NU 508 Exam Questions And Answers 2025
Update.
Commonly overused healthcare interventions: (5) - Answer✔prescription drugs, antibiotics,
laboratory tests, diagnostic imaging, procedures such as back surgery and prostatectomy, and
end-of-life treatments
5 overused health interventions identified in ______ by: - Answer✔2008 by the National
Priorities Partnership convened by the National Quality Forum
Examples of overused health interventions: - Answer✔Antibiotic treatment of a cold virus,
spinal fusion, pacemaker
Causes of overuse: - Answer✔Fee-for-service payment, fear of missing a diagnosis, different
beliefs per providers, providers' expectations, patient expectations, clinician competence, and
diagnostic skills
Strategies to reduce overuse: - Answer✔Choosing Wisely Campaign- American Board of Internal
Medication Foundation
Encourage providers and patients to engage in conversations to reduce overuse.
Public reporting of hospital specific information- LeapFrog
Marinated Mind: - Answer✔The idea that more treatment is better, leading to overuse.
Overuse ends up causing a faster, hurried, workflow.
Affordable Care Act and rationale for development: - Answer✔Goal is to increase ACCESS to
health care by expanding coverage, creating incentives among providers to achieve higher
levels of QUALITY and EFFICIENCY. To provide the best care for the patient with the optimal
result given the circumstances, delivered at the right price.
ACA 3 goals: - Answer✔Cost, quality, and access as a result of accountability, transparency,
performance measurement, public reporting, value-based purchasing.
Value-Driven Health Care: - Answer✔Improving the quality of care while lowering its costs.
Linking of affordable care and quality.
1
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 11:04PM.
Examples of value-driven health care: - Answer✔-Performance measurement- quality measures
like Nursing Quality Indicators.
-Public reporting- part of the national strategy for improving quality. Providing information to
consumers to make choices and incentivize providers who give better care.
States that require nursing reporting: - Answer✔Maine & Colorado
Using research to influence policy-Evidence-based policy: - Answer✔An approach that helps
people make well informed decisions about policies, programs, and projects by putting the best
available evidence from research at the heart of policy development and implementation.
In general, research has: - Answer✔Has poor uptake into policies- can take up to 20 years.
Difficulties of using research in health care: - Answer✔Financial consequences for industries
connected to health care research (pharma, consumable (dressings), durable (beds).
Research requires financial support and influenced by the sponsors.
Can be controversial so data can be hard to collect.
Positives of using research to influence policy: - Answer✔-understand the policy before linking
research to it.
-consider opponents of a policy change.
-beware of study limitations.
-refer to bodies of related research.
Negatives of using research to influence policy: - Answer✔-assuming policy makers are
interested in research method details.
-writing results of research using biased words.
-exaggerating magnitude of effects.
-citing research without checking credibility.
-failing to realize research findings are only 1 component of policies.
Type of review- Systematic: - Answer✔Includes experimental research studies, search is
precise, duplicates of the searches, reach a conclusion regarding the topic.
Type of review- Literature: - Answer✔Summaries of relevant literature, descriptive, not an
analysis of the literature, good for gaining background knowledge, good for starting reading
lists and literature searches, not a good source of clinical decision making.
Type of review- Integrative: - Answer✔Usually include non-experimental research like case
studies/observational, clear and precise search and selection criteria, literature is analyzed not
just summarized.
2