NURS 6531 Final, part one Questions
With Verified Answers
A gsmall, grural ghospital gis gpart gof gan gAccountable gCare gOrganization g(ACO) gand gis gdesignated gas
ga gLevel g1 gACO. gWhat gis gpart gof gthis gdesignation? gp. g2
a. gBonuses gbased gon gachievement gof gbenchmarks
b. gCare gcoordination gfor gchronic gdiseases
c. gStandards gfor gminimum gcash greserves
d. gStrict grequirements gfor gfinancial greporting g- gAnswer g- gANS: gA
A gLevel g1 gACO ghas gthe gleast gamount gof gfinancial grisk gand grequirements, gbut greceives gshared
gsavings gbonuses gbased gon gachievement gof gbenchmarks gfor gquality gmeasures gand gexpenditures.
gCare gcoordination gand gminimum gcash greserves gstandards gare gpart gof gLevel g2 gACO
grequirements. gLevel g3 gACOs ghave gstrict grequirements gfor gfinancial greporting.
What gwas gan gimportant gfinding gof gthe gAdvisory gBoard gsurvey gof g2014 gabout gprimary gcare
gpreferences gof gpatients? gp. g2
a. gAssociations gwith garea ghospitals
b. gCosts gof gambulatory gcare
c. gEase gof gaccess gto gcare
d. gThe gratio gof gproviders gto gpatients g- gAnswer g- gANS: gC
As gpart gof gthe g2014 gsurvey, gthe gAdvisory gBoard glearned gthat gpatients gdesired g24/7 gaccess gto
gcare, gwalk-in gsettings gand gthe gability gto gbe gseen gwithin g30 gminutes, gand gcare gthat gis gclose gto
ghome. gAssociations gwith ghospitals, gcosts gof gcare, gand gthe gratio gof gproviders gto gpatients gwere
gnot gpart gof gthese gresults.
Which gassessments gof gcare gproviders gare gperformed gas gpart gof gthe gvalue-based gpurchasing
g(VBP) ginitiative? g(Select gall gthat gapply.) gp. g1
a. gAppraising gcosts gper gcase gof gcare gfor gMedicare gpatients
,b. gAssessing gpatients' gsatisfaction gwith ghospital gcare
c. gEvaluating gavailable gevidence gto gguide gclinical gcare gguidelines
d. gMonitoring gmortality grates gof gall gpatients gwith gpneumonia
e. gRequiring gadvanced gIT gstandards gand gminimum gcash greserves g- gAnswer g- gANS: gA, gB, gD
Value-based gpurchasing glooks gat gfive gdomain gareas gof gprocesses gof gcare, gincluding gefficiency gof
gcare g(cost gper gcase), gexperience gof gcare g(patient gsatisfaction gmeasures), gand goutcomes gof gcare
g(mortality grates gfor gcertain gconditions). gEvaluation gof gevidence gto gguide gclinical gcare gis gpart gof
gevidence-based gpractice. gThe grequirements gfor gIT gstandards gand gfinancial gstatus gare
part gof gAccountable gCare gOrganization gstandards
What gis gthe gpurpose gof gLevel gII gresearch? gp. g6
a. gTo gdefine gcharacteristics gof ginterest gof ggroups gof gpatients
b. gTo gdemonstrate gthe geffectiveness gof gan gintervention gor gtreatment
c. gTo gdescribe grelationships gamong gcharacteristics gor gvariables
d. gTo gevaluate gthe gnature gof grelationships gbetween gtwo gvariables g- gAnswer g- gANS: gC
Level gII gresearch gis gconcerned gwith gdescribing gthe grelationships gamong gcharacteristics gor
gvariables. gLevel gI gresearch gis gconducted gto gdefine gthe gcharacteristics gof ggroups gof gpatients.
gLevel gII gresearch gevaluates gthe gnature gof gthe grelationships gbetween gvariables. gLevel gIV
research gis gconducted gto gdemonstrate gthe geffectiveness gof ginterventions gor gtreatments.
Which gis gthe gmost gappropriate gresearch gdesign gfor ga gLevel gIII gresearch gstudy? gp. g6
a. gEpidemiological gstudies
b. gExperimental gdesign
c. gQualitative gstudies
d. gRandomized gclinical gtrials g- gAnswer g- gANS: gB
The gexperimental gdesign gis gthe gmost gappropriate gdesign gfor ga gLevel gIII gstudy. gEpidemiological
gstudies gare gappropriate gfor gLevel gII gstudies. gQualitative gdesigns gare guseful gfor gLevel gI gstudies.
gRandomized gclinical gtrials gare gused gfor gLevel gIV gstudies.
