Welcome to Essentials of the U.S. Health Care System

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Title: Essentials of the U.S. ealth Care System

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Quiz

Instructor's Manual

Please read each question and select your answer from the choices provided. You must complete all of the questions in order to view your results. At the end of each exam, you have the option to e-mail your results to your instructor.

1: A hospital's governing body is
	A: an agent of the hospital
	B: responsible for the hospital's operations
	C: responsible for licensing the hospital
	D: legally responsible for the conduct of the hospital

2: Hospitals evolved from
	A: almshouses
	B: medical centers
	C: inpatient clinics
	D: homeless shelters

3: Pesthouses were
	A: community-owned private hospitals
	B: outpatient clinics
	C: places for those with contagious diseases
	D: shelters for the destitute

4: The first community hospitals were funded mainly through
	A: taxes
	B: private donations
	C: capital investments
	D: board of trustees

5: Hospitals began to attract well-to-do patients when
	A: they could no longer depend on charitable contributions
	B: hospital services became technologically advanced
	C: board of trustees were composed of influential donors
	D: physicians opened their own hospitals

6: Proprietary hospitals
	A: for profit
	B: non profit
	C: community owned
	D: trustee owned

7: A health system is mainly characterized by
	A: community services
	B: a large number of patients
	C: fitness services
	D: a large array of health care services

8: Which of the following was not a primary factor that contributed to the growth of hospitals in the United States?
	A: population growth
	B: technological advances
	C: health insurance
	D: Hill-Burton Act

9: Prospective payment system based on DRGs.
	A: Fixed rate per day
	B: Fixed rate per admission
	C: Fixed rate per Medicare patient
	D: Per diem rate

10: One effect of the PPS reimbursement method was
	A: an increase in the number of admissions
	B: a decrease in the number of admissions
	C: quicker discharge of patients
	D: increase in the cost of operations

11: Managed care
	A: increased hospital costs
	B: substituted hospital care for outpatient services
	C: curtailed inpatient utilization
	D: produced inefficient delivery of care

12: Implementation of the prospective payment system slowed down the growth of national spending on hospital care.
	A: TRUE
	B: FALSE

13: Average number of days per patient spent in the hospital.
	A: Discharges
	B: Days of care
	C: Admissions
	D: Average length of stay

14: Discharges rather than admissions more accurately measure the number of people served by a hospital.
	A: TRUE
	B: FALSE

15: Women are admitted to hospitals more often than men, and also incur longer stays than men.
	A: TRUE
	B: FALSE

16: Hospital utilization among blacks is higher than that among whites.
	A: TRUE
	B: FALSE

17: Number of patients in a hospital on a given day.
	A: Census
	B: Patient days
	C: Capacity
	D: Admissions

18: A 200-bed hospital has an average daily census of 120. Based on these figures the hospital's occupancy rate is 66%.
	A: TRUE
	B: FALSE

19: Which of the following is not a characteristic of a community hospital?
	A: Short-stay
	B: Federal
	C: Private or government owned
	D: General or specialty care

20: The majority of U.S. hospitals are private for profit.
	A: TRUE
	B: FALSE

21: Public hospitals are those that are open to the general public.
	A: TRUE
	B: FALSE

22: Voluntary hospitals
	A: Government
	B: For profit
	C: Nonprofit
	D: Public

23: Nonprofit hospitals are prohibited from making a profit.
	A: TRUE
	B: FALSE

24: A general hospital is distinguished from a specialty hospital in that the former does not provide specialized medical care.
	A: TRUE
	B: FALSE

25: Specialty hospitals provide only a narrow range of services for specific medical conditions.
	A: TRUE
	B: FALSE

26: What is the primary role of a teaching hospital?
	A: Train physicians
	B: Train various types of health professionals
	C: Provide specialized medical care
	D: Be part of a university

27: Osteopathic hospitals have been built because osteopaths can no longer practice alongside traditional physicians.
	A: TRUE
	B: FALSE

28: Hospitals are licensed by state governments rather than the federal government.
	A: TRUE
	B: FALSE

29: Hospitals are not required to be certified.
	A: TRUE
	B: FALSE

30: Licensure allows a hospital to participate in the Medicaid and Medicare programs.
	A: TRUE
	B: FALSE

31: Which of the following is not voluntary?
	A: Accreditation
	B: Certification
	C: Licensure
	D: Serving Medicare and Medicaid patients

32: Deemed status is conferred on a hospital that is
	A: Accredited
	B: Certified
	C: Licensed
	D: Nonprofit

33: Beneficence
	A: Do no harm
	B: Use life support measures only when beneficial
	C: Use life support in all circumstances
	D: Do everything possible to alleviate suffering

34: A patient has the right to refuse treatment.
	A: TRUE
	B: FALSE

35: A breach of public trust occurs when
	A: the community's best interests are not served
	B: non profit hospitals start making a profit
	C: caregivers are uncaring and impersonal
	D: public opinion surveys are not used to discover patient concerns

Optional: Enter your name and your instructor's E-mail address to have your results E-mailed to him or her.
Your Name:
Instructor's E-mail Address:
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