This document contains questions from a final exam for a California Coast University HCA 200 course. The questions cover topics related to healthcare administration including healthcare delivery systems, healthcare occupations, healthcare organizations and facilities, healthcare finance, long-term care, public health, health policy, and medical technology.

1. California Coast University HCA 200 Final exam
QUESTIONJAN 03, 2017California Coast University HCA 200 Final examQuestion1. The
medical model includes all of the following except:a. illness and disease require treatment.b.
focus is diagnosis.c. focus is on disease prevention.d. focus is on treatment.2. The ability to
stay in business for a health care facility is based on the facility’s _________.a. sustainable
competitive advantageb. reimbursement ratesc. business pland. business viability3. Focus
areas of Healthy People 2020 and patterns of disease in the population direct research
efforts. Research can be directed at all of the following except _________.a. cureb. controlc.
preventiond. the study of rural road traffic patterns4. The Patient Protection and Affordable
Care Act _________.a. helps increase the number of people who are uninsuredb. allows the
market to drive costs upc. seeks to improve health care delivery performanced. is surveying
Americans about their health care utilization patterns5. Sustainable competitive advantage
is described by all of the following except:a. varies from business to business.b. depends on
the objectives the firm is trying to achieve.c. helps a business maintain its position in the
marketplace.d. allows the market to drive costs up.6. All of the following are categories of
health occupations except:a. service occupations.b. professional and related occupations.c.
management, business, and financial occupations.d. labor union officials.7. Accounting
__________.a. creates the product or serviceb. tracks the flow of money in and out of a
businessc. uses technology to manage informationd. includes the product, price, promotion,
and distribution to the customer8. Information technology __________.a. creates the product
or serviceb. tracks the flow of money in and out of a businessc. includes the product, price,
promotion, and distribution to the customerd. uses technology to manage information9.
Shareholders may exist in which business ownership configuration?a. corporationb.
partnershipc. sole proprietorshipd. collaboration10. A decrease in unemployment and
interest rates occurs during the following portion of the economic cycle __________.a.
prosperityb. recessionc. depressiond. recovery11. Profit is __________.a. money collected from
patients and insurance companies for health care services rendered.b. the price paid when
an individual or business borrows money.c. revenue minus costs.d. lacking during times of
prosperity.12. The Hill Burton Act __________.a. is part of the Social Security Actb. prohibits
referrals to clinical lab services where the provider has a financial interestc. involved the
federal government funding construction of private facilities pursuant to a Certificate of
Needd. provides for health insurance portability and protects the privacy of health
records513. The Stark I law __________.a. contains special provisions to protect laid-off
workers and to encourage electronic records technologyb. prohibits referrals to clinical lab

2. services where the provider has a financial interestc. involved the federal government
funding construction of private facilities pursuant to a Certificate of Needd. provides for
health insurance portability and protects the privacy of health records14. A market
economy is described by all of the following except which of the following?a. It is also called
a private system.b. It is called a free enterprise system.c. It has competition as its central
feature.d. It is not concerned with profit.15. Third-party payers are covered by both state
and federal regulations. Two of the federal regulations are ________ and _________.a. COBRA;
PPOb. ERISA; HIPAAc. COBRA; EPOd. ERICA; HIPAA16. An enrollment period is a _________.a.
binding contract between the payer and the employeeb. binding contract between the payer
and employerc. time when employees can utilize benefitsd. time when employees can
change providers17. If an employee decides to take advantage of an insurance benefit being
offered to them they are known as a/an _________.a. actuaryb. enrolleec. subscriberd. policy
holderFinal Examination18. With EPOs all of the following are true except:a. patients must
select their care providers from those in the network.b. patients may choose their physician
or hospital.c. if the patient chooses to go outside the network the services are not covered.d.
they are regulated by state insurance law.19. All of the following are true except:a. 22 states
insist on mental health parity.b. all 50 states mandate breast cancer screening.c. 16 states
mandate payment of prenatal care.d. 44 states require external review of health plan
decisions.20. HIPAA regulates all of the following except:a. portability.b. coverage on a
family plan until 26 years old.c. access.d. mandated benefits.21. Prepaid health plans
_________.a. are attractive to employers because they know in advance what the cost of
providing health care will beb. all involve an IPOc. are attractive to the service provider
because the number of patients is fixed and a certain revenue level is guaranteedd. Both a
and c are correct.22. Office of Personnel Management administers this program __________.a.
