Deck 15: Health Problems and Medical Social Services

Question 1

Identify a true statement about health care for older adults in the United States.

A) ​Physicians are trained primarily in treating the young and are often less interested in serving older adults.
B) ​Older adults who live in the community often face transportation difficulties in getting medical care.
C) ​The Medicare program does not set reimbursement limits on a variety of procedures for older adults.
D) ​The old-old, age 85 and over, are the smallest age group in the American society.

Answer 1

B

Question 2

​Which of the following is true about Medicaid?

A) ​The program provides medical care primarily for recipients of public assistance.
B) ​The program actually covers more than 90% of all poor families.
C) The program is designed primarily to help older adults pay the high cost of health care.
D) ​The program is designed to cover uninsured children in families with incomes that are modest.

Answer 2

A

Question 3

​Which of the following is a known risk factor in contracting AIDS?

A) ​Having anal intercourse with an infected person
B) ​Being bitten by blood-sucking parasites, such as mosquitoes and ticks
C) Touching doorknobs, toilets, or telephones
D) ​Casual kissing or swimming in a pool used by an infected person

Answer 3

A

Question 4

​Identify a true statement about the problems in health care in the United States.

A) One of the least profitable small businesses is private medical practice.
B) ​The life expectancy is almost half that of some developing countries.
C) ​Physicians often treat the symptoms of chronic illnesses rather than the underlying causes.
D) ​Modern medicine is oriented toward treating people even before they become ill.

Question 5

Which of the following has NOT been identified as capable of transmitting the human immunodeficiency virus (HIV)?

A) Semen
B) ​Vaginal secretions
C) ​Breast milk
D) ​Saliva

Question 6

​Reasons for the rapid increases in health-care costs include all of the following except:

A) ​the technological advances in developing life-saving treatment interventions.
B) the increased life span of Americans.
C) ​the fact that third-party financing is increasingly paying medical bills.
D) ​the increase in the number of general practitioners.

Question 7

​Which of the following is true of the findings regarding physical health in the United States?

A) Two-thirds of all Americans are now estimated to be malnourished.
B) ​Americans eat too many fatty foods and not enough fruits, vegetables, and whole-grain products.
C) ​The majority of Americans exercise regularly.
D) ​The highest rates of heart disease occur among top-level executives and managers.

Question 8

​_____ is quoted to have called the health-care system in the United States "a national failure" that is "providing poor quality care at high costs."

A) John McCain
B) ​Robert F. Kennedy
C) Jimmy Carter
D) George W. Bush

Question 9

The _____ is a federal government program in the U.S. that is designed to cover uninsured children in families with incomes that are modest, but too high to qualify for Medicaid.

A) ​State Child Welfare Agency
B) ​State Children's Health Insurance Program
C) ​United States Children's Health Fund
D) ​Federal Children's Insurance

Question 10

​Which of the following is true about AIDS?

A) ​Only a small proportion of those who are HIV infected eventually develop AIDS.
B) ​The AIDS virus cannot be transmitted through blood transfusions.
C) ​The risk of male-to-female transmission of HIV through sexual intercourse is higher than that of female-to-male.

Question 11

​All of the following are examples of services generally provided by public health departments except:

A) ​skilled nursing care and treatment for the acute and chronically ill.
B) ​school health services to public and parochial schools.
C) ​group outpatient programs.
D) ​environmental sanitation services.

Question 12

In which of the following stages of dying in the terminally ill, as identified by Dr. Kübler Ross, does a patient enter a state of "preparatory grief"?

A) Denial
B) ​Rage and anger
C) ​Depression
D) ​Bargaining

Question 13

​All of the following are true about health except that:

A) ​irrational and negative thinking is a major determinant of stress-related illnesses.
B) ​stress-related physiological and psychological disorders have now become the number-one health problem in America.
C) ​good health is determined predominantly by the way of life individuals choose to follow.
D) ​the role of individual medical care in preventing sickness and premature death is primary to that of other influences.

Question 14

According to Seaward, a major factor in causing stress-related illnesses is:

A) living in unhygienic conditions.
B) ​the exposure to germs.
C) ​irrational and negative thinking.
D) the ​rise of sexually transmitted infections.

Question 15

Which of the following is an example of a communicable disease virtually eliminated by public health services in the United States?

