Nokea
Match the following Key Term(s) or italicized words from your text with the correct description: Managed care
- A. The federal government's health insurance program for people older than 65 years or those with certain disabilities or conditions
- B. A federally and state-funded health insurance program for individuals who are poor and medically indigent, pregnant women, individuals with disabilities, and children meeting income level requirements
- C. A system of health-care delivery aimed at managing the cost and quality of access to health care
- D. The insurance company that finances health care provided to a beneficiary
- E. A cost-containment program featuring a primary care physician (PCP) as the gatekeeper to eliminate unnecessary testing and procedures
- F. A classification of illnesses and diseases that is then used to determine the amount of money paid to a hospital by Medicare
- G. A group of health-care providers who contract with a health insurance company to provide services to a specific group of patients on a discounted basis
Correct Answer: E
Rationale: Managed care focuses on controlling costs and quality of health care access.
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A 48-year-old male patient has been hospitalized for 6 weeks in an acute care facility after being involved in a car accident. He was driving while intoxicated and admitted to being an alcoholic. He went through alcohol withdrawal while he was recovering from his injuries and has received some information about alcoholism treatment from a psychologist. He has his own business, is married, has four children, and has adequate health insurance. What care options are best for this man at this time?
- A. Inpatient drug and alcohol rehabilitation facility
- B. Ambulatory care clinic
- C. Outpatient mental health services
- D. Home health care
Correct Answer: A,C
Rationale: Inpatient rehab addresses his alcoholism, and outpatient mental health services support ongoing recovery.
Which of the following represents the desired outcomes of cardiac rehabilitation?
- A. To prevent worsening heart disease, new cardiac events, and premature death
- B. To provide exercise and nutritional guidance
- C. To provide care in a more cost-effective manner
- D. To help patients recover as quickly as possible
Correct Answer: A,B,D
Rationale: Cardiac rehabilitation aims to prevent heart disease progression, provide guidance, and aid recovery.
Match the following Key Term(s) or italicized words from your text with the correct description: Medicaid
- A. The federal government's health insurance program for people older than 65 years or those with certain disabilities or conditions
- B. A federally and state-funded health insurance program for individuals who are poor and medically indigent, pregnant women, individuals with disabilities, and children meeting income level requirements
- C. A system of health-care delivery aimed at managing the cost and quality of access to health care
- D. The insurance company that finances health care provided to a beneficiary
- E. A cost-containment program featuring a primary care physician (PCP) as the gatekeeper to eliminate unnecessary testing and procedures
- F. A classification of illnesses and diseases that is then used to determine the amount of money paid to a hospital by Medicare
- G. A group of health-care providers who contract with a health insurance company to provide services to a specific group of patients on a discounted basis
Correct Answer: B
Rationale: Medicaid is a joint federal and state program for low-income individuals, pregnant women, those with disabilities, and children.
Which of the following statements are true regarding health departments?
- A. They are funded by all levels of government.
- B. They provide immunizations.
- C. They track and treat communicable diseases.
- D. They run the Women, Infants, and Children (WIC) health program.
Correct Answer: A,B,C,D
Rationale: Health departments are government-funded and provide immunizations, track diseases, and run programs like WIC.
In client-centered care, patients are encouraged to have a voice in goal setting and in deciding how the goals will be met.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Client-centered care empowers patients to participate in their care decisions.