Chapter: Chapter 02 – Quiz
Multiple Choice
1. As the Depression of 1929 shook the nation, it also threatened the financial security of both physicians
and hospitals. Baylor University Hospital created the model for, and is credited with the genesis of,
___________ hospital insurance.
A) AETNA
B) Care First
C) Anthem
D) Blue Cross
Ans: D
Complexity: Moderate
Ahead: The Great Depression and the Birth of Blue Cross
Subject: Chapter 2
Title: Historical and Benchmark Developments in American Health Care
Taxonomy: Recall
2. Following World War II, the federal government excluded health insurance benefits from wages and
excluded workers’ contributions to health insurance from taxable income. What was one of the effects of
this?
A) It enabled employees to accept wage increases in the form of cash instead of health benefits.
B) It lowered the costs of health care in the decades after World War II.
C) It restricted aid to the states for public health and welfare assistance, maternal and child health, and
children with disabilities services.
D) It enabled employees to take wage increases in the form of health insurance fringe benefits rather than
cash.
Ans: D
Complexity: Moderate
Ahead: The Great Depression and the Birth of Blue Cross
Subject: Chapter 2
Title: Historical and Benchmark Developments in American Health Care
Taxonomy: Analysis
1
, 3. Which of the following is not one of the three major healthcare concerns?
A) Cost
B) Quality
C) Choice
D) Access
Ans: C
Complexity: Moderate
Ahead: Three Major Health Care Concerns
Subject: Chapter 2
Title: Historical and Benchmark Developments in American Health Care
Taxonomy: Recall
4. All the federal health legislation since the passage of Medicare and Medicaid and the Balanced Budget
Act of 1997 was targeted at:
A) reducing costs but with little focus on the reciprocal effects of attenuating access and quality.
B) key healthcare policy issues in the areas of cost, access, and quality.
C) a low-cost, high quality, comprehensive access healthcare system.
D) a goal of health reform is to increase access.
Ans: A
Complexity: Moderate
Ahead: Three Major Health Care Concerns
Subject: Chapter 2
Title: Historical and Benchmark Developments in American Health Care
Taxonomy: Recall
5. Which of the following supported development of health maintenance organizations (HMOs) through
grants for federal demonstration projects?
A) The Public Health Service Act of 1965
B) The Johnson-era programs of 1966–1969
C) The Health Maintenance Organization Act of 1973
D) The American Medical Association (AMA) of 1847
Ans: C
Complexity: Moderate
Ahead: Managed Care Organizations
Subject: Chapter 2
Title: Historical and Benchmark Developments in American Health Care
Taxonomy: Recall
6. One of the most significant health policy changes of the past decades occurred with the Reagan
administrations. Which of the following answers accurately describes the policy change?
A) Implementation of the Medicare prospective payment system in hospitals
B) Provided block grants for specific programs, that a state or local government may use at its discretion
C) Provided access to many desperately needed health care services for older Americans, people with
disabilities, and low-income populations
D) Promoted comprehensive planning for rational systems of healthcare personnel and facilities in
designated regions
Ans: A
Complexity: Moderate
Ahead: Managed Care Organizations
2
Organization and Delivery Tenth Edition Johnson
Important Notes
The file includes the complete test bank, organized chapter by chapter.
A sample of selected pages has been provided for preview.
All available appendices and Excel files (if included in the original resources) are
provided.
Quizzes, Midterm and final exams are included (if available in the original resources).
We continuously update our files to ensure you receive the latest and most accurate
editions.
New editions are added regularly – stay connected for updates!
⚠️Note on Answer Keys: If the answer key is not included within the chapter
questions, you will find the complete answers and solutions at the end of each
chapter.
✅ Why Buy From Us?
📚 Complete & organized chapter-by-chapter – no missing content, no guessing.
⚡ Instant digital delivery – get your file the moment you pay, no waiting.
