C245 - Preassessment Quiz PDF

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PRE-ASSESSMENT: HEALTHCARE DELIVERY SYSTEMS, REGULATION AND COMPLIANCE PKDC Attempt #1 Status: Passed

1. A new movement known as the Mental Health Reform became popular throughout the country at the end of the 19th century. Which initiative did this reform accomplish for health care? YOUR ANSWER

CORRECT ANSWER

It provided health insurance for mental health. It recognized that obesity was a mental disorder. It stated that mental health treatment was primary care. It addressed the need to improve mental health treatment.

2. The federal government amended the Social Security Act in 1965 to provide Medicare and Medicaid programs. For which population were these programs originally designed to provide benets? YOUR ANSWER

CORRECT ANSWER

Elderly and poor Infants and elderly Infants and mothers Military and dependents

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In 2010, President Obama signed into law the Patient Protection and Affordable Care Act. What was the initial intended impact of this Act?

YOUR ANSWER

CORRECT ANSWER

To ensure that elderly will have access to health care To ensure that caregivers will have access to health care To ensure that uninsured individuals have access to health care To ensure that military personnel will have access to health care

4. Which important change in the U.S. healthcare system was made with the enactment of the Social Security Act?

YOUR ANSWER

CORRECT ANSWER

It ensured patients have health care and funding. It granted veterans access to healthcare services. It allowed states to decide if they want to pay for Medicare. It funded payments through the federal government and the states.

5. Why is the federally sponsored health insurance program known as Medicare important in the development of delivery of care in the U.S.?

YOUR ANSWER

CORRECT ANSWER

It provides low-income citizens with benets for prescriptions. It provides persons under age 65 with access to healthcare services. It provides underprivileged populations with coverage for medical services.

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M

YOUR ANSWER

CORRECT ANSWER

It provides persons over age 65 with benets for inpatient hospital services.

6. Medicaid is a state-managed and dually funded program. States have some exibility on which Medicaid benets to cover as long as the state meets basic federal requirements. What does this state-run program ensure?

YOUR ANSWER

CORRECT ANSWER

YOUR ANSWER

CORRECT ANSWER

Children and the elderly receive health care Services are not limited based on medical necessity Basic healthcare coverage is available to U.S. citizens over the age of 65 People's constitutional right to privacy is not violated in running this program

7. Medicaid provides healthcare services to a specied population. Which statement accurately describes Medicaid regulations?

It can be interrupted without notication. It is limited to visits for primary physicians. It is available to individuals who meet income guidelines. It requires that states provide prescription drug coverage.

8. The implementation of the Affordable Care Act seeks to provide health insurance to millions of uninsured Americans. https://my.wgu.edu/coaching-report/preassessment-report/v1/studentPidm/3259669/assessmentCode/PKDC/testDate/1639270434

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How has this Act impacted healthcare delivery?

YOUR ANSWER

CORRECT ANSWER

Medicaid has been expanded in each state. Universal health insurance is now available. Lifetime limits on coverage have been removed. Employers are required to offer insurance to employees.

9. The Patient Protection and Affordable Care Act will impact the healthcare delivery system in many ways. One change was allowing states to amend their Medicaid program. Which change did the Patient Protection and Affordable Care Act program support? YOUR ANSWER

CORRECT ANSWER

Quality Coverage Provider options Reimbursement

10. A doctor is setting up a new practice and wants to receive federal reimbursement. The doctor contacts the Center for Medicare and Medicaid Services for assistance. Which kind of information is provided by this agency? YOUR ANSWER

CORRECT ANSWER

Guidelines for private insurance Handouts for patient-related diagnosis https://my.wgu.edu/coaching-report/preassessment-report/v1/studentPidm/3259669/assessmentCode/PKDC/testDate/1639270434

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CORRECT ANSWER

Recommendations for patient condentiality Parameters of the diagnostic-related groups

11. A 40-year-old individual without children and a limited income is concerned about the new Affordable Healthcare Act. The individual wants to know about eligibility for healthcare services at a reduced cost. Which agency should this individual contact? YOUR ANSWER

CORRECT ANSWER

American Medical Association American Hospital Association Department of the Inspector General Department of Health and Human Services

12. A doctor wants to help patients understand which products are safe. The doctor decides to use information provided by the FDA. Which two products are regulated by this organization? Choose 2 answers  YOUR ANSWER

CORRECT ANSWER

Produce labeled as organic Meat processed for human consumption Vaccines ordered by doctors to be used in a study Medications that are in the developmental process https://my.wgu.edu/coaching-report/preassessment-report/v1/studentPidm/3259669/assessmentCode/PKDC/testDate/1639270434

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13. Patients presenting to the emergency department (ED) broadly fall into one of three categories: • emergency conditions- requires immediate attention as is potentially harmful and/or life threatening • urgent conditions- requires attention within a few hours with longer delays potentially leading to greater harm to the patient • non-urgent conditions- do not require resources of the emergency department Which graph accurately depicts the proportion of care delivered in an urban emergency department? YOUR ANSWER

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CORRECT ANSWER

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CORRECT ANSWER

14. Match the service provided with the type of hospital that provides the service. Answer options may be used more than once or not at all. Select your answers from the pull-down list. 



