51 - 100

Question 1

51 An efficient Formulary and Therapeutics Committee in many hospitals evaluates all of the following except:

a. Symptoms of adverse reactions.
b. Patients’ current medication effectiveness.
c. Contraindications.
d. Specific drugs in terms of appropriateness to caseload.

Answer 1

b. Patients’ current medication effectiveness.

Question 2

52 Healthcare organizations often utilize special purpose software which allows rapid access to large archives of integrated data to assist management with decision making. This is typically referred to as a (an):

a. System analysis program.
b. Report writer.
c. Decision matrix management tool.
d. Executive decision support system.

Answer 2

d. Executive decision support system.

Question 3

53 Which of the following would represent the most common cause of adverse drug events (ADEs)?

a. Lack of standardization.
b. Lack of knowledge of drug.
c. Preparation errors.
d. Transcription errors.

Answer 3

b. Lack of knowledge of drug.

Question 4

54 What is the primary advantage of the corporate form of organization for a healthcare provider?

a. It exists by virtue of a statute providing for its formation.
b. It has powers granted to it by its charter.
c. Its continued existence is not affected by the death or disability of an owner.
d. It has limited liability.

Answer 4

d. It has limited liability.

Question 5

55 Law and tradition have established basic criteria for healthcare governing boards. One criteria is that:

a. All members agree to receive care at the governed organization.
b. Board members provide a specified amount of financial support.
c. The actions of the board are reasonable and prudent.
d. The board must meet a minimum of two times each year.

Answer 5

c. The actions of the board are reasonable and prudent.

Question 6

56 Continuous quality improvement assumes that:

a. The achievement will be rewarded.
b. There is the direction from top management.
c. There is no upper limit to excellence.
d. Interconnected work teams are in place.

Answer 6

c. There is no upper limit to excellence.

Question 7

57 Which of the following best describes the responsibility of a hospital with an emergency department (ED) when a person comes to the ED for Examination or treatment?

a. The hospital must admit the patient for observation and treatment if an emergency condition exists.
b. The hospital must provide an appropriate medical screening to determine whether an emergency condition exists and, if so, stabilize the condition.
c. The hospital may inquire as to the individual’s method of payment or insurance status prior to rendering services.
d. If the individual is uninsured, the hospital must transfer the patient to the nearest public hospital designated for the care and treatment of medically indigent persons.

Answer 7

b. The hospital must provide an appropriate medical screening to determine whether an emergency condition exists and, if so, stabilize the condition.

Question 8

58 What was the first major law to have a significant impact on individual privacy in the workplace?

a. Civil Rights Act
b. Fair Credit Reporting Act
c. Polygraph Protection Act
d. Privacy Act

Answer 8

a. Civil Rights Act

Question 9

59 How does physician self-referral or Stark laws apply to Medicare payments?

a. The law applies to private party insurance and does not apply to Medicare payments.
b. The law establishes an additional payment to the normal Medicare payment fees due to the added complexity of referrals.
c. The law allows a claim to be filed with Medicare for a service provided by a physician who has a financial interest in the DHS.
d. The law prohibits a provider from presenting a claim to Medicare or to any person or other entity for a prohibited DHS referral.

Answer 9

d. The law prohibits a provider from presenting a claim to Medicare or to any person or other entity for a prohibited DHS referral

Question 10

60 Which of the following is not an advantage of an effective Corporate Compliance Program for a healthcare organization?

a. Initiating immediate and appropriate corrective actions.
b. Costs of implementation and operations.
c. Developing processes to allow employees to report potential problems
d. Identifying and preventing criminal and unethical conduct.

Answer 10

b. Costs of implementation and operations.

Question 11

61 A privilege of confidentiality exists in a physician-patient relationship when the physician-acquired information is:

a. Documented in the patient’s medical records.
b. Substantiated by the patient’s nurse.
c. Related to the care and treatment of the patient.
d. Confirmed and documented by the patient.

Answer 11

c. Related to the care and treatment of the patient.

