NURS 6531 Final, part one
Study online at https://quizlet.com/_add4db
1. A small, rural hospital is part of an Ac- ANS: A
countable Care Organization (ACO) and A Level 1 ACO has the least amount of financial
is designated as a Level 1 ACO. What is risk and requirements, but receives shared sav-
part of this designation? p. 2 ings bonuses based on achievement of bench-
a. Bonuses based on achievement of marks for quality measures and expenditures.
benchmarks Care coordination and minimum cash reserves
b. Care coordination for chronic dis- standards are part of Level 2 ACO requirements.
eases Level 3 ACOs have strict requirements for finan-
c. Standards for minimum cash re- cial reporting.
serves
d. Strict requirements for financial re-
porting
2. What was an important finding of the ANS: C
Advisory Board survey of 2014 about As part of the 2014 survey, the Advisory Board
primary care preferences of patients? learned that patients desired 24/7 access to
p. 2 care, walk-in settings and the ability to be seen
a. Associations with area hospitals within 30 minutes, and care that is close to
b. Costs of ambulatory care home. Associations with hospitals, costs of care,
c. Ease of access to care and the ratio of providers to patients were not
d. The ratio of providers to patients part of these results.
3. Which assessments of care providers ANS: A, B, D
are performed as part of the val- Value-based purchasing looks at five domain ar-
ue-based purchasing (VBP) initiative? eas of processes of care, including efficiency of
(Select all that apply.) p. 1 care (cost per case), experience of care (patient
a. Appraising costs per case of care for satisfaction measures), and outcomes of care
Medicare patients (mortality rates for certain conditions). Evalua-
b. Assessing patients' satisfaction with tion of evidence to guide clinical care is part of
hospital care evidence-based practice. The requirements for
c. Evaluating available evidence to IT standards and financial status are
guide clinical care guidelines part of Accountable Care Organization standards
, NURS 6531 Final, part one
Study online at https://quizlet.com/_add4db
d. Monitoring mortality rates of all pa-
tients with pneumonia
e. Requiring advanced IT standards and
minimum cash reserves
4. What is the purpose of Level II re- ANS: C
search? p. 6 Level II research is concerned with describing
a. To define characteristics of interest of the relationships among characteristics or vari-
groups of patients ables. Level I research is conducted to define the
b. To demonstrate the effectiveness of characteristics of groups of patients. Level II re-
an intervention or treatment search evaluates the nature of the relationships
c. To describe relationships among between variables. Level IV
characteristics or variables research is conducted to demonstrate the effec-
d. To evaluate the nature of relation- tiveness of interventions or treatments.
ships between two variables
5. Which is the most appropriate research ANS: B
design for a Level III research study? p. The experimental design is the most appropri-
6 ate design for a Level III study. Epidemiologi-
a. Epidemiological studies cal studies are appropriate for Level II studies.
b. Experimental design Qualitative designs are useful for Level I studies.
c. Qualitative studies Randomized clinical trials are used for Level IV
d. Randomized clinical trials studies.
6. What is the purpose of clinical research ANS: C
trials in the spectrum of translational Clinical research trials are concerned with de-
research? p. 6 termining the safety and effectiveness of inter-
a. Adoption of interventions and clinical ventions. Adoption of interventions and practices
practices into routine clinical care is part of clinical implementation. Determination
b. Determination of the basis of disease of the basis of disease and treatment options
and various treatment options is part of the preclinical research phase. Explo-
c. Examination of safety and effective- ration of the fundamental mechanisms of biolo-
, NURS 6531 Final, part one
Study online at https://quizlet.com/_add4db
ness of various interventions gy, disease, or behavior is part
d. Exploration of fundamental mecha- of the basic research stage.
nisms of biology, disease, or behavior
7. Which statement made by a health care ANS: D
provider demonstrates the most ap- The goal of the performance report is to provide
propriate understanding for the goal of guidance to staff in the areas of professional
a performance report? development, mentoring, and leadership devel-
a. "This process allows me to critique opment. A peer review is written by others who
the performance of the rest of the perform similar skills (peers). The remaining op-
staff." tions may be true but do not provide evidence
b. "Most organizations require staff of understanding of the goal of this professional
to undergo a performance evaluation requirement.
yearly."
c. "It is hard to be personally criticized
but that's how we learn to change."
d. "The comments should help me im-
prove my management skills."
