Deck 1: The Health Care Industry
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Deck 1: The Health Care Industry
1
Which physician focuses on patient care in acute settings?
A) hospitalist
B) histologist
C) radiologist
D) obstetrician
A) hospitalist
B) histologist
C) radiologist
D) obstetrician
hospitalist
2
What set of standards allow a physician to care for patients at a hospital?
A) standards of professional practice
B) privileges
C) orders to admit
D) deemed status
A) standards of professional practice
B) privileges
C) orders to admit
D) deemed status
privileges
3
Which type of nurse can prescribe medicine?
A) licensed vocational nurse (LVN).
B) registered nurse (RN).
C) licensed practical nurse (LPN).
D) advanced practice registered nurse (APRN).
A) licensed vocational nurse (LVN).
B) registered nurse (RN).
C) licensed practical nurse (LPN).
D) advanced practice registered nurse (APRN).
advanced practice registered nurse (APRN).
4
Which is an example of a procedure?
A) bed sore
B) pneumonia
C) amputation
D) appendicitis
A) bed sore
B) pneumonia
C) amputation
D) appendicitis
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5
A primary care provider (PCP) is responsible for:
A) providing specialty medical care.
B) surgical procedures.
C) patient care in an acute care facility.
D) routine care and referrals.
A) providing specialty medical care.
B) surgical procedures.
C) patient care in an acute care facility.
D) routine care and referrals.
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6
Which individual is not an allied health professional?
A) Respiratory therapist
B) Surgical technologist
C) Radiologist
D) Dietician
A) Respiratory therapist
B) Surgical technologist
C) Radiologist
D) Dietician
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7
Which health care professional works to restore the patient's functioning in activities of daily living?
A) clinical document improvement professional
B) gastroenterologist
C) neonatologist
D) occupational therapist
A) clinical document improvement professional
B) gastroenterologist
C) neonatologist
D) occupational therapist
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8
Which task would be performed by a primary care provider?
A) remove breast tumor
B) take a chest x-ray
C) analyze routine blood test results
D) a colonoscopy
A) remove breast tumor
B) take a chest x-ray
C) analyze routine blood test results
D) a colonoscopy
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9
The additional training required to maintain a credential is called:
A) continuing education (CE)
B) accreditation
C) behavioral health
D) Conditions of Participation (CoP)
A) continuing education (CE)
B) accreditation
C) behavioral health
D) Conditions of Participation (CoP)
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10
HIM professionals do all of the following, EXCEPT:
A) secure health information.
B) report health information.
C) develop and implement EHRs.
D) document patient care in health records.
A) secure health information.
B) report health information.
C) develop and implement EHRs.
D) document patient care in health records.
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11
Which type of HIM professional specializes in privacy and security aspects of HIM practice?
A) medical coder
B) data analyst
C) patient registrar
D) release of information specialist
A) medical coder
B) data analyst
C) patient registrar
D) release of information specialist
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12
Which credential requires an associate degree?
A) Registered Health Information Technician (RHIT)
B) Certified Coding Specialist (CCS)
C) Certified Health Unit Coordinator (CHUC)
D) Certified in Healthcare Privacy and Security (CHPS)
A) Registered Health Information Technician (RHIT)
B) Certified Coding Specialist (CCS)
C) Certified Health Unit Coordinator (CHUC)
D) Certified in Healthcare Privacy and Security (CHPS)
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13
The American Health Information Management Association (AHIMA) and the American Medical Association (AMA) are examples of:
A) accrediting bodies
B) allied health professionals
C) professional associations
D) payers
A) accrediting bodies
B) allied health professionals
C) professional associations
D) payers
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14
Evidence of competence (by passing an examination) entitles an individual to professional:
A) credentials.
B) accreditation.
C) associations.
D) privileges.
A) credentials.
B) accreditation.
C) associations.
D) privileges.
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15
All the information about the illness or health problem, the treatments provided, and the directions for self-care are documented in the patient's:
A) health record.
B) continuum of care.
C) bill.
D) program.
A) health record.
B) continuum of care.
C) bill.
D) program.
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16
A(n) _______ offers exclusively palliative care services in an inpatient residential setting or in the home.
A) ambulatory care facility
B) hospice
C) skilled nursing facility
D) managed care facility
A) ambulatory care facility
B) hospice
C) skilled nursing facility
D) managed care facility
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17
Chapone Health Care is an organization that owns a number of different health care facilities: three acute care hospitals, two long-term care facilities, and a number of physician offices. Chapone also owns a rehabilitation hospital and an assisted living facility, which also delivers home care. The organization delivers care to patients at every point along the continuum of care. Chapone Health Care can be described as a(n):
A) hospital.
B) Medical Home.
C) accountable care organization (ACO).
D) integrated delivery system (IDS).
A) hospital.
B) Medical Home.
C) accountable care organization (ACO).
