Test Bank Docx Ch16 The Future Of Healthcare And Social Work

Chapter 16: The Future of Healthcare and Social Work Practice

Multiple Choice

1. Disproportionate share hospitals (DSH) are _____________________.

a. Those in which the CEO owns more stock than other board members

b. Those in which the price of its stock has declined more than cost to provide services

c. Those that treat high numbers of indigent patients

d. Those who treat the highest number of insured patients

@ Cognitive domain: Comprehension; Answer location: State Participation Decisions; Question type: MC

2. The future focus on healthcare will be on all of the following except _____.

a. Interventions with chronic disease

b. Conditions prompted by social problems

c. Wellness

d. Closing more hospitals as the focus turns to prevention and wellness

@ Cognitive domain: Analysis; Answer location: On The Healthcare Service Delivery Horizon; Question type: MC

3. _____________________________ involves the manipulation of matter on an atomic and molecular scale and may lead to advances including new drugs that could identify and incapacitate certain viruses or create molecular surgical tools guided by computers and injected into the bloodstream that could find and destroy cancer cells.

a. Nanotechnology

b. Atomkinesis

c. Atomic dissociation

d. Electrical signal manipulation

@ Cognitive domain: Knowledge; Answer location: The Impact of Technology; Question type: MC

4. A patient-centered practice of medicine that uses particular therapies for people with specific gene sequences and focuses on the use of medicines and interventions that best meet individual genetic, lifestyle, and environmental difference is ________________________________.

a. Homeopathic medicine

b. Naturopathic medicine

c. Concierge medicine

d. Personalized medicine

@ Cognitive domain: Comprehension; Answer location: The Impact of Technology; Practice: Question type: MC

5. A physician in a ____________________ practice would have patients pay a flat fee each year for services. The physician would then be available to the patient via email, cell phone, and a guarantee of appointments within 24 hours of scheduling.

a. Homeopathic medicine

b. Naturopathic medicine

c. Concierge medicine

d. Personalized medicine

@ Cognitive domain: Knowledge; Answer location: The Impact of Technology; Question type: MC

6. The top three health goals set by older adults in 2014 include all of the following except _____.

a. Reduction in the intake of alcohol

b. Healthier eating

c. Losing weight

d. Living a more physically active lifestyle

@ Cognitive domain: Knowledge; Answer location: Changes in Consumer Behavior; Question type: MC

7. Federally qualified health centers (FQHCs) are different from accountable care organizations (ACOs) because _________________.

a. They can be either nonprofit public or private clinics

b. They use an integrated infrastructure

c. They are responsible for coordinating their patients’ care

d. They must be located in medically underserved areas or provide care to medically underserved populations

@ Cognitive domain: Comprehension; Answer location: The Advent of Integrated Care; Question type: MC

8. A system in which the insurer offers a preferred (less costly) plan to its subscribers if they use the services the insurer owns is called _______________.

a. Vertical integration

b. Backward (reverse) integration

c. Forward integration

d. Horizontal integration

@ Cognitive domain: Comprehension; Answer location: Evolution of Medical Social Work Practice: Question type: MC

9. ________________________ help individuals with chronic disease manage their chronic health conditions and characteristically feature comprehensive care management, care coordination and health promotion, comprehensive transitional care from inpatient to other settings, patient and family support, referral to community and social support services, and the use of health information technology to link services as feasible and appropriate.

a. Federally qualified health centers (FQHCs)

b. Primary care practices

c. Preferred provider plans

d. Health homes

The @ Cognitive domain: Knowledge; Answer location: Evolving Environments; Evolving Opportunities; Question type: MC

10. The term “navigator” can be used to describe

a. Individuals employed to provide enrollment assistance services to consumers of the federally facilitated marketplace (FFM) and in Consumer Assistance Partnership marketplaces (FPM)

b. Individuals employed to improve outcomes for individuals with cancer or other chronic diseases, with a specific emphasis on health disparity populations

c. Both a and b

d. Neither a nor b

@ Cognitive domain: Comprehension; Answer location: Patient Care Planning; Question type: MC

11. It is projected that a profession of expert _________________ could develop. They would understand consumer needs and how ACA rules and coverage options apply to them.

a. Marketplace assisters

b. Insurance moderators

c. Transitional care managers

d. Benefit negotiators

@ Cognitive domain: Knowledge; Answer location: Patient Care Planning Question type: MC

12. More than _________________ of all U.S. counties have no practicing psychiatrists, psychologists, or social workers.

a. One third

b. One quarter

c. One half

d. One eighth

@ Cognitive domain: Knowledge; Answer location: Behavioral Healthcare; Question type: MC

13. Obstacles to the increased use of telemedicine include __________.

a. Lack of healthcare providers who are familiar with using the Internet

b. The cost for healthcare organizations to purchase the equipment needed

c. Studies have shown that this mode of interaction is not as effective as face-to-face interactions

d. Effectively ensuring communication confidentiality

@ Cognitive domain: Comprehension; Answer location: Behavioral Healthcare; Question type: MC

14. ________________ are the most recent examples of forward integration, as they are essentially payer-like collaborations of providers that manage health insurance dollars.

a. Accountable care organizations (ACOs)

b. Community mental health centers

c. Tertiary care hospitals

d. Urgent care centers

@ Cognitive domain: Comprehension; Answer location: The Advent of Integrated Care; Question type: MC

