Deck 8: Inpatient Facilities and Ervices

Question 1

Which primary factor was the trigger that made hospitals limit care to the more acute periods of illness rather than the full course of the disease?

A)Technology
B)Physician training
C)Shortage of beds
D)Pressure to contain costs

Answer 1

Pressure to contain costs

Question 2

The first voluntary hospitals in the United States were financed

A)through general taxes
B)by physicians
C)by private insurers
D)through local philanthropy

Answer 2

through local philanthropy

Question 3

Inpatient care consists of

A)Services delivered by a hospital.
B)Treatment of acute conditions.
C)Health care delivered in conjunction with an overnight stay in a facility.
D)Care delivered in a licensed facility.

Answer 3

Health care delivered in conjunction with an overnight stay in a facility.

Question 4

The biggest share of national health spending is attributed to

A)hospitals
B)physicians
C)prescription drugs
D)nursing home care

Question 5

How is average length of stay calculated?

A)Days of care/discharges
B)By cumulating patient days
C)Inpatient days/capacity
D)Discharges X inpatient days

Question 6

The first proprietary hospitals in the United States were established by

A)business corporations
B)wealthy industrialists
C)physicians
D)religious organizations

Question 7

Average daily census is a measure of a hospital's

A)daily capacity
B)average admissions per day
C)days of care
D)number of inpatients served daily

Question 8

The Hill-Burton Act was passed to

A)make 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

Question 9

Who pioneered the transformation of nursing into a recognized profession?

A)Madame Curie
B)Florence Nightingale
C)Cicely Saunders
D)Sylvia Lack

Question 10

Under the Hospital Survey and Construction Act of 1946, the responsibility for hospital planning

A)remained in the hands of the federal government
B)was delegated to local county and city governments
C)was given to the states
D)was given to private insurers

Question 11

Unlike the United States, the first hospitals in Europe were established by

A)the government
B)religious orders
C)rich donors
D)trade unions

Question 12

Why are discharge statistics more accurate than admission statistics as a count of inpatients served by a hospital?

A)Deaths are not counted as discharges
B)Deaths are counted as discharges
C)Babies are born in hospitals
D)Some newborn infants need critical care

Question 13

Under the Hill-Burton Act, federal grants were given on the basis of

A)bed-to-population ratios
B)poverty ranking for each state
C)number of hospital beds already in existence
D)hospital size needed to adequately serve each community

Question 14

How did the PPS based on DRGs lead to hospital downsizing in the United States?

A)It mandated closure of beds based on occupancy rates
B)It led to greater competition among hospitals
C)It created financial incentives to perform surgeries in outpatient settings
D)It created financial incentives to minimize the patient's length of stay

Question 15

What has been the effect of intense consolidation in certain hospital markets?

A)Increased competition
B)Better access
C)Dilution of competition
D)Improved quality

Question 16

ALOS is an indicator of

A)use of hospital capacity
B)frequency of use
C)severity of illness
D)access

Question 17

What is the meaning of "excess capacity" in the health care inpatient sector?

A)Hospital consolidation
B)Few hospitals
C)Large institutions
D)Empty beds

Question 18

Which factor was the most instrumental in the growth of nonprofit community hospitals in the United States?

A)Hill-Burton Act
B)Growth of private health insurance
C)Medical technology
D)Tax Equity and Fiscal Responsibility Act

Question 19

To be called a hospital, a facility must have at least ____ beds.

A)3
B)6
C)12
D)18

Question 20

The first hospitals in the United States served mainly

A)the poor
B)the wealthy
C)those needing surgery
D)government officials

Question 21

Which hospitals provide services to children in communities that do not have specialty children's hospitals.

A)Rehabilitation hospitals
B)General hospitals
C)Long-term care hospitals
D)Specialized hospitals

Question 22

Institutional theory predicts that

A)for-profit and nonprofit organizations will imitate each other when faced with similar regulatory and legal constraints
B)as an enterprise increases in size, its unit overhead costs would decrease
C)as a hospital increases in size, its economies of scale dissipate
D)in competitive markets, both for-profit and nonprofit organizations would deliver certain essential community benefits

Question 23

Which entity oversees the licensure of health care facilities?

A)The Joint Commission
B)Federal government
C)State government
D)Local county or city government

Question 24

Which of the following is true about church-affiliated hospitals?

A)They may emphasize the sponsoring organization's spiritual and dietary principles
B)They are not open to the general public
C)They do not provide emergency services
D)They require special license to legally operate

Question 25

According to US law, nonprofit organizations

A)can make only a limited amount of profit
B)are tax exempt
C)cannot have a governing body
D)must pay taxes only if they are profitable

Question 26

What financial benefit does a small rural hospital gain by qualifying for the designation, Critical Access Hospital?

