Deck 19: The Health-Care Debate: Best Allocations of Resources for the Best Outcomes

Question 1

Under Chancellor Otto von Bismarck in 1883, which of the following was the first country to provide a form of national insurance coverage?
1) Germany
2) Scotland
3) Switzerland
4) The Netherlands

Answer 1

1

Question 2

Which of the following is a method of obtaining products and services at a lower price and has been used by private industry and the federal government for many years?
1) Value-based purchasing
2) Quality-based purchasing
3) Client-based purchasing
4) Performance-based purchasing

Answer 2

1

Question 3

The commercial profit-based insurance companies introduced which concept, which is used to estimate how much a specific individual or group will have to spend on medical care within a very limited setting, such as an industry?
1) Competence rating
2) Performance rating
3) Community rating
4) Experience rating

Answer 3

4

Question 4

The biggest expansion of Medicare occurred under president George W. Bush, who signed into law an unfunded prescription drug benefit bill that increased senior citizens' access to prescription medications through which part of Medicare?
1) Part A
2) Part B
3) Part C
4) Part D

Question 5

In 1961, President John F. Kennedy began his vigorous advocacy of a plan to provide health benefits to the elderly. This became the framework for which program?
1) Medigap
2) Medicare
3) Medicaid
4) TRICARE

Question 6

Richard M. Nixon signed a law to encourage the development of which of the following that were the first manifestations of managed care?
1) Health maintenance organizations
2) Preferred provider organizations
3) Exclusive provider organizations
4) Accountable care organizations

Question 7

In 1997, the Children's Health Insurance Program (CHIP) was created to extend which type of coverage to many uninsured children and their parents?
1) Medicare
2) Medicaid
3) Blue Cross
4) TRICARE

Question 8

Lyndon Baines Johnson presided over passage of which legislative act in 1965, which was considered the most ambitious health insurance advance in U.S. history at that time?
1) Social Security Act
2) Medicare and Medicaid Act
3) Affordable Care Act
4) Health Insurance Portability and Accountability Act

Question 9

Which type of insurance plans are not legal under the rules established for insurance companies by the Affordable Care Act?
1) Indemnity plans
2) Manage care plans
3) Short-term plans
4) High-deductible plans

Question 10

In response to declining hospital occupancy during the Great Depression, the American Hospital Association established what type of insurance plans that provided hospital coverage at a choice of any hospital in the state?
1) Medicare
2) Medicaid
3) Blue Cross
4) TRICARE

Question 11

By using which process as a purposeful mental activity whereby ideas are evaluated and decisions reached can nurses make ethical, creative, rational, and independent decisions related to client care?
1) Brainstorming
2) Benchmarking
3) Dashboarding
4) Critical thinking

Question 12

Repeated studies have shown that which health care professionals can safely provide 80 percent of the care typically provided by family practice physicians without any decrease in quality or health outcomes and with an increase in client satisfaction?
1) Registered nurses
2) Physician assistants
3) Nurse practitioners
4) Certified nurse midwives

Question 13

Preventing cancellation of policies due to preexisting conditions was one of the key purposes of which legislative act?
1) Social Security Act
2) Medicare and Medicaid Act
3) Affordable Care Act
4) Health Insurance Portability and Accountability Act

Question 14

Which practice was all but eliminated by the Affordable Care Act when it removed cost caps and made it illegal for companies to deny health insurance for preexisting conditions?
1) Rescission
2) Revocation
3) Abrogation
4) Nullification

Question 15

The original Blue Cross/Blue Shield insurance set premiums by which of the following, whereby rates were set by medical costs across a geographic area or region or even across the whole nation?
1) Competence rating
2) Performance rating
3) Community rating
4) Experience rating