HSM Midterm Exam 2022

Each year we spend more on medical care but the returns decrease over time T or F - Correct answer-True We spend about what percent of our health care dollars on public health measures? - Correct answer-3% Which of the following is a public health effort? - Correct answer-Sewage systems What are the leading causes of death today? - Correct answer-Heart Disease, cancer, and stroke which of the following was not a primary factor responsible for the decline in mortaility and improvement in health status currently enjoyed in the 21st century? - Correct answer-Availability of insurance Why is there a sustained increase in demand for health care services when those funds could be spent else where and produce better returns? - Correct answer-All of these -Patients are not rational consumers -patietns do not usually pay for care at the time they receive it -health care is a business and providers are willing to offer services that may be of marginal value in the aggregate but may benefit an individual patient which of the following is NOT a consequence of the high-tech approach? - Correct answer-The NURSING SHORTAGE Which of the following best describes our health care expenditures since 1900? - Correct answer-They have more than tripled Why did nutrition levels drop and infection rates increase in early agricultural development? - Correct answer-We were inferior farmers living closer together Health care costs have increased faster than general inflation almost every year? T or F - Correct answer-true Which of the following describes the largest percentage of hospitals in the United States? - Correct answer-Nongovernmental and non-for-profit Which of the following is the reason why the use of ambulatory care, especially ambulatory surgical care, has increased since the 1980s? - Correct answer--changes in reimbursement -consumer demand for convenient and accesible services that do not necessitate and inpatient stay -new medical diagnostic procedures and better technology have enabled providers to perform more procedures safely in outpatient setting Which of the following is not an advantage experience by physicians in a solo practice? - Correct answer-Longer call hours Which of the following treatments are NOT included with hospice care? - Correct answer-Curative care The average size of a U.S. hospital is approximately how many beds? - Correct answer164 Approximately how many teaching hospitals are there in the United States? - Correct answer-400 Most special care units in nursing homes are dedicated to what condition(s)? - Correct answer-Alzheimer's disease or related dementia Approximately what percentage of all hospital admissions originate in the Emergency Department? - Correct answer-45% Approximately what percentage of home health care agencies are for-profit? - Correct answer-52% Allocation of resources in health care involves determining which of the following - Correct answerHIV/AIDS is an example of which of the following? - Correct answer-A pandemic immunizations water and air purification Fluroidation of the water supply and education such as diet and exercise programs are examples of which type of prevention? - Correct answer-Primary _________ deliver low-risk births and provide primary gynecological care for women - Correct answer-Certified nurse midwives Rising delivery costs have directed many hospitals and clinics to rely on which of the following professionals to deliver primary care? - Correct answer-Nurses, Nurse practitioners, PA's Which non-physician professionals consists of acupuncturists, chiropractors, homeopaths and naturopaths? - Correct answer-Complementary and Alternative Medicare (CAM) What was the first organized speciality? - Correct answer-Ophthalmology (page 110 chapter 5) Which of the following most accurately describes the debt incurred by the average physician upon completion of his or her training, not including undergraduate education? - Correct answer-Over $150,00 in debt What did ancient civilians such as Minoans, Myceneans, and Egyptians use thousands of years before "germ theory" was postulated? - Correct answer-Drainage and toilet systems High blood pressure screening, cholesterol screening, pap smears, and mammograms are examples of which type of prevention? - Correct answer-secondary Which of the following describes the number of graduates from U.S. allopathic medical schools in recent years? - Correct answer-increased yearly What is the primary reason that LTC facilities are exepreincing staffing shrotages? - Correct answer-National nursing shortages Who are the primary beneficiaries of Medical coverage? - Correct answer-poor parents with children, the disabled, elderly who are eligible for SII Which of the following is a characteristic of mental health? - Correct answer-Fulfilling relationships with other people, ability to adapt to change and cope with adversity, successful performance of mental functioning resulting in productive activities Who or what is the SECOND highest payer for long term care (LTC) services? - Correct answer-private insurers ( chapter 7.) LTC insurance policies requires that the policy holder pay out of pocket for how many days of care? - Correct answer-the first 90 days Which of the following is a focus of hospice care? - Correct answer-supporting the primary caregiver by managing patient pain, providing supplies, providing drugs Who provides funding for Medicaid? - Correct answer-Jointly funded by the state and federal gov. To qualify for Medicare Part A, beneficiaries have to pay Social Security taxes for how many quarter years? - Correct answer-40 How old are most residents of nursing homes? - Correct answer-over 65 years When are medicare outlays expected to exceed revenues? - Correct answer-2019 What type of facility is referred to as a boutique hospital? - Correct answer-Pysicianowned speciality hospitals What two major medical breakthrough in the late 1800s led to dramatic growth in the number of hospitals? - Correct answer-Development of the germ theory and the development of safe anesthesia Which of the following is NOT a function of the board of directors in a hospital? - Correct answer-licensing physicians What is the fastest growing medical speciality? - Correct answer-hospitals What type of facility must be located in a rural area and be more than 35 miles from any other hospital or 15 miles from another hospital in mountainous terain or areas with only secondary roads? - Correct answer-Critical access hospitals What type of hospital provides care to patients with clinically complex problems who need acute care for long periods of time? - Correct answer-long-term care hospitals (chapter 9) Hospitals obtain patients from a ________ system composed of office-based physicians who typically refer patients needing further care to hospitals. - Correct answer-Feeder (chapter 9) Small hospitals with fewer than 100 beds are predominatey located in _________ areas and are at high risk for closure - Correct answer-Rural Vertical integration can include_______ vertical integration, where hospitals purchase health maintenance organizations (HMOs), wellness clinics, surgical centers, or rehab centers. - Correct answer-Forward (chapter 9) ___________ is incurred form services not reimbursed that are provided with the expectation of being reimbursed. - Correct answer-Bad debt What country has the highest life expectancy? (chapter 1) - Correct answer-Japan Health (chapter 1) - Correct answer-"state of complete physical, mental, and social wellbeing and not merely the absence of disease or infirmity"WHO Iron Triangle of health(3) (chapter 1) - Correct answer-Access- is the potential or ability to use health care services Cost- the price of health care services Quality- refers to how good or bad the health care services are