Specically provides cardiac services

YOUR ANSWER

CORRECT ANSWER

Specialty Hospital

Specialty Hospital

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CORRECT ANSWER

Specically provides same day surgery services

Ambulatory Surgery Center

Ambulatory Surgery Center

Offers primarily same day and extended stay surgery

Acute Care General Hospital

Acute Care General Hospital

Treats inpatients with a spe‐ cic type of disease or condition

Specialty Hospital

Specialty Hospital



15. A primary care physician prescribes an antibiotic for a patient with a sinus infection. Which two elements categorize this situation as primary care? Choose 2 answers 

YOUR ANSWER

CORRECT ANSWER

The care is provided by a generalist. The care is provided by a holistic doctor. The treatment is provided by a specialist. The treatment is at the initial point of patient contact.

16. An institution provides healthcare services to patients who are working to restore functional abilities along with assuming activities of daily living. Which type of care entity provides these services? YOUR ANSWER

CORRECT ANSWER

Acute care

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CORRECT ANSWER

Critical care Home health care Rehabilitation care

17. An employer changed insurance carriers. An employee's long-standing primary care physician is not a part of the new plan. Since this physician has been treating the employee for a chronic medical condition for the last 10 years, the employee is concerned about their healthcare costs. Which decision will provide cost-effective care for the patient?

YOUR ANSWER

CORRECT ANSWER

Going to an urgent care for any needed treatment of the chronic disease Using the out-of-network benet while staying with the established physician Continuing to follow the previous physician's recommendations while seeking a new in-network physician Managing the condition independently with occasional consultation from a prior primary care physician

18. A patient has acquired a sexually transmitted disease. The patient makes minimum wage at a part-time job and does not have health insurance. How can this patient overcome these barriers?

YOUR ANSWER

CORRECT ANSWER

Research online for a doctor Use telemedicine to diagnose Visit a state health department https://my.wgu.edu/coaching-report/preassessment-report/v1/studentPidm/3259669/assessmentCode/PKDC/testDate/1639270434

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CORRECT ANSWER

Obtain medication from a pharmacy

19. A patient's physician suspects a mental disorder but is unsure how to properly treat the diagnosis. The mental health population still lacks research to properly care for this disorder. Which barrier is causing this to happen?

YOUR ANSWER

CORRECT ANSWER

Funding Licensing Insurance Ignorance

20. A patient was in an accident and suffered multiple burns, broken bones, and extensive organ damage. Which type of care will this patient need? YOUR ANSWER

CORRECT ANSWER

Primary Secondary Tertiary Quaternary

21. A patient saw a general practitioner for eye pain. The doctor examined the patient's eyes but was unable to nd the cause and referred the patient to an ophthalmologist. https://my.wgu.edu/coaching-report/preassessment-report/v1/studentPidm/3259669/assessmentCode/PKDC/testDate/1639270434

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Which level of care will be pursued?

YOUR ANSWER

CORRECT ANSWER

Primary Secondary Tertiary Quaternary

22. Match each medical situation with the appropriate treatment facility. Answer options may be used more than once or not at all. Select your answers from the pull-down list. 

YOUR ANSWER

CORRECT ANSWER

Comprehensive health care often for the uninsured

Health clinic

Health clinic

Healthcare treatment for acute and chronic illness in an ofce

Outpatient clinic

Outpatient clinic

Healthcare treatment by a nurse for acute and chronic illness at home

Home healthcare

Home healthcare

Walk-in clinic focused on the delivery of immediate nonlife-threatening care ser‐ vices in lieu of a traditional ER

Urgent care

Urgent care



23. A woman has had heavy menses for the past year. She visits the doctor who suggests a dilatation and curettage (D and C).

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What is a cost effective healthcare delivery option for this procedure?