What gis gthe gpurpose gof gclinical gresearch gtrials gin gthe gspectrum gof gtranslational gresearch? gp. g6
a. gAdoption gof ginterventions gand gclinical gpractices ginto groutine gclinical gcare
,b. gDetermination gof gthe gbasis gof gdisease gand gvarious gtreatment goptions
c. gExamination gof gsafety gand geffectiveness gof gvarious ginterventions
d. gExploration gof gfundamental gmechanisms gof gbiology, gdisease, gor gbehavior g- gAnswer g- gANS: gC
Clinical gresearch gtrials gare gconcerned gwith gdetermining gthe gsafety gand geffectiveness gof
ginterventions. gAdoption gof ginterventions gand gpractices gis gpart gof gclinical gimplementation.
gDetermination gof gthe gbasis gof gdisease gand gtreatment goptions gis gpart gof gthe gpreclinical gresearch
gphase. gExploration gof gthe gfundamental gmechanisms gof gbiology, gdisease, gor gbehavior gis gpart
of gthe gbasic gresearch gstage.
Which gstatement gmade gby ga ghealth gcare gprovider gdemonstrates gthe gmost gappropriate
gunderstanding gfor gthe ggoal gof ga gperformance greport?
a. g"This gprocess gallows gme gto gcritique gthe gperformance gof gthe grest gof gthe gstaff."
b. g"Most gorganizations grequire gstaff gto gundergo ga gperformance gevaluation gyearly."
c. g"It gis ghard gto gbe gpersonally gcriticized gbut gthat's ghow gwe glearn gto gchange."
d. g"The gcomments gshould ghelp gme gimprove gmy gmanagement gskills." g- gAnswer g- gANS: gD
The ggoal gof gthe gperformance greport gis gto gprovide gguidance gto gstaff gin gthe gareas gof gprofessional
gdevelopment, gmentoring, gand gleadership gdevelopment. gA gpeer greview gis gwritten gby gothers gwho
gperform gsimilar gskills g(peers). gThe gremaining goptions gmay gbe gtrue gbut gdo gnot gprovide gevidence
gof gunderstanding gof gthe ggoal gof gthis gprofessional grequirement.
Which gassessment gquestion gwould ga ghealth gcare gprovider gask gwhen gengaging gin gthe gprevisit
gstage gof gthe gnew gmodel gfor gprimary gcare? g(Select gall gthat gapply.)
a. g"Are gyou gready gto gdiscuss gsome gof gthe gcommunity gresources gthat gare gavailable?"
b. g"Are gyou gexperiencing gany gside geffects gfrom gyour gnewly gprescribed gmedications?"
c. g"Do gyou ganticipate gany gproblems gwith gadhering gto gyour gtreatment gplan?"
d. g"Are gyou gready gto gdiscuss gthe gresults gof gyour glaboratory gtests?"
e. g"Do gyou ghave gany gquestions gabout gthe glab gtests gthat ghave gbeen gordered gfor gyou?" g-
gAnswer g- gANS: gB, gC, gE
The gnursing gresponsibilities gin gthe gprevisit gstage ginclude gassessing gthe gpatient's gtolerance gof
gprescribed gmedications, gunderstanding gof gexisting gtreatment gplan, gand geducation gabout grequired
glab gtesting. gThe gprimary gcare gprovider gis gresponsible gfor gscreening glab gdata gand
discussing gcommunity gresources gduring gthe gactual gvisit.