D) integrated delivery system (IDS).
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18
The number of beds that the state has approved for the facility is the:
A) licensed beds.
B) bed count.
C) registered beds.
D) certified count.
A) licensed beds.
B) bed count.
C) registered beds.
D) certified count.
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19
Care from multiple medical specialties over the course of a patient's lifetime is called the:
A) patient care plan.
B) integrated delivery system (IDS).
C) continuum of care.
D) entitlement program.
A) patient care plan.
B) integrated delivery system (IDS).
C) continuum of care.
D) entitlement program.
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20
Which patient is considered an inpatient for an acute care facility?
A) A patient who died prior to arriving at the acute care facility
B) A patient who spent 10 hours in the emergency room
C) A patient who had her hand operated on in outpatient surgery, and then returned home
D) A patient who was admitted for pneumonia
A) A patient who died prior to arriving at the acute care facility
B) A patient who spent 10 hours in the emergency room
C) A patient who had her hand operated on in outpatient surgery, and then returned home
D) A patient who was admitted for pneumonia
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21
Which patient is not counted as a discharge?
A) a patient who was treated in the emergency department and sent home
B) an inpatient patient who died in the operating room
C) an inpatient who was transferred to another health care facility
D) an inpatient who left an acute care facility against medical advice (AMA)
A) a patient who was treated in the emergency department and sent home
B) an inpatient patient who died in the operating room
C) an inpatient who was transferred to another health care facility
D) an inpatient who left an acute care facility against medical advice (AMA)
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22
Counting the 12 discharges on the maternity ward this week, you see women have stayed 2 days, 2 days, 2 days, 3 days, 3 days, 3 days, 3 days, 3 days, 3 days, 4 days, 4 days, and 7 days. What is the average length of stay (ALOS) on the maternity ward this week?
A) 39 days
B) 12 days
C) 0.308 days
D) 3.25 days
A) 39 days
B) 12 days
C) 0.308 days
D) 3.25 days
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23
Which is true of an acute care facility?
A) Patients receive care for severe conditions and are expected to recover.
B) Treatment episodes are referred to as visits or encounters.
C) Patients are not allowed to stay longer than 30 days.
D) It offers primary care.
A) Patients receive care for severe conditions and are expected to recover.
B) Treatment episodes are referred to as visits or encounters.
C) Patients are not allowed to stay longer than 30 days.
D) It offers primary care.
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24
Most community hospitals are:
A) not-for-profit
B) for-profit
C) children's hospitals
D) accountable care organizations (ACOs)
A) not-for-profit
B) for-profit
C) children's hospitals
D) accountable care organizations (ACOs)
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25
Which is characteristic of not-for-profit health care facilities?
A) they don't make a profit
B) the employees are volunteers
C) they don't charge patients as much as other facilities
D) they receive tax breaks.
A) they don't make a profit
B) the employees are volunteers
C) they don't charge patients as much as other facilities
D) they receive tax breaks.
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26
Which is true of an accountable care organization (ACO)?
A) providers bill separately from the hospital
B) patients receive low-cost or free care
C) payment for inpatient services flows through the hospital and out to other providers
D) the primary care provider acts as the gatekeeper to specialists and services
A) providers bill separately from the hospital
B) patients receive low-cost or free care
C) payment for inpatient services flows through the hospital and out to other providers
D) the primary care provider acts as the gatekeeper to specialists and services
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27
What is the fixed amount a health insurance policyholder pays each month?
A) Deductible
B) Capitation
C) Copay
D) Premium
A) Deductible
B) Capitation
C) Copay
D) Premium
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28
Why is health insurance referred to as a "third-party payer"?
A) Because a third party, the payer, pays a provider (second party) for the patient (first party).
B) Because it was originally required only when a husband and wife have a child, the third party.
C) Because it only pays for one-third of the expenses.
D) Because it is the third option for payment, following the patient and the government.
A) Because a third party, the payer, pays a provider (second party) for the patient (first party).
B) Because it was originally required only when a husband and wife have a child, the third party.
C) Because it only pays for one-third of the expenses.
D) Because it is the third option for payment, following the patient and the government.
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29
Medicare was enacted through which legislation?
A) Title IX of the Health and Human Services Act
B) Patient Protection and Affordable Care Act
C) Family and Medical Leave Act
D) Title XVIII of the Social Security Act
A) Title IX of the Health and Human Services Act
B) Patient Protection and Affordable Care Act
C) Family and Medical Leave Act
D) Title XVIII of the Social Security Act
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30
What U.S. federal agency is responsible for the oversight of Medicare and Medicaid?
A) The Department of Health and Human Services (DHHS)
B) National Institutes of Health (NIH)
C) Centers for Disease Control and Prevention (CDC)
D) Department of Homeland Security (DHS)
A) The Department of Health and Human Services (DHHS)
B) National Institutes of Health (NIH)
C) Centers for Disease Control and Prevention (CDC)
D) Department of Homeland Security (DHS)
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31
How is patient satisfaction with the health care provider and its services measured?
