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NURS 6531 Final, part one
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NURS 6531 Final, part one
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NURS 6531 FINAL, PART ONEQUESTIONS WITH VERIFIED ANSWERS
A small, rural hospital is part of an Accountable Care Organization (ACO) and is designated as a Level 1
ACO. What is part of this designation? p. 2
a. Bonuses based on achievement of benchmarks
b. Care coordination for chronic diseases
c. Standards for minimum cash reserves
d. Strict requirements for financial reporting - ANS: A
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared savings
bonuses based on achievement of benchmarks for quality measures and expenditures. Care coordination
and minimum cash reserves standards are part of Level 2 ACO requirements. Level 3 ACOs have strict
requirements for financial reporting.
What was an important finding of the Advisory Board survey of 2014 about primary care preferences of
patients? p. 2
a. Associations with area hospitals
b. Costs of ambulatory care
c. Ease of access to care
d. The ratio of providers to patients - ANS: C
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to care, walk-in
settings and the ability to be seen within 30 minutes, and care that is close to home. Associations with
hospitals, costs of care, and the ratio of providers to patients were not part of these results.
Which assessments of care providers are performed as part of the value-based purchasing (VBP)
initiative? (Select all that apply.) p. 1
a. Appraising costs per case of care for Medicare patients
b. Assessing patients' satisfaction with hospital care
c. Evaluating available evidence to guide clinical care guidelines
d. Monitoring mortality rates of all patients with pneumonia
e. Requiring advanced IT standards and minimum cash reserves - ANS: A, B, D
,Value-based purchasing looks at five domain areas of processes of care, including efficiency of care (cost
per case), experience of care (patient satisfaction measures), and outcomes of care (mortality rates for
certain conditions). Evaluation of evidence to guide clinical care is part of evidence-based practice. The
requirements for IT standards and financial status are
part of Accountable Care Organization standards
What is the purpose of Level II research? p. 6
a. To define characteristics of interest of groups of patients
b. To demonstrate the effectiveness of an intervention or treatment
c. To describe relationships among characteristics or variables
d. To evaluate the nature of relationships between two variables - ANS: C
Level II research is concerned with describing the relationships among characteristics or variables. Level I
research is conducted to define the characteristics of groups of patients. Level II research evaluates the
nature of the relationships between variables. Level IV
research is conducted to demonstrate the effectiveness of interventions or treatments.
Which is the most appropriate research design for a Level III research study? p. 6
a. Epidemiological studies
b. Experimental design
c. Qualitative studies
d. Randomized clinical trials - ANS: B
The experimental design is the most appropriate design for a Level III study. Epidemiological studies are
appropriate for Level II studies. Qualitative designs are useful for Level I studies. Randomized clinical
trials are used for Level IV studies.
What is the purpose of clinical research trials in the spectrum of translational research? p. 6
a. Adoption of interventions and clinical practices into routine clinical care
b. Determination of the basis of disease and various treatment options
c. Examination of safety and effectiveness of various interventions
d. Exploration of fundamental mechanisms of biology, disease, or behavior - ANS: C
Clinical research trials are concerned with determining the safety and effectiveness of interventions.
Adoption of interventions and practices is part of clinical implementation. Determination of the basis of
disease and treatment options is part of the preclinical research phase. Exploration of the fundamental
mechanisms of biology, disease, or behavior is part
of the basic research stage.
,Which statement made by a health care provider demonstrates the most appropriate understanding for
the goal of a performance report?
a. "This process allows me to critique the performance of the rest of the staff."
b. "Most organizations require staff to undergo a performance evaluation yearly."
c. "It is hard to be personally criticized but that's how we learn to change."
d. "The comments should help me improve my management skills." - ANS: D
The mgoal mof mthe mperformance mreport mis mto mprovide mguidance mto mstaff min mthe mareas mof
mprofessional mdevelopment, mmentoring, mand mleadership mdevelopment. mA mpeer mreview mis mwritten
mby mothers mwho mperform msimilar mskills m(peers). mThe mremaining moptions mmay mbe mtrue mbut mdo mnot
mprovide mevidence mof munderstanding mof mthe mgoal mof mthis mprofessional mrequirement.