8. Which assessment question would a ANS: B, C, E
health care provider ask when engag- The nursing responsibilities in the previsit stage
ing in the previsit stage of the new mod- include assessing the patient's tolerance of pre-
el for primary care? (Select all that ap- scribed medications, understanding of existing
ply.) treatment plan, and education about required
a. "Are you ready to discuss some of lab testing. The primary care provider is respon-
the community resources that are avail- sible for screening lab data and
able?" discussing community resources during the ac-
b. "Are you experiencing any side ef- tual visit.
fects from your newly prescribed med-
ications?"
c. "Do you anticipate any problems with
adhering to your treatment plan?"
, NURS 6531 Final, part one
Study online at https://quizlet.com/_add4db
d. "Are you ready to discuss the results
of your laboratory tests?"
e. "Do you have any questions about
the lab tests that have been ordered for
you?"
9. What is the Quadruple Aim? p. 15 1) Improved patient satisfaction
2) Reduce per capita costs
3) Improve population health
4) Improve patient care team experience
10. To reduce adverse events associated ANS: C
with care transitions, the Centers for As a component of the Affordable Care Act, the
Medicare and Medicaid Service have Centers for Medicare and Medicaid Service de-
implemented which policy? veloped the Readmissions Reduction Program
a. Mandates for communication reducing payments for certain patients readmit-
among primary caregivers and hospi- ted within 30 days of discharge. The CMS did not
talists mandate communication, institute penalties for
b. Penalties for failure to perform med- failure to perform medication reconciliations, or
ication reconciliations at time of dis- require written discharge instructions.
charge
c. Reduction of payments for patients
readmitted within 30 days after dis-
charge
d. Requirements for written discharge
instructions for patients and caregivers
11. According to multiple research studies, ANS: A
which intervention has resulted in low- Research studies provided evidence that
er costs and fewer rehospitalizations in high-risk older patients who had posthospital
high-risk older patients? care coordinated by an APN had reduced rehos-
a. Coordination of posthospital care pitalization rates. It did not include clinic visits
Study online at https://quizlet.com/_add4db
1. A small, rural hospital is part of an Ac- ANS: A
countable Care Organization (ACO) and A Level 1 ACO has the least amount of financial
is designated as a Level 1 ACO. What is risk and requirements, but receives shared sav-
part of this designation? p. 2 ings bonuses based on achievement of bench-
a. Bonuses based on achievement of marks for quality measures and expenditures.
benchmarks Care coordination and minimum cash reserves
b. Care coordination for chronic dis- standards are part of Level 2 ACO requirements.
eases Level 3 ACOs have strict requirements for finan-
c. Standards for minimum cash re- cial reporting.
serves
d. Strict requirements for financial re-
porting
2. What was an important finding of the ANS: C
Advisory Board survey of 2014 about As part of the 2014 survey, the Advisory Board
primary care preferences of patients? learned that patients desired 24/7 access to
p. 2 care, walk-in settings and the ability to be seen
a. Associations with area hospitals within 30 minutes, and care that is close to
b. Costs of ambulatory care home. Associations with hospitals, costs of care,
c. Ease of access to care and the ratio of providers to patients were not
d. The ratio of providers to patients part of these results.
3. Which assessments of care providers ANS: A, B, D
are performed as part of the val- Value-based purchasing looks at five domain ar-
ue-based purchasing (VBP) initiative? eas of processes of care, including efficiency of
(Select all that apply.) p. 1 care (cost per case), experience of care (patient
a. Appraising costs per case of care for satisfaction measures), and outcomes of care
Medicare patients (mortality rates for certain conditions). Evalua-
b. Assessing patients' satisfaction with tion of evidence to guide clinical care is part of
hospital care evidence-based practice. The requirements for
c. Evaluating available evidence to IT standards and financial status are
guide clinical care guidelines part of Accountable Care Organization standards
, NURS 6531 Final, part one
Study online at https://quizlet.com/_add4db
d. Monitoring mortality rates of all pa-
tients with pneumonia
e. Requiring advanced IT standards and
minimum cash reserves
4. What is the purpose of Level II re- ANS: C
search? p. 6 Level II research is concerned with describing
a. To define characteristics of interest of the relationships among characteristics or vari-
groups of patients ables. Level I research is conducted to define the
b. To demonstrate the effectiveness of characteristics of groups of patients. Level II re-
an intervention or treatment search evaluates the nature of the relationships
c. To describe relationships among between variables. Level IV
characteristics or variables research is conducted to demonstrate the effec-
d. To evaluate the nature of relation- tiveness of interventions or treatments.