📅 Always up to date – we track new editions so you always get the latest version.
💬 Friendly support – real humans ready to help, anytime you need us.
🔒 Safe & secure – thousands of satisfied students trust us every semester.
🛡️Our Guarantees
💰 Money-Back Guarantee: Not satisfied? We offer a full refund – no questions asked.
🔄 Wrong File? No Problem: Contact us and we will replace it immediately with the
correct version, free of charge.
⏰ 24/7 Support: We are always here – reach out anytime and expect a fast response.
,Import Settings:
Base Settings: Brownstone Default
Information Field: Complexity
Information Field: Ahead
Information Field: Subject
Information Field: Title
Information Field: Feedback
Information Field: Taxonomy
Information Field: Objective
Highest Answer Letter: D
Multiple Keywords in Same Paragraph: No
NAS ISBN13: 9781284211641, add to Ahead, Title tags
Chapter: Chapter 01 – Quiz
Multiple Choice
1. Understanding individual parts of a system as well as how these parts interact through recurring
patterns to produce a whole describes which theory?
A) General Systems Theory
B) Systems Thinking Theory
C) Theory of Change
D) Social Science Theory
Ans: B
Complexity: Moderate
Ahead: Systems Theory and Foundations
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
2. George Engel 1970s “biopsychosocial model” was a better way to understand:
A) psychology.
B) disease expression.
C) biopsychology.
D) social science.
Ans: B
Complexity: Moderate
Ahead: Systems Theory and Foundations
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
3. System thinking could be applied to health because the model recognized the interaction of which
factors?
A) Biological
B) Psychological
1
,C) Sociological
D) All of these are correct.
Ans: D
Complexity: Easy
Ahead: Systems Theory and Foundations
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
4. “Groups of interacting, interrelated, or interdependent components that form a complex and unified
whole best describes a(n):
A) society.
B) organization.
C) system.
D) foundation.
Ans: C
Complexity: Easy
Ahead: Systems Theory and Foundations
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
5. Attributes of Complex Adaptive Systems include which of the following?
A) Agents, interconnections, self-organization, emergence, and co-evolution
B) Functionality, usability, reliability, performance, and supportability
C) Dependability, efficiency, predictability, reliability, and responsiveness
D) Nonlinearity, emergence, spontaneous order, adaptation, and feedback loops
Ans: A
Complexity: Moderate
Ahead: Systems Theory and Foundations
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
6. Allowing healthcare professionals to assess the interactions and interdependencies among parts of a
system and seek out opportunities to generate sustainable solutions describes:
A) complex adaptive systems.
B) complex thinking.
C) systems thinking.
D) problem solving.
Ans: C
Complexity: Moderate
Ahead: Systems Thinking
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
7. The WHO defines health as:
2
,A) the state of being free from illness or injury.
B) a form of complete physical, mental, and social well-being and not merely the absence of disease or
infirmity.
C) the extent of an individual’s continuing physical, emotional, mental, and social ability to cope with their
environment.
D) the highest attainable standard of health is one of the fundamental rights of every human being without
distinction of race, religion, political belief, economic or social condition.
Ans: B
Complexity: Moderate
Ahead: Health System
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
8. Health determinants include which of the following five categories?
A) Genetics, behavior, environmental and physical influences, medical care, and social factors
B) Material circumstances, psychosocial circumstances, health status, and behavioral and biological
factors
C) Social, economic, cultural, and physical environments and education
D) Policymaking, social factors, health services, individual behavior, and biology and genetics
Ans: D
Complexity: Moderate
Ahead: Health System
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
9. An approach that serves as a catalyst to compel ministries (or government departments and agencies)
to work with the health ministry (or the Department of Health and Human Services in the United States) to
address the public health implications and potential unintended consequences that affect the health of
individuals, communities, and the nation describes:
A) critical success factors.
B) Health in All Policies.
C) WHO Health System Framework.
D) Health System Building Blocks.
