PITT STATE PROFESSIONAL NURSING EXAM 5 | COMPREHENSIVE STUDY GUIDE, PRACTICE
QUESTIONS AND ANSWERS 2026/2027
IOM's (Institute of medicine) Six Outcomes for a New Health System for the 21st Century -
correct answer ✔✔-Safe
-Effective
-Efficient
-Patient-centered
-Timely
-Equitable
Health Care: The Big-Picture Issues - correct answer ✔✔-Access to health care
-Quality and safety
-Affordability
Characteristics of a Continuously Learning Health Care System - correct answer ✔✔-Science and
informatics
-Patient-clinician partnerships
-Incentives
-Continuous learning culture
Science and informatics - correct answer ✔✔real-time access to knowledge; digital capture of
the care experience
Patient-clinician partnerships - correct answer ✔✔engaged, empowered patients
Incentives - correct answer ✔✔aligned for value; full transparency
,Continuous learning culture - correct answer ✔✔leadership-instilled culture of learning;
supportive system competencies
IOM's 4-Tiered Strategy to Prevent Medical Errors - correct answer ✔✔-Establishing a national
focus to create leadership, research, tools, and protocols to enhance our knowledge about
safety
-Identifying and learning from errors by developing a nationwide public mandatory reporting
system
-Raising performance standards and expectations for improvements in safety through the
actions of oversight organizations, professional groups, and group purchasers of health care
-Implementing safety systems in health care organizations to ensure safe practices
Strategies to Promote Quality of Care - correct answer ✔✔-Pay per performance/value-based
purchasing
-Penalties for excess readmissions
Patient Protection and Affordable Care Act (PPACA) Goals - correct answer ✔✔-Expand
coverage, control health care costs, and improve the health care delivery system.
-Provide Medicaid or subsidized coverage to qualifying people with incomes up to 400% of
poverty, beginning in 2014.
-Provide a new way to get health insurance: the Health Insurance Marketplace.
-Designed to help people more easily find health insurance that fits their budget
Health Care Delivery Systems and Care Coordination - correct answer ✔✔-Physicians and
hospitals
-Multispecialty group practices
-Community health centers
-Prepaid group practice
, -HMOs; PPOs
-Accountable care organizations
-Medical homes to medical neighborhoods
AHRQ Definition of the Patient-Centered Medical Home (PCMH) - correct answer ✔✔-
Comprehensive care
-Patient-centered
-Coordinated care
-Accessible services
-Quality and safety
Levels of Health Care - correct answer ✔✔-Primary health care
-Secondary health care
-Tertiary health care
Primary health care - correct answer ✔✔Treatment of common health problems
Secondary health care - correct answer ✔✔Treatment of problems requiring more specialized
clinical expertise
Tertiary health care - correct answer ✔✔Management of rare and complex disorders
Paying for Health Care - correct answer ✔✔-Out-of-pocket payment
-Individual private insurance
-Employer-based private insurance
-Government financing
>Medicare: DRGs
QUESTIONS AND ANSWERS 2026/2027
IOM's (Institute of medicine) Six Outcomes for a New Health System for the 21st Century -
correct answer ✔✔-Safe
-Effective
-Efficient
-Patient-centered
-Timely
-Equitable
Health Care: The Big-Picture Issues - correct answer ✔✔-Access to health care
-Quality and safety
-Affordability
Characteristics of a Continuously Learning Health Care System - correct answer ✔✔-Science and
informatics
-Patient-clinician partnerships
-Incentives
-Continuous learning culture
Science and informatics - correct answer ✔✔real-time access to knowledge; digital capture of
the care experience
Patient-clinician partnerships - correct answer ✔✔engaged, empowered patients
Incentives - correct answer ✔✔aligned for value; full transparency
,Continuous learning culture - correct answer ✔✔leadership-instilled culture of learning;
supportive system competencies
IOM's 4-Tiered Strategy to Prevent Medical Errors - correct answer ✔✔-Establishing a national
focus to create leadership, research, tools, and protocols to enhance our knowledge about
safety
-Identifying and learning from errors by developing a nationwide public mandatory reporting
system
-Raising performance standards and expectations for improvements in safety through the
actions of oversight organizations, professional groups, and group purchasers of health care
-Implementing safety systems in health care organizations to ensure safe practices
Strategies to Promote Quality of Care - correct answer ✔✔-Pay per performance/value-based
purchasing
-Penalties for excess readmissions
Patient Protection and Affordable Care Act (PPACA) Goals - correct answer ✔✔-Expand
coverage, control health care costs, and improve the health care delivery system.
-Provide Medicaid or subsidized coverage to qualifying people with incomes up to 400% of
poverty, beginning in 2014.
-Provide a new way to get health insurance: the Health Insurance Marketplace.
-Designed to help people more easily find health insurance that fits their budget
Health Care Delivery Systems and Care Coordination - correct answer ✔✔-Physicians and
hospitals
-Multispecialty group practices
-Community health centers
-Prepaid group practice
, -HMOs; PPOs
-Accountable care organizations
-Medical homes to medical neighborhoods
AHRQ Definition of the Patient-Centered Medical Home (PCMH) - correct answer ✔✔-
Comprehensive care
-Patient-centered
-Coordinated care
-Accessible services
-Quality and safety
Levels of Health Care - correct answer ✔✔-Primary health care
-Secondary health care
-Tertiary health care
Primary health care - correct answer ✔✔Treatment of common health problems
Secondary health care - correct answer ✔✔Treatment of problems requiring more specialized
clinical expertise
Tertiary health care - correct answer ✔✔Management of rare and complex disorders
Paying for Health Care - correct answer ✔✔-Out-of-pocket payment
-Individual private insurance
-Employer-based private insurance
-Government financing
>Medicare: DRGs