Medicareb. FEHBPc. Medicaidd. SCHIP23. Which of the following people may be eligible for
workers’ compensation?a. Julie has an accident on her way to work.b. Jan hurt herself while
vacationing at the resort where she works as a cook.c. Steve fell in the restaurant parking lot
on his lunch break.d. Scott heard an odd popping noise as he transferred a patient from the
bed to the chair24. Which of the following are likely eligible for Medicaid?a. the indigentb.
childrenc. the elderlyd. the wealthy25. Medicaid eligibility is __________.a. decided on a federal
levelb. decided on a state levelc. the same for all statesd. determined based on education26.
All of the following are true about compliance programs except:a. all claims submitted for
payment must have appropriate documentation.b. providers should receive regular training
to stay current with Medicare and Medicaid regulations.c. they are mandatory under the
Patient Protection and Affordable Care Act.d. upcoding is encouraged.27. All of the following
describe the 2010 Patient Protection and Affordable Care Act regarding fraud and abuse
except:a. there will be enhanced oversight of new providers.b. there will be provider
screening.c. a database to share information across states and federal programs is being
developed.d. penalties for false claims will be decreased.28. When providers feel that
financial incentives are inadequate, they may opt out of _________.a. CHAMPUSb. SCHIPc.
Medicaidd. FEHBP29. Emergency medicine physicians specialize in the diagnosis and
treatment of __________.a. diseases and disorders of the stomach and intestineb. changes in
organs, tissues, and cellsc. acute illness or injuryd. diseases and disorders of the mind30.

3. Pathologists specialize in __________.a. diagnosing disease by studying changes in organs,
tissues, and cellsb. diseases and disorders of the mindc. diseases and disorders of the
stomach and intestined. acute illness or injury31. The health professional responsible for
planning patient care is the ___________.a. LPNb. CNAc. CRNAd. RN32. Nurses in this setting
focus on disease prevention through community education.a. hospitalsb. public health
agenciesc. long-term care facilitiesd. medical offices33. Work schedules, supply ordering,
and record maintenance are duties of the __________.a. LPNb. staff nursec. nurse supervisord.
NP34. The use of NPs is increasing in the __________ setting.a. primary careb. specialtyc.
surgicald. pathology35. The median net income for physicians per year in primary care is
__________.a. $50,000b. $100,000c. $150,000d. $186,00036. A CTRS is a __________.a. Certified
Tumor Registry Specialistb. Certified Therapeutic Recreation Specialistc. Credentialed
Therapist of Respiratory Serviced. Certified Therapist of Respiratory Service37. Which eye
care professional makes prescription eyeglasses?a. Optometristb. Ophthalmic lab
technicianc. Dispensing opticiand. Ophthalmologist38. All of the following are true about
dieticians except:a. they provide medical nutrition therapy to patients.b. a master’s degree
is required to practice.c. they may be employed in wellness programs.d. they may practice
in teaching settings.39. All of the following are true about podiatrists except:a. they provide
39% of all foot care.b. they must graduate from an accredited college of podiatric
medicine.c. they must complete a hospital residency.d. average salaries are $200,000.40. Of
the following, which position requires an associate’s degree to practice?a. Dentistb. Dental
hygienistc. Dental assistantd. Dental lab technician41. Clinical chemistry technologists
___________.a. analyze the chemical and hormonal contents of body fluidsb. examine bacteria
and other microorganismsc. focus on the human immune systemd. examine cells for signs of
cancerFinal Examination42. The CEO is hired by the __________.a. governing boardb. medical
staffc. administrationd. state Board of Health43. This hospital area is responsible for
entering initial personal and insurance data.a. medical recordsb. ancillary servicesc.
nursingd. admitting Department44. Security and maintenance are part of the __________ area
of the organizational chart.a. facilities supportb. nursing supportc. general patient supportd.
administrative support45. All of the following are utilization measures except:a. average
daily census.b. rates of infection.c. capacity.d. average length of stay.46. All of the following
are examples of public hospitals except:a. Veteran’s Administration hospitals.b. state
psychiatric hospitals.c. county hospitals.d. hospitals owned by corporations.47. Long-term
care is anything greater than __________ days.a. 7b. 21c. 30d. 9048. The chief of the medical
staff is described by all of the following except:a. leads the medical staff.b. elected by the
other medical staff members.c. always the chief of cardiology.d. interacts with the board and
the management team.49. Outsourcing is __________.a. buying goods or services from another
provider rather than performing them by the business.b. a utilization measure.c. a quality
measure.d. mandated by Medicare.50. Staffing ratios in long-term care are __________ in
hospitals.a. greater thanb. less thanc. equal tod. No data has been collected for this.51. The
average age of all assisted living residents is __________.a. 80b.100c 60d. 8452. When Diane
and Steve return from vacation, Steve’s mom expresses her desire to get out more. Diane
wants to return to work as opposed to being a full-time caregiver for her mother-in-law.
