Study Guide Social Work 151 / Fall 2009 - STEWART

Deliveri! "ealt#care i A$erica% A Sy&te$& A''roac#

(eiyu S#i ) Dou!la& A* Si!#
+#a'ter 1% A Di&tictive Sy&te$ o, "ealt# +are Delivery
-ulti'le +#oice .ue&tio&
1. The primary objectives of a healthcare system include all of the following except:
a. Enabling all citizens to receive healthcare services
b. Delivering healthcare services that are cost-effective
c. Delivering healthcare services using the most current technology regardless of cost
d. Delivering healthcare services that meet established standards of !uality
". The #.$. healthcare system can best be described as:
a. E%pensive
b. &ragmented
c. 'ar(et-oriented
d. )ll of the above
*. &or most privately insured )mericans health insurance is:
a. Employer-based
b. &inanced by the government
c. +rivately purchased
d. ,one of the above
-. 'edicare is primarily for people who meet the following eligibility re!uirement:
a. Elderly
b. .ow-income
c. /hildren
d. Disabled
0. 'edicaid is primarily for people who meet the following eligibility re!uirement:
a. Elderly
b. .ow-income
c. /hildren
d. Disabled
1. The role of the government in the #.$. healthcare system is:
a. 2egulator
b. 'ajor financer
c. 'edicare and 'edicaid reimbursement rate-setter
d. )ll of the above
1
3. 4hich of the following is a characteristic of a socialized health insurance system5
a. 6ealth care is financed through government-mandated contributions by employers and
employees
b. 6ealth care is delivered by government-employed providers
c. 7oth a and b
d. ,either a nor b
8. 4hich of the following is an overarching goal of 6ealthy +eople "9195
a. Decrease health care costs
b. /reate a more coordinated health care system
c. Establish a national health insurance program
d. :ncrease !uality and years of healthy life
;. 4hich of the following is a dimension of social health5
a. $ociability
b. /ommunity involvement
c. 'arital satisfaction
d. )ll of the above
19. $upplier-induced demand is created by:
a. +atients
b. +roviders
c. 6ealth insurance companies
d. The government
+#a'ter 2% /elie,&0 1alue&0 ad "ealt#
-ulti'le +#oice .ue&tio&
1. The elements of the Epidemiology Triangle of disease occurrence include all of the following
except:
a. Environment
b. )gent
c. $ociety
d. 6ost
". 4hich of the following factors is the leading cause of preventable disease and death in the
#nited $tates5
a. 6igh fat diet
b. 6eredity
c. $mo(ing
d. #nsafe se%
*. 4hich of the following is not a behavioral ris( factor5
a. :rresponsible motor vehicle use
"
b. :nade!uate physical e%ercise
c. #nsafe neighborhoods
d. )lcohol abuse
-. 4hat is tertiary prevention5
a. Early detection and treatment of disease
b. 2ehabilitative therapies and monitoring of health to prevent complications or further
illness injury or disability
c. 2eduction of the probability that a disease will develop in the future
d. ,one of the above
0. )ccording to the /D/ which factor contributes most to premature death in the #.$.
population5
a. .ifestyle and behaviors
b. .ac( of medical care
c. $ocial and environmental factors
d. <enetic ma(eup
1. 4hich of the following can be considered an environmental factor contributing to health
status5
a. )ir !uality
b. )ccess to health care
c. $afety of neighborhoods
d. )ll of the above
3. 6ealthcare is considered a social good in:
a. 'ar(et justice
b. $ocial justice
c. 7oth a and b
d. The total number of cases at a specific point in time divided by the population at ris(
8. Demand-side rationing is the same thing as:
a. ,onprice rationing
b. +rice rationing
c. 7oth a and b
d. ,either a nor b
;. +revalence is:
a. The number of new cases occurring during a specified period divided by the total
population
b. The total number of cases at a specific point in time divided by the specified
population
c. The number of new cases occurring during a specified period divided by the population
at ris(
d. The total number of cases at a specific point in time divided by the population at ris(
*
19. 6olistic health adds which element to the 4orld 6ealth =rganization definition of health5
a. +hysical
b. 'ental
c. $piritual
d. $ocial
+#a'ter 2% T#e Evolutio o, "ealt# Service& i t#e 3ited State&
-ulti'le +#oice .ue&tio&
1. 4hich of the following forces remains relatively stable and major shifts in this area would
be necessary to bring about any fundamental change in the #$ health care delivery system5
a. Economic forces
b. +olitical change
c. 7eliefs and values
d. $ocial forces
". :n its historical conte%t which of the following has played a major role in revolutionizing
health care delivery5
a. 7eliefs and values
b. $cience and technology
c. 'edical education
d. Economic growth
*. :n the preindustrial era >>>>> often functioned as surgeons.
a. butchers
b. tailors
c. clergymen
d. barbers
-. 6ospitals in the #nited $tates evolved from
a. alms houses
b. sic( homes
c. pest houses
d. inns
0. 4hat was the function of a pest house in the preindustrial period5
a. To house people who had a contagious disease .
b. To provide refuge to those who were threatened by pests.
c. To eradicate pests.
d. To treat contagious diseases.
