Full Test Bank Chapter 22 Health System Behavior Change

Chapter 22

HEALTHCARE PROVIDER AND SYSTEM INTERVENTIONS PROMOTING
HEALTH BEHAVIOR CHANGE

Multiple Choice

1. Which is a least likely reason for physicians to avoid counseling a patient on smoking cessation?

A. Patients fail to quit

B. Has no impact on the patient’s health

C. Other priorities besides tobacco cessation

D. Belief that patients are not motivated to quit

2. Which is a reason why physicians do not access medical databases for assistance with implementing behavioral interventions?

A. The databases are difficult to gain access to

B. The approaches recommended are too difficult to implement

C. Evidence-based information is not included in the content

D. The process of how to implement the intervention is not included

3. Which is an outcome if a healthcare organization views chronic care management as a low priority?

A. Patients will be denied care and services

B. Patients with behavioral issues will be referred to another organization

C. Ancillary personnel will be identified to provide the interventions

D. They will not provide reimbursement for behavior change interventions

4. Which is a goal of medical education as identified by Flexner?

A. Diagnostics

B. Treatment mapping

C. Professional formation

D. Comprehensive diagnosis

5. Which is a recommendation from the Institute of Medicine to integrate behavioral and social science into medical school curricula?

A. Increase the number of psychiatric mental health courses

B. Expect all medical students to participate in personal counseling

C. Increase the amount of time caring for medically indigent patients

D. Add questions that focus on behavioral content to the licensing exam

6. Which has been shown to be an effective method to teach health behavior change interventions during medical school?

A. Text messaging

B. Website programs

C. Flip the classroom

D. White paper analysis

7. Which is an effective approach to share information about health behavior change interventions with primary care physicians (PCPs)?

A. Share intervention approaches through text messaging

B. Send information about the interventions through email

C. Provide a list of behavioral health specialists who accept referrals

D. Print articles about the interventions in the publications most often read by the PCPs

8. Which is a major principle of the Chronic Care Model?

A. Payment

B. Patient assessment

C. Role of medication

D. Creation of a treatment plan

9. Which component of the Chronic Care Model is described as promoting evidence-based clinical care consistent with patient preferences?

A. Health systems

B. Decision support

C. Self-management support

D. Clinical information system

10. Which factor of a clinical decision support system has been shown to improve health behavior outcomes?

A. Is easy to use

B. Is low in cost

C. Provides advice for patients

D. Can be accessed through a smartphone

11. For which health problem has the collaborative care model been the most successful?

A. Arthritis

B. Depression

C. Emphysema

D. Heart failure

12. Which is a healthcare system intervention for changing how health behavior change counseling occurs?

A. Collaborative care model

B. Clinical decision support systems

C. Person-centered system interventions

D. Primary care behavioral health model

13. Which is the first step when implementing person- or system-centered interventions for behavior change?

A. Assess readiness for change

B. Determine the number of visits approved by the health plan

C. Complete a literature search on action steps to implement the change

D. Identify the health behavior professional most appropriate to implement the intervention

14. Which has been identified as being the largest challenge in the implementation of integrated primary care models?

A. Time

C. Funding

C. Patient adherence

D. Physician preparation

15. Which action should be taken if a health clinic is unable to support an integrated-collaborative care model?

A. Implement an automated referral process

B. Train nursing staff to address behavioral health issues

C. Prepare printed material to share with patients about the health issue

D. Encourage the patient to seek additional care with a behavioral health professional