NMNC 4520 FINAL EXAM UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS

NMNC 4520 FINAL EXAM UPDATED ACTUAL QUESTIONS
AND CORRECT ANSWERS

Question:
1. What is overuse?
Answer:
The CT scan is needed to diagnose but due to inefficiency it is being repeated.

Question:
2. What is misuse?
Answer:
Cath lab billing for stent not completed. Orders test at a higher rate of national or hospital average. THINK
FRAUD. Cath lab bills for a stent that was never done.

Question:
3. What is underuse?
Answer:
Not utilizing what is there (ex. not getting the PNA shot when you are old enough)

Question:
4. What is included in quality management/total quality management?
Answer:
Quality assurance, continuous quality improvement, risk management

Question:
5. Which of the following statements best describes the status of the ACA?
Answer:
The ACA remains in place with certain aspects of the original bill repealed through an Executive Order

Question:
6. What is the intent of the ACA's 10 essential benefits requirements?
Answer:
The benefits were an attempt to establish minimum health benefits requirements for insurance companies
and thus creating health plan policies that were more comprehensive in coverage

Question:
7. How did the Affordable Care Act affect the prescription drug benefit for those receiving Medicare?
Answer:
The "Donut Hole" narrowed providing more coverage for prescription medication

Question:
8. What influences health policy?
Answer:
Culture, economic pressure, social trends

, Question:
9. Root cause analysis vs QI tool
Answer:
Looks at the underlying problem; root cause analysis looks at ONE piece, swiss cheese looks at the system
as a whole

Question:
10. What are the themes of transforming care at the bedside?
Answer:
Reliability, vitality, patient-centeredness, and increased value

Question:
11. What is the PDSA process?
Answer:
Plan, Do, STUDY, act

Question:
12. What is lean six sigma?
Answer:
If the team has already defined the problem, you will be evaluating and measuring/analyzing

Question:
13. What is MAGNET status?
Answer:
Highly educated workforce, support for interprofessional collaboration, staff and skills mix

Question:
14. What is quality management?
Answer:
shaping the culture of the health care organization; retrospective, defines a health care culture (continuous
quality improvement, customer focus, teamwork)

Question:
15. What is pay for performance?
Answer:
Healthcare institutions judged by their performance and are awarded financially based on quality of care

Question:
16. What is a continuous quality improvement (CQI)?
Answer:
An ongoing process, innovated, preventing errors (swiss cheese model)

Question:
17. What's the difference between QA and QI process?
Answer:
QA - input from staff QI - input from staff and patients