1. 4hich of the following factors was particularly important in promoting the growth of office-
based medical practice in the postindustrial period5
a. #rbanization
-
b. Educational reform
c. $cience and technology
d. Dependency
e. licensing
3. Development of the hospital and >>>>>> happened almost hand in hand in a symbiotic
relationship between the two.
a. dependency of patients
b. growth of scientific (nowledge
c. professionalization of medical practice
d. cohesiveness of the medical profession
8. 4hy did physicians remain independent of corporate settings even after the medical
profession became well recognized5
a. 6ospitals were unable to pay high enough salaries to physicians.
b. +hysicians disli(ed salary arrangements.
c. .icensure laws had not yet been passed.
d. +hysicians who too( up practice in a corporate setting were castigated by the medical
profession.
;. $ince the early 1;99s the burden of disease in developed countries has shifted
a. to underdeveloped countries
b. from infectious to chronic disease
c. from chronic to infectious disease
d. from the rich to the poor
19. The inception of >>>>> was used as a trial balloon for the idea of government-sponsored
universal health insurance.
a. wor(ers? compensation
b. trade unions
c. public health
d. health care for the veterans
+#a'ter 4% "ealt# Service& 5ro,e&&ioal&
-ulti'le +#oice .ue&tio&
1. ) major factor influencing growth in the health care sector of the #.$. economy is:
a. The aging of the population
b. :ncreasing fertility rates
c. Declining death rates
d. )ll of the above
". 4hich type of health care facility employs the most people in the #.$.5
a. +hysicians@ offices and clinics
0
b. 6ospitals
c. ,ursing and personal care facilities
d. ,one of the above
*. 4hen patients have multiple health problems this is called:
a. /oaffliction
b. /omortality
c. /odependency
d. /omorbidity
-. The basic source of the physician distribution problem in the #.$. is:
a. .ac( of health care coverage for all
b. The need-based model
c. .ac( of awareness that there is a problem
d. ) shortage of 'Ds
0. The ,urse 2einvestment )ct of "99" provides:
a. <rants and scholarships for nurses
b. &unding for nurse retention programs
c. &unding for further education for nurses
d. )ll of the above
1. )llied health professionals include:
a. =steopaths
b. Dentists
c. +hysician assistants
d. ,one of the above
3. +hysician maldistribution occurs by:
a. $pecialty
b. <eography
c. 7oth a and b
d. ,either a nor b
8. +rimary care is:
a. .ongitudinal
b. The portal to the healthcare system
c. 6olistic
d. )ll of the above
;. The principle source of graduate medical education is:
a. 'edicaid
b. 'edicare
c. +rivate funds
d. $tate grant funds
19. 4hich of the following is a major criticism of managed care5
1
a. Auality of care may be sacrificed
b. 'anaged care is inefficient
c. #tilization may increase
d. 'anaged care will worsen the physician oversupply
+#a'ter 5% -edical Tec#olo!y
-ulti'le +#oice .ue&tio&
1. )t a fundamental level medical technology deals with
a. production of new e!uipment to provide more advanced health care
b. the application of (nowledge produced by biomedical research
c. using discoveries made in basic sciences to improve health care
d. new drugs and devices
". Telemedicine technology that allows a specialist located at a distance to directly interview
and e%amine a patient is referred to as
a. telehealth
b. simultaneous
c. analogous
d. synchronous
*. The asynchronous form of telemedicine uses>>>>> technology.
a. store-and- forward
b. access-when-needed
c. delayed-access
d. forward-and-retrieve
-. The e%pectations that )mericans have about what medical technology can do to cure illness
is based on
a. the technological imperative
b. cultural beliefs and values
c. a higher rate of technology diffusion in the #$ compared to other countries
d. medical specialization
0. 4hat is the main intent of the $tar( laws5
a. 2e!uire that personal health information be (ept confidential
b. 2e!uire demonstration of cost-efficiency of new technology
c. +rohibit self-referral by physicians to facilities in which they have an ownership
interest
d. Disclosure of potential harm from a procedure or device
1. $upply-side rationing.
