Nursing and Healthcare

1. According to the National Institute for Health Care Management: Understanding U.S. Health Care Spending article, which of the following are correlated with the rising obesity rates in the U.S.? (Select all that apply)

a. Increase in other chronic health conditions

b. Increase in the determinants of health

c. Increase in health spending

d. Decrease in provider visits


2. As of 2009, national health expenditures in the U.S. were approximately what percentage of the Gross Domestic Product?

a.  14.9%

b. 16.0%

c. 17.6%

d. 19.2%


3. According to figures from the National Health Expenditure Accounts (NHEA), how much was spent on health care in the U.S. in 2009?

a.  $1.25 trillion

b. $2.5 trillion

c. $3.75 trillion

d. $5.0 trillion


4. Which of the following have contributed to the increases in the cost of health care? (select all that apply)

a. New medical technology

b. Growing rates of obesity

c.Perverse provider reimbursement mechanisms (i.e. fee-for-service)

d. expanded insurance coverage

e. The practice of defensive medicine


5. Comorbidities require less sophisticated coordination of care.

a. True

b. False


6. According to “Crossing the Quality Chasm,” redesigning the healthcare system involves which of the following:

a.  Evidence-based care

b. Effective use of information technology

c. Paying higher salaries to clinicians

d. All of the above

e.  None of the above

f. Both a and b


7. The Institute of Medicine Committee specified a blueprint for a health care delivery systems in the 21st century that will result in an ideal system if followed.

a. True

b. False


8. According to the Institute of Medicine, Coverage Matters: Insurance and Health Care article, historically, some of the factors that influenced whether someone was uninsured included:

a. Gender

b. Ethnicity

c. Marriage status

d. All of the above

e. None of the above

f. Both a and b


9. Historically, most of the uninsured in the U.S. have been illegal immigrants.

a. True

b. False


10. Medicaid fills in the gaps in the availability of health insurance by:

a. Covering all people below the poverty line

b. Covering just low-income children

c. Covering certain groups of low-income people

d. All of the above


11. According to the Kaiser Family Foundation, which group accounts for the most Medicaid spending?

a. Children under the age of 19

b. Unemployed adults

c. Elderly and disabled adults

d. Dual-eligibles over the age of 65


12. Meaningful Use sets the specific objectives that eligible professionals and hospitals must achieve to participate in the EHR Incentive Programs.

a. True

b. Talse


13. Providers who prove compliant with meaningful use regulations will receive what tangible benefit?

a. A meaningful use compliance certification

b. Decreased government regulation

c. Government incentive payments

d. Acceptance onto the stage 3 rules committee


13. In comparison to the general population, patients receiving Long-Term and Post-Acute Care services typically:

a. Have a smaller range of conditions

b. Have less complex conditions

c. Have a wider range of conditions that are more complex

d. Have less complex conditions that are wider in range


15. According to the Long-Term and Post-Acute Care (LTPAC) Roundtable Summary Report of Findings (Anderson), what are the two ways to capture data discussed in the article?

a. ERG and HIE

b. EHR and IHE

c. HER and HEI

d. EHR and HIE


16. The article “Adoption of Electronic Health Records in the United States” stated that there are eight barriers to adoption of Electronic Health Records. Specifically, the article mentions the barrier of “Time” and stated that productivity is initially reduced when caregivers start using the EHR’s. This is due to:

a. The Lack Curve

b. The Learning Curve

c.  The Boonstra Effect

d. The interconnect Effect


17. The article “Adoption of Electronic Health Records in the United States” discusses government incentives related to reform to adopt information technology in meaningful ways. The ____________ Act includes spending to create a network of Electronic Health Records.



c. TECH-Health

d Health Outcomes


18. The article “Adoption of Electronic Health Records in the United States” stated that in order to be considered multifunctional, Electronic Health Records need to have at least two of the following capabilities:

a. Generation of patient information, generation of patience, order exit management, decision support

b. Generation of patient registry, generation of healthy outcomes, order entry management and character support

c. Generation of patient information, generation of patient registry and panel information, order entry management and decision support

d. Generation of patient information, generation of registry and panel information, order entry management and healthy outcomes


19. The Chief Medical Information Officer is a physician who bridges the process of information management and medical practice. This position is usually seen as:

a. More administrative than clinical

b. Equally administrative and clinical

c. More clinical than administrative

d. All clinical and no administrative responsibilities–it’s a symbolic position


20. The initiation of the electronic medical record is a new strategy in today’s healthcare environment but actually began as far back as:

a. 1970’s

b. 1990’s

c. 1960’s



21. As described in the Health Affairs article, “Strategic Action in Health Information Technology: Why the Obvious has Taken So Long,” we have come a long way in healthcare IT over the past thirty-five years. However, observers have expressed repeated concerns since it’s inception. Of those concerns the most prevalent is:

a. The amount of data being collected

b. The effects on the physician/patient relationship

c. The accuracy of the patient data being collected

d. The ability to train users to be proficient in data management


22. The National Committee on Vital and Health Statistics (NCVHS) was established by Congress more than fifty years ago to serve as a public advisory body to HHS on health data, statistics, and national health information policy. They have been extremely influential over the years in establishing standards for health data, health data systems and patient record systems. One of the most important and influential pieces of legislation the NCVHS developed is:

a. The Affordable Care Act

b.  The Social Security Act

c. Health Insurance Portability and Accountability Act

d. None of the above


23. States have the flexibility to design their own Medicaid programs within federal guidelines.

a. True

b. False

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