Ch 4

Question 1

major factor influencing growth in the health care sector of the U.S. economy is:

a) The aging of the population
b) Increasing fertility rates
c) Declining death rates
d) All of the above

Answer 1

The aging of of the population

Question 2

The health care sector constituted what percentage of the U.S. gross domestic product in 2011?

a) 18%
b) 8%
c) 38%
d) 28%

Answer 2

18%

Question 3

Which type of health care facility employs the most people in the U.S.?

a) Physicians’ offices and clinics
b) Hospitals
c) Nursing and personal care facilities
d) None of the above

Answer 3

Hospitals

Question 4

MCO stands for:

a) Managed Care Organization
b) Managed Care Office
c) Managed Clinical Organization
d) Managed Clinical Office

Answer 4

Managed care organization

Question 5

When patients have multiple health problems, this is called:

a) Comortality
b) Codependency
c) Coaffliction
d) Comorbidity

Answer 5

Comorbidity

Question 6

The basic source of the physician distribution problem in the U.S. is:
a) A shortage of MDs

b) Lack of awareness that there is a problem
c) Lack of health care coverage for all
d) The need-based model

Answer 6

Lack of health care coverage for all

Question 7

The number of specialists is increasing because:
a) Demand for specialists’ services is high

b) The development of medical technology
c) Specialists earn more than primary care physicians
d) All of the above

Answer 7

All of the above

Question 8

The Nurse Reinvestment Act of 2002 provides:

a) Grants and scholarships for nurses
b) Funding for nurse retention programs
c) Funding for further education for nurses
d) All of the above

Answer 8

All of the above

Question 9

The main difference between Clinical Nurse Specialists (CNSs) and Nurse Practitioners (NPs) is:
a) CNSs deliver babies and NPs do not

b) NPs deliver babies and CNSs do not
c) CNSs work in hospitals, and NPs work mainly in primary care settings
d) NPs work mainly in hospitals and CNSs work mainly in primary care settings

Answer 9

C NSs work in hospitals, and NPs work mainly in primary care settings

Question 10

Fill in the blank: In the U.S., Midwifery’s role in the management of pregnancies has been _______, compared to Europe.

a) Central
b) Peripheral
c) Ubiquitous
d) None of the above

Answer 10

Peripheral

Question 11

Nonphysician practitioners (NPPs) include:

a) Osteopaths
b) Dentists
c) Physician assistants
d) None of the above

Answer 11

Physician assistant

Question 12

Allied health professionals include:

a) Osteopaths
b) Dentists
c) Physician assistants
d) None of the above

Answer 12

Physician assistant

Question 13

Physician maldistribution occurs by:

a) Specialty
b) Geography
c) Both A and B
d) Neither A nor B

Answer 13

Both a and b

Question 14

Fill in the blank: Compared to metropolitan and suburban areas, there is a/an _____ of physicians in rural areas.

a) Shortage
b) Equal amount
c) Unknown number
d) Surplus

Answer 14

Shortage

Question 15

The roles and responsibilities of health services administrators include:

a) Leadership and strategic direction
b) Departmental management
c) Program oversight
d) All of the above

Answer 15

All of the above

Question 16

Primary care is:

a) Longitudinal
b) The portal to the healthcare system
c) Holistic
d) All of the above

Answer 16

All of the above

Question 17

The principal source of funding for graduate medical education is:
a) State grant programs

b) Medicaid
c) Medicare
d) Private funds

Answer 17

Medicare

Question 18

Which of the following is a major criticism of managed care?

a) Managed care is inefficient
b) Utilization may increase
c) Managed care will worsen the physician oversupply
d) Quality of care may be sacrificed

Answer 18

Quality of care may be sacrificed

Question 19

The percentage of active primary care generalist physicians has:

a) Remained steady since 1949
b) Unknown: this number has only been tracked since 1970
c) Increased since 1949
d) Decreased since 1949

Answer 19

Decreased since 1949

Question 20

Which of the following statement is true regarding the global healthcare workforce crisis?

a) Developed and developing countries are alike in facing the healthcare workforce crisis
b) Developed countries face greater challenge than developing countries in the healthcare workforce crisis
c) Developing countries face greater challenge than developed countries in the healthcare workforce crisis
d) None of the above

Answer 20

Developing countries face greater challenge than developed countries in the healthcare workforce crisis

Question 21

True or False? The number of active physicians has steadily increased over time.

Answer 21

True

Question 22

True or False? The number of active nurses has steadily increased over time.

Answer 22

False

Question 23

True or False? Less than 2% of all active physicians are osteopaths (DOs).

Answer 23

False