a. /urtailment in governing funding for medical research
b. 'anaged care
3
c. /urtailment in payments for new technology
d. /entral planning
3. /ertain allergy medications containing pseudoephedrine are available without prescription
but must be (ept behind the pharmacy counter and sold only in limited !uantities upon
verification of a person?s identity.
a. &ood and Drugs )ct 1;91
b. &ood Drug and /osmetic )ct 1;*8
c. Befauver-6arris Drug )mendments 1;1"
d. +atriot )ct "991
8. The &D) was given the authority to review the effectiveness and safety of a new drug before
it could be mar(eted.
a. &ood and Drugs )ct 1;91
b. +rescription Drug #ser &ee )ct 1;;"
c. Befauver-6arris Drug )mendments 1;1"
d. &ood Drug and /osmetic )ct 1;*8
;. This made additional resources available to the &D) and resulted in a shortened approval
process for new drugs.
a. Befauver-6arris Drug )mendments 1;1"
b. &ood and Drug )dministration 'odernization )ct 1;;3
c. =rphan Drug )ct 1;8*
d. +rescription Drug #ser &ee )ct 1;;"
19. The $afe 'edical Devices )ct 1;;9 re!uires
a. that injuries illness or death from any device be reported
b. premar(et approval of devices
c. safety testing of devices before and after they have been mar(eted
d. that all problems and potential problems be reported to the &D)
+#a'ter 6% "ealt# Service& Fiaci!
-ulti'le +#oice .ue&tio&
1. 4hat is the primary reason that a segment of the #.$. population is uninsured5
a. 'edicare and 'edicaid are the only public insurance programs
b. The #.$. has a voluntary system of health insurance
c. The poor cannot afford health insurance
d. #.$. health insurance is dominated by managed care
". 4hat is the central role of health services financing in the #nited $tates5
a. &und health insurance
b. #nderwrite medical ris(
c. $upport managed care
8
d. 7alance the supply of health care professionals
*. 4hat is the primary mechanism that enables people to obtain health care services5
a. )vailability of services
b. 6ealth insurance
c. +ayment for services
d. /ontrol of e%penditures
-. :n national health care systems total e%penditures are controlled mainly through
a. cost shifting
b. underwriting
c. supply-side rationing
d. demand-side rationing
0. :n a general sense what is the primary purpose of insurance5
a. +redicting ris(
b. 2is( assessment
c. +rotection against ris(
d. #nderwriting
1. 4hat is the primary function of insurance5
a. +ay claims on behalf of the insured
b. #nderwrite policies
c. +rovide comprehensive coverage
d. +rotection against catastrophic ris(
3. 4hat is the main advantage of group insurance5
a. 'ore people can obtain insurance from a single insurer
b. 2is( is spread out among a large number of insured
c. 'ore comprehensive services can be covered than under an individual plan
d. The employer has to deal with only one insurance company
8. The majority of beneficiaries receiving health care through 'edicare are
a. elderly
b. disabled
c. financially poor
d. those suffering from end-stage renal disease
;. &or 'edicare beneficiaries the ma%imum stay in a $,& during a benefit period cannot
e%ceed
a. *9 days
b. 19 days
c. 199 days
d. ,one of the above
19. The dependents of #.$. military personnel receive health care through
;
a. /6)'+#$
b. 'ilitary 6ealth $ervices $ystem
c. C6)
d. Tri/are
+#a'ter 7% 8ut'atiet ad 5ri$ary +are Service&
-ulti'le +#oice .ue&tio&%
1. Typically tertiary care:
a. :s highly specialized
b. Does not depend on technology
c. Ta(es place outside of traditional healthcare facilities
d. )ll of the above
". 4hat is gate(eeping5
a. The process by which patients are denied needed care
b. The process by which primary care physicians refer patients to specialists
c. The concept that specialists use more diagnostic tests than primary care physicians
d. The idea that patients should be allowed to choose their own doctors
*. 4hich country@s health care system is founded on the principles of gate(eeping5
a. #B
b. #$
c. )ustralia
d. /hina
-. /ountries whose health systems are oriented more toward primary care achieve:
a. 6igher satisfaction with health services among their populations
b. 6igher e%penditures in the overall delivery of care