, What gis gthe gQuadruple gAim? gp. g15 g- gAnswer g- g1) gImproved gpatient gsatisfaction
2) gReduce gper gcapita gcosts
3) gImprove gpopulation ghealth
4) gImprove gpatient gcare gteam gexperience
To greduce gadverse gevents gassociated gwith gcare gtransitions, gthe gCenters gfor gMedicare gand
gMedicaid gService ghave gimplemented gwhich gpolicy?
a. gMandates gfor gcommunication gamong gprimary gcaregivers gand ghospitalists
b. gPenalties gfor gfailure gto gperform gmedication greconciliations gat gtime gof gdischarge
c. gReduction gof gpayments gfor gpatients greadmitted gwithin g30 gdays gafter gdischarge
d. gRequirements gfor gwritten gdischarge ginstructions gfor gpatients gand gcaregivers g- gAnswer g- gANS:
gC
As ga gcomponent gof gthe gAffordable gCare gAct, gthe gCenters gfor gMedicare gand gMedicaid gService
gdeveloped gthe gReadmissions gReduction gProgram greducing gpayments gfor gcertain gpatients
greadmitted gwithin g30 gdays gof gdischarge. gThe gCMS gdid gnot gmandate gcommunication, ginstitute
gpenalties gfor gfailure gto gperform gmedication greconciliations, gor grequire gwritten gdischarge
ginstructions.
According gto gmultiple gresearch gstudies, gwhich gintervention ghas gresulted gin glower gcosts gand
gfewer grehospitalizations gin ghigh-risk golder gpatients?
a. gCoordination gof gposthospital gcare gby gadvanced gpractice ghealth gcare gproviders
b. gFrequent gposthospital gclinic gvisits gwith ga gprimary gcare gprovider
c. gInclusion gof gextended gfamily gmembers gin gthe goutpatient gplan gof gcare
d. gTelephone gfollow-up gby gthe gpharmacist gto gassess gmedication gcompliance g- gAnswer g- gANS: gA
Research gstudies gprovided gevidence gthat ghigh-risk golder gpatients gwho ghad gposthospital gcare
gcoordinated gby gan gAPN ghad greduced grehospitalization grates. gIt gdid gnot ginclude gclinic gvisits gwith
ga gprimary gcare gprovider, ginclusion gof gextended gfamily gmembers gin gthe gplan gof gcare, gor
gtelephone gfollow-up gby ga gpharmacist
1. gWhich gadvantages gare gprovided gto gthe gchronically gill gpatient gby gpersonal gelectronic
gmonitoring gdevices? g(Select gall gthat gapply.)
a. gHelps gprovide gmore gpatient gcontrol gtheir ghealth gand glifestyle
b. gEliminates gneed gfor gregular gmedical gand gnursing gfollow-up gvisits
With Verified Answers
A gsmall, grural ghospital gis gpart gof gan gAccountable gCare gOrganization g(ACO) gand gis gdesignated gas
ga gLevel g1 gACO. gWhat gis gpart gof gthis gdesignation? gp. g2
a. gBonuses gbased gon gachievement gof gbenchmarks
b. gCare gcoordination gfor gchronic gdiseases
c. gStandards gfor gminimum gcash greserves
d. gStrict grequirements gfor gfinancial greporting g- gAnswer g- gANS: gA
A gLevel g1 gACO ghas gthe gleast gamount gof gfinancial grisk gand grequirements, gbut greceives gshared
gsavings gbonuses gbased gon gachievement gof gbenchmarks gfor gquality gmeasures gand gexpenditures.
gCare gcoordination gand gminimum gcash greserves gstandards gare gpart gof gLevel g2 gACO
grequirements. gLevel g3 gACOs ghave gstrict grequirements gfor gfinancial greporting.
What gwas gan gimportant gfinding gof gthe gAdvisory gBoard gsurvey gof g2014 gabout gprimary gcare
gpreferences gof gpatients? gp. g2
a. gAssociations gwith garea ghospitals
b. gCosts gof gambulatory gcare
c. gEase gof gaccess gto gcare
d. gThe gratio gof gproviders gto gpatients g- gAnswer g- gANS: gC
As gpart gof gthe g2014 gsurvey, gthe gAdvisory gBoard glearned gthat gpatients gdesired g24/7 gaccess gto
gcare, gwalk-in gsettings gand gthe gability gto gbe gseen gwithin g30 gminutes, gand gcare gthat gis gclose gto
ghome. gAssociations gwith ghospitals, gcosts gof gcare, gand gthe gratio gof gproviders gto gpatients gwere
gnot gpart gof gthese gresults.
