Deck 13: Medical Care

Question 1

What is supplemental health insurance for elders called?

A) Medigap
B) MediCal
C) Medicaid
D) Mediplus
E) Medicare

Answer 1

Medigap

Question 2

Over 90 percent of the elder population receives income from which of the following?

A) Social Security
B) Supplemental Security Income
C) pensions
D) assets
E) earnings

Answer 2

Social Security

Question 3

What year was Social Security initiated?

A) 1935
B) 1945
C) 1955
D) 1965
E) 1975

Answer 3

1935

Question 4

Why should elders purchase supplemental insurance near their 65^th birthday?

A) it is only available at that time
B) it is less expensive at that time
C) no one can be denied at that time
D) there are more choices at that time
E) more than one of the above is true

Question 5

What are the qualifications for Medicaid based upon?

A) the type of insurance the elder carries
B) monthly income and assets
C) current health status
D) age
E) extent of disability

Question 6

Who are "dual-eligible" elders?

A) elders who qualify for VA services and Medicare
B) elders who qualify for Medicare and private insurance
C) elders who qualify for Medicaid and SSI benefits
D) elders who qualify for Medicare and Medicaid
E) more than one of the above is true

Question 7

Indian Health Services are for use by all tribal members. About what percentage of users are elders?

A) 5%
B) 15%
C) 25%
D) 50%

Question 8

An iatrogenic illness comes from:

A) medical mistakes
B) the environment
C) genetics
D) both a and b
E) all of the above

Question 9

Medicare pays for:

A) hearing examinations
B) vision exams
C) dental care
D) yearly physical examinations
E) none of the above

Question 10

In 2003, the average amount spent on health care for elders in the U.S. was ___ per person.

A) less than $1500
B) $3000
C) $5000
D) $8500
E) more than $10,000

Question 11

Which of the following is true?

A) one third of the nation's health care bill is spent on elders
B) about one half of elders' incomes go for health care
C) Medicare and Medicaid are the primary means whereby elders finance health care
D) all of the above
E) a and c only

Question 12

What percentage of the GNP was spent on health care in our country in 2004?

A) less than 5 percent
B) 8 percent
C) 11 percent
D) 14 percent
E) 16 percent

Question 13

What percent of individuals 65 and older are in the workforce?

A) less than 5 percent
B) almost 15 percent
C) close to 25 percent
D) almost 33 percent
E) more than 40 percent

Question 14

Which of the following statements is true regarding elders' use of medical services?

A) they average close to seven physician visits a year
B) about one-third are admitted to the hospital each year
C) they are more than twice as likely to receive a prescription drug
D) a and c only
E) all are true

Question 15

Which of the following is false regarding the Department of Veterans Affairs?

A) financed with our federal taxes
B) all veterans 65 and older are eligible for services
C) offers hospital, home health, board and care, preventive and case management services
D) wives of veterans 65 and older are eligible for services
E) all are true

Question 16

What is the highest single item in the national health care bill, accounting for almost 40 percent of total health care costs?

A) pharmaceuticals
B) physicians
C) nursing homes
D) hospitals
E) health insurance

Question 17

What is the most common iatrogenic illness in the hospital setting?

A) drug reaction
B) pressure ulcer
C) fall injury
D) immobilization
E) infection

Question 18

It is estimated that ___ of the adults in the United States have poor health literacy.

A) one-tenth
B) one-third
C) one-half
D) three fourths
E) more than 90 percent

Question 19

Provides about 40 percent of health care coverage for elders.

A) Medicare
B) Medicaid
C) Medigap

Question 20

Called MediCal in California.

A) Medicare
B) Medicaid
C) Medigap

Question 21

Supplemental insurance used by higher income and more educated elders.

A) Medicare
B) Medicaid
C) Medigap

Question 22

Almost everyone 65 and older, regardless of income, qualifies.

A) Medicare
B) Medicaid
C) Medigap

Question 23

Financed jointly by state and federal government.

A) Medicare
B) Medicaid
C) Medigap

Question 24

Finances dentures, physical therapy, glasses and hearing aids in most states.

A) Medicare
B) Medicaid
C) Medigap

Question 25

Covers the majority of hospitalization expenses for those who pay a premium.

A) Medicare
B) Medicaid
C) Medigap

Question 26

Program for the poor, blind and disabled.

A) Medicare
B) Medicaid
C) Medigap

Question 27

Pays most of the nursing home bills in the United States.