c. 4orse health outcomes
d. ,one of the above
0. The most prominent reason for the decline in the number of procedures performed in
hospitals is:
a. 'ost of these procedures were shifted to outpatient setting
b. 'ost of these procedures were deemed outdated
c. 'ost of these procedures were unsafe
d. 'ost of these procedures used technology that was too e%pensive
1. 4hat does D++$E stand for5
a. +referred +rovider $ystem
b. +rimary +hysician $ystem
c. +rivate +ractice $ystem
d. +rospective +ayment $ystem
19
3. =ne reason women@s health centers were created is:
a. 4omen have more money than men
b. 4omen see( care more often than men
c. 4omen have shorter life spans than men
d. ,one of the above
8. 6ospice services are primarily for people with:
a. /hronic illnesses
b. 2ehabilitative needs
c. Terminal illnesses
d. ,one of the above
;. 4hat is palliation5
a. +ain and symptom management
b. +sychosocial support
c. ) surgical intervention
d. 7ed rest
19. /ommunity health centers serve primarily:
a. 6igh-income neighborhoods
b. +opulations with insurance
c. +opulations which are medically underserved
d. 7oth a and b
+#a'ter 9% :'atiet Facilitie& ad Service&
-ulti'le c#oice .ue&tio&
1. :npatient care
a. $ervices delivered by a hospital
b. Treatment of acute conditions
c. 6ealth care delivered in conjunction with an overnight stay in a facility
d. /are delivered in a licensed facility
". The biggest share of national health spending is used by
a. hospitals
b. physicians
c. prescription drugs
d. nursing home care
*. The first hospitals in the #nited $tates served mainly
a. the poor
b. the wealthy
c. those needing surgery
11
d. government officials
-. 4hat is the meaning of Fe%cess capacityF in the health care inpatient sector5
a. 6ospital consolidation
b. &ew hospitals
c. .arge institutions
d. Empty beds
0. The 6ill-7urton )ct was passed to
a. ma(e it mandatory for private insurers to cover hospital services
b. relieve shortage of hospitals
c. curtail the utilization of hospital beds
d. have federal control over community hospitals
1. ).=$ is an indicator of
a. use of hospital capacity
b. fre!uency of use
c. severity of illness
d. access
3. 4hich ownership type constitutes the largest group of hospitals and hospital beds in the
#nited $tates5
a. +rivate for-profit
b. &ederal
c. +rivate nonprofit
d. $tate and local government
8. :n a hospital classified as short stay the ).=$ is less than
a. 0 days
b. 19 days
c. 10 days
d. "0 days
;. To be classified as a /ritical )ccess 6ospital the number of acute care beds should not
e%ceed
a. "9
b. "0
c. *0
d. 09
19. )ccording to #$ law nonprofit organizations
a. can ma(e only a limited amount of profit
b. are ta% e%empt
c. cannot have a governing body
d. must pay ta%es only if they are profitable
1"
+#a'ter 9% -aa!ed +are ad :te!rated 8r!ai;atio&
-ulti'le +#oice .ue&tio&
1. The managed care phenomenon was welcomed mostly by
a. employers
b. wor(ers
c. private insurance
d. the government
". 4ith the growth of managed care the balance of power in the medical mar(etplace swung
toward
a. providers
b. the supply side
c. the demand side
d. more regulation
*. ) managed care organization functions li(e
a. a provider
b. an insurer
c. a regulator
d. a financier
-. 4hat is the purpose of cost sharing with providers5
a. :t ma(es providers immune to costs
b. :t ma(es providers cost conscious
c. :t rewards providers for !uality
d. :t (eeps insurance premiums low
0. /apitation is best described as
a. monthly lump sum payment regardless of utilization
b. monthly lump sum payment regardless of cost
c. per member per month payment
d. payments capped to a ma%imum cost for delivering services
1. #nder capitation ris( is shifted
a. from the insured to the employer
b. from the provider to the '/=
c. from the employer to the '/=
d. from the '/= to the provider
3. #nder which payment method is a fee schedule used5
a. prospective payment
b. capitation
c. discounted fees
d. fee for service
1*
8. The 6'= )ct of 1;3* re!uired
a. health care providers to contract with 6'=s
b. managed care organizations to offer 6'= alternatives
c. insurers to switch to managed care
