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MULTIPLE CHOICE
1. 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?
a. Bonuses based on achievement of benchmarks
b. Care coordination for chronic d...
1. Aqsmall,qruralqhospitalqisqpartqofqanqAccountableqCareqOrganizationq(ACO)qandqisqdesignatedqa
sqaqLevelq1qACO.qWhatqisqpartqofqthisqdesignation?
a. Bonusesqbasedqonqachievementqofqbenchmarks
b. Careqcoordinationqforqchronicqdiseases
c. Standardsqforqminimumqcashqreserves
d. Strictqrequirementsqforqfinancialqreporting
ANS:q A
AqLevelq1qACOqhasqtheqleastqamountqofqfinancialqriskqandqrequirements,qbutqreceivesqsharedqs
avingsqbonusesqbasedqonqachievementqofqbenchmarksqforqqualityqmeasuresqandqexpenditures.
qCareqcoordinationqandqminimumqcashqreservesqstandardsqareqpartqofqLevelq2qACOqrequireme
2. WhatqwasqanqimportantqfindingqofqtheqAdvisoryqBoardqsurveyqofq2014qaboutqprimaryqcareqp
referencesqofqpatients?
a. Associationsqwithqareaqhospitals
b. Costsqofqambulatoryqcare
c. Easeqofqaccessqtoqcare
d. Theqratioqofqprovidersqtoqpatients
ANS:q C NURSINGTB.COM
Asqpartqofqtheq2014qsurvey,qtheqAdvisoryqBoardqlearnedqthatqpatientsqdesiredq24/7qaccessqtoqc
are,qwalk-
inqsettingsqandqtheqabilityqtoqbeqseenqwithinq30qminutes,qandqcareqthatqisqcloseqtoqhome.qAssoc
iationsqwithqhospitals,qcostsqofqcare,qandqtheqratioqofqprovidersqtoqpatientsqwereqnotqpartqofqthe
seqresults.
MULTIPLEqRESPONSE
1. Whichqassessmentsqofqcareqprovidersqareqperformedqasqpartqofqtheqvalue-
basedqpurchasingq(VBP)qinitiative?q(Selectqallqthatqapply.)
a. AppraisingqcostsqperqcaseqofqcareqforqMedicareqpatients
b. Assessingqpatients’qsatisfactionqwithqhospitalqcare
c. Evaluatingqavailableqevidenceqtoqguideqclinicalqcareqguidelines
d. Monitoringqmortalityqratesqofqallqpatientsqwithqpneumonia
e. RequiringqadvancedqITqstandardsqandqminimumqcashqreserves
ANS:q A,qB,qD
Value-
basedqpurchasingqlooksqatqfiveqdomainqareasqofqprocessesqofqcare,qincludingqefficiencyqofqcareq(
costqperqcase),qexperienceqofqcareq(patientqsatisfactionqmeasures),qandqoutcomesqofqcareq(morta
lityqratesqforqcertainqconditions).qEvaluationqofqevidenceqtoqguideqclinicalqcareqisqpartqofqeviden
ce-
basedqpractice.qTheqrequirementsqforqITqstandardsqandqfinancialqstatusqareqpartqofqAccountable
qCareqOrganizationqstandards.
1. WhatqisqtheqpurposeqofqLevelqIIqresearch?
a. Toqdefineqcharacteristicsqofqinterestqofqgroupsqofqpatients
b. Toqdemonstrateqtheqeffectivenessqofqanqinterventionqorqtreatment
c. Toqdescribeqrelationshipsqamongqcharacteristicsqorqvariables
d. Toqevaluateqtheqnatureqofqrelationshipsqbetweenqtwoqvariables
ANS:q C
LevelqIIqresearchqisqconcernedqwithqdescribingqtheqrelationshipsqamongqcharacteristicsqorqv
ariables.qLevelqIqresearchqisqconductedqtoqdefineqtheqcharacteristicsqofqgroupsqofqpatients.qLe
velqIIqresearchqevaluatesqtheqnatureqofqtheqrelationshipsqbetweenqvariables.qLevelqIVqresear
chqisqconductedqtoqdemonstrateqtheqeffectivenessqofqinterventionsqorqtreatments.