Question 12

62) Participating providers in the federal Medicare program must:
a. Be accredited by the Joint Commission.
b. Serve Medicaid beneficiaries.
c. Meet the Conditions of Participation.
d. Be in compliance with state Certificate of Need laws.

Answer 12

c. Meet the Conditions of Participation.

Question 13

63) Which physician organization is responsible for accrediting residency training programs?
a. ACGME
b. AAMC
c. CAT
d. BPQA

Answer 13

a. ACGME

Question 14

64) Which of the following are important aspects to consider when establishing a joint venture?
a. Joint ventures involve independent management teams and independent governance structures.
b. Joint ventures involve capital investment by all parties, can be difficult to dissolve, and are usually expected to be permanent.
c. Joint ventures are managed like an internal organization and are usually renegotiated annually.
d. Joint ventures are developed to acquire portions of the parent organizations and are generally accepted as irreversible.

Answer 14

b. Joint ventures involve capital investment by all parties, can be difficult to dissolve, and are usually expected to be permanent.

Question 15

65) A balanced scorecard is a set of performance measurements used to:
a. Assess patient satisfaction.
b. Ensure the organization does not exceed one performance metric at the expense of another.
c. Provide a scorecard for annual performance monitoring.
d. Gather and monitor financial data.

Answer 15

b. Ensure the organization does not exceed one performance metric at the expense of another.

Question 16

66) What is the correct order, from bottom to top, of Maslow’s Hierarchy of Needs?
a. Physiological, safety, esteem, belonging, self-actualization.
b. Safety, physiological, belonging, esteem, self-actualization.
c. Physiological, safety, belonging, esteem, self-actualization.
d. Safety, esteem, physiological, belonging, esteem, self-actualization.

Answer 16

c. Physiological, safety, belonging, esteem, self-actualization.

Question 17

67) Communication Health Intranet Networks (CHINs) were developed for what purpose?
a. To provide a platform for an electronic medical record.
b. To provide a way to disseminate community-level health data.
c. To provide an inexpensive way of sharing health information.
d. To provide a community-based hub for sharing health information.

Answer 17

d. To provide a community-based hub for sharing health information.

Question 18

68) Which organizational theory is illustrated by governing activities with explicit and specific procedures, arranging offices in a hierarchal fashion, and selecting candidates on the basis of their technical competency?
a. Bureaucratic
b. Contingency
c. Institutional
d. Technological

Answer 18

a. Bureaucratic

Question 19

69) In planning for future community health services, it is important to understand population health needs. Which ethnic category tends to proportionally use physician services the most?
a. African-American
b. Asian
c. Latino
d. White

Answer 19

d. White

Question 20

70) Which of the following limitations would cause a hospital OB unit to see no change in volume over a four year period?
a. Organizational
b. Market
c. Financial
d. Clinical

Answer 20

b. Market

Question 21

71) According to CMS Conditions of Participation, under what circumstances, if any, is it permissible to deny a patient access to his or her medical record?
a. The information requested consists of psychotherapy notes.
b. The request comes from the patient’s personal representative instead of directly from the patient (if allowed under state law).
c. The provider organization will incur significant costs in copying or forwarding the requested records.
d. It is never permissible to deny a patient access to his or her records.

Answer 21

a. The information requested consists of psychotherapy notes.

Question 22

72) The overall goal of the HIPPA Act of 1996 is:
a. To ensure the privacy and confidentiality of patient medical records.
b. To standardize the sharing of clinical and administrative information.
c. To strengthen healthcare data security standards and practices.
d. Improve portability and continuity of health insurance, combat fraud.

Answer 22

d. Improve portability and continuity of health insurance, combat fraud.

Question 23

73) Congress enacted Stark II to prohibit which of the following?
a. A physician or an immediate family member from referring a patient to an entity with which they have a financial relationship.
b. Hospitals and physicians from partnering to build in-patient acute care facilities.
c. Hospitals and physicians from joint venturing in the offering of outpatient imaging centers.
d. A hospital from referring a patient to a wholly-owned entity of which it has total ownership

Answer 23

a. A physician or an immediate family member from referring a patient to an entity with which they have a financial relationship.