d. employers to offer an 6'= alternative to conventional health insurance
;. :n the term managed care ?manage? refers to
a. management of utilization
b. management of premiums
c. management of ris(
d. management of the supply of services
19. #nder the fee-for-service system providers had the incentive to
a. deliver more services than what would be medically necessary because a greater
volume would increase their incomes
b. use less technology because they could increase their incomes by not using costly
procedures
c. indiscriminate cost increases because they could get paid whatever they would charge
d. increase the level of !uality in order to attract more patients
+#a'ter 10% (o!-Ter$ +are
-ulti'le +#oice .ue&tio&
1. .ow cognitive functioning places an elderly person at a high ris( for
a. clinical depression
b. functional decline
c. chronic ailments
d. acute ailments
". The elderly do not constitute a homogeneous groupG hence
a. they have more chronic ailments than acute episodes
b. the .T/ system must be integrated with the rest of the health care delivery system
c. most elderly people live independently
d. a variety of long-term care services are demanded
*. 4hich of the following plays a primary role in individualizing long-term care services to the
patient?s needs5
a. /oordination of various services
b. +hysician?s orders
c. )n individual assessment
d. ) discharge report from the hospital
1-
-. :n the delivery of long-term care customized interventions are carried out according to
a. an individual assessment
b. a plan of care
c. wee(ly evaluations by the patient?s physician
d. the philosophy of total care
0. 4hat is the (ey determinant of the need for long-term care5
a. ) disabling accident
b. )n acute episode
c. +resence of multiple chronic conditions
d. .imitations in a person?s ability to perform tas(s of daily living
1. 4hat is the goal of long-term care5
a. +romote functional independence
b. 2eturn a person to independent living
c. 2everse the decline in activities of daily living
d. /ope with multiple chronic conditions
3. 4hich of the following can contribute positively to a person?s !uality of life5
a. +alliation
b. )ssessment
c. +lan of care
d. Total care
8. 4hy is the assessment of psychiatric illness particularly difficult in geriatric patients5
a. 'ental illness cannot be ruled out
b. The elderly often fa(e mental illness.
c. +sychiatric illness can be intermittent
d. /omorbidities can obscure diagnosis
;. +ersonal care is
a. :ndividualized care
b. 7asic assistance with )D.s
c. $ervices that are nurse-intensive
d. .ong-term care provided by unpaid caregivers
19. 'aintenance rather than restoration of functioning is particularly the domain of
a. custodial care
b. restorative care
c. s(illed nursing care
d. personal care
+#a'ter 11% "ealt# Service& ,or S'ecial 5o'ulatio&
-ulti'le +#oice .ue&tio&
10
1. 4hich racialHethnic group is most li(ely to drin( alcohol5
a. 4hite
b. 7lac( or )frican )merican
c. )sian or +acific :slander
d. 6ispanic
". 4hich racialHethnic group is growing the fastest5
a. 4hite
b. 7lac( or )frican )merican
c. )sian or +acific :slander
d. 6ispanic
*. 4hich racialHethnic group is least li(ely to use mammography5
a. 4hite
b. 7lac( or )frican )merican
c. )sian or +acific :slander
d. 6ispanic
-. )ppro%imately how many )mericans are uninsured5
a. 11 million
b. "1 million
c. -1 million
d. 11 million
0. .ac( of insurance can result in:
a. Decreased utilization of lower cost preventive services
b. :ncreased need for more e%pensive emergency health care
c. The spread of infectious diseases
d. )ll of the above
1. 4hich legislation created the $tate /hildren@s 6ealth :nsurance +lan I$/6:+J5
a. 7alanced 7udget )ct of 1;;3
b. $tate /hildren@s 6ealth :nsurance )ct of 1;;3
c. Bids &irst )ct of 1;;3
d. =mnibus 2econciliation )ct of 1;;3
3. 4hat does D'#)E stand for5
a. 'etropolitan #tilization )rea
b. 'edically #nderserved )rea
c. 'etropolitan #nderserved )rea
d. 'edical #tilization )rea
8. 4hat is the primary purpose of the ,ational 6ealth $ervice /orps5
a. To recruit physicians to provide services in physician shortage areas in the #.$.
