HCA 501 – Health Care in America essays, exam questions and answers

May 30, | nursing, med, NURS, Paper

HCA 501 – Health Care in America essays, exam questions and answers
HCA 501 – Health Care in America essays, exam questions and answers
51. What financial benefit does a small rural hospital reap by qualifying for the designation, Critical Access Hospital?
It can receive specific federal grants for serving vulnerable populations
It can use its beds for either acute care or long-term care as needed
It can increase its profitability by receiving special payments for emergency services
It can receive cost-plus reimbursement under Medicare Part A

52. Which principle of ethics requires caregivers to involve the patient in medical decision making?
Paternalism
Fidelity
Beneficence
Autonomy
53. What is the main drawback of a living will?
It cannot cover all possible situations
The patient’s agent may not act in the patient’s best interest
The person formulating a living will must have a court appointed
guardian HCA 501 – Health Care in America essays, exam questions and answers
It becomes invalid when the patient becomes incompetent
54. To participate in Medicare and Medicaid, a health care facility must be
conditioned
accredited
certified
licensed
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55. Which entity oversees the licensure of health care facilities?
The Joint Commission
Federal government
State government
Local county or city government
HCA 501 – Health Care in America essays, exam questions and answers
56. Institutional theory predicts that
for-profit and nonprofit organizations will imitate each other when faced with similar regulatory and legal constraints
as an enterprise increases in size, its unit overhead costs would
decrease
as a hospital increases in size, its economies of scale dissipate
in competitive markets, both for-profit and nonprofit organizations HCA 501 – Health Care in America essays, exam questions and answers
would deliver certain essential community benefits
57. Under this method, a primary care physician decides whether or not to refer a patient to a specialist.
Preauthorization
Prospective uti I ization review
Disease management
Closed-panel utiIization
58. When an MCO adopts capitation as the primary method of payment, which service is likely to be carved out?
Surgery
Gatekeeping
Mental health
Primary care
59. Which HMO model is likely to require heavy capital outlays to expand into new markets?
Staff model
Group model
Network model
IPA model
60. PPOs were created by __ in response to HMOs’ growing market share.
physicians
insurance companies
hospitals
independent contractors
61. Which of these organizations was specifically created to bring management expertise to physician group practices?
Virtual organizations
Physician-hospital organizations
Provider-sponsored organizations
Management services organizations
62. Where two organizations cease to exist, and a new corporation is formed:
Acquisition
Merger
Joint venture
Alliance
HCA 501 – Health Care in America essays, exam questions and answers
63. Regional health systems are often:
horizontally integrated
vertically integrated
formed into virtual organizations
formed into alliances
64. requires that any health care need is recognized, evaluated, and addressed.
long-term care
health care
individual care
total care
65. What is the primary goal of long-term care?
help patients with increased pain
cure deadly diseases
preventing institutionalization
providing socialization
66. This type of clinical category for long-term care is non-medical care provided to support and requires no active medical treatments. HCA 501 – Health Care in America essays, exam questions and answers.
personal care
nursing care
custodial care
subacute care
67. What is the most common cause of mental retardation in America?
Down’s syndrome
autism
spina bifida
epilepsy
68. The prevalence of HIV in the population has:
increased
decreased
stayed the same
none of the above
69. Which law created two categories for nursing home certification purposes?
Nursing Home Reform Act
Medical Advancement Act
Nursing Home Alternatives Act
None of the above
70. Who is the primary payer for health care services for the elderly?
Medicaid
Medicare
private insurance
none of the above
71. What was the sixth leading cause of death for Hispanic males in 2003?
heart disease
malnutrition
diabetes
homicide
72. What factor has been found to be associated with the highest injury-related mortality rate among Indian children?
cultural
prenatal care
social
poverty
73. Most medically uninsured adults are employed but are not covered because:
their employer does not offer health benefits
they do not work enough hours to qualify for health benefits
they cannot afford the premium HCA 501 – Health Care in America essays, exam questions and answers
all of the above.
74. Education and psychotherapy for children with HIV is an example of:
heatlh-related support services
population-based community health services
personal medical and preventive services
none of the above
75. Who is the principal user of the health care system?
men
children