Question 24

74) Which of the following activities should be performed by the Board of Directors?
a. Calculating patient care fees.
b. Determining staffing patterns.
c. Recruiting new medical staff.
d. Hiring the CEO.

Answer 24

d. Hiring the CEO.

Question 25

75) Performance improvement teams should consist of:
a. Experts in process management.
b. Members from the involved Microsystems.
c. Middle managers with experience.
d. Physicians and other users.

Answer 25

b. Members from the involved Microsystems.

Question 26

76) The four important aspects of clinical support services are technical quality, patient satisfaction, continuity or integration, and:
a. Cost-benefit analysis.
b. Outcome.
c. Appropriateness.
d. Health promotion.

Answer 26

c. Appropriateness.

Question 27

77) A bar chart format, with the items rank ordered on a dependent variable,such as cost, profit, or satisfaction that Examines the components of a problem in terms of their contribution to it is known as:
a. A run chart.
b. A frequency table.
c. Pareto analysis.
d. Deming cycle.

Answer 27

c. Pareto analysis.

Question 28

78) Governing boards are typically more effective at what size?
a. 10 to 15 members.
b. 15 to 25 members.
c. 5 to 10 members.
d. More than 25 members.

Answer 28

a. 10 to 15 members.

Question 29

79) What type of review involves evaluation of management staff by their superiors, subordinates, and internal and external customers?
a. Annual review.
b. 360-degree review.
c. Competency review.
d. Peer review.

Answer 29

b. 360-degree review.

Question 30

80) The role of a not-for-profit healthcare organization’s governing board includes all of the following except:
a. Delineate clinical privileges.
b. Ensuring that quality healthcare is delivered.
c. Overseeing the day to day operations.
d. Setting broad institutional policy.

Answer 30

c. Overseeing the day to day operations.

Question 31

81) Medicare Conditions of Participation for hospitals require that a prescribing practitioner authenticate a verbal order within ________, if not defined by the state.
a. 24 hours.
b. 48 hours.
c. 7 days.
d. 30 days.

Answer 31

b. 48 hours.

Question 32

82) Cost accounting is an important tool which enables the CFO to:
a. Meet Joint Commission fiscal requirements.
b. Ensure supplies are competitively purchased.
c. Determine the actual cost of providing patient care.
d. Improve revenue cycle returns.

Answer 32

c. Determine the actual cost of providing patient care.

Question 33

83 What is true about the relationship between acute care hospitals and longterm care organization?

a. Hospitals and patients frequently have difficulty arranging for nursing home care services.
b. Hospitals generally do not want to refer patients to nursing homes since part of the patient care revenue must be shared.
c. Nursing homes generally do not want to refer patients to hospitals since thisinterferes with state or federal length-of stay requirements.
d. Nursing homes are generally thought to be superior to hospitals at chronic disease management.

Answer 33

a.
Hospitals and patients frequently have difficulty arranging for nursing home
care services.

Question 34

84 The first step in any strategic management scenario planning is to:

a. Develop “what if” scenarios
b. Gather information from as many sources as possible.
c. Develop courses of action that fit within future organizational resources.
d. Conduct a make vs. buy analysis.

Answer 34

b. Gather information from as many sources as possible.

Question 35

85 Which of the following is the least serious limitation to decision analysis?

a. Oversimplifying the problem.
b. Inadequate data.
c. The decision maker’s values.
d. The statistical model.

Answer 35

d. The statistical model.

Question 36

86 In a unionized organization, what is the most effective contract disputeresolution finalization alternative?

a. Mediation.
b. Corporate Campaigns.
c. Arbitration.
d. Strike

Answer 36

c. Arbitration.

