4th Edition by Kathy Bonewit-West, Sue
Hunt
Section 1: The Health Care System (Questions 1-50)
Question 1
A patient comes to the office for care and then leaves and goes home. What type of
care has the patient received?
A) Clinic care
B) Extended care
C) Managed care
D) Ambulatory care
Answer: D) Ambulatory care
*Rationale: * Ambulatory care is medical care provided on an outpatient basis where the
patient is able to come to the facility and return home after receiving services. This is in
contrast to inpatient care, which requires hospitalization .
,Question 2
What type of insurance plan pays a physician separately for each procedure that was
performed?
A) Government insurance
B) Capitation insurance
C) Fee-for-service insurance
D) Managed care insurance
Answer: C) Fee-for-service insurance
*Rationale: * Fee-for-service is a means of payment for health care in which the cost for
each service provided is reimbursed in full or in part. The physician receives payment for
each specific procedure or service performed .
Question 3
Which of the following facilities now functions primarily to provide acute care and
diagnostic services?
A) Clinic
B) Hospital
C) Physician's office
D) Skilled nursing facility/nursing home
Answer: B) Hospital
*Rationale: * Hospitals have evolved to focus primarily on providing acute care and
diagnostic services. Patients requiring hospitalization must be unstable, necessitate
constant regulation of therapy, or require continuous monitoring that cannot be provided
at home .
Question 4
What is a system by which a person pays an insurance company a yearly amount of
money in exchange for the insurance company paying some or most of the person's
medical expenses?
,A) Life insurance
B) Health insurance
C) Formulary
D) Managed care
Answer: B) Health insurance
*Rationale: * Health insurance involves the purchase of protection for covered services
related to health care. The insured person (or their employer) pays premiums to the
insurance company, which then covers a portion of medical expenses .
Question 5
The insurance plan designed to provide health insurance for low-income people is
called:
A) Medicaid
B) Medicare
C) Social Security
D) TRICARE
Answer: A) Medicaid
*Rationale: * Medicaid is a government insurance plan that provides health insurance for
low-income individuals and families. It is jointly funded by federal and state governments
and administered by states .
Question 6
What is the federal insurance plan that provides health insurance for the elderly, the
disabled, and those with end-stage kidney disease?
A) Medicaid
B) Medicare
C) Social Security
D) CHAMPVA
Answer: B) Medicare
, *Rationale: * Medicare is a federal health insurance program for people aged 65 and
older, certain younger people with disabilities, and people with end-stage renal disease
(permanent kidney failure requiring dialysis or transplant) .
Question 7
What is the current name for the health insurance plan for dependent spouses and
children of active-duty military personnel?
A) Medicaid
B) Medicare
C) TRICARE
D) CHAMPVA
Answer: C) TRICARE
*Rationale: * TRICARE is the U.S. government health insurance plan for all military
personnel, including active-duty service members, retirees, and their dependents. It has
replaced the former CHAMPUS program .
Question 8
What type of health care encourages regular checkups, immunizations, and well-child
visits?
A) Acute care
B) Conservative care
C) Diagnostic care
D) Routine care
Answer: D) Routine care
*Rationale: * Routine care includes preventive services such as regular checkups,
immunizations, and well-child visits. This type of care focuses on maintaining health and
preventing illness rather than treating existing conditions .