Ans: B
Complexity: Moderate
Ahead: Health System Building Blocks
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Application
10. The Institute for Healthcare Improvement developed a framework for healthcare improvement in
response to increasing healthcare costs, quality concerns, chronic health conditions, and an aging
population. This framework best describes:
A) Triple Aim.
B) Framework for Safe, Reliable, and Effective Care.
C) Framework for Improving Health Equity.
D) Model for Improvement.
Ans: A
3
,Complexity: Moderate
Ahead: Health System Building Blocks
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
11. The Institute for Healthcare Improvement Triple Aim for Populations consists of which of the following
dimensions?
A) Population health
B) Per capita cost
C) Experience of care
D) All of these are correct.
Ans: D
Complexity: Moderate
Ahead: Health System Building Blocks
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
12. The Triple Aim framework consists of pursuing which of the following dimensions?
A) Improving the patient experience of care (including the ability of patients to access high-quality care
that patients are satisfied with)
B) Improving the health of the population
C) Reducing the per capita cost of health
D) All of these are correct.
Ans: D
Complexity: Moderate
Ahead:
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
13. The United States does not have a well-integrated and coordinated healthcare delivery system
everyone enjoys. Which of the following describes the major subsystems of United States Healthcare
Delivery?
A) Seeks to achieve efficiency by integrating the basic functions of healthcare delivery
B) There are multiple subsystems developed either through market forces or as a result of policy
initiatives to address the needs of certain population segments.
C) Employs mechanisms to control (manage) utilization of medical services
D) Determines the price at which the services are purchased and how much the providers get paid
Ans: B
Complexity: Moderate
Ahead: Major Subsystems of United States Healthcare Delivery
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
4
,14. Major subsystems of the United States Health System include Managed Care System, Military and
Veterans Systems, Vulnerable Population System, Indian Health System, Integrated Delivery Systems,
Long-term Care System, Public Health System, and:
A) Community Health System.
B) Home Care System.
C) Behavioral Care System.
D) Psychiatric Care System.
Ans: C
Complexity: Moderate
Ahead: Major Subsystems of United States Healthcare Delivery
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
15. Basic characteristics that differentiate the Unites States healthcare delivery system from that of other
countries include which of the following?
A) No central governing agency and little integration and coordination
B) A technology-driven delivery system focusing on acute care
C) Delivery of health care under imperfect market conditions
D) All of these are correct.
Ans: D
Complexity: Moderate
Ahead: Distinguishing Characteristics of the United States Health System
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
16. An integrated delivery system (IDS) is best described as:
A) a vertically integrated health service networks that include physicians, hospitals, post-acute services,
and sometimes offer health insurance.
B) a network of organizations that provides, or arranges to provide, a coordinated continuum of services
to a defined population and is willing to be held clinically and fiscally accountable for the outcomes and
health status of that population.
C) an organized, coordinated, and collaborative network that links various healthcare providers to provide
a coordinated, vertical continuum of services to a particular patient population or community.
D) an organization or group of healthcare providers, which aligns local healthcare facilities and man- ages
them with one governing board through ownership or formal agreements.
Ans: B
Complexity: Moderate
Ahead: Integrated Delivery Systems
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
True/False
1. True/False? Health determinants are the varied factors that affect the health status of populations or
groups of people.
5
,Ans: True
Complexity: Easy
Ahead: Health System
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
2. True/False? All health systems have common elements or building blocks necessary for a functioning
health system despite the unique health determinants and population health.
Ans: True
Complexity: Easy
Ahead: Health System
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
3. True/False? Access means the ability to purchase healthcare services at any price.
Ans: False
Complexity: Moderate
Ahead: A Technology-Driven Delivery System Focusing on Acute Care
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
4. True/False? In the United States, the delivery of health services is mostly in private hands, and so
health care is fully governed by free-market forces.
