Nokea
Which are true statements about the Affordable Care Act?
- A. It makes some services such as preventative care and vaccinations free to the patient.
- B. It allows young adults up to the age of 30 to stay on their parents' health insurance policies.
- C. It has ensured that all Americans have health insurance coverage.
- D. It requires everyone to have health insurance or else pay a special tax.
- E. Many insurers are no longer offering insurance coverage through the exchanges.
Correct Answer: A,D
Rationale: The ACA provides free preventive care and mandates insurance with a tax penalty, but does not cover all Americans, and young adults can stay on parents' insurance until 26.
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An 81-year-old woman had a total hip replacement 1 month ago but has had difficulty swallowing related to an injury from the breathing tube. Three weeks ago she had a feeding tube placed through her abdominal wall directly into her stomach (a gastrostomy) to help her get enough calories and for administering medications. She has been improving and has just started a thickened-liquids diet. Which of the following would be the appropriate level of care for her?
- A. Acute care hospital
- B. Skilled nursing facility
- C. Rehabilitation facility
- D. Long-term acute care hospital
Correct Answer: B
Rationale: A skilled nursing facility is appropriate for her ongoing care needs, including feeding tube management and therapy.
Match the following Key Term(s) or italicized words from your text with the correct description: Point of service
- 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: F
Rationale: A POS plan allows patients to choose providers in or out of network with a primary care physician as gatekeeper.
TRICARE for retired military personnel and their families and CHAMPVA for veterans are examples of
- A. preferred provider organizations (PPOs).
- B. point-of-service (POS) insurance plans.
- C. insurance for special populations.
- D. insurance through charitable organizations.
Correct Answer: C
Rationale: TRICARE and CHAMPVA are specialized insurance programs for military personnel and veterans.
Fill in the blank with the correct Key Term(s) or italicized words from your text: ___ can be one or many types of health or medical services provided to patients in their home because they are confined to their home by an illness or disability.
- A. Hospice care
- B. Home health care
- C. Rehabilitation care
- D. Skilled nursing care
Correct Answer: B
Rationale: Home health care provides medical services to patients confined to their homes.
Which of the following is the major difference between an assisted living facility and an independent living facility?
- A. There is no major difference.
- B. Independent living facilities do not provide nursing care.
- C. Residents must have medical needs to be placed in an assisted living facility.
- D. Assisted living facilities provide activities, but independent living facilities do not.
Correct Answer: B,C
Rationale: Assisted living facilities provide nursing care for residents with medical needs, unlike independent living facilities.