WALDEN UNIVERSITY NUR 6531 EXAM
FINAL PAPER QUESTIONS SOLUTIONS
GRADED A+
◉ Which statement made by a health care provider demonstrates
the most appropriate understanding for the goal of a performance
report?
a. "This process allows me to critique the performance of the rest of
the staff."
b. "Most organizations require staff to undergo a performance
evaluation yearly."
c. "It is hard to be personally criticized but that's how we learn to
change."
d. "The comments should help me improve my management skills.".
Answer: ANS: D
The goal of the performance report is to provide guidance to staff in
the areas of professional development, mentoring, and leadership
development. A peer review is written by others who perform
similar skills (peers). The remaining options may be true but do not
provide evidence of understanding of the goal of this professional
requirement.
◉ Which assessment question would a health care provider ask
when engaging in the previsit stage of the new model for primary
care? (Select all that apply.)
,a. "Are you ready to discuss some of the community resources that
are available?"
b. "Are you experiencing any side effects from your newly prescribed
medications?"
c. "Do you anticipate any problems with adhering to your treatment
plan?"
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?". Answer: ANS: B, C, E
The nursing responsibilities in the previsit stage include assessing
the patient's tolerance of prescribed medications, understanding of
existing treatment plan, and education about required lab testing.
The primary care provider is responsible for screening lab data and
discussing community resources during the actual visit.
◉ What is the Quadruple Aim? p. 15. Answer: 1) Improved patient
satisfaction
2) Reduce per capita costs
3) Improve population health
4) Improve patient care team experience
◉ To reduce adverse events associated with care transitions, the
Centers for Medicare and Medicaid Service have implemented which
policy?
,a. Mandates for communication among primary caregivers and
hospitalists
b. Penalties for failure to perform medication reconciliations at time
of discharge
c. Reduction of payments for patients readmitted within 30 days
after discharge
d. Requirements for written discharge instructions for patients and
caregivers. Answer: ANS: C
As a component of the Affordable Care Act, the Centers for Medicare
and Medicaid Service developed the Readmissions Reduction
Program reducing payments for certain patients readmitted within
30 days of discharge. The CMS did not mandate communication,
institute penalties for failure to perform medication reconciliations,
or require written discharge instructions.
◉ According to multiple research studies, which intervention has
resulted in lower costs and fewer rehospitalizations in high-risk
older patients?
a. Coordination of posthospital care by advanced practice health care
providers
b. Frequent posthospital clinic visits with a primary care provider
c. Inclusion of extended family members in the outpatient plan of
care
d. Telephone follow-up by the pharmacist to assess medication
compliance. Answer: ANS: A
, Research studies provided evidence that high-risk older patients
who had posthospital care coordinated by an APN had reduced
rehospitalization rates. It did not include clinic visits with a primary
care provider, inclusion of extended family members in the plan of
care, or telephone follow-up by a pharmacist
◉ 1. Which advantages are provided to the chronically ill patient by
personal electronic monitoring devices? (Select all that apply.)
a. Helps provide more patient control their health and lifestyle
b. Eliminates need for regular medical and nursing follow-up visits
c. Helps the early identification of patient health-related problems
d. Helps health care providers in keeping track of the patient's
health status
e. Cost is often covered by Medicare. Answer: ANS: A, C, D, E
◉ A primary care provider administers the "Newest Vital Sign"
health literacy test to a patient newly diagnosed with a chronic
disease. What information is gained by administering this test?
a. Ability to calculate data, along with general knowledge about
health
b. Ease of using technology and understanding of graphic data
c. Reading comprehension and reception of oral communication
d. Understanding of and ability to discuss health care concerns.
Answer: ANS: A
FINAL PAPER QUESTIONS SOLUTIONS
GRADED A+
◉ Which statement made by a health care provider demonstrates
the most appropriate understanding for the goal of a performance
report?
a. "This process allows me to critique the performance of the rest of
the staff."
b. "Most organizations require staff to undergo a performance
evaluation yearly."
c. "It is hard to be personally criticized but that's how we learn to
change."
d. "The comments should help me improve my management skills.".
Answer: ANS: D
The goal of the performance report is to provide guidance to staff in
the areas of professional development, mentoring, and leadership
development. A peer review is written by others who perform
similar skills (peers). The remaining options may be true but do not
provide evidence of understanding of the goal of this professional
requirement.
◉ Which assessment question would a health care provider ask
when engaging in the previsit stage of the new model for primary
care? (Select all that apply.)
,a. "Are you ready to discuss some of the community resources that
are available?"
b. "Are you experiencing any side effects from your newly prescribed
medications?"
c. "Do you anticipate any problems with adhering to your treatment
plan?"
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?". Answer: ANS: B, C, E
The nursing responsibilities in the previsit stage include assessing
the patient's tolerance of prescribed medications, understanding of
existing treatment plan, and education about required lab testing.
The primary care provider is responsible for screening lab data and
discussing community resources during the actual visit.
◉ What is the Quadruple Aim? p. 15. Answer: 1) Improved patient
satisfaction
2) Reduce per capita costs
3) Improve population health
4) Improve patient care team experience
◉ To reduce adverse events associated with care transitions, the
Centers for Medicare and Medicaid Service have implemented which
policy?
,a. Mandates for communication among primary caregivers and
hospitalists
b. Penalties for failure to perform medication reconciliations at time
of discharge
c. Reduction of payments for patients readmitted within 30 days
after discharge
d. Requirements for written discharge instructions for patients and
caregivers. Answer: ANS: C
As a component of the Affordable Care Act, the Centers for Medicare
and Medicaid Service developed the Readmissions Reduction
Program reducing payments for certain patients readmitted within
30 days of discharge. The CMS did not mandate communication,
institute penalties for failure to perform medication reconciliations,
or require written discharge instructions.
◉ According to multiple research studies, which intervention has
resulted in lower costs and fewer rehospitalizations in high-risk
older patients?
a. Coordination of posthospital care by advanced practice health care
providers
b. Frequent posthospital clinic visits with a primary care provider
c. Inclusion of extended family members in the outpatient plan of
care
d. Telephone follow-up by the pharmacist to assess medication
compliance. Answer: ANS: A
, Research studies provided evidence that high-risk older patients
who had posthospital care coordinated by an APN had reduced
rehospitalization rates. It did not include clinic visits with a primary
care provider, inclusion of extended family members in the plan of
care, or telephone follow-up by a pharmacist
◉ 1. Which advantages are provided to the chronically ill patient by
personal electronic monitoring devices? (Select all that apply.)
a. Helps provide more patient control their health and lifestyle
b. Eliminates need for regular medical and nursing follow-up visits
c. Helps the early identification of patient health-related problems
d. Helps health care providers in keeping track of the patient's
health status
e. Cost is often covered by Medicare. Answer: ANS: A, C, D, E
◉ A primary care provider administers the "Newest Vital Sign"
health literacy test to a patient newly diagnosed with a chronic
disease. What information is gained by administering this test?
a. Ability to calculate data, along with general knowledge about
health
b. Ease of using technology and understanding of graphic data
c. Reading comprehension and reception of oral communication
d. Understanding of and ability to discuss health care concerns.
Answer: ANS: A