Ans: False
Complexity: Moderate
Ahead: Delivery of Health Care Under Imperfect Market Conditions
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
5. True/False? A stakeholder is an individual, group, organization, or entity interested in an issue, topic, or
outcome.
Ans: True
Complexity: Moderate
Ahead: Major Stakeholders in United States Health System
Subject: Chapter 1
Title: Overview of the United States Health Care System
Taxonomy: Recall
6
,Import Settings:
Base Settings: Brownstone Default
Information Field: Complexity
Information Field: Ahead
Information Field: Subject
Information Field: Title
Information Field: Feedback
Information Field: Taxonomy
Information Field: Objective
Highest Answer Letter: D
Multiple Keywords in Same Paragraph: No
NAS ISBN13: 9781284211641, add to Ahead, Title tags
Chapter: Chapter 02 – Quiz
Multiple Choice
1. As the Depression of 1929 shook the nation, it also threatened the financial security of both physicians
and hospitals. Baylor University Hospital created the model for, and is credited with the genesis of,
___________ hospital insurance.
A) AETNA
B) Care First
C) Anthem
D) Blue Cross
Ans: D
Complexity: Moderate
Ahead: The Great Depression and the Birth of Blue Cross
Subject: Chapter 2
Title: Historical and Benchmark Developments in American Health Care
Taxonomy: Recall
2. Following World War II, the federal government excluded health insurance benefits from wages and
excluded workers’ contributions to health insurance from taxable income. What was one of the effects of
this?
A) It enabled employees to accept wage increases in the form of cash instead of health benefits.
B) It lowered the costs of health care in the decades after World War II.
C) It restricted aid to the states for public health and welfare assistance, maternal and child health, and
children with disabilities services.
D) It enabled employees to take wage increases in the form of health insurance fringe benefits rather than
cash.
Ans: D
Complexity: Moderate
Ahead: The Great Depression and the Birth of Blue Cross
Subject: Chapter 2
Title: Historical and Benchmark Developments in American Health Care
Taxonomy: Analysis
1
, 3. Which of the following is not one of the three major healthcare concerns?
A) Cost
B) Quality
C) Choice
D) Access
Ans: C
Complexity: Moderate
Ahead: Three Major Health Care Concerns
Subject: Chapter 2
Title: Historical and Benchmark Developments in American Health Care
Taxonomy: Recall
4. All the federal health legislation since the passage of Medicare and Medicaid and the Balanced Budget
Act of 1997 was targeted at:
A) reducing costs but with little focus on the reciprocal effects of attenuating access and quality.
B) key healthcare policy issues in the areas of cost, access, and quality.
C) a low-cost, high quality, comprehensive access healthcare system.
D) a goal of health reform is to increase access.
Ans: A
Complexity: Moderate
Ahead: Three Major Health Care Concerns
Subject: Chapter 2
Title: Historical and Benchmark Developments in American Health Care
Taxonomy: Recall
5. Which of the following supported development of health maintenance organizations (HMOs) through
grants for federal demonstration projects?
A) The Public Health Service Act of 1965
B) The Johnson-era programs of 1966–1969
C) The Health Maintenance Organization Act of 1973
D) The American Medical Association (AMA) of 1847
Ans: C
Complexity: Moderate
Ahead: Managed Care Organizations
Subject: Chapter 2
Title: Historical and Benchmark Developments in American Health Care
Taxonomy: Recall
6. One of the most significant health policy changes of the past decades occurred with the Reagan
administrations. Which of the following answers accurately describes the policy change?
A) Implementation of the Medicare prospective payment system in hospitals
B) Provided block grants for specific programs, that a state or local government may use at its discretion
C) Provided access to many desperately needed health care services for older Americans, people with
disabilities, and low-income populations
D) Promoted comprehensive planning for rational systems of healthcare personnel and facilities in
designated regions
Ans: A
Complexity: Moderate
Ahead: Managed Care Organizations
2
