Harrison's Principles of Internal Medicine (Vol.1
& Vol.2)
21st Edition Newer Edition
Author(s)Joseph Loscalzo; Anthony S. Fauci;
Dennis L. Kasper; Stephen Hauser; Dan Longo; J.
Larry Jameson
TEST BANK
Reference
Ch. 1 — The Practice of Medicine
Question Stem
A 68-year-old man with multiple chronic conditions is admitted
for congestive heart failure exacerbation. The inpatient team
must prioritize which action first to ensure safe transitions of
,care and reduce readmission risk. Which is the best initial
action?
Options
A. Arrange outpatient follow-up with primary care in 2–3 weeks
B. Provide the patient with a generic discharge medication list
C. Conduct a multidisciplinary discharge planning meeting
including medication reconciliation
D. Give patient printed heart-failure lifestyle brochures
Correct Answer
C
Rationales
• Correct (C): Multidisciplinary discharge planning with
medication reconciliation addresses medication errors,
ensures care coordination, and reduces preventable
readmissions—core tenets of safe practice.
• A: Early outpatient follow-up is important but insufficient
alone; timing and coordination are optimized by the
multidisciplinary plan.
• B: A generic medication list risks inaccuracies;
reconciliation by the team ensures accuracy and patient
understanding.
• D: Education materials are helpful adjuncts but do not
substitute for coordinated planning and reconciliation.
,Teaching Point
Multidisciplinary discharge planning and medication
reconciliation reduce readmissions and improve safety.
Citation
Loscalzo et al. (2022). Harrison’s Principles of Internal Medicine
(21st Ed.). Ch. 1.
2)
Reference
Ch. 2 — Promoting Good Health
Question Stem
A community health clinic wants to increase adult influenza
vaccine uptake among patients with COPD. Which strategy is
most likely to improve vaccination rates according to
population-health principles?
Options
A. Passive posters in waiting rooms encouraging vaccination
B. Offering vaccines only during flu season special clinics
C. Implementing standing orders allowing nurses to vaccinate
eligible patients during visits
D. Relying on physician verbal recommendation only
Correct Answer
C
Rationales
, • Correct (C): Standing orders are a systems-level
intervention that increases access and standardizes
preventive care delivery, shown to improve vaccination
rates.
• A: Posters are low-yield passive reminders and often
insufficient to change behavior.
• B: Limited clinic availability reduces access; routine
availability during visits is more effective.
• D: Physician recommendation helps but is variable;
combining recommendation with standing orders yields
better uptake.
Teaching Point
Standing orders standardize preventive care and effectively
increase vaccine uptake.
Citation
Loscalzo et al. (2022). Harrison’s Principles of Internal Medicine
(21st Ed.). Ch. 2.
3)
Reference
Ch. 3 — Vaccine Opposition and Hesitancy
Question Stem
A young mother expresses strong vaccine concerns driven by
& Vol.2)
21st Edition Newer Edition
