UPDATED Exam Questions and CORRECT
Answers
Which of the following steps should NOT be utilized when implementing change? - CORRECT
ANSWER -across-the-board training
The primary drawback of utilizing Eddy's Clinical Decision-Making Model is - CORRECT
ANSWER -the time necessary to complete the process
The components of a practice policy that identify whether a policy should be considered a
standard, guideline, or option are - CORRECT ANSWER -evaluations of clinical
effectiveness and patient preferences
Which of the following strategies has NOT been shown to lead to successful implementation of
practice policies? - CORRECT ANSWER -all of the above have been shown to be
effective
(active dissemination of policies through the use of seminars, visits, and opinion leaders
financial incentives
provider feedback
preventive acre reminders)
Irving et al. (2006) studied the implementation of a clinical guideline for dialysis patients and
found physician adherence decreased with - CORRECT ANSWER -an increase in the
number of treating physicians
A practice standard should be followed in almost every case. - CORRECT ANSWER -
TRUE
Practice options are built on a stronger foundation of clinical evidence and understanding of
patient preferences than guidelines or standards. - CORRECT ANSWER -FALSE
, Which of the following was NOT cited by Cabana et al. (1999) as being a primary barrier to
changing practice policies? - CORRECT ANSWER -cost
Which of the following implementation approaches should be avoided? - CORRECT
ANSWER -all of the above
(pre-mature start of projects
formation of large teams
across-the-board training
delegated responsibility)
In Brent James' study of the implementation of a practice policy for adult respiratory distress
syndrome, which of the following benefits did not arise? - CORRECT ANSWER -higher
reimbursement
The component of a practice policy that attempts to identify when a practice policy should be
revisited is - CORRECT ANSWER -caveats
Which of the following provides a physician with the least latitude in developing a treatment
plan? - CORRECT ANSWER -a practice standard
In Brent James' study of the implementation of a practice policy for adult respiratory distress
syndrome, which of the following benefits did not arise? - CORRECT ANSWER -all of
the above
(lower mortality rates
lower time to manage cases
faster discharge from ICU
lower treatment cost)
The health problem and issue component of a practice policy - CORRECT ANSWER -
identifies the disease, target population and treatment approaches