YOUR ANSWER

CORRECT ANSWER

Urgent care clinic Specialty care clinic Tertiary care hospital Transitional care hospital

24. An immigrant to the U.S. wants to understand how to navigate the healthcare system. Match each care description with its corresponding level of care. Answer options may be used once or not at all. Select your answers from the pull-down list. 

YOUR ANSWER

CORRECT ANSWER

Provides holistic care and serves an integrating function

Primary care

Primary care

Is associated with secondary and tertiary levels of services

Specialty care

Specialty care

Provides patient referrals to other appropriate health‐ care services as needed

Primary care

Primary care

Provides a balance of multi‐ ple requirements that a pa‐ tient’s condition may call for

Primary care

Primary care

Is episodic in nature and fo‐ cuses on specic organ sys‐ tems or the disease process involved

Specialty care

Specialty care



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25. An elderly patient in poor nancial straits was referred to a professional that will provide assistance with purchasing medication. Which professional received this referral?

YOUR ANSWER

CORRECT ANSWER

Pharmacist Social worker Psychologists Nursing assistant

26. Match each job description with its corresponding specialization. Answer options may be used more than once or not at all. Select your answers from the pull-down list. 

YOUR ANSWER

CORRECT ANSWER

Treats gums

Orthodontics

Periodontics

Straightens teeth

Orthodontics

Orthodontics

Makes articial teeth or dentures

Endodontics

Prosthodontics

Operates on the mouth and jaws

Oral and maxillofacial surgery

Oral and maxillofacial surgery



27. A patient is experiencing lower back pain. The patient is vomiting and can barely speak. The emergency department determines that the patient is probably experiencing kidney stones. Which professional will conrm this diagnosis?

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CORRECT ANSWER

Radiologist X-ray technician Ultrasound technician Pain management specialist

28. A 66-year-old individual gets short of breath while walking his dog. The individual calls the doctor. The doctor knows the individual is a smoker and has asthma. How should the doctor respond to this situation? YOUR ANSWER

CORRECT ANSWER

Schedule an immediate visit to the ofce Schedule an immediate visit to a cardiologist Set up a meeting to discuss smoking cessation Set up an appointment with exercise physiologist

29. After being treated for breast cancer, a woman was denied a follow-up MRI scan by a Health Maintenance Organization (HMO). The patient contacted the insurance company and was again denied on internal appeal despite the current physician's letter in support of the claim. What should be this patient's next step? YOUR ANSWER

CORRECT ANSWER

Seek legal advice File a second appeal Lobby a special interest group for assistance https://my.wgu.edu/coaching-report/preassessment-report/v1/studentPidm/3259669/assessmentCode/PKDC/testDate/1639270434

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CORRECT ANSWER

Contact the American Cancer Society for help

30. A patient goes to the hospital emergency room to be seen for an increased heart rate. The patient was diagnosed with severe anxiety and was discharged. This visit is followed by an invoice to the patient’s insurance company. The patient complained to the state health board. Who in the hospital should the patient have reached out to rst?

YOUR ANSWER

CORRECT ANSWER

The patient advocate The head of cardiology The hospital supervisor The head of the HR department

31. An employer organization is facing increasing demands to offer a new health insurance product. The CEO of the organization decides to introduce a PPO. Which professional organization will the CEO consult?

YOUR ANSWER

CORRECT ANSWER

National Institute of Health American Medical Association National Committee for Quality Assurance American College of Healthcare Executives

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A dental department ordered new hand pieces. The Occupational Safety and Health Administration and the Centers for Disease Control mandate processing by the Sterile Processing Department to reduce exposure to patients. Which area of concern is identied by this type of mandate?

YOUR ANSWER

CORRECT ANSWER

Infection control Ergonomic equipment Medical waste disposal Exposure incident response

33. Congress passed a bill establishing the Veterans Choice Act, which allows veterans living 40 miles from a Veterans Administration (VA) facility, who cannot be seen within 30 days of the clinically appropriate date, to be sent to non-VA facilities. How does this interaction inuence the Veterans Administration?

YOUR ANSWER

CORRECT ANSWER

It enables the VA patients to be seen faster. It increases the quality of care at the VA. It increases the number of patients seen by VA. It enables the VA facility to decrease clinical staff.

34. An unemployed single pregnant woman visits a doctor’s ofce. Until that time, she has not sought medical care, and her gestation time is 30 weeks. Which next step will help remove a barrier to this patient's care and ensure a positive prognosis?

YOUR ANSWER

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YOUR ANSWER

CORRECT ANSWER

Refer to a midwife Set up prenatal visits Update immunizations Screen for genetic defects

35. A patient presents to a medical practice with limited English prociency. Which strategy will overcome this ...