Which gassessments gof gcare gproviders gare gperformed gas gpart gof gthe gvalue-based gpurchasing
g(VBP) ginitiative? g(Select gall gthat gapply.) gp. g1
a. gAppraising gcosts gper gcase gof gcare gfor gMedicare gpatients
,b. gAssessing gpatients' gsatisfaction gwith ghospital gcare
c. gEvaluating gavailable gevidence gto gguide gclinical gcare gguidelines
d. gMonitoring gmortality grates gof gall gpatients gwith gpneumonia
e. gRequiring gadvanced gIT gstandards gand gminimum gcash greserves g- gAnswer g- gANS: gA, gB, gD
Value-based gpurchasing glooks gat gfive gdomain gareas gof gprocesses gof gcare, gincluding gefficiency gof
gcare g(cost gper gcase), gexperience gof gcare g(patient gsatisfaction gmeasures), gand goutcomes gof gcare
g(mortality grates gfor gcertain gconditions). gEvaluation gof gevidence gto gguide gclinical gcare gis gpart gof
gevidence-based gpractice. gThe grequirements gfor gIT gstandards gand gfinancial gstatus gare
part gof gAccountable gCare gOrganization gstandards
What gis gthe gpurpose gof gLevel gII gresearch? gp. g6
a. gTo gdefine gcharacteristics gof ginterest gof ggroups gof gpatients
b. gTo gdemonstrate gthe geffectiveness gof gan gintervention gor gtreatment
c. gTo gdescribe grelationships gamong gcharacteristics gor gvariables
d. gTo gevaluate gthe gnature gof grelationships gbetween gtwo gvariables g- gAnswer g- gANS: gC
Level gII gresearch gis gconcerned gwith gdescribing gthe grelationships gamong gcharacteristics gor
gvariables. gLevel gI gresearch gis gconducted gto gdefine gthe gcharacteristics gof ggroups gof gpatients.
gLevel gII gresearch gevaluates gthe gnature gof gthe grelationships gbetween gvariables. gLevel gIV
research gis gconducted gto gdemonstrate gthe geffectiveness gof ginterventions gor gtreatments.
Which gis gthe gmost gappropriate gresearch gdesign gfor ga gLevel gIII gresearch gstudy? gp. g6
a. gEpidemiological gstudies
b. gExperimental gdesign
c. gQualitative gstudies
d. gRandomized gclinical gtrials g- gAnswer g- gANS: gB
The gexperimental gdesign gis gthe gmost gappropriate gdesign gfor ga gLevel gIII gstudy. gEpidemiological
gstudies gare gappropriate gfor gLevel gII gstudies. gQualitative gdesigns gare guseful gfor gLevel gI gstudies.
gRandomized gclinical gtrials gare gused gfor gLevel gIV gstudies.
What gis gthe gpurpose gof gclinical gresearch gtrials gin gthe gspectrum gof gtranslational gresearch? gp. g6
a. gAdoption gof ginterventions gand gclinical gpractices ginto groutine gclinical gcare
,b. gDetermination gof gthe gbasis gof gdisease gand gvarious gtreatment goptions
c. gExamination gof gsafety gand geffectiveness gof gvarious ginterventions
d. gExploration gof gfundamental gmechanisms gof gbiology, gdisease, gor gbehavior g- gAnswer g- gANS: gC
Clinical gresearch gtrials gare gconcerned gwith gdetermining gthe gsafety gand geffectiveness gof
ginterventions. gAdoption gof ginterventions gand gpractices gis gpart gof gclinical gimplementation.
gDetermination gof gthe gbasis gof gdisease gand gtreatment goptions gis gpart gof gthe gpreclinical gresearch
gphase. gExploration gof gthe gfundamental gmechanisms gof gbiology, gdisease, gor gbehavior gis gpart
of gthe gbasic gresearch gstage.
Which gstatement gmade gby ga ghealth gcare gprovider gdemonstrates gthe gmost gappropriate
gunderstanding gfor gthe ggoal gof ga gperformance greport?
a. g"This gprocess gallows gme gto gcritique gthe gperformance gof gthe grest gof gthe gstaff."
b. g"Most gorganizations grequire gstaff gto gundergo ga gperformance gevaluation gyearly."
c. g"It gis ghard gto gbe gpersonally gcriticized gbut gthat's ghow gwe glearn gto gchange."
d. g"The gcomments gshould ghelp gme gimprove gmy gmanagement gskills." g- gAnswer g- gANS: gD
The ggoal gof gthe gperformance greport gis gto gprovide gguidance gto gstaff gin gthe gareas gof gprofessional
gdevelopment, gmentoring, gand gleadership gdevelopment. gA gpeer greview gis gwritten gby gothers gwho
gperform gsimilar gskills g(peers). gThe gremaining goptions gmay gbe gtrue gbut gdo gnot gprovide gevidence
gof gunderstanding gof gthe ggoal gof gthis gprofessional grequirement.