A) Medicare
B) Medicaid
C) Medigap

Question 28

Eligibility based on income and assets.

A) Medicare
B) Medicaid
C) Medigap

Question 29

Has Parts A, B, C, and

A) Medicare
B) Medicaid
C) Medigap

Question 30

Variable eligibility depending on the state.

A) Medicare
B) Medicaid
C) Medigap

Question 31

not relevant to elders below the poverty level.

A) Medicare
B) Medicaid
C) Medigap

Question 32

For-profit medical care saves money because it is more efficient.

Question 33

In the United States, there is a databank of each person's medical records that any doctor can access.

Question 34

About one-third of the nation's elders are admitted to a hospital each year.

Question 35

Older men are more likely to have a chronic illness and be disabled than older women.

Question 36

Because of their higher death rates, elder blacks are more likely to use physicians and hospitals than whites.

Question 37

Elders pay almost one fifth of their health care costs out of their own pocket.

Question 38

The U.S. medical system is geared toward the diagnosis and treatment of acute illnesses, the most common health problems among elders.

Question 39

The majority of illnesses that patients bring to physicians are either self-limiting or beyond the capacity of the medical profession to cure.

Question 40

The largest expenditure in health care in the United States is for hospitalization.

Question 41

Before the advent of Medicare, on the average, elders paid 15 percent of their income for health care; now, they pay only 5 percent of their income.

Question 42

Both Social Security and Supplemental Security Income benefits are for retired workers.

Question 43

Both the Social Security program and the Supplementary Security Income program are financed solely by the federal government.

Question 44

Medicare pays most of elders' health care expenses, so that the average yearly out-of-pocket expense for elders is less than $1200 a year.

Question 45

Health care spending in our country in 2004 averaged over $6000 for every person in the United States.

Question 46

Health administration costs in the United States are nearly twice those in Canada.

Question 47

Medical costs are a significant cause of bankruptcies in the United States.

Question 48

For profit nursing homes have been shown to have better patient outcomes and higher staffing than non-profit nursing homes.

Question 49

It is estimated that by 2030, elders will comprise half of many physicians' patient load.

Question 50

Treatment standards do not exist for the overwhelming majority of diseases.

Question 51

Low health literacy affects primarily ethnic minorities.

Question 52

It is well documented that disease management programs improve health and save significant health care dollars.

Question 53

Ambulatory surgery centers have a lower success rate than hospitals regarding patient outcomes.

Question 54

Hospitalists are specially trained physician assistants.

Question 55

All patients in the United States have a unified medical record that follows them from physician to physician that includes their diagnoses, treatments, and test results.

Question 56

The federal government provides conducts scientific research on complementary and alternative healing practices.

Question 57

A national study of elders found that the most common type of complementary medicine they used was dietary supplements and they were used by almost two thirds of the sample.

Question 58

Chiropractic is a Medicare benefit.

Question 59

Although many people claim that complementary medicine helps them, there is no scientific evidence to show that it reduces health problems.

Question 60

List the population groups who are eligible for Social Security benefits. Who is eligible for Supplemental Security Income?

Question 61

Describe the difference between managed care and traditional medical practice.

Question 62

Discuss the factors that contribute to higher rates of iatrogenic illnesses among elders.

Question 63

What populations are served through Medicaid? What benefits does the program offer?

Question 64

List four advantages of house calls for older people. Why aren't they more popular?

Question 65

List the reasons why elders use hospital services more than younger groups.

Question 66

What do PPO and HMO mean? What are their similarities and differences?

Question 67

List at least six ways to increase the financial stability of the Medicare program.

Question 68

What is the major reason why elders purchase supplemental health insurance?

Question 69

List three reasons why health care does not lend itself to a market economy.

Question 70

List four reasons for the high cost of medical care in the U.S.

Question 71

List at least three ways that physicians and other health care providers might improve communication with their older patients.

Question 72

According to the Partnership for Clear Health Communication, what three essential questions that older persons should ask to their physician?

Question 73

List the advantages and disadvantages of patient advocates.

Question 74

List the advantages and disadvantages of mid-level health practitioners.

Question 75

Define a hospitalist. What are their disadvantages and advantages?

Question 76

Describe HIPPA and its provisions.

Question 77

Describe the status of patients' medical records in our country and what is being done about it.

Question 78

What is cybermedicine? Give an example. List three benefits and three risks of its use.

Question 79

What is a Medicare Demonstration Project? Give an example.

Question 80

What is CAM? Give three examples. List its benefits and drawbacks.