WGU D050 HISTORY OF HEALTHCARE IN AMERICA FINAL EXAM LATEST 2023-2024 REAL EXAM 250 QUESTIONS AND CORRECT ANSWERS|AGRADE

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

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

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.