b. To recruit physicians from abroad to wor( in the #nited $tates
11
c. To send #.$. physicians to developing countries to provide services to the indigent
d. To recruit physicians into the military
;. )mong women which racialHethnic group has the highest percentage distribution of ):D$5
a. 4hite non-6ispanic
b. 7lac( non-6ispanic
c. 6ispanic
d. )merican :ndian
19. 4hat does the federal 2yan 4hite /)2E )ct fund5
a. /are for underserved rural and urban populations
b. $(in cancer screening programs
c. $chool-based health services in predominantly minority neighborhoods
d. Development of treatment and care options for persons with 6:C and ):D$
+#a'ter 12% +o&t0 Acce&& ad .uality
-ulti'le +#oice .ue&tio&
1. 4hat is <ross Domestic +roduct I<D+J5
a. ) measure of all the goods and services produced by a nation in a given year
b. ) measure of all the goods and services produced by a nation in a given year divided
by the population
c. ) measure of all the goods and services produced by a nation in a given year minus
the amount of money spent by the government
d. ) measure of all the goods and services produced by a nation in a given year divided
by the amount of money spent by the government
". 4hat is a +2=5
a. +rice 2ationing =rganization
b. +olitical 2eview of =utcomes
c. +eer 2eview =rganization
d. +resident@s 2eview of =rganizations
*. 4hat is meant by the term Dhealth care costsE5
a. The price of health care
b. 6ow much a nation spends on health care
c. /ost of producing health care
d. )ll of the above
-. 'edical cost inflation is influenced by all of the following factors except:
a. 4aste and abuse
b. :ncrease in elderly population
c. Decrease in uninsured
d. <rowth of technology
13
0. 4hat are administrative costs5
a. /osts associated with management of the financing insurance delivery and payment
functions of health care
b. /osts associated with financing and insurance only
c. /osts associated with delivery and payment functions only
d. ,one of the above
1. 4hat is the main reason for the lac( of success of health care cost control efforts in the #.$.5
a. 'alpractice lawsuits
b. /ost shifting by providers
c. Disli(e of the practice by consumers
d. <rowth of technology
3. &ill in the blan(: The distinction between predisposing and enabling conditions can be applied
to assess the >>>>>>> of a health care system.
a. cost
b. e!uity
c. efficiency
d. effectiveness
8. 4hat is the purpose of clinical practice guidelines5
a. To provide a plan to manage a clinical problem based on evidence or consensus
b. To lower costs
c. To improve outcomes
d. )ll of the above
;. 4hat is the 6ealth +lan Employer Data and :nformation $et I6ED:$J5
a. ) !uality report card
b. ) cost report card
c. ) government database on health plans
d. ,one of the above
19. 4hat are the main activities of ris( management5
a. +roactive efforts to prevent adverse events related to clinical care and facilities
operations
b. 2etrospective studies of adverse events
c. 7oth a and b
d. ,either a nor b
+#a'ter 12% "ealt# 5olicy
-ulti'le +#oice .ue&tio&%
18
1. 4hich major public insurance program was legislated in 1;105
a. 'edicare
b. 'edicaid
c. 7oth a and b
d. ,either a nor b
". 6ealth policies are used in what capacity5
a. 2egulation of behaviors
b. )llocation of income services or goods
c. 7oth a and b
d. ,either a nor b
*. 4hat is incrementalism5
a. The fact that in the #.$. health care is financed by multiple entities
b. The fragmented uncoordinated delivery of health services
c. $mall policy changes that reflect a compromise amongst different groups@ demands
d. ,one of the above
-. 4hich of the following branches of government is a supplier of policy5
a. E%ecutive
b. .egislative
c. Kudicial
d. )ll of the above
0. 4hat is an interest group5
a. ) group of lawma(ers within /ongress with a particular area of interest
b. ) group of appointed judges with a particular political view point
c. )n independent non-governmental group united by a policy area which lobbies and
advocates its point of view to lawma(ers
d. ,one of the above
1. 4hat was the main purpose of the Berr-'ills program I1;19J5
a. +rovision of federal grants to state government programs assisting the elderly
b. +rovision of federal grants to state government programs assisting the poor
c. +rovision of federal grants to state government programs assisting children
d. ,one of the above
3. &or what is the ,ational 6ealth +lanning and 2esources Development )ct of 1;3- noted5
a. The shift from cost containment to improvement of !uality as the principal theme in
federal health policy
b. The shift from cost containment to improvement of access as the principal theme in
federal health policy
c. The shift from improvement of access to cost containment as the principal theme in
federal health policy
d. The shift from improvement of !uality to cost containment as the principal theme in
federal health policy
1;
8. 4hat does D/=,E stand for5
a. /ertificate of ,eed
b. /ertificate of ,ursing
c. /ertificate of ,aturopathy
d. /ertificate of ,ationality
;. :n what way does research influence policyma(ing5
a. +rescription
b. Documentation
c. )nalysis
d. )ll of the above
19. )ll of the following were identified by the :nstitute of 'edicine ICrossing the Quality
Chasm, 2001J as areas for !uality improvement except:
a. Timeliness
b. $afety
c. Efficacy
d. +atient-centeredness
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