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D390 Intro to Health and Human Services questions and correct answers.docx
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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.
What is an example of an advanced practice professional? - answer -A nurse practitioner A nurse practitioner is an advanced practice professional because they can perform similar activities to a physician. Another example of an advanced practice professional is a physician's assistant. What do health services include? - answer -Health services include emergency, preventative, rehabilitative, long-term, hospital, diagnostic, primary, palliative, and home care. Why is cultural competence important in health services? - answer -Because clients' values and preferences will be respected 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.
A client has a runny nose and headache. Which healthcare provider does he need to see? - answer -Primary care physician A primary care physician provides routine and basic medical treatment such as colds and headaches to clients. A 75-year-old client who is recovering from knee surgery is ready to be discharged but is not yet ready to return home to resume independent living.Which type of facility is appropriate for this client's needs? - answer -A post-acute short-term care facility Post-acute short-term care is intended to help clients become more independent after medical services. The healthcare system essentials are pharmaceuticals, medical devices, and technology. - answer - Which healthcare specialist serves as a client's main point of contact throughout a stay in an inpatient facility? - answer - Hospitalist
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 How does Medicare support clients' well-being and health? - answer -Provides healthcare coverage for adults age 65 or older or those on social security disability Which health organization is responsible for the safety of newer medication released to the public? - answer -U.S. Food and Drug Administration (FDA) 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. Which solution fits the client's need best? - answer -Apply for group health insurance Which agency under the Department of Health can help clients locate resources to assist with out-of-pocket expenses?
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. - answer -Public health educator Which component of the U.S. healthcare ecosystem is classified as a provider? - answer -An urgent care facility 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 lenses and frames. - answer - What is a medical service that a nurse practitioner can provide, but a registered nurse cannot? - answer -Prescribe medications
What is a primary responsibility of long-term care administrators in a healthcare organization? - answer - Oversee assisted living facilities A client had an accident, was cut deeply, and is bleeding heavily. Which type of provider should treat this patient? - answer -An acute care facility Which medical field contains the largest percentage of U.S. physicians by specialty as of 2019? - answer -General practice/Family medicine What is a goal of the Health Insurance Portability and Accountability Act (HIPPA) of 1996? - answer -To ensure privacy of patients' health information Which population is covered by Medicare? - answer -Those aged 65 or older, or those on social security disability Congressional debates resulted in the first legislation for healthcare finance when Congress passed the 1920s Sheppard-Towner Act, which President Roosevelt signed into law. This Act provides state financing for the health needs of women and children. - answer -
Which is an example of fraud by a provider? - answer - Kickbacks What is the role of the Food and Drug Administration in healthcare? - answer -Ensures the public is safe from harm from drugs, products, and medical devices Tricare is what type of health insurance? - answer -Military Which agency collects Medicare funds from employers? - answer -The Internal Revenue Service Medicaid was created in 1965 to support low-income families. Medicaid programs are state-regulated and influenced by federal agency regulations. Funds for Medicaid programs are a combination of state and federal dollars. Medicaid eligibility varies from state to state. - answer - Who was the CHIP program created to support? - answer - Children from low socioeconomic backgrounds who do not qualify for Medicaid
Which states offer Medicaid? - answer -All states in the United States Under the Patient Protection and Affordable Care Act, what was the major change to Medicaid? - answer -The expansion of Medicaid coverage Which government program allows clients to qualify for dual- eligibility to pay for additional services beyond those covered by the program? - answer -Medicare Which term describes group insurance? - answer -Employer insurance What is an example of an employer group plan? - answer - Health Maintenance Organization (HMO) Which health plan contract has a standard discount on fee- for-service? - answer -Preferred provider organization (PPO)
What did the Affordable Care Act of 2010 provide to individuals? - answer -The Triple Aim Why is antitrust law important to health insurance? - answer - Regulates economic power. The antitrust law is to control costs among competitors. John Claus, a 59-year-old male in good health, was playing basketball with a few friends and developed chest pain. His friends brought him to the urgent care center. It was determined John needed cardiac care at a major medical center. The urgent care doctor called an ambulance, and he was transported to a major medical center. One month later, John received a bill for the ambulance for $2,000. Unfortunately, John's health insurance denied the service because the ambulance company was out-of-network.Which legislation was passed that protects John from having to pay the $2,000? - answer -2021 December final ruling on surprise billing legislation PDSA and STEEEP are used in healthcare when making changes for a better quality of care - answer -
There are six dimensions of healthcare quality: - answer - safety, timeliness, effectiveness, efficiency, equity, and patient-centered care. Kathy is the project lead for a change management project to improve emergency room wait times. Using the hospital's operating philosophies and methods, she hopes to reduce the wait times and transform the emergency room staff's behavior and culture over time. Which method should Kathy consider to ensure that she uses resources effectively and brings value to the project? - answer -Lean What are the components of the PDSA cycle? - answer -Plan, do, study, and act SHARE Approach - answer -Seek Help Assess Reach Evaluate DECIDE model - answer -Detect
addiction treatment services for populations negatively affected by deinstitutionalization? - answer -Certified Community Behavioral Health Clinics What is a benefit of telemedicine? - answer -It saves clients' time. Which client should schedule a telemedicine appointment rather than meeting with a provider in person? - answer -A client who has a mild fever but lacks transportation to travel to a clinic How many dimensions of quality in healthcare are there? - answer -Six What is the PDSA cycle? - answer -A framework for incorporating changes into a process and measuring results What are the five components of the SHARE Approach? - answer -Seek, help, assess, reach, and evaluate What is the first step of the DECIDE model? - answer -Define the problem
How can the Quadruple Aim framework improve client outcomes? - answer -By improving client experience while providing a good quality of service How do qualitative data and methods contribute to better decision-making? - answer -By enhancing discussions and conversations with others to collect information How does telemedicine improve the delivery of care to clients? - answer -Clients can access medical services from anywhere in the world. How does telemedicine improve efficiency? - answer -It provides good quality service at lower costs for clients.