1.
Global aging will have an impact on the following:
Correct Answer
D. All of the above
Explanation
Global aging will have an impact on health care, immigration, and finance. As the global population ages, there will be an increased demand for healthcare services to cater to the needs of older individuals. This will require adjustments in healthcare systems to provide adequate and specialized care. Additionally, global aging can affect immigration patterns as countries may need to attract younger immigrants to support their aging populations and fill labor gaps. Finally, the financial implications of global aging are significant, as it can strain social security systems, pension funds, and healthcare budgets. Therefore, all of the above options are correct.
2.
Name the new sub-specialty approved by ACGME for Board Certification in 2008:
Correct Answer
C. Hospice and Palliative Medicine
Explanation
Hospice and Palliative Medicine is the correct answer because it was approved as a new sub-specialty for Board Certification by ACGME in 2008. This specialty focuses on providing care for patients with life-limiting illnesses, with the goal of improving their quality of life and managing their symptoms. It involves a multidisciplinary approach, including medical, psychological, and spiritual support for both the patient and their families. This sub-specialty addresses the growing need for specialized care for patients with advanced illnesses and has gained recognition and importance in the medical field.
3.
Which of the following is not one of the five barriers to quality decision making:
Correct Answer
D. Accurately estimating prognosis
Explanation
Accurately estimating prognosis is not one of the five barriers to quality decision making. The other options listed - not addressing advanced directives, not addressing goals of care, and agesim and stereotyping - are all barriers that can hinder the quality of decision making. Accurately estimating prognosis, on the other hand, is an important aspect of decision making that involves predicting the likely outcome of a medical condition or treatment.
4.
All of the following are goals of care except:
Correct Answer
A. Pneumonia
Explanation
The given question is asking for the goal of care that is not included in the options provided. Pneumonia is a medical condition and not a goal of care. The other options, longevity, independence, and peaceful death, all represent different goals that individuals may have for their care. Longevity refers to the desire to live a long and healthy life, independence represents the goal of being able to perform daily activities without assistance, and peaceful death refers to the wish for a comfortable and dignified end of life. Therefore, the correct answer is pneumonia, as it does not align with the goals of care mentioned in the other options.
5.
The Dartmouth Atlas is an online publication that:
Correct Answer
B. Evaluates variations in healthcare utilization
Explanation
The Dartmouth Atlas is an online publication that evaluates variations in healthcare utilization. This means that it analyzes and assesses the differences in the use of healthcare services and resources across different regions or populations. It provides insights into how healthcare resources are distributed and utilized, highlighting any discrepancies or variations in access, treatment patterns, and healthcare outcomes. The Dartmouth Atlas helps identify areas where healthcare utilization may be inefficient or where there may be disparities in access to care, allowing policymakers and healthcare providers to make informed decisions and improve healthcare delivery.
6.
All of the following are part of the goals of care model of healthcare except:
Correct Answer
D. ICD 10
Explanation
The ICD 10 is not part of the goals of care model of healthcare. The goals of care model focuses on the diagnosis, prognosis, and setting goals for the patient's care. The ICD 10, on the other hand, is a coding system used for classifying and documenting diseases and medical conditions. While it is an important tool in healthcare, it is not directly related to the goals of care model.
7.
The POLST form represents all of the following except:
Correct Answer
C. Not portable across healthcare setting
Explanation
The POLST form is a medical document that contains actionable medical orders for end-of-life care. It is completed after a prior discussion on end-of-life care between the patient and healthcare provider. The form is designed to be portable across healthcare settings, ensuring that the patient's preferences for care are honored regardless of where they receive treatment. Therefore, the correct answer is "Not portable across healthcare settings" as it is the only option that does not accurately describe the POLST form.
8.
The NJ POLST form includes a section that dictates whether a family member can change advanced directives in the event of incapacity:
Correct Answer
A. True
Explanation
The NJ POLST form includes a section that dictates whether a family member can change advanced directives in the event of incapacity. This means that in New Jersey, the POLST form allows for a family member to make changes to the advanced directives on behalf of the patient if the patient becomes incapacitated. This ensures that the patient's wishes and preferences are still respected even if they are unable to communicate or make decisions for themselves.
9.
In NJ Podiatrists can fill out POLST forms:
Correct Answer
B. False
Explanation
Podiatrists are healthcare professionals who specialize in foot and ankle care. While they play a crucial role in treating various foot conditions, they do not have the authority to fill out POLST (Physician Orders for Life-Sustaining Treatment) forms. POLST forms are typically completed by physicians, nurse practitioners, or physician assistants who are directly involved in a patient's care and are trained to make decisions regarding life-sustaining treatments. Therefore, the statement that podiatrists can fill out POLST forms is false.
10.
The NJ POLST form can be used by anyone with strong medical convictions:
Correct Answer
A. True
Explanation
The NJ POLST form, also known as the Practitioner Orders for Life-Sustaining Treatment, is a medical document that outlines a patient's preferences for end-of-life care. It is not limited to healthcare professionals or specific individuals but can be used by anyone who has strong medical convictions. This means that individuals who have clear preferences regarding the use of life-sustaining treatments can utilize the NJ POLST form to ensure their wishes are respected and followed by healthcare providers.