elderly
women
76. What is defined as a “high-impact” area?
areas with over 3,000 rural health clinics
areas that serve at least 4,000 migrant workers for at least two months per year.
areas that serve at least 12,000 community members per year
none of the above.
77. Which type of patient is most likely to experience disability and more severe medical illnesses?
diabetic
cancer
depressed
elderly
78. All of the following are factors effecting the growth in health spending EXCEPT:
uninsured patients
hospital services
prescription drugs
physician services
79. What is partly responsible for the surplus of specialists in the US?
greater access to financial aid
technology
increased population
none of the above
80. Defensive medicine leads to:
decreased cesarean sections
legal risks
unnecessary tests and services
none of the above
8l. What was the most sweeping price-control initiative for Medicare?
Economic Stabilization Program HCA 501 – Health Care in America essays, exam questions and answers
Balanced Budget Act
Omnibus Budge Reconciliation
none of the above
82. What is NOT an implication for access to health and health care delivery?
access to medical care is one of the key determinants of health
measures of access reflect changes across the board
access is increasingly linked to quality of care
access is a significant benchmark in assessing effectiveness
83. Which main type of access refers to the type, site, and purpose of health services?
potential
realized
equitable
inequitable
84. What do proponents believe regarding clinical practice guidelines?
it reduces utilization
decreases scientific research
it promotes lower costs and better outcomes
increases technology
85. When public policy pertains to or influences the pursuit of health they become:
health policy
population policy
prevention policy
none of the above
86. A problem associated with government involvement in US Health Is: HCA 501 – Health Care in America essays, exam questions and answers
escalating costs
bureaucratic inflexibility
excessive regulation
all of the above
87. An insurance risk pool:
helps people acquire private insurance otherwise unavailable
helps insurance companies decrease their costs
helps employers obtain insurance for their employees
none of the above
88. All BUT which of the following presidents is mentioned in the text as contributing major changes in health policies:
President Lyndon Johnson
President John Kennedy
President Harry Truman
President Bill Clinton
89. Which branch of government is the most active in policymaking?
executive
judicial
legislative
none of the above
90. Which group have policies been created to provide access to health care?
elderly
poor children
poor adults
all of the above
9l. What is the third main concern of health care policy?
cost
research
qualify of care
technology
92. The majority of employers currently offer:
long-term plan
defined benefit plan
deductible health plan
none of the above
93. The greatest challenge in insurance is:
maintaining a balance between healthy and sick enrollees
maintaining a balance between young and elder enrollees
maintaining a balance between premium and nonpremium enrollees
none of the above
94. What is a disadvantage of managed competition?
the medical infrastructure fluctuates
increased government bureaucracy
it cannot guarantee that everyone would have equal access to care
all of the above
95. Infectious diseases and health care must be viewed from a
perspective.
cost
cultural
global
multi-faceted
96. What is a strategy used to deal with nurse shortages?
investments in training
improvement in work environments
opening new schools
all of the above
97. What approach will be used in order to improve quality and productivity? HCA 501 – Health Care in America essays, exam questions and answers
collaborative team approach
collaboration
cross-training
all of the above
98. What is the goal of evidence-based medicine?
increase the amount of patients
increase the availabilty of prescription medicine
increase the value of medicine
none of the above
99. What type of integration is represented by a chain of nursing homes?
Ve integration
Network
Horizontal integration
Diversification
100. Where a new corporation created by two partnering organizations remains independent:
Acquisition
Merger
Joint venture
Alliance
HCA 501 – Health Care in America essays, exam questions and answers

Intervention Wheel Analysis

May 30, | nursing, med, NURS, Paper

Intervention Wheel Analysis

Intervention Wheel Analysis

Intervention Wheel Analysis

The intervention wheel is a commonly used model used in public health. The purpose of this assignment is to analyze the intervention wheel and contrast it with another model used in public health. Write a 1,250-1,500 word paper, including the following:
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A description of the strengths and weaknesses of the intervention wheel.
An example of when the intervention wheel has been used in public health.
A brief description of another model used in public health.
A description of how the two models are similar.
A description of how the two models are different.

