AMBULATORY NURSING
CERTIFICATION REAL EXAM 222
QUESTIONS WITH VERIFIED
SOLUTIONS RATED A+ BRAND
NEW!
"PMCH - CORRECT ANSWER=> Model of primary care that is comprehensive, team-based,
coordinated, accessible, and focused on quality and safety.
Included physicians nurses, and other interprofessional providers.
Focus is on whole-person orientation, goal is delivery of right care at right time in right setting"
"ACO - CORRECT ANSWER=> Model of care in which a provider group of primary care physicians,
specialists, and hospitals accepts the responsibility for cost and quality of care delivered to a
specific population of patients cared for by the group's clinicians"
"PACT - CORRECT ANSWER=> Developed by the Veterans Health Administration, and provides
patient-driven, proactive, personalized team based care focused on the whole person and life-
long wellness and disease prevention"
"HIT - CORRECT ANSWER=> Health information technology"
"Goals of professional interpersonal alliances with the nurse and the patient - CORRECT
ANSWER=> 1. Accurately understand patient and family experience
2. Help build understanding of self-management strategies
3. Provide emotional and informational support
4. Assist with coping and finding meaning
5. Help patients and families identify new directions within one's abilities
6. Connect patients and families with the health care team
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,7. Empower patients and families through education, skill, and tools for success toward health
goals and decisions"
"Nursing actions that support boundaries - CORRECT ANSWER=> 1. Be responsible for the care
process and recognize when results are outside of the nurse's control
2. Focus on what can be changed or influenced
3. Be aware of professional limitations and boundaries
4. Be aware of reactions and seek help when uncomfortable
5. Find a balance between patient care and own self-care"
"Trust - CORRECT ANSWER=> A relational process, one that is dynamic and fragile, yet involving
the deepest need and vulnerabilities of individuals"
"Steps for shared decision making - CORRECT ANSWER=> 1. decision making should be patient-
centered
2. Outline the pros and cons of treatments and plans; discuss choices, options, and decision-
making"
"Steps for active listening - CORRECT ANSWER=> 1. listen attentively to understand in an
empathetic and collaborative manner
2. Pause own reactions to avoid misunderstanding and build upon the therapeutic relationship
3. Use interactive dialogue to ponder new viewpoints and facts regarding the topic
4. Demonstrate appreciation for one's own unique qualities"
"C.A.R.E. - CORRECT ANSWER=> Connect: Be attentive
Appreciate: acknowledge the patient's point of view
Respond: Identify patient/family needs and expectations
Empower: Problem solve and help build confidence toward goals"
"Two phases of motivational interviewing - CORRECT ANSWER=> 1. Explore the pt's reluctance to
change
2. Investigate capacity and commitment to make the change"
"Stages of change - CORRECT ANSWER=> Pre-contemplation: no intent to change behavior within
the next 6 months
Contemplation: State intent to change behavior within the next 6 months
Preparation: Take steps toward making change within the next month
Action: Has made modifications for less than 6 months
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, Maintenance: Consolidate behavior changes made within action stage and have a high level of
self-efficacy
Termination: Prior problem behaviors no longer seen as desirable"
"Strategies to promote self-management - CORRECT ANSWER=> 1. Use open-ended questions
and empathy
2. Within contemplative stage, coach pts toward choices and potential solutions
3. Within preparation stage, help pts establish realistic, action-based goals
4. Monitor progress during action stage, and update goals
5. Provide tailored education and skill training
6. Encourage social support
7. Recognize progress"
"Three A's of health information - CORRECT ANSWER=> Accurate, accessible, actionable"
"Moral Uncertainty - CORRECT ANSWER=> A personal feeling that something is not right, an
inability to explain the principles that might help define a problem"
"Steps of the ethical decision making model - CORRECT ANSWER=> 1. Define the dilemma
2. Identify medical facts
3. Identify non-medical facts
4. Separate assumptions from facts
5. Identify items needing clarification
6. Identify decision makers
7. Review underlying ethical principles
8. Define alternatives
9. Follow up"
"Autonomy - CORRECT ANSWER=> One of the ethical principles.
Individual self-determination and freedom of choice"
"Beneficence - CORRECT ANSWER=> One of the ethical principles.
Relates to acts of doing good"
"Nonmaleficence - CORRECT ANSWER=> One of the ethical principles.
To not act in such a way that causes harm, either intentional or unintentional"
"Veracity - CORRECT ANSWER=> One of the ethical principles.
