Ch4 History Of The Development Of Rural Full Test Bank

Chapter 4: History of the Development of Rural Health in the USA

Multiple Choice

1. _____________ started tracking cholera outbreak in London in 1854.

A) Louis Pasteur

B) John Snow

C) Alexander Fleming

D) Rudolf Virchow

E) None of these is correct.

2. _____________ published a general report on the sanitary conditions of the laboring population of Great Britain.

A) Emil von Behring

B) Bernardino Ramazzini

C) Edwin Chadwick

D) Charles Hennekens

E) Jonas Salk

3. The Affordable Care Act makes revisions and restructuring in:

A) healthcare finance.

B) healthcare delivery.

C) minimum standards for health coverage.

D) private health insurance market.

E) All of these are correct.

4. Public health in the US began in the:

A) early 1700s.

B) early 1800s.

C) late 1700s.

D) late 1800s.

E) None of these is correct.

5. Part D of Medicare covers:

A) inpatient hospital services.

B) preventive care.

C) prescription drugs.

D) outpatient hospital services.

E) None of these is correct.

6. In addition to the Hill-Burton Act, other legislation that prompted rural public health includes:

A) Rural Resources Act of 1977.

B) Public Health Service Act of 1975.

C) Rural Health Clinic Act of 1977.

D) Public Resource Service Act of 1975.

E) Public Health Service Act of 1975 and Rural health clinic Act of 1977 only.

7. President ____________ signed the law that effected the Medicare program.

A) Richard Nixon

B) John Kennedy

C) Lyndon Johnson

D) Gerald Ford

E) Dwight Eisenhower

8. Eligibility criteria for Medicare include:

A) people over the age of 65 years.

B) people under the age of 65 years with certain disabilities.

C) anyone below federal poverty income level.

D) people of any age with end stage renal disease.

E) people under the age of 65 years with certain disabilities and people of any age with end stage renal disease.

9. President ____________ signed the law that effected the Affordable Care Act (ACA).

A) George Bush

B) Bill Clinton

C) Barrack Obama

D) Ronald Reagan

E) Jimmy Carter

10. Medicare is made up of all the following parts except:

A) Part A.

B) Part B.

C) Part C.

D) Part D.

E) Part E.

11. The Office of the Rural Health Policy (ORHP) assist states by:

A) collecting health related information.

B) conducting research.

C) offering technical assistance.

D) policy advocacy.

E) All of these are correct.

12. Recommendations from the Massachusetts sanitary commission includes all the following except:

A) supervision of town planning and building.

B) new census schedule.

C) supervision of water supply and waste disposal.

D) survey of local health conditions.

E) establishment of a state board of health.

True/False

1. True or False? The focus of public health in the 1800s was sanitation and close proximity (overcrowding).

2. True or False? One hundred percent of rural hospital closures have been in non-expanded states.

3. True or False? In the 1800s, public health in rural areas existed through local community organization and nurses.

4. True or False? The primary goal of the ACA (Affordable Care Act) is to decrease access to health insurance and make it less affordable.

5. True or False? States play a minor role in expanding Medicaid, reviewing health insurance premium increases, enforcing new market regulation, and developing health insurance exchange.

6. True or False? The Affordable Care Act is a comprehensive healthcare reform.

7. True or False? The main objective of Medicaid is to provide access, better quality of care, specific benefits, and enhanced outreach programs for the elderly or disabled.

8. True or False? Medicaid Part A is for inpatient hospital services.

9. True or False? In the 1800s, in rural areas, formal local health departments were created because of disease outbreaks.

Essay

1. In 1945, the Hill-Burton Act passed by congress funded creation of hospitals and health centers in rural areas. Currently, there is mass closure of rural hospitals in the US. Should rural hospitals close? If no, any suggestions on how this can be reversed?

2. The discussion on comprehensive healthcare coverage for all Americans has met with a lot of skepticism. Do you think this is possible, and if yes, can you propose strategies on how this can be done?

3. What is the future of rural health in the US, and what factors contribute to this future?