Cite two or three resources in your Intervention Wheel Analysis paper.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this Intervention Wheel Analysis assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Topic 2 DQ 1

Why are public health models important in providing quality health care? Briefly describe two public health models and their impact on quality health care.

Re: Topic 2 DQ 1
Public health is the science of protecting and improving the health of people and its communities which is achieved in promoting healthy lifestyles, prevention on injury and chronic diseases, as well as detecting, precluding and responding to infectious diseases in order to limit health disparities. Inclusive with its objectives are planned activities and programs through theories and models used in platform planning to understand and explain health behavior in guiding for the identification, development, and implementation of interventions such as health promotion and disease prevention Intervention Wheel Analysis. Because through health promotion and disease prevention programs it can empower individuals to make healthier choices and reduce their risk of disease and disability in the direction of eliminating health disparities in improving quality of life, and advancing the availability of healthcare and related services.
The Health Belief Model is a theoretical guide towards health promotion and disease prevention in explaining and predicting individual changes in health behaviors which encompasses the key elements which influences the condition of a behavioral well- being done in the following : individual’s perception of threat to sickness or disease (perceived susceptibility), belief of consequence (perceived severity), potential positive benefits of action (perceived benefits), perceived barriers and experience to factors that prompt action (indications to action), and confidence in ability to succeed (self-efficacy). Therefore, it targets social and emotional health challenges that comprises of nutrition, physical activity, alcohol, drug use, safety, and personal health. Consideration of implementation in this model includes: (a) gathering information in conducting a health needs assessments to determine who is at risk and the marked population; (b) conveying the consequences of the health issues associated with risk behaviors in a clear and unequivocal fashion to understand apparent severity; (c) communication with the target population the steps that involves in taking the recommended accomplishment in highlighting the benefits to action; (d) providing assistance in identifying and reducing barriers to action; and (e) demonstrating actions through skill development activities and providing support that enhances self-efficacy for the successful behavioral changes (RHI, 2020) Intervention Wheel Analysis.
Another public health model used is the Ecological Model, which is a useful structure for understanding the range of factors that influences health and well-being because it can assist in providing a complete perspective of the issues that affects specific health behaviors, including the social determinants of health. It is used by means of integration with other components of philosophies in ensuring the design of a comprehensive health promotion, disease prevention program or policy approach recognizing multiple levels of influence on health behaviors contains the following: (a) intrapersonal individual behavior such as knowledge, attitudes, beliefs, and personality; (b) interpersonal interactions with other people which can provide social support or create barriers in promoting healthy behavior; (c) institutional and organizational rules, regulations, policies, and informal structures that constrain or promote healthy behaviors; (d) community formal or informal social norms that exist among individuals, groups, or organizations which can limit or enhance healthy behaviors; and (e) public policy comprising of local, state, and federal policies and laws that regulate or support health actions and practices for disease prevention including early detection, control, and management (USDHHS, 2020) Intervention Wheel Analysis. Therefore, health promotion and disease prevention programs draw from theories and models that support the practice used in program planning in addressing specific health problem of the population being served with a significant range of evidence- base in building effective community health.
References:
Rural Health Information Hub (RHI), (2020). Health Belief Model. Retrieved from: https://www.ruralhealthinfo.org/toolkits/health-promotion/theories-and-models/health-belief.
U.S. Department of Health and Human Services (USDHHS), (2020). Ecological Model Theory at a Glance: A Guide for Health Promotion and Practice. Retrieved from: https://www.ruralhealthinfo.org/toolkits/health-promotion/theories-and-models/ecological Intervention Wheel Analysis.
 

Topic 2 DQ 2

There are numerous tools available for public health nurses to use. Choose the tool used in public health that is, in your opinion, the most effective. Provide a rationale for this tool’s effectiveness and provide an example of when it has been used. Intervention Wheel Analysis.