click below
click below
Normal Size Small Size show me how
MED 149
Chapter 3
| Question | Answer |
|---|---|
| Which of the following best defines a managed care health plan? | A corporation that pays for and delivers care to subscribers |
| The largest integrated health care system in the country is | The VA system |
| A health care business that is publicly held is also known as | A company where stock is bought and sold on the stock market. |
| The most well-known form of a not-for-profit health care organization is | A company owned by a city or state government |
| Health care practitioners’ actions generally classified as fraud include | All of these - Falsifying medical diplomas and other credentials, Promising a patient “secret cures” or other special ways to cure an ailment, Falsifying medical reports |
| Which of the following is an advantage that might apply to individuals attending an accredited health care education program? | All of these - Transfer of credits more easily accepted if one changes schools, More likely to obtain a license after graduating, More likely to be selected for a federal student aid program |
| Which of the following is not true of accrediting agencies? | They never charge a fee. |
| An ACO is | An organization that has a designated patient population and a predetermined payment if quality goals are met |
| Which of the following is not a purpose of practice acts? | To be sure health care professionals are adequately compensated for their services |
| Which of the following statements is not true of accreditation? | State law says it must be renewed every year. |
| A patient-centered medical home is | A primary care practice that focuses on coordinated care and quality of care |
| A licensed advanced registered nurse practitioner might be accused of scope of practice violations if he | Prescribes controlled substances without a supervising physician’s knowledge or permission |
| Which of the following is mandatory for certain health professionals to practice in their field? | licensure |
| Under this type of plan, insured patients must designate a primary care physician (PCP). | Point-of-service plan |
| Which of the following processes lets licensed health care practitioners transfer their license to a new state after moving without repeating an examination? | Reciprocity |
| What is a copayment? | A set amount that each patient pays for each office visit |
| Licensure to practice medicine is done by | each individual state. |
| Laws vary from state to state, but unprofessional conduct for medical professionals usually includes | All of these are unprofessional conduct -Failure to meet continuing education requirements, Inadequate record keeping, Physical abuse of a patient |
| Which of the following indicates a health care facility, education program, or managed care organization is credible and maintains high standards? | Accreditation |
| Each state’s practice acts also provide for the establishment of | Professional boards |
| licensure | A mandatory credentialing process established by law, usually at the state level, that grants the right to practice certain skills and endeavors |
| reciprocity | The process by which a professional license obtained in one state may be accepted as valid in other states by prior agreement without reexamination |
| revocation | Revoking licenses for health care professionals to practice |
| suspension | Temporarily recalling licenses for health care professionals to practice |
| certification | A voluntary credentialing process whereby applicants who meet specific requirements may receive a certificate |
| registration | A credentialing process whereby one’s name is listed on a register after having met certain educational criteria within a profession. |
| scope of practice | The determination of the duties/procedures that a person may or may not perform under the auspices of a specific health care professional’s license |
| accreditation | Official authorization or approval for conforming to a specified standard for health care education programs, health care facilities, and managed care facilities |
| The authority that governs the practice of medicine is called | Medical practice act |
| Which of the following would have been the appropriate response for the granddaughter requesting that Melody get her a soft drink? | All of these - Yes. What kind do you want? , I am glad to get that for you, I am glad to get that for you as soon as I finish with my next patient. |
| Does it seem as if Melody really likes her job as a CNA? Why? | Yes, but it is sometimes frustrating. |
| Oftentimes when a patient's family seems unreasonably demanding, it is because | the family is under stress and may be worried about the patient. |
| A mandatory credentialing process is known as: | Licensure |
| The Joint Commission accredits: | All of these are correct - Hospitals, Assisted living facilities, Behavioral health care organizations |
| A physician's license may be revoked or suspended for which reasons? Multi | All of these are correct - Unprofessional conduct, Conviction of a felony, Personal or professional incapacity |
| Which credential is earned by completing a national examination? | Certification |
| Jane is a nurse in Iowa. She moves to Florida. Her nursing license from Iowa is accepted by Florida. This is called _________blank. | Reciprocity |
| The determination of the duties/procedures that a person may or may not perform under the auspices of a specific health care professional’s license is called: | Scope of practice |
| Certification of a health care professional is usually done by _________ | a health care professional organization |
| Which of these credentials is mandatory for certain health professionals to practice in their field? | Licensure |