A) ​Smallpox
B) ​Pneumonia
C) ​Hepatitis
D) Influenza

Question 16

In which of the following settings of medical services in the United States does a medical practitioner work in relative isolation from colleagues?

A) ​Group outpatient settings
B) ​Hospital settings
C) ​Public health services
D) ​Physicians in private practice

Question 17

Which of the following is true of health care in the United States of America?

A) ​Making profit is not an objective of health-care providers in the United States.
B) ​The vast majority of health-care services in the United States are public rather than private.
C) ​The United States spends more money on health care than any country in the world.
D) ​The U.S. Constitution regards medical care as a social service.

Question 18

​Identify a true statement in the context of the effects of unequal access to health services in the United States.

A) ​The life expectancy for African Americans is longer than that for Whites.
B) The infant mortality rate is higher for Whites than that for African Americans.
C) The highest rates of heart disease occur among the lowest salaried.
D) The rates of untreated illnesses are considerably high for Whites than that for non-Whites.

Question 19

​Starting with _____, every president except Ronald Reagan, George Bush, and George W. Bush has proposed a national health insurance program.

A) ​Abraham Lincoln
B) ​Theodore Roosevelt
C) ​Franklin Roosevelt
D) ​Woodrow Wilson

Question 20

​According to Dr. Kübler-Ross, the first stage for a terminally ill person is _____.

A) ​depression
B) ​denial
C) ​rage and anger
D) ​bargaining

Question 21

​Even when outside of blood and other bodily fluids, the human immunodeficiency virus (HIV) apparently can survive for long periods of time, up to several years.

Question 22

​When a patient is found to have a terminal illness, health professionals often experience a sense of failure.

Question 23

​A two-tier system of health care is emerging in the United States, with the wealthy receiving higher quality health services than the poor.

Question 24

Social work in the health field is not considered an allied medical discipline by physicians.

Question 25

​Holistic medicine instructs people in proper exercises, proper diet, and techniques to reduce psychological stress in order to maintain health and curb the development of chronic disorders.

Question 26

Medical conditions of older adults are often misdiagnosed because doctors lack the specialized training to recognize the unique medical conditions of old people.

Question 27

​The focus of public health services is primarily crisis oriented.

Question 28

Insurance companies can deny coverage to adults and children with preexisting conditions.

Question 29

HIV infection is diagnosed as AIDS only when the immune system becomes seriously impaired and leads to severe, debilitating diseases, such as Kaposi's sarcoma.

Question 30

One of the services provided by the public health service is the maintenance of an index of all area births, deaths, marriages, and current communicable diseases.

Question 31

The incidence of tuberculosis has escalated in recent years due largely to the epidemic of HIV infection and AIDS.

Question 32

​It is required that hospitals have a social services department in order to be accredited by the American Hospital Association.

Question 33

Social work in hospitals tends to be short term and crisis oriented because there is generally a fairly rapid turnover of patients.

Question 34

According to holistic medicine, thinking processes have no consequences on physical and psychological functions.

Question 35

Health services to parochial schools is an example of services provided by local public health departments.

Question 36

​All of the federal government health-care bill is paid through Medicaid and the Affordable Care Act.

Question 37

​To date, crisis-oriented medicine has been assigned a lower priority than preventive medicine in terms of research funding.

Question 38

Those who are poor tend to be less susceptible to illnesses due to the exposure to adverse conditions that promote a stronger immune system.

Question 39

​In the United States, children up to age 26 are permitted to stay on their parents' health insurance plan.

Question 40

The drug azidothymidine has been found to cure acquired immunodeficiency syndrome (AIDS).

Question 41

​Summarize the four basic components of medical services in the United States.

Question 42

​List the services provided through the local health departments of public health services.

Question 43

​What are the problems faced by older adults in the American health-care system?

Question 44

​Discuss service orientation versus profit orientation in the context of the American health-care system.

Question 45

​Briefly describe the Medicare program.

Question 46

​Outline the five stages identified by Dr. Kübler-Ross that the terminally ill may pass through.

Question 47

​List some of the activities that social workers engage in the health field.

Question 48

Briefly describe the drugs prescribed to people infected with HIV.

Question 49

​Discuss the controversy over the use of life-sustaining equipment.

Question 50

​Briefly describe the State Children's Health Insurance Program (SCHIP).