1.
A federally run entitlement program through which people age 65 and older receive health insurance is called
Correct Answer
A. Medicare
Explanation
Medicare is a federally run entitlement program that provides health insurance for individuals who are 65 years or older. It is designed to help older adults cover the costs of medical services, including hospital stays, doctor visits, and prescription drugs. Medicare is separate from Medicaid, which is a joint federal and state program that provides health coverage for low-income individuals. Medicare is not the same as CHIP (Children's Health Insurance Program) or HMO (Health Maintenance Organization), as these are different types of health insurance programs.
2.
Public policy is now attempting to direct the medical system toward which of the following?
Correct Answer
D. All of these
Explanation
The correct answer is "All of these". Public policy is now aiming to guide the medical system towards disease prevention, efficient use of resources, and health promotion. This means that policies are being implemented to not only prevent diseases but also to ensure that resources are used effectively and efficiently in the healthcare system. Additionally, promoting overall health and well-being is also a priority in public policy.
3.
Older Americans consume a disproportionate amount of medical care.
Correct Answer
A. True
Explanation
Older Americans consume a disproportionate amount of medical care because they typically have more health issues and require more frequent medical interventions. As people age, they are more likely to develop chronic conditions and require ongoing medical treatment and monitoring. Additionally, older individuals often have multiple comorbidities, which further increases their need for medical care. This higher demand for healthcare among older Americans leads to a disproportionate allocation of medical resources and services to this population.
4.
Medicare and Medicaid are the same program.
Correct Answer
B. False
Explanation
Medicare and Medicaid are not the same program. Medicare is a federal health insurance program that primarily covers individuals who are 65 years or older, as well as certain younger individuals with disabilities. Medicaid, on the other hand, is a joint federal and state program that provides health coverage to low-income individuals and families. While both programs aim to provide healthcare coverage, they have different eligibility criteria, funding sources, and coverage options. Therefore, the statement that Medicare and Medicaid are the same program is false.
5.
A study that compares the costs of providing health care against a desirable change in patient health outcomes is called a(n)
Correct Answer
A. Cost-effectiveness study.
Explanation
A cost-effectiveness study is a type of study that compares the costs of providing health care with the desired improvement in patient health outcomes. This study aims to determine the most efficient and cost-effective approach to achieving better health outcomes. It evaluates different interventions or treatments and assesses their cost-effectiveness by comparing the costs involved with the health benefits they provide. This type of study helps decision-makers in healthcare to make informed choices about resource allocation and prioritize interventions that provide the best value for money.
6.
Health disparities persist among different populations, including racial and ethnic minorities.
Correct Answer
A. True
Explanation
Health disparities refer to the differences in health outcomes and access to healthcare among different populations. These disparities can be influenced by various factors such as socioeconomic status, education, and race/ethnicity. Numerous studies have shown that racial and ethnic minorities often experience poorer health outcomes and have limited access to quality healthcare compared to the majority population. Therefore, it is true that health disparities persist among different populations, including racial and ethnic minorities.
7.
Which of the following is not a major contributor to health care expenditures in the United States?
Correct Answer
A. Screening for diabetes
Explanation
Screening for diabetes is not a major contributor to health care expenditures in the United States. This is because screening for diabetes is a preventive measure that helps identify individuals at risk for the disease and allows for early intervention and treatment. By detecting and managing diabetes early, healthcare costs can be reduced in the long run. On the other hand, rising professional liability costs, the cost of malpractice lawsuits, and the administrative cost of the insurance process are all factors that contribute significantly to healthcare expenditures in the United States.
8.
U.S. per capita health spending exceeds that of other industrialized nations by significant margins.
Correct Answer
A. True
Explanation
The given statement is true. U.S. per capita health spending is higher than that of other industrialized nations by significant margins. This means that on average, each person in the U.S. spends more on healthcare compared to individuals in other developed countries. This could be due to various factors such as higher healthcare costs, a larger population, a higher prevalence of chronic diseases, and a less efficient healthcare system.
9.
Older Americans consume a disproportionate amount of medical care.