Which massessment mquestion mwould ma mhealth mcare mprovider mask mwhen mengaging min mthe mprevisit
mstage mof mthe mnew mmodel mfor mprimary mcare? m(Select mall mthat mapply.)
a. m"Are myou mready mto mdiscuss msome mof mthe mcommunity mresources mthat mare mavailable?"
b. m"Are myou mexperiencing many mside meffects mfrom myour mnewly mprescribed mmedications?"
c. m"Do myou manticipate many mproblems mwith madhering mto myour mtreatment mplan?"
d. m"Are myou mready mto mdiscuss mthe mresults mof myour mlaboratory mtests?"
e. m"Do myou mhave many mquestions mabout mthe mlab mtests mthat mhave mbeen mordered mfor myou?" m- mANS:
mB, mC, mE
The mnursing mresponsibilities min mthe mprevisit mstage minclude massessing mthe mpatient's mtolerance mof
mprescribed mmedications, munderstanding mof mexisting mtreatment mplan, mand meducation mabout
mrequired mlab mtesting. mThe mprimary mcare mprovider mis mresponsible mfor mscreening mlab mdata mand
discussing mcommunity mresources mduring mthe mactual mvisit.
What mis mthe mQuadruple mAim? mp. m15 m- m1) mImproved mpatient msatisfaction
2) mReduce mper mcapita mcosts
3) mImprove mpopulation mhealth
4) mImprove mpatient mcare mteam mexperience
To mreduce madverse mevents massociated mwith mcare mtransitions, mthe mCenters mfor mMedicare mand
mMedicaid mService mhave mimplemented mwhich mpolicy?
a. mMandates mfor mcommunication mamong mprimary mcaregivers mand mhospitalists
b. mPenalties mfor mfailure mto mperform mmedication mreconciliations mat mtime mof mdischarge
c. mReduction mof mpayments mfor mpatients mreadmitted mwithin m30 mdays mafter mdischarge
d. mRequirements mfor mwritten mdischarge minstructions mfor mpatients mand mcaregivers m- mANS: mC
, As ma mcomponent mof mthe mAffordable mCare mAct, mthe mCenters mfor mMedicare mand mMedicaid mService
mdeveloped mthe mReadmissions mReduction mProgram mreducing mpayments mfor mcertain mpatients
mreadmitted mwithin m30 mdays mof mdischarge. mThe mCMS mdid mnot mmandate mcommunication, minstitute
mpenalties mfor mfailure mto mperform mmedication mreconciliations, mor mrequire mwritten mdischarge
minstructions.
According mto mmultiple mresearch mstudies, mwhich mintervention mhas mresulted min mlower mcosts mand
mfewer mrehospitalizations min mhigh-risk molder mpatients?
a. mCoordination mof mposthospital mcare mby madvanced mpractice mhealth mcare mproviders
b. mFrequent mposthospital mclinic mvisits mwith ma mprimary mcare mprovider
c. mInclusion mof mextended mfamily mmembers min mthe moutpatient mplan mof mcare
d. mTelephone mfollow-up mby mthe mpharmacist mto massess mmedication mcompliance m- mANS: mA
Research mstudies mprovided mevidence mthat mhigh-risk molder mpatients mwho mhad mposthospital mcare
mcoordinated mby man mAPN mhad mreduced mrehospitalization mrates. mIt mdid mnot minclude mclinic mvisits
mwith ma mprimary mcare mprovider, minclusion mof mextended mfamily mmembers min mthe mplan mof mcare, mor
mtelephone mfollow-up mby ma mpharmacist
1. mWhich madvantages mare mprovided mto mthe mchronically mill mpatient mby mpersonal melectronic
mmonitoring mdevices? m(Select mall mthat mapply.)
a. mHelps mprovide mmore mpatient mcontrol mtheir mhealth mand mlifestyle
b. mEliminates mneed mfor mregular mmedical mand mnursing mfollow-up mvisits
c. mHelps mthe mearly midentification mof mpatient mhealth-related mproblems
d. mHelps mhealth mcare mproviders min mkeeping mtrack mof mthe mpatient's mhealth mstatus
e. mCost mis moften mcovered mby mMedicare m- mANS: mA, mC, mD, mE
A mprimary mcare mprovider madministers mthe m"Newest mVital mSign" mhealth mliteracy mtest mto ma mpatient
mnewly mdiagnosed mwith ma mchronic mdisease. mWhat minformation mis mgained mby madministering mthis
mtest?
a. mAbility mto mcalculate mdata, malong mwith mgeneral mknowledge mabout mhealth
b. mEase mof musing mtechnology mand munderstanding mof mgraphic mdata
c. mReading mcomprehension mand mreception mof moral mcommunication
d. mUnderstanding mof mand mability mto mdiscuss mhealth mcare mconcerns m- mANS: mA
The m"Newest mVital mSign" mtests masks mpatients mto mlook mat minformation mon man mice mcream mcontainer
mlabel mand manswer mquestions mthat mevaluate mability mto mcalculate mcaloric mdata mand mto mgrasp
mgeneral mknowledge mabout mfood mallergies. mIt mdoes mnot mtest munderstanding mof mtechnology mor
mdirectly mmeasure mreading mcomprehension. mIt mdoes mnot massess moral mcommunication. mThe m"Ask
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