3|Page
CERTIFICATION REAL EXAM 222
QUESTIONS WITH VERIFIED
SOLUTIONS RATED A+ BRAND
NEW!
"PMCH - CORRECT ANSWER=> Model of primary care that is comprehensive, team-based,
coordinated, accessible, and focused on quality and safety.
Included physicians nurses, and other interprofessional providers.
Focus is on whole-person orientation, goal is delivery of right care at right time in right setting"
"ACO - CORRECT ANSWER=> Model of care in which a provider group of primary care physicians,
specialists, and hospitals accepts the responsibility for cost and quality of care delivered to a
specific population of patients cared for by the group's clinicians"
"PACT - CORRECT ANSWER=> Developed by the Veterans Health Administration, and provides
patient-driven, proactive, personalized team based care focused on the whole person and life-
long wellness and disease prevention"
"HIT - CORRECT ANSWER=> Health information technology"
"Goals of professional interpersonal alliances with the nurse and the patient - CORRECT
ANSWER=> 1. Accurately understand patient and family experience
2. Help build understanding of self-management strategies
3. Provide emotional and informational support
4. Assist with coping and finding meaning
5. Help patients and families identify new directions within one's abilities
6. Connect patients and families with the health care team
1|Page
,7. Empower patients and families through education, skill, and tools for success toward health
goals and decisions"
"Nursing actions that support boundaries - CORRECT ANSWER=> 1. Be responsible for the care
process and recognize when results are outside of the nurse's control
2. Focus on what can be changed or influenced
3. Be aware of professional limitations and boundaries
4. Be aware of reactions and seek help when uncomfortable
5. Find a balance between patient care and own self-care"
"Trust - CORRECT ANSWER=> A relational process, one that is dynamic and fragile, yet involving
the deepest need and vulnerabilities of individuals"
"Steps for shared decision making - CORRECT ANSWER=> 1. decision making should be patient-
centered
2. Outline the pros and cons of treatments and plans; discuss choices, options, and decision-
making"
"Steps for active listening - CORRECT ANSWER=> 1. listen attentively to understand in an
empathetic and collaborative manner
2. Pause own reactions to avoid misunderstanding and build upon the therapeutic relationship
3. Use interactive dialogue to ponder new viewpoints and facts regarding the topic
4. Demonstrate appreciation for one's own unique qualities"
"C.A.R.E. - CORRECT ANSWER=> Connect: Be attentive
Appreciate: acknowledge the patient's point of view
Respond: Identify patient/family needs and expectations
Empower: Problem solve and help build confidence toward goals"
"Two phases of motivational interviewing - CORRECT ANSWER=> 1. Explore the pt's reluctance to
change
2. Investigate capacity and commitment to make the change"
"Stages of change - CORRECT ANSWER=> Pre-contemplation: no intent to change behavior within
the next 6 months
Contemplation: State intent to change behavior within the next 6 months
Preparation: Take steps toward making change within the next month
Action: Has made modifications for less than 6 months
2|Page
, Maintenance: Consolidate behavior changes made within action stage and have a high level of
self-efficacy
Termination: Prior problem behaviors no longer seen as desirable"
"Strategies to promote self-management - CORRECT ANSWER=> 1. Use open-ended questions
and empathy
2. Within contemplative stage, coach pts toward choices and potential solutions
3. Within preparation stage, help pts establish realistic, action-based goals
4. Monitor progress during action stage, and update goals
5. Provide tailored education and skill training
6. Encourage social support
7. Recognize progress"
"Three A's of health information - CORRECT ANSWER=> Accurate, accessible, actionable"
"Moral Uncertainty - CORRECT ANSWER=> A personal feeling that something is not right, an
inability to explain the principles that might help define a problem"
"Steps of the ethical decision making model - CORRECT ANSWER=> 1. Define the dilemma
2. Identify medical facts
3. Identify non-medical facts
4. Separate assumptions from facts
5. Identify items needing clarification
6. Identify decision makers
7. Review underlying ethical principles
8. Define alternatives
9. Follow up"
"Autonomy - CORRECT ANSWER=> One of the ethical principles.
Individual self-determination and freedom of choice"
"Beneficence - CORRECT ANSWER=> One of the ethical principles.
Relates to acts of doing good"
"Nonmaleficence - CORRECT ANSWER=> One of the ethical principles.
To not act in such a way that causes harm, either intentional or unintentional"
"Veracity - CORRECT ANSWER=> One of the ethical principles.
3|Page