Which care option should they explore, excluding total out-of-home care?a. adult day careb.

4. respite carec. assisted livingd. ICF care53. A LTC system that would provide physical, social,
mental health, and financial support would be considered ___________.a. aging in placeb.
spending downc. a continuum of cared. IADL54. Medical power of attorney refers to a(n)
___________.a. individual who is able to select the proper attorney for a malpractice caseb.
individual given health care decision power for another person who is deemed incapable of
making decisions.c. automatic power which any caregiver has for the care decisions of
anotherd. a power only the Veteran’s Administration may grant55. All of the following are
IADL except:a. managing moneyb. grocery shoppingc. bathingd. housekeeping56. All of the
following are primary disease processes that affect the elderly except:a. arthritis.b. athletic
injuries.c. cancers.d. dementias.57. Which of the following is not an ethical or political issue
related to LTC?a. power of attorneyb. guardianshipc. end-of-life cared. the passage of the
Hill-Burton Act58. Violent events usually precede this disorder.a. agoraphobiab. obsessive
compulsive disorderc. posttraumatic stress disorderd. generalized anxiety disorder59.
Because of its substantial role in financing mental health services, __________ has significant
influence regarding the design of mental health service delivery.a. Medicaidb. Medicarec.
Blue Cross/Blue Shieldd. private insurance1360. The discovery in the late 20th century that
there was a biochemical basis for some of the major categories of mental illness led to all of
the following changes except from __________.a. residential care to outpatient talk therapyb.
treatments relying on drug therapy to somatic and physical treatmentsc. physical or
somatic treatments to treatments relying on drug therapyd. the institutional model of care
to a general delivery and business model61. Which of the following is not a category of
human resource components in mental health care?a. specialty mental health sectorb. home
health sectorc. general medical/primary care sectord. human services sector62.
Deinstitutionalization of people committed to psychiatric hospitals and changes in
psychiatric treatment led to all of the following except:a. self-help programs.b. drop-in
centers.c. case-management services.d. fewer treatment options.63. Among the public
payers of mental health care, __________ pays the most.a. Medicaidb. Medicarec. state and
local agenciesd. Department of Veterans Affairs64. Which of the following is not a possible
risk factor for mental illness?a. family historyb. lack of social supportc. inability to readd.
strong support system65. Connecting family history, high-fat diet, and smoking to
cardiovascular disease is a(n) __________ measure.a. mortalityb. incidencec. prevalenced.
risks66. This agency maintains national health statistics.a. Food and Drug Administrationb.
Department of Health and Human Servicesc. Health Resources and Services
Administrationd. Centers for Disease Control and Prevention67. This agency works to
provide health care to people who live in areas where health care is not readily available.a.
Centers for Disease Control and Preventionb. Department of Health and Human Servicesc.
Health Resources and Services Administrationd. Centers for Medicare and Medicaid
Services68. Public health focuses on ___________.a. prevention issuesb. curative medical carec.
foundation supportd. environmental health69. Epidemiologists investigate all of the
following except:a. where a disease outbreak occurred.b. who is affected by a disease.c. how
a disease affected a victim.d. the genetic material of a bacterium.70. Functions of county and
city health departments do not include ___________.a. adult and child immunizationsb.
communicable disease controlc. raising funds for the American Cancer Societyd. community

5. assessment71. Policy development is ___________.a. the collective decision about what actions
are most appropriate for the health of the state or nation.b. making sure the necessary
actions are actually taken.c. the study of the history of a disease and its distribution
throughout a society.d. the use of surveillance data to determine changes in the number of
infected persons so the appropriate action can be taken when infection rate gets too
high.72. This legislation required drug safety testing.a. 1962 Amendment to the Food, Drug,
and Cosmetic Actb. Food, Drug, and Cosmetic Act of 1938c. Food and Drug Act of 1906d.
1959 Kefauver Senate hearings73. Several hundred people participate in this drug-testing
phase.a. Phase IIb. Phase Ic. Phase IIId. Phase IV74. Gene correction research is being used
in the treatment of ___________.a. HIV/AIDSb. multiple sclerosisc. SARSd. Parkinson’s
disease75. The medical technology industry employs about ___________ people.a. 256,000b.
