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Chapter 4
    Health Care Systems: Patients, Staff, and Institutions

    1.     According to the text, what is the most commonly held fear about dying?
     A)     dying in pain and loneliness
     B)     causing a burden to one's families and friends
     C)     the inefficient service at hospitals
     D)     the high cost of health care

     2.     Hospital health care focuses primarily on which aspect of the patient's well-being?
     A)     mental    B)  physical    C)  spiritual    D)  emotional

     3.     Which one of the following is an effect of the recent trend toward standardized treatment?
     A)     People have medical examinations regularly.
     B)     Hospital policies and prices are more flexible.
     C)     People are enjoying better health care service.
     D)     Medical care is viewed in terms of "products."

     4.     Which of the following is considered a yardstick for measuring health care choices in relation to available resources?
     A)    "Technological Imperative”       C)     DRGs
     B)     QALYs                                       D)     “Principle of Asymmetry”

     5.    Palliative care is best known for
     A)  curative properties               C) increasing quality of life
     B)  extending life                         D) advanced medical hospitals

     6.     According to the text, which of the following is NOT a principle of a good death?
     A)     to have lived a long and happy life.
     B)     to be afforded dignity and privacy.
     C)    to have time to say goodbye.
     D)    to be able to issue advance directives that ensure wishes are respected.

     7.     Hospice care is distinguished by its orientation toward
     A)     working only with lay people.      C)     the needs of cancer patients.
     B)     the needs of dying patients.        D)     eliminating nursing homes.       

     8.     The future of hospice might include these three levels of care
     A)     palliative, curative, caring.               C)     long-term, high-tech, curative.
     B)     traditional, long-term, high-tech.      D)     quality of life, high-tech, palliative.

     9.       Which of the following is an element of traditional health care that is being reinstated for dying patients?
     A)     isolation of the sick      C)     group health care
     B)     healing temples            D)     home health care


     10.     The purpose of the triage system is to
      A)     use the helicopter more efficiently.
      B)     avoid fighting among patients.
      C)     reduce the time between injury and care.
      D)     standardize medical treatment.


     T     F     11.     Rather than be subjected to futile treatments at the end of life, some people complete advance   directives.

     T     F     12.     Historically, hospices were built on a military model of efficiency.

     T     F     13.      One requirement in qualifying for hospice care is a doctor's certification that a patient's life    expectancy is six months or less if the illness runs its normal course.

     T     F     14.     Because of their frequent exposure to death, health care professionals find it less stressful than other people do.