Delivering Health Care in America 6th Edition Test Bank

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Chapter 4: Health Services Professionals

Multiple Choice Questions

1) A major factor influencing growth in the health care sector of the U.S. economy is:

1.    The aging of the population

2.    Increasing fertility rates

3.    Declining death rates

4.    All of the above

2) The health care sector constituted what percentage of the U.S. gross domestic product in 2011?

1.    8%

2.    18%

3.    28%

4.    38%

3) Which type of health care facility employs the most people in the U.S.?

1.    Physicians’ offices and clinics

2.    Hospitals

3.    Nursing and personal care facilities

4.    None of the above

4) MCO stands for:

1.    Managed Clinical Office

2.    Managed Care Office

3.    Managed Care Organization

4.    Managed Clinical Organization

5) When patients have multiple health problems, this is called:

1.    Coaffliction

2.    Comortality

3.    Codependency

4.    Comorbidity

6) The basic source of the physician distribution problem in the U.S. is:

1.    Lack of health care coverage for all

2.    The need-based model

3.    Lack of awareness that there is a problem

4.    A shortage of MDs

7) The number of specialists is increasing because:

1.    Demand for specialists’ services is high

2.    The development of medical technology

3.    Specialists earn more than primary care physicians

4.    All of the above

8) The Nurse Reinvestment Act of 2002 provides:

1.    Grants and scholarships for nurses

2.    Funding for nurse retention programs

3.    Funding for further education for nurses

4.    All of the above

9) The main difference between Clinical Nurse Specialists (CNSs) and Nurse Practitioners (NPs) is:

1.    CNSs work in hospitals, and NPs work mainly in primary care settings

2.    NPs work mainly in hospitals and CNSs work mainly in primary care settings

3.    CNSs deliver babies and NPs do not

4.    NPs deliver babies and CNSs do not

10) Fill in the blank: In the U.S., Midwifery’s role in the management of pregnancies has been _______, compared to Europe.

1.    Central

2.    Peripheral

3.    Ubiquitous

4.    None of the above

11) Nonphysician practitioners (NPPs) include:

1.    Osteopaths

2.    Dentists

3.    Physician assistants

4.    None of the above

12) Allied health professionals include:

1.    Osteopaths

2.    Dentists

3.    Physician assistants

4.    None of the above

13) Physician maldistribution occurs by:

1.    Specialty

2.    Geography

3.    Both a and b

4.    Neither a nor b

14) Fill in the blank: Compared to metropolitan and suburban areas, there is a/an _____ of physicians in rural areas.

1.    Shortage

2.    Surplus

3.    Equal amount

4.    Unknown number

15) The roles and responsibilities of health services administrators include:

1.    Leadership and strategic direction

2.    Departmental management

3.    Program oversight

4.    All of the above

16) Primary care is:

1.    Longitudinal

2.    The portal to the healthcare system

3.    Holistic

4.    All of the above

17) The principal source of funding for graduate medical education is:

1.    Medicaid

2.    Medicare

3.    Private funds

4.    State grant programs

18) Which of the following is a major criticism of managed care?

1.    Quality of care may be sacrificed

2.    Managed care is inefficient

3.    Utilization may increase

4.    Managed care will worsen the physician oversupply

19) The percentage of active primary care generalist physicians has:

1.    Decreased since 1949

2.    Increased since 1949

3.    Remained steady since 1949

4.    Unknown: this number has only been tracked since 1970

20) Which of the following statement is true regarding the global healthcare workforce crisis?

1.    Developed and developing countries are alike in facing the healthcare workforce crisis

2.    Developed countries face greater challenge than developing countries in the healthcare workforce crisis

3.    Developing countries face greater challenge than developed countries in the healthcare workforce crisis

4.    None of the above

(Answers: 1a, 2b, 3b, 4c, 5d, 6a, 7d, 8d, 9a, 10b, 11c, 12c, 13c, 14a, 15d, 16d, 17b, 18a, 19a, 20c)

True/False Questions

1) The number of active physicians has steadily increased over time.

2) The number of active nurses has steadily increased over time.

3) Less than 2% of all active physicians are osteopaths (DOs).

4) More than half of osteopaths (DOs) are generalists.

5) More than half of MDs are specialists.

6) There is an imbalance between primary and specialty care services in the U.S. health care delivery system.

7) There has been a decreasing number of international medical graduates (IMGs) in the U.S. since 1980.

8) Fee-for-service reimbursement favors specialist practices.

9) Registered nurses undergo the same training as licensed practical nurses.

10) The ACA is going to reduce the need for primary care providers.

(Answers: 1-true, 2-false, 3-false, 4-true, 5-true, 6-true, 7-false, 8-true, 9-false, 10-false)

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