15. Patient-centered care establishes partnerships among practitioners, patient, and __________________ (when appropriate) to ensure that decisions respect patients’ wants, needs, and preferences and that patients have the education and support they need to make decisions.

a. Their lawyers

b. Their families

c. Their employers

d. Their accountants

@ Cognitive domain: Comprehension; Answer location: The Advent of Integrated Care; Question type: MC

16. States that opt to expand Medicaid can anticipate that Medicaid disproportionate share hospital allocations will be _______________, primary care provider payments will be ______________ for a 2-year period, and state options for home and community-based services will be _________.

a. Increased/decreased/expanded

b. Increased/increased/reduced

c. Decreased/increased/reduced

d. Decreased/increased/expanded

@ Cognitive domain: Analysis; Answer location: State Participation Decisions; Question type: MC

17. To help serve the elderly in nursing homes, four types of personalized care ____________ are being developed.

a. Social work positions

b. Nursing positions

c. Robots

d. Bioinformatics programs

@ Cognitive domain: Comprehension; Answer location: The Impact of Technology; Question type: MC

18. The 2014 National Council on Aging Survey found that the top services anticipated to be needed by an aging population include _____________, transportation, and long-term care.

a. Phones for the hearing impaired

b. Home maintenance

c. Adult day care

d. Ombudsman services

@ Cognitive domain: Knowledge; Answer location: Changes in Consumer Behavior; Question type: MC

19. Medicaid payments average about _____________ of private health insurance, making it more difficult for patients who rely on Medicaid as their primary source of health coverage to find providers who will provide services to them.

a. 49%

b. 58%

c. 80%

d. 92%

@ Cognitive domain: Knowledge; Answer location: Physician Services; Question type: MC

20. The future holds promise for the creative use of social work in healthcare. The challenge includes __________________________.

a. Determining which dimensions of the profession are congruent with the unfolding healthcare directions

b. Generating increased interest in healthcare practice

c. Providing a sufficient supply of skilled practitioners

d. A, B, & C

@ Cognitive domain: Analysis; Answer location: Behavioral Healthcare: Question type: MC

True/False

1. Advances in genetic engineering have halted due to fears that it could lead to eugenics.

a. True

b. False

@ Cognitive domain: Analysis; Answer location: The Impact of Technology ; Question type: TF

2. Some states have refused the Medicaid expansion due to fear of cost. Ironically, nonparticipating states will end up bearing a significant share of the overall costs to expand the Medicaid program through federal tax payments while not having the opportunity to appreciate any benefits.

a. True

b. False

@ Cognitive domain: Analysis; Answer location: State Participation Decisions; Question type: TF

3. One benefit of electronic medical records (EMRs) and electronic health records (EHRs) is that in some cases, patients may view and change aspects of their medical record via a patient portal.

a. True

b. False

@ Cognitive domain: Comprehension; Answer location: The Impact of Technology; Question type: TF

4. It is predicted that behavioral health disorders will surpass all physical diseases as a major cause of disability.

a. True

b. False

@ Cognitive domain: Knowledge; Answer location: The Impact of Technology; Question type: TF

5. While telemental health technologies sound promising, the differences between Internet-based therapy and face-to-face therapy have been profound, and this technology has several significant hurdles to overcome before it can be utilized with any regularity.

a. True

b. False

@ Cognitive domain: Knowledge; Answer location: The Impact of Technology; Question type: TF

6. Transdisciplinary research involves advocates, social scientists, and “hard” scientists as well as other stakeholders in coalitions to work on basic and applied research for the public good.

a. True

b. False

@ Cognitive domain: Analysis; Answer location: The Advent of Managed Care; Question type: TF

7. While the employment opportunities for social workers are expected to grow by 25%, healthcare social work positions will not increase due to the use of transdisciplinary teams.

a. True

b. False

@ Cognitive domain: Analysis; Answer location: Evolving Environment; Evolving Opportunity; Question type: TF

8. All state marketplaces are required to have navigators and other similar assister programs to help consumers understand their coverage options, apply for assistance, and enroll.

a. True

b. False

@ Cognitive domain: Knowledge; Answer location: Patient Care Planning; Question type: TF

Short Answer/Essay

1. Licensing issues may arise when practitioners interact with patients across state lines via _______________________________.

a. Telemedicine

@ Cognitive domain; Application; Answer location: Behavioral Healthcare; Question type: FIB

2. Describe at least four ways the Patient Protection and Affordable Care Act (PPACA) impacts healthcare delivery.

a. Expands eligibility to Medicaid for lower-income adults under the age of 65; Enhances federal support for the Children’s Health Insurance Program (CHIP); Simplifies enrollment for Medicaid and CHIP; Provides new options for long-term services and supports; Improves coordination for dual-eligible individuals; Improves Medicaid quality for patients and providers

@Cognitive domain: Analysis; Answer locations: The Patient Protection And Affordable Care Act of 2010; Question type: ESS

3. Describe four reasons the healthcare environment has been and will probably continue to be in a state of flux.

a. Escalating healthcare costs; Greater number of aging consumers; Growth in the extent of public financing for healthcare; Heightened decision-making expectations by patients; Previously uninsured accessing healthcare; Sophisticated technologies

@Cognitive domain: Analysis; Answer location: On The Healthcare Policy Horizon; Question type: ESS