A)It can receive specific federal grants for serving vulnerable populations
B)It can use its beds for either acute care or long-term care as needed
C)It can increase its profitability by receiving special payments for emergency services
D)It can receive cost-plus reimbursement under Medicare Part A

Question 27

Which entity in hospital governance is legally responsible for the hospital's operations?

A)The CEO
B)The board of trustees
C)The chief of staff
D)The chief operating officer

Question 28

The proportion of a hospital's capacity that is actually utilized.

A)Days of care
B)ALOS
C)Average daily census
D)Occupancy rate

Question 29

For whose financial benefit are proprietary hospitals operated?

A)Stockholders
B)The American public
C)The local community
D)The governing body

Question 30

A hospital that is accredited by the Joint Commission

A)is deemed to have met licensure requirements
B)receives the designation of 'magnet hospital'
C)must comply with the conditions of participation
D)is deemed to have met certification requirements

Question 31

What does the swing bed program allow rural hospitals to do?

A)Provide emergency services or psychiatric care
B)Use the same beds for acute care or long-term care
C)Receive partial payment from Medicare for unused beds
D)Obtain higher reimbursement for outpatient services

Question 32

To be classified as a Critical Access Hospital, the number of acute care beds should not exceed

A)20
B)25
C)35
D)50

Question 33

In a hospital classified as short stay, the ALOS is not more than

A)5 days
B)10 days
C)15 days
D)25 days

Question 34

Which of these hospitals does not serve the general public?

A)County and city hospitals
B)Proprietary hospitals
C)Federal hospitals
D)Community hospitals

Question 35

Which principle of ethics requires caregivers to involve the patient in medical decision making?

A)Paternalism
B)Fidelity
C)Beneficence
D)Autonomy

Question 36

Which of the following cannot be classified as a community hospital?

A)Specialty hospital
B)Proprietary hospital
C)Long-stay hospital
D)Children's hospital

Question 37

To be classified as a community hospital, the hospital must be

A)a public hospital
B)a nonfederal hospital
C)a nonprofit hospital
D)a nongovernmental hospital

Question 38

Which ownership type constitutes the largest group of hospitals and hospital beds in the United States?

A)Private for-profit
B)Federal
C)Private nonprofit
D)State and local government

Question 39

To participate in Medicare and Medicaid, a health care facility must be

A)conditioned
B)accredited
C)certified
D)licensed

Question 40

Magnet hospitals have been found to

A)attract and retain well-qualified nurses
B)attract privately-insured patients
C)serve a disproportionately high number of seriously ill patients
D)excel in innovative processes of care delivery

Question 41

Patients have the legal right to refuse medical treatment.

Question 42

In recent years, the nonprofit hospital sector has continued to gain market share.

Question 43

Managed care has emphasized the use of alternative services to acute hospital care whenever appropriate.

Question 44

Quality of health care is the main distinguishing factor between a general hospital and a specialty hospital.

Question 45

According to guidelines established by the AMA, osteopaths cannot practice in non-osteopathic general hospitals.

Question 46

A nonprofit hospital is prohibited by law from making a profit.

Question 47

Children, in general, incur higher use of hospital services than the elderly.

Question 48

The CEO has the primary responsibility for defining a hospital's mission and its long-term direction.

Question 49

Stark Laws prohibit self-referrals except when a referring physician has an ownership interest in the whole hospital.

Question 50

Large hospitals do not realize efficiencies due to economies of scale.

Question 51

Licensure of a health care facility is directly tied to the quality of care it delivers.

Question 52

Women incur higher use of hospital services than men, even after childbirth-related utilization is factored out.

Question 53

The affluent use hospital services more intensively than the poor.

Question 54

The downsizing of hospitals in the United States began in the mid-1980s.

Question 55

What is the main drawback of a living will?

A)It cannot cover all possible situations
B)The patient's agent may not act in the patient's best interest
C)The person formulating a living will must have a court appointed guardian
D)It becomes invalid when the patient becomes incompetent

Question 56

The ethical principle of fidelity requires a medical practitioner to

A)keep all patient information confidential
B)perform his or her duty
C)seek consent for treatment
D)tell the truth

Question 57

Not all health care organizations receive deemed status after they have been accredited by the Joint Commission.

Question 58

Ethics committees are

A)fiduciary
B)legally bound
C)multidisciplinary
D)regulatory

Question 59

The ACA of 2010 places severe limitations on new physician-owned hospitals and on the expansion of existing ones.

Question 60

By definition, a public hospital is one that is open to the general public.