423,000c. 591,000d. 725,00076. All of the following are true about ELSI except:a. it stands
for ethical, legal, and social issues.b. in the U.S. the program is part of the Human Genome
Project (HGP) budget.c. in the U.S. 3-5% of the HGP budget is devoted to this.d. ELSI is
concerned with cost/benefit issues in pharmaceuticals.77. Medications that consumers can
buy for themselves without a prescription are:a. generic drugs.b. over-the-counter drugs.c.
investigational drugs.d. disease-specific drugs.78. All of the following are true about an IND
except:a. it is submitted to begin clinical tests on human subjects.b. it is first approved by an
Institutional Review Board.c. IND stands for investigational new drug application.d. if it is
approved, phase I testing begins.79. The FDA does not require which of the following in
direct-to-consumer advertising?a. accuracyb. claims must be supported by substantial
evidencec. information must reflect a balance of risks and benefitsd. the cost of the drug
compared to other drugs must be stated80. The government’s role in prevention is all of the
following except:a. research.b. funding.c. informing.d. marketing products.81. All of the
following are true about the NIH except:a. it has 25 different centers.b. it controls a research
budget of $30 billion/year.c. it has 75 buildings on 300 acres.d. it only approves prevention
research.82. Which of the following is not a department of DHHS?a. National Eye Instituteb.
National Institutes of Healthc. Food and Drug Administrationd. Indian Health Services83. In
2006 the life expectancy in the U. S. was __________ years.a. 85b. 71c. 67d. 77 1784. Cigarette
smoking is responsible for __________ deaths per year.a. 156,000b. 443,000c. 610,000d.
750,00085. All of the following are smoking cessation treatments found to be effective
except:a. counseling.b. prescription non-nicotine medication.c. surgical intervention.d. over-
the-counter and prescription nicotine replacement products.86. Which of the following is
not true about worksite-based programs for health promotion and disease prevention?a. In
one survey, 72% of employers provided education in lifestyle behaviors.b. Plans to help
employees quit smoking cost $0.89 to $4.92 per smoker compared to treating smoking-
related illness at $6 to $33 per smoker.c. For every $1 spent on wellness programs the
employer saves $10 in health insurance costs.d. In some programs employees receive
monetary incentives to complete health assessments or participate in weight management
or tobacco cessation programs.87. In Rights theory, health care is described as a __________.a.
basic human and citizen rightb. resource to be allocated where it will do the most goodc.
right for only the fewd. resource for only the most disadvantaged88. All of following are
cultural values in America except:a. group superiority.b. humanitarianism.c. science and

6. technology.d. equal health care for all.89. Research suggests that those who are not health
literate experience almost __________% more hospitalizations than their health literate
counterparts.a. 15b. 30c. 40d. 5090. Kantian theory ___________.a. tells people they ought to
treat others as they want to be treated themselvesb. views health care as a basic rightc.
implies that health care resources should be allocated where they will do the most goodd.
states that each person is to have an equal right to basic liberties91. The life expectancy in
Sweden is __________ years.a. 85b. 81c. 67d. 7792. Countries that meet the test for justice and
fairness for their health care systems include all of the following except:a. Great Britain.b.
United States.c. France.d. Japan.93.All of the following are false about the REALM except it
___________.a. is used to assess cultural competencyb. asks patients to define medical termsc.
stands for Rapid Estimate of Adult Literacy in Medicined. has not been used to assess health
literacy94. In Mexico, health care is delivered by all of the following except:a. public
institutions.b. state and federal governments.c. Ayurevedic practitioners.d. private
hospitals.95. All of the following are true about the Mexican Social Security Institute (IMSS)
except it __________.a. was founded in 1900.b. is purpose is to provide public health to all
Mexican citizens.c. was founded in 1943.d. operates its own clinics and hospitals for insured
workers.96. This system of care provision in Mexico that covers 3% of the population caters
to the wealthy and tourists and makes high quality care accessible in the:a. public system.b.
comprehensive system.c. private system.d. universal system.97. All of the following are
positive advances that have occurred within the Mexican health care system except:a.
catastrophic health cost has been reduced by 9%.b. life expectancy is now 80.c. malaria
cases have dropped 60%.d. Mexican children now receive the same vaccinations as
Canadian children.98. Which of the following does not describe the Canadian health care
delivery system?a. It is described as a mixed system.b. It is possible to have completely
private health care.c. The vast majority of care is provided through a single payer model.d. It
is described as a market economy model.99. _________% of health care in Canada is funded
publicly and delivered privately.a. 25b. 75c. 50d. 80100. Which of the following is not a role
of the Canadian federal government?a. pay for dentistryb. provide funds to deliver services
to the provincesc. deliver services to special groups such as veterans and First Nations and
Inuit peopled. provide public health, health promotion programs, and health care research