2. WhichqisqtheqmostqappropriateqresearchqdesignqforqaqLevelqIIIqresearchqstudy?
a. Epidemiologicalqstudies
b. Experimentalqdesign
c. Qualitativeqstudies
d. Randomizedqclinicalqtrials
ANS:q B
TheqexperimentalqdesignqisqtheqmostqappropriateqdesignqforqaqLevelqIIIqstudy.qEpidemiologic
alqstudiesqareqaNpU
prRopSrI
iaN
teGfT
orBL.eC
veOlqM
IIqstudies.qQualitativeqdesignsqarequseful
forqLevelqIqstudies.qRandomizedqclinicalqtrialsqarequsedqforqLevelqIVqstudies.
3. Whatqisqtheqpurposeqofqclinicalqresearchqtrialsqinqtheqspectrumqofqtranslationalqresearch?
a. Adoptionqofqinterventionsqandqclinicalqpracticesqintoqroutineqclinicalqcare
b. Determinationqofqtheqbasisqofqdiseaseqandqvariousqtreatmentqoptions
c. Examinationqofqsafetyqandqeffectivenessqofqvariousqinterventions
d. Explorationqofqfundamentalqmechanismsqofqbiology,qdisease,qorqbehavior
ANS:q C
Clinicalqresearchqtrialsqareqconcernedqwithqdeterminingqtheqsafetyqandqeffectivenessqofqinterve
ntions.qAdoptionqofqinterventionsqandqpracticesqisqpartqofqclinicalqimplementation.qDeterminat
ionqofqtheqbasisqofqdiseaseqandqtreatmentqoptionsqisqpartqofqtheqpreclinicalqresearchqphase.qExplo
rationqofqtheqfundamentalqmechanismsqofqbiology,qdisease,qorqbehaviorqisqpartqofqtheqbasicqres
earchqstage.
1. Whichqstatementqmadeqbyqaqhealthqcareqproviderqdemonstratesqtheqmostqappropriatequ
nderstandingqforqtheqgoalqofqaqperformanceqreport?
a. ―Thisqprocessqallowsqmeqtoqcritiqueqtheqperformanceqofqtheqrestqofqtheqstaff.‖
b. ―Mostqorganizationsqrequireqstaffqtoqundergoqaqperformanceqevaluationqyearly.‖
c. ―Itqisqhardqtoqbeqpersonallyqcriticizedqbutqthat’sqhowqweqlearnqtoqchange.‖
d. ―Theqcommentsqshouldqhelpqmeqimproveqmyqmanagementqskills.‖
ANS:q D
Theqgoalqofqtheqperformanceqreportqisqtoqprovideqguidanceqtoqstaffqinqtheqareasqofqprofessionalq
development,qmentoring,qandqleadershipqdevelopment.qAqpeerqreviewqisqwrittenqbyqothersqwho
qperformqsimilarqskillsq(peers).qTheqremainingqoptionsqmayqbeqtrueqbutqdoqnotqprovideqevidenc
1. Whichqassessmentqquestionqwouldqaqhealthqcareqproviderqaskqwhenqengagingqinqtheqprevisitqs
tageqofqtheqnewqmodelqforqprimaryqcare?q(Selectqallqthatqapply.)
a. ―Areqyouqreadyqtoqdiscussqsomeqofqtheqcommunityqresourcesqthatqareqavailable?‖
b. ―AreqyouqexperiencingqanNyUsid
RSeqI
efN
feGctTsqB
fr.COyM
om ourqnewlyqprescribedqmedications?‖
c. ―Doqyouqanticipateqanyqproblemsqwithqadheringqtoqyourqtreatmentqplan?‖
d. ―Areqyouqreadyqtoqdiscussqtheqresultsqofqyourqlaboratoryqtests?‖
e. ―Doqyouqhaveqanyqquestionsqaboutqtheqlabqtestsqthatqhaveqbeenqorderedqforqyou?‖
ANS:q B,qC,qE
Theqnursingqresponsibilitiesqinqtheqprevisitqstageqincludeqassessingqtheqpatient’sqtoleranceqofqp
rescribedqmedications,qunderstandingqofqexistingqtreatmentqplan,qandqeducationqaboutqrequire
dqlabqtesting.qTheqprimaryqcareqproviderqisqresponsibleqforqscreeningqlabqdataqandqdiscussingq
communityqresourcesqduringqtheqactualqvisit.
NURSINGTB.COM
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