Question 37

87 What does a liquidity ratio measure?

a. A firm’s ability to meet its current obligations in a timely manner.
b. Size of dividends to be paid to shareholders.
c. The percent of total funds provided by creditors.
d. Days in accounts receivable.

Answer 37

a. A firm’s ability to meet its current obligations in a timely manner.

Question 38

88 The real value of financial statements lies in the fact they can be used tohelp:

a. Predict the firm’s future financial condition.
b. Compute total margin versus periodic gain.
c. Relate the industry average to net profit/loss over time.
d. Understand that a large portion of a hospitals net income may come from nonoperatinggains.

Answer 38

a. Predict the firm’s future financial condition.

Question 39

89 Facing struggles such as declining profit margins, nonprofit healthcareorganizations have become more dependent on what source for financingcapital needs?

a. Philanthropy.
b. Bond financing.
c. Capital leases.
d. Operational leases.

Answer 39

a. Philanthropy.

Question 40

90 You work for a county organization that has decided to issue bonds to funda new building. What type of bond would be sold on behalf of yourorganization?

a. Mortgage bond.
b. Corporate bond.
c. Capital bond.
d. Municipal bond.

Answer 40

d. Municipal bond.

Question 41

91 On a balance sheet, what does the difference between total current assets and total current liabilities indicate?

a. Cash on hand.
b. Net working capital.
c. Liquid assets.
d. Equity.

Answer 41

b. Net working capital.

Question 42

92 How should supervisors behave toward informal leaders in the organization?

a. Maintain a positive attitude toward informal leaders.
b. Ensure informal leaders remain at a moderately low status within the workgroup.
c. Grant informal leaders occasional favors.
d. Pass information on to informal leaders before giving it to formal leaders.

Answer 42

a. Maintain a positive attitude toward informal leaders.

Question 43

93 Budgets for new capital expenditures include requests for:

a. Infrastructure.
b. Wage adjustments.
c. New employee insurance plans.
d. New gain share agreement with staff physicians.

Answer 43

a. Infrastructure.

Question 44

94 The Capital Asset Pricing Model (CAPM), an equilibrium model, describes
the relationship between which of the following?
a. Market risk and required rate of return.
b. The expected rate of return and the actual rate of return.
c. Price and market risk.
d. The expected rate of return and required rate of return.

Answer 44

a. Market risk and required rate of return.

Question 45

95 What is the most common operating indicator used to measure overall staff productivity?

a. Full-time equivalents per occupied bed.
b. Total salaries and benefits as a percent of operating expenses.
c. Full-time equivalents per adjusted averaged daily census.
d. Nursing salary and benefits as a percentage of total expenses.

Answer 45

c. Full-time equivalents per adjusted averaged daily census.

Question 46

96 Determining whether the help desk function is effective and whether projects are well managed are examples of measuring an information system departments:

a. Strategic competency.
b. Political competency.
c. Vendor competency.
d. Operational competency.

Answer 46

d. Operational competency.

Question 47

97 When seeking information about fixed assets, payroll, regulatory and tax reporting, and accounts payable, an administrator will access what information management system?

a. Physician practice management.
b. Patient administration and management.
c. Home health management.
d. General financial management.

Answer 47

d. General financial management.

Question 48

98 The main role of the board is:

a. Selecting the CEO.
b. Overseeing operations.
c. Setting institutional policy.
d. Running the institution in the absence of the CEO.

Answer 48

c. Setting institutional policy.

Question 49

99 Which of the following is not considered part of the labor budget?

a. Staff salaries.
b. Hourly wages.
c. Employee benefits.
d. Contract staff expenses.

Answer 49

d. Contract staff expenses.

Question 50

100 Health Savings Accounts (HSAs), were established through which law?

a. Consolidated Omnibus Budget Reconciliation Act
b. Medicare Prescription Drug Improvement and Modernization Act
c. Health Insurance Portability and Accountability Act
d. Americans with Disabilities Act

Answer 50

b. Medicare Prescription Drug Improvement and Modernization Act