WGU D050 HISTORY OF HEALTHCARE
IN AMERICA FINAL EXAM LATEST
2023-2024 REAL EXAM 250 QUESTIONS
AND CORRECT ANSWERS|AGRADE
What is a benefit of the value-based care model for patients? – ANSWER- They
receive evidence-based treatment.
What is a mezzo factor that has an impact on value-based behavioral healthcare? –
ANSWER- Developing a school counseling program
Which federal agency regulates the use of medical devices, such as pacemakers
and surgical instruments? – ANSWER- Food and Drug Administration (FDA)
Which provision of the Department of Health and Human Services (HHS) Code of
Regulations (45CFR part 50) is involved with approving or disapproving all human
subject research activities? – ANSWER- Institutional review board review
Which regulatory entity sets and enforces standards through training, outreach,
education, and assistance to ensure health and safety in the workplace? –
ANSWER- Occupational Safety and Health Administration
Which law lowers the cost of health insurance for households with incomes below
the federal poverty level? – ANSWER- Patient Protection and Affordable Care Act
Which movement was responsible for this change? – ANSWER- Medicare hospice
benefit
A healthcare provider is reviewing the provisions associated with the Patient SelfDetermination Act (PSDA) of 1990 to make sure all requirements for compliance
are explained in training materials for new employees. Which outcome of this
legislation should be included in the materials? – ANSWER- Advance directives<\/p>\n\n\n\n
Locations providing mental health services in neighborhood areas had to increase
capacity in anticipation of the release of patients from state hospitals.
Which 1963 legislative action attempted to solve this problem? – ANSWERCommunity Mental Health Centers Construction Act
An individual was involuntarily admitted to a psychiatric hospital. The psychiatrist
diagnosed the patient with paranoid schizophrenia and prescribed an anti-psychotic
medication. The individual, however, is refusing to take the anti-psychotic because
of the medication’s side effect. Which court ruling established this individual’s
right to take this action? – ANSWER- Rogers v. Okin
A patient told a therapist about plans to commit a crime against another person.
The issue was discussed with a supervisor who reminded the therapist that it was a
healthcare provider’s duty to warn endangered third parties.
Which court ruling established this duty? – ANSWER- Tarasoff v. Regents of the
University of California
RATIONALE: Awareness of mental illness resulted from World War I when
soldiers returned home from suffering neurosis and were treated with drug-induced
convulsions and electroconvulsive therapy. However, the U.S. government was not
active in the treatment of mental health until the federal government later took
action.
Which federal action changed this practice? – ANSWER- National Mental Health
Act of 1946
In the early years of U.S. history, the mentally ill were confined at home, in jails,
or in poorhouses. In the first half of the 19th century, a group of individuals
adopted moral treatment principles and established the first free-standing asylum
for this population.
Which entity made this change? – ANSWER- Quakers
One common security practice required by the Health Insurance Portability and
Accountability Act (HIPAA) has end users enter a personal password every time
they access an electronic medical record (EMR).
What is this security practice called? – ANSWER- Access control<\/p>\n\n\n\n
The Health Information Technology for Economic and Clinical Health (HITECH)
Act was enacted as part of the American Recovery and Reinvestment Act (ARRA).
What year was this law passed? – ANSWER- 2009
An administrator notices that an employee has accessed another employee’s private
medical file. The administrator reports the employee’s actions to the privacy
officer. The privacy officer conducts an internal review and finds a violation.
Which agency must be notified to report this situation? – ANSWER- HHS’s Office
for Civil Rights
Which reimbursement model was established to shift payment methods from feefor-service to payment based on quality of care and positive outcomes, including
decreased rehospitalization rates? – ANSWER- Value-based
Which act was a result of Congressional hearings in the 1970s focused on
combating waste, fraud, and abuse within governmental agencies? – ANSWERInspector General Act of 1978
What was the original purpose for the creation of ICD codes? – ANSWER- To
provide epidemiologists with additional data to track diseases
Why must a notice of privacy practices (NPP) document be provided to patients? –
ANSWER- To comply with HIPAA laws
Why should a clinic have an in-network insurance contract? – ANSWER- Provides
discounted insurance rates for patients
Why was the prospective payment system established? – ANSWER- To slow down
the rate of growth of healthcare spending
Before the role of case manager expanded to include all discharges, case managers
were assigned only to patients needing post-hospital services such as rehabilitation
or nursing homes.Which hospital interdisciplinary team member(s) were
responsible for planning routine patient discharges to home during that time
period? – ANSWER- Staff nurses
What is an advantage of the brokerage case management model? – ANSWERPatients are empowered to take control by receiving referrals to outside providers.
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