1. CHAPTER 1 Managed care organizations are insurers that carefully plan and closely supervise the distribution of healthcare services. What is one of the goals of managed care? A) Preventing illness through screening and promotion of health activities B) Improving training of healthcare professionals C) Eliminating health disparities between segments of the population D) Providing hospice or home hospice care Ans: A Feedback: Preventing illness through screening and promotion of health activities is one of the goals of managed care. Improved training of healthcare professionals is the priority for international health and not the goal of managed care. Eliminating health disparities between the segments of population is a goal of Healthy People 2020. Providing hospice or home hospice care is only for terminally ill clients. 2. In an effort to cut costs, hospitals have instituted many changes. Which of these cost-cutting factors is most likely to jeopardize the quality of care? A) Using unlicensed assistive personnel B) Increasing numbers of clients in hospitals C) Not devoting enough time to the client D) The rise of medical care costs in healthcare systems Ans: A Feedback: Hospitals are using unlicensed assistive personnel to perform some duties practical and registered nurses once provided. Many are concerned that the use of unlicensed assistive personnel will jeopardize the quality of care. Increasing numbers of clients in hospitals, not devoting enough time to the client, or the rise of medical costs are less likely to Page 3 jeopardize the quality of care. 3. Since losing his right leg years ago, Mr. Smith and his wife have formed a community walking group to raise money for the homeless in his area. Which of the following has contributed to him being viewed as “healthy”? A) The client is married and is moving on. B) The client is experiencing high quality of life within the limits of the physical condition. C) The client is facing various states of health and illness. D) The client is physiologically and psychologically stable. Ans: B Feedback: Clients adapt physically, emotionally, and socially, enabling them to maintain comfort, stability, and self-expression. Clients with chronic illness can achieve a high level of wellness and experience high quality of life. Marriage is an aspect of quality of life but does not define the quality of the client's life. All clients experience various states of health and illness.