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1. A newly retired 45-year-old union worker has a history of diabetes, and their health
insurance fully covers the cost of their medication but not their medical appointments. -
answer Apply for group health insurance
correct.This individual is eligible for gap coverage if they can afford it.
2. Which type of insurance covers more than half of the U.S. population under 65 years old?
- answer Employer-sponsored insurance plans cover more Americans under 65 than any
other type of coverage.
3. Which federal healthcare insurance will be a better fit for a 30-year-old client who is
currently receiving dialysis for permanent kidney failure? - answer Medicare is available
for people aged 65 or older, younger people with disabilities, and people with end-stage
renal disease.
4. A 69-year-old retired machinist who is widowed has one child that lives out of state. The
retiree has a history of congestive heart failure and is currently unable to care for
themselves. Their physician's office helped enroll them in a long-term service and support
program through Medicaid. While the original assessment qualified the retiree to receive
support from a home health aide for 30 hours per week, a six-month reassessment
reduced the support qualification to 15 hours per week. According to the physician, the
retiree's declining health necessitates 30 hours of support from a home health aide per
week; however, Medicaid denied the appeal.Which agency can the retiree make a
complaint to? - answer State Department of Health.This agency monitors and responds to
complaints presented by individuals that need assistance in ensuring they can receive
necessary assistance that is needed based on their situation.
,5. Which organization accredits health insurance companies? - answer National
Commission on Quality and Assurance,This commission is a nonprofit accreditation
agency for payer groups.
6. A small rural community is facing a public health crisis during a particularly virulent flu
season. A Health and Human Services (HHS) professional is assigned to work directly
with the community to reinforce the importance of preventative care and to ensure the
members of the community have the resources and knowledge they need to prevent the
spread of flu.
Which HHS role is appropriate to serve this need? - answer Public health educators
work directly with the public to spread awareness of preventative health measures.
7. healthcare ecosystem: - answer a system composed of elements that create a community
8. healthcare system: - answer an organization of individuals, institutions, and resources that
deliver services to clients
9. What are the fundamental components of a healthcare system? - answer Organization,
funding, and delivery.When integrated and streamlined, these components can help
produce quality health outcomes at a reasonable cost.
10. A client has health problems related to being overweight. This client has received
nutritional counseling but is on a fixed income and shops at a food pantry with limited
food selection.Which type of disparity is this client experiencing? - answer Access to
social needs.Financial restrictions and inability to afford proper dietary food choices is
one of the social determinants of health.
11. What is Quadruple Aim in healthcare? - answer Enhancing the patient experience(pnt
satisfaction) , improving population health (preventive care), reducing costs (cost
effective) and improving the work life of the provider( work/life balance).
, 12. Which agency under the Department of Health can help clients locate resources to assist
with out-of-pocket expenses? - answer Social Security Office provides resources for
seniors and people on Social Security disability.
13. Which health organization is responsible for the safety of newer medication released to
the public? - answer U.S. Food and Drug Administration (FDA).:
The FDA is responsible for protecting public health by ensuring vaccine safety, efficacy,
and security
14. A client with heart disease is considering a synthetic heart valve replacement to improve
cardiac blood flow, but would like to know more about the level of risk involved before
committing to the surgery.According to the Food and Drug Administration (FDA), which
class of risk does this device fall under? - answer Class III is the highest level of risk. It
covers devices such as heart valves and cereberal implants. Manufacturers must
demonstrate to the FDA that the devices are safe and effective before they are approved
for market.
15. Which healthcare specialist serves as a client's main point of contact throughout a stay in
an inpatient facility? - answer Hospitalists stay in close contact with clients throughout
their stay in addition to performing medical procedures, designing treatment plans, and
coordinating with the client's entire medical team.
16. Which component of the U.S. healthcare ecosystem is classified as a provider? - answer
An urgent care facility
is a place that offers healthcare services, so it is classified as a provider in the healthcare
ecosystem.
17. A single mother of two young children who relies on public assistance is having difficulty
seeing due to an outdated eyeglass lens prescription. However, she has no vision
coverage and can't afford to pay out of pocket for an optometrist appointment and new