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MED 149

Chapter 3

QuestionAnswer
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
Created by: Felicia26
 

 



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