WGU C425 - Healthcare Delivery Systems, Regulation
and Compliance questions with verified answers
A 40-year-old individual without children and a limited income is concerned about
the new Affordable Healthcare Act. The individual wants to know about eligibility
for healthcare services at a reduced cost.
Which agency should this individual contact? Ans✓✓✓ Department of Health
and Human Services
A 66-year-old individual gets short of breath while walking his dog. The individual
calls the doctor. The doctor knows the individual is a smoker and has asthma.
How should the doctor respond to this situation? Ans✓✓✓ Schedule an
immediate visit to the office
A dental department ordered new hand pieces. The Occupational Safety and
Health Administration and the Centers for Disease Control mandate processing by
the Sterile Processing Department to reduce exposure to patients.
Which area of concern is identified by this type of mandate? Ans✓✓✓ Infection
control
A doctor is setting up a new practice and wants to receive federal reimbursement.
The doctor contacts the Center for Medicare and Medicaid Services for assistance.
Which kind of information is provided by this agency? Ans✓✓✓ Parameters of
the diagnostic-related groups
,A doctor wants to help patients understand which products are safe. The doctor
decides to use information provided by the FDA.
Which two products are regulated by this organization?
Choose 2 answers Ans✓✓✓ Vaccines ordered by doctors to be used in a study
Medications that are in the developmental process
A Hispanic teenager from a low-income family presents to a medical office. The
patient resides in a small city and is 15 weeks pregnant.
What is the primary barrier to prenatal care for this patient? Ans✓✓✓ Cost of
care
A hospital is in a very competitive market and must adjust in order to increase
market share. The hospital decides to emphasize evidence-based care.
How will this change the future of healthcare delivery at this location? Ans✓✓✓
Data from patient satisfaction surveys can be analyzed using technology in order
to improve quality of care.
A JOB DESCRIPTION FOR A PHYSICIAN WOULD BE TO: Ans✓✓✓ determine the
significance of a patient's health condition.
A local hospital recently implemented a telemedicine program in its facility to
address deficiencies in global health care.
How will this program influence healthcare delivery? Ans✓✓✓ It will increase the
exchange of knowledge which is occurring between providers.
, A local top teaching hospital sets up a committee to address escalating hospital
costs. The committee needs to find cost containment options that will strengthen
its ability to compete with other facilities in the area.
Which recommendation will achieve this goal without reducing the quality of
care? Ans✓✓✓ Outsourcing the reading of lab results to an organization offshore
A medical facility is dealing with low staff-to-patient ratios. In response, the
manager consistently requests that nurses stop the care being given to one
patient to take care of another patient.
How can the facility make sure all patients receive quality care? Ans✓✓✓
Develop a team-based approach to care delivery
A medical facility is facing some serious financial pressures. Upon closer review of
medical billing records, some discrepancies have come to light such as upcoding.
Which barrier is reducing the ability to control healthcare costs at this facility?
Ans✓✓✓ Fraud
A medical group CEO is concerned because the agency is experiencing losses. The
CEO hired a financial consultant to review the agency, and identified areas for
potential cost savings. The main issue was that patients were required to travel to
a different healthcare facility in order to have certain medical tests done.
Which system inefficiency did the consultant find? Ans✓✓✓ Access to
comprehensive care
A new movement known as the Mental Health Reform became popular
throughout the country at the end of the 19th century.
and Compliance questions with verified answers
A 40-year-old individual without children and a limited income is concerned about
the new Affordable Healthcare Act. The individual wants to know about eligibility
for healthcare services at a reduced cost.
Which agency should this individual contact? Ans✓✓✓ Department of Health
and Human Services
A 66-year-old individual gets short of breath while walking his dog. The individual
calls the doctor. The doctor knows the individual is a smoker and has asthma.
How should the doctor respond to this situation? Ans✓✓✓ Schedule an
immediate visit to the office
A dental department ordered new hand pieces. The Occupational Safety and
Health Administration and the Centers for Disease Control mandate processing by
the Sterile Processing Department to reduce exposure to patients.
Which area of concern is identified by this type of mandate? Ans✓✓✓ Infection
control
A doctor is setting up a new practice and wants to receive federal reimbursement.
The doctor contacts the Center for Medicare and Medicaid Services for assistance.
Which kind of information is provided by this agency? Ans✓✓✓ Parameters of
the diagnostic-related groups
,A doctor wants to help patients understand which products are safe. The doctor
decides to use information provided by the FDA.
Which two products are regulated by this organization?
Choose 2 answers Ans✓✓✓ Vaccines ordered by doctors to be used in a study
Medications that are in the developmental process
A Hispanic teenager from a low-income family presents to a medical office. The
patient resides in a small city and is 15 weeks pregnant.
What is the primary barrier to prenatal care for this patient? Ans✓✓✓ Cost of
care
A hospital is in a very competitive market and must adjust in order to increase
market share. The hospital decides to emphasize evidence-based care.
How will this change the future of healthcare delivery at this location? Ans✓✓✓
Data from patient satisfaction surveys can be analyzed using technology in order
to improve quality of care.
A JOB DESCRIPTION FOR A PHYSICIAN WOULD BE TO: Ans✓✓✓ determine the
significance of a patient's health condition.
A local hospital recently implemented a telemedicine program in its facility to
address deficiencies in global health care.
How will this program influence healthcare delivery? Ans✓✓✓ It will increase the
exchange of knowledge which is occurring between providers.
, A local top teaching hospital sets up a committee to address escalating hospital
costs. The committee needs to find cost containment options that will strengthen
its ability to compete with other facilities in the area.
Which recommendation will achieve this goal without reducing the quality of
care? Ans✓✓✓ Outsourcing the reading of lab results to an organization offshore
A medical facility is dealing with low staff-to-patient ratios. In response, the
manager consistently requests that nurses stop the care being given to one
patient to take care of another patient.
How can the facility make sure all patients receive quality care? Ans✓✓✓
Develop a team-based approach to care delivery
A medical facility is facing some serious financial pressures. Upon closer review of
medical billing records, some discrepancies have come to light such as upcoding.
Which barrier is reducing the ability to control healthcare costs at this facility?
Ans✓✓✓ Fraud
A medical group CEO is concerned because the agency is experiencing losses. The
CEO hired a financial consultant to review the agency, and identified areas for
potential cost savings. The main issue was that patients were required to travel to
a different healthcare facility in order to have certain medical tests done.
Which system inefficiency did the consultant find? Ans✓✓✓ Access to
comprehensive care
A new movement known as the Mental Health Reform became popular
throughout the country at the end of the 19th century.