Which gassessment gquestion gwould ga ghealth gcare gprovider gask gwhen gengaging gin gthe gprevisit
gstage gof gthe gnew gmodel gfor gprimary gcare? g(Select gall gthat gapply.)
a. g"Are gyou gready gto gdiscuss gsome gof gthe gcommunity gresources gthat gare gavailable?"
b. g"Are gyou gexperiencing gany gside geffects gfrom gyour gnewly gprescribed gmedications?"
c. g"Do gyou ganticipate gany gproblems gwith gadhering gto gyour gtreatment gplan?"
d. g"Are gyou gready gto gdiscuss gthe gresults gof gyour glaboratory gtests?"
e. g"Do gyou ghave gany gquestions gabout gthe glab gtests gthat ghave gbeen gordered gfor gyou?" g-
gAnswer g- gANS: gB, gC, gE
The gnursing gresponsibilities gin gthe gprevisit gstage ginclude gassessing gthe gpatient's gtolerance gof
gprescribed gmedications, gunderstanding gof gexisting gtreatment gplan, gand geducation gabout grequired
glab gtesting. gThe gprimary gcare gprovider gis gresponsible gfor gscreening glab gdata gand
discussing gcommunity gresources gduring gthe gactual gvisit.
, What gis gthe gQuadruple gAim? gp. g15 g- gAnswer g- g1) gImproved gpatient gsatisfaction
2) gReduce gper gcapita gcosts
3) gImprove gpopulation ghealth
4) gImprove gpatient gcare gteam gexperience
To greduce gadverse gevents gassociated gwith gcare gtransitions, gthe gCenters gfor gMedicare gand
gMedicaid gService ghave gimplemented gwhich gpolicy?
a. gMandates gfor gcommunication gamong gprimary gcaregivers gand ghospitalists
b. gPenalties gfor gfailure gto gperform gmedication greconciliations gat gtime gof gdischarge
c. gReduction gof gpayments gfor gpatients greadmitted gwithin g30 gdays gafter gdischarge
d. gRequirements gfor gwritten gdischarge ginstructions gfor gpatients gand gcaregivers g- gAnswer g- gANS:
gC
As ga gcomponent gof gthe gAffordable gCare gAct, gthe gCenters gfor gMedicare gand gMedicaid gService
gdeveloped gthe gReadmissions gReduction gProgram greducing gpayments gfor gcertain gpatients
greadmitted gwithin g30 gdays gof gdischarge. gThe gCMS gdid gnot gmandate gcommunication, ginstitute
gpenalties gfor gfailure gto gperform gmedication greconciliations, gor grequire gwritten gdischarge
ginstructions.
According gto gmultiple gresearch gstudies, gwhich gintervention ghas gresulted gin glower gcosts gand
gfewer grehospitalizations gin ghigh-risk golder gpatients?
a. gCoordination gof gposthospital gcare gby gadvanced gpractice ghealth gcare gproviders
b. gFrequent gposthospital gclinic gvisits gwith ga gprimary gcare gprovider
c. gInclusion gof gextended gfamily gmembers gin gthe goutpatient gplan gof gcare
d. gTelephone gfollow-up gby gthe gpharmacist gto gassess gmedication gcompliance g- gAnswer g- gANS: gA
Research gstudies gprovided gevidence gthat ghigh-risk golder gpatients gwho ghad gposthospital gcare
gcoordinated gby gan gAPN ghad greduced grehospitalization grates. gIt gdid gnot ginclude gclinic gvisits gwith
ga gprimary gcare gprovider, ginclusion gof gextended gfamily gmembers gin gthe gplan gof gcare, gor
gtelephone gfollow-up gby ga gpharmacist
1. gWhich gadvantages gare gprovided gto gthe gchronically gill gpatient gby gpersonal gelectronic
gmonitoring gdevices? g(Select gall gthat gapply.)
a. gHelps gprovide gmore gpatient gcontrol gtheir ghealth gand glifestyle
b. gEliminates gneed gfor gregular gmedical gand gnursing gfollow-up gvisits