Correct Answer
A. True
Explanation
Older Americans consume a disproportionate amount of medical care because as people age, they tend to have more health issues and require more frequent medical attention. Additionally, older adults may have chronic conditions that require ongoing medical management. This increased need for medical care is reflected in higher healthcare utilization and expenditure among older individuals compared to younger age groups.
10.
Choose the type of nutrition intervention that is incorrectly matched with an example of a measurable outcome.
Correct Answer
C. Prenatal care - length of stay
Explanation
Prenatal care is a type of nutrition intervention that focuses on the health of pregnant women and their unborn babies. The measurable outcome for prenatal care is typically related to the health of the baby and the mother, such as the baby's birth weight, Apgar score, or the mother's blood pressure. Length of stay, on the other hand, refers to the duration of time a person stays in a healthcare facility, which is not directly related to the effectiveness of prenatal care. Therefore, the match between prenatal care and length of stay is incorrect.
11.
In the United States, we _____ disease rather than _____ disease.
Correct Answer
B. Treat, prevent
Explanation
In the United States, the focus is on treating diseases rather than preventing them. This means that the healthcare system primarily focuses on providing medical treatment and care to individuals who are already sick or have developed a disease. While prevention is also important, the emphasis is more on treating the existing diseases rather than preventing them from occurring in the first place.
12.
Medicare and Medicaid were created by which legislation?
Correct Answer
C. Social Security Amendments of 1965
Explanation
The correct answer is Social Security Amendments of 1965. This legislation expanded the Social Security Act of 1935 to include the creation of Medicare and Medicaid. Medicare provides health insurance for individuals aged 65 and older, while Medicaid provides health coverage for low-income individuals and families. The Social Security Amendments of 1965 aimed to improve access to healthcare for vulnerable populations and address the rising healthcare costs in the United States.
13.
The uninsured most often include
Correct Answer
D. Self-employed business men and women.
Explanation
The correct answer is self-employed business men and women. This is because self-employed individuals typically do not have access to employer-sponsored health insurance plans and are responsible for obtaining their own coverage. As a result, they are more likely to be uninsured compared to other groups such as the disabled, those with end-stage renal disease, and the elderly who may have access to government programs or employer-sponsored insurance.
14.
The philosophy that the health care system will do everything possible in terms of curative and treatment services to make people well
Correct Answer
B. Underlies the medical model paradigm.
Explanation
The given statement suggests that the philosophy of the health care system doing everything possible to make people well aligns with the medical model paradigm. The medical model paradigm focuses on diagnosing and treating diseases and illnesses, with the goal of restoring health. This philosophy assumes that individuals are passive recipients of medical interventions and that the primary responsibility of healthcare professionals is to provide curative and treatment services.
15.
In 2010, approximately _____ percent of the U.S. population was uninsured.
Correct Answer
D. 17
Explanation
In 2010, approximately 17 percent of the U.S. population was uninsured. This means that almost one-fifth of the population did not have health insurance coverage during that year. This could be due to various reasons such as lack of affordability, unemployment, or ineligibility for government programs. The high percentage of uninsured individuals highlights the need for healthcare reform and access to affordable coverage for all Americans.
16.
Which of the following is not true regarding nutrition protocols?
Correct Answer
D. They are considered unnecessary for achieving payment for nutrition services.
Explanation
Nutrition protocols are detailed guidelines that provide appropriate care and acceptable limits of care for each disease state or condition. They serve as frameworks to help practitioners in assessment, development, and evaluation of nutrition interventions. However, they are not considered unnecessary for achieving payment for nutrition services.
17.
To determine the rating of a particular health care system, one must examine which of the following variables?
Correct Answer
D. All of these need to be considered.
Explanation
To determine the rating of a particular health care system, it is important to consider all of the given variables. Access to health care is crucial because it determines how easily individuals can obtain necessary medical services. The cost of health care is another important factor as it affects affordability and can impact access for certain individuals. Finally, the quality of health care is essential in determining the effectiveness and safety of the services provided. Therefore, all of these variables need to be considered when evaluating the rating of a health care system.