A) surveys
B) blogs
C) social media posts
D) Healthy People 2020 indicators
A) surveys
B) blogs
C) social media posts
D) Healthy People 2020 indicators
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32
In which program do policymakers monitor health indicators and create objectives to promote wellbeing?
A) managed care
B) The Agency for Healthcare Research and Quality (AHRQ)
C) The Patient Centered Outcomes Research Institute (PCORI)
D) Healthy People 2020
A) managed care
B) The Agency for Healthcare Research and Quality (AHRQ)
C) The Patient Centered Outcomes Research Institute (PCORI)
D) Healthy People 2020
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33
What do pharmaceutical manufacturers cite as the main reason for high drug costs?
A) outsourcing
B) research and development
C) health insurance premiums
D) marketing expenses
A) outsourcing
B) research and development
C) health insurance premiums
D) marketing expenses
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34
What is a benefit of health care facility obtaining accreditation through The Joint Commission in lieu of a Conditions of Participation review?
A) Accreditation
B) Unconditional status
C) Certification
D) Deemed status
A) Accreditation
B) Unconditional status
C) Certification
D) Deemed status
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35
Medicare is administered by:
A) Food and Drug Administration (FDA).
B) Centers for Medicare and Medicaid (CMS).
C) individual states.
D) National Committee for Quality Assurance (NCQA).
A) Food and Drug Administration (FDA).
B) Centers for Medicare and Medicaid (CMS).
C) individual states.
D) National Committee for Quality Assurance (NCQA).
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36
A state agency develops and administers regulations that must be followed in order for a facility to maintain its:
A) licensure.
B) accreditation.
C) registration.
D) certification.
A) licensure.
B) accreditation.
C) registration.
D) certification.
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37
Which federal agency protects patients from discrimination?
A) Health Resources and Services Administration (HRSA)
B) The Agency for Healthcare Research and Quality (AHRQ)
C) Office for Civil Rights (OCR)
D) Occupational Health and Safety Administration (OSHA)
A) Health Resources and Services Administration (HRSA)
B) The Agency for Healthcare Research and Quality (AHRQ)
C) Office for Civil Rights (OCR)
D) Occupational Health and Safety Administration (OSHA)
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38
How often does the Joint Commission (TJC) conduct onsite surveys?
A) At least once a year
B) At least once every 2 years
C) At least once every 3 years
D) At least once every 5 years
A) At least once a year
B) At least once every 2 years
C) At least once every 3 years
D) At least once every 5 years
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39
Medical professions have a code of _________ that govern the conduct of their members.
A) conduct
B) professionalism
C) honor
D) ethics
A) conduct
B) professionalism
C) honor
D) ethics
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40
Which independent organization, formerly the Institute of Medicine, published the report, To Err is Human: Building a Safer Healthcare System?
A) The National Academy of Medicine (NAM)
B) The Leapfrog Group
C) Institute for Healthcare Improvement (IHI)
D) The Patient Centered Outcomes Research Institute (PCORI)
A) The National Academy of Medicine (NAM)
B) The Leapfrog Group
C) Institute for Healthcare Improvement (IHI)
D) The Patient Centered Outcomes Research Institute (PCORI)
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41
A nurse ________ focuses on the care of women during the period surrounding childbirth: pregnancy, labor, delivery, and after delivery.
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42
A profession is characterized by specific training in a body of knowledge that is supported by an explicit code of ________ and continuing education.
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43
A long-term care (LTC) facility has an average length of stay (ALOS) greater than ___________ days. (Input your answer in numeric value)
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44
The payment to a health care provider is called _________.
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45
A facility that routinely perform eye surgeries, colonoscopies, excisions, and many types of orthopedic surgeries on an outpatient basis, wherein the patient returns home after the procedure is performed is called a(n) ________ surgery center.
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46
A seamless continuity of care with services from many different providers across a patient's lifespan is called ________ care, which has yet to be fully realized in practice.
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47
A(n) _________________ administers substances that cause loss of sensation.
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48
A(n) _________________specializes in treating patients with cancer.
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49
The type of physician who provides care related to the female reproductive system is a(n) ______________________.
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50
A(n) _________________ for women before, during, and after delivery.
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51
A(n) _________________ delivers primary care to children.
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52
A(n) _________________ treats diseases of the digestive system.
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53
A(n) _________________ is a medical doctor who treats diseases of the mind.
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54
A(n) _________________ specializes in diseases and disorders of the heart and blood vessels.
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55
The physician specializing in skin disorders is the ________________________.
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56
A(n) _________________ treats diseases and disorders of the eyes.
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57
A(n) _________________ studies changes in human tissues, cells, and organs.
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