ships between two variables
5. Which is the most appropriate research ANS: B
design for a Level III research study? p. The experimental design is the most appropri-
6 ate design for a Level III study. Epidemiologi-
a. Epidemiological studies cal studies are appropriate for Level II studies.
b. Experimental design Qualitative designs are useful for Level I studies.
c. Qualitative studies Randomized clinical trials are used for Level IV
d. Randomized clinical trials studies.
6. What is the purpose of clinical research ANS: C
trials in the spectrum of translational Clinical research trials are concerned with de-
research? p. 6 termining the safety and effectiveness of inter-
a. Adoption of interventions and clinical ventions. Adoption of interventions and practices
practices into routine clinical care is part of clinical implementation. Determination
b. Determination of the basis of disease of the basis of disease and treatment options
and various treatment options is part of the preclinical research phase. Explo-
c. Examination of safety and effective- ration of the fundamental mechanisms of biolo-
, NURS 6531 Final, part one
Study online at https://quizlet.com/_add4db
ness of various interventions gy, disease, or behavior is part
d. Exploration of fundamental mecha- of the basic research stage.
nisms of biology, disease, or behavior
7. Which statement made by a health care ANS: D
provider demonstrates the most ap- The goal of the performance report is to provide
propriate understanding for the goal of guidance to staff in the areas of professional
a performance report? development, mentoring, and leadership devel-
a. "This process allows me to critique opment. A peer review is written by others who
the performance of the rest of the perform similar skills (peers). The remaining op-
staff." tions may be true but do not provide evidence
b. "Most organizations require staff of understanding of the goal of this professional
to undergo a performance evaluation requirement.
yearly."
c. "It is hard to be personally criticized
but that's how we learn to change."
d. "The comments should help me im-
prove my management skills."
8. Which assessment question would a ANS: B, C, E
health care provider ask when engag- The nursing responsibilities in the previsit stage
ing in the previsit stage of the new mod- include assessing the patient's tolerance of pre-
el for primary care? (Select all that ap- scribed medications, understanding of existing
ply.) treatment plan, and education about required
a. "Are you ready to discuss some of lab testing. The primary care provider is respon-
the community resources that are avail- sible for screening lab data and
able?" discussing community resources during the ac-
b. "Are you experiencing any side ef- tual visit.
fects from your newly prescribed med-
ications?"
c. "Do you anticipate any problems with
adhering to your treatment plan?"
, NURS 6531 Final, part one
Study online at https://quizlet.com/_add4db
d. "Are you ready to discuss the results
of your laboratory tests?"
e. "Do you have any questions about
the lab tests that have been ordered for
you?"
9. What is the Quadruple Aim? p. 15 1) Improved patient satisfaction
2) Reduce per capita costs
3) Improve population health
4) Improve patient care team experience
10. To reduce adverse events associated ANS: C
with care transitions, the Centers for As a component of the Affordable Care Act, the
Medicare and Medicaid Service have Centers for Medicare and Medicaid Service de-
implemented which policy? veloped the Readmissions Reduction Program
a. Mandates for communication reducing payments for certain patients readmit-
among primary caregivers and hospi- ted within 30 days of discharge. The CMS did not
talists mandate communication, institute penalties for
b. Penalties for failure to perform med- failure to perform medication reconciliations, or
ication reconciliations at time of dis- require written discharge instructions.
charge
c. Reduction of payments for patients
readmitted within 30 days after dis-
charge
d. Requirements for written discharge
instructions for patients and caregivers
11. According to multiple research studies, ANS: A
which intervention has resulted in low- Research studies provided evidence that
er costs and fewer rehospitalizations in high-risk older patients who had posthospital
high-risk older patients? care coordinated by an APN had reduced rehos-
a. Coordination of posthospital care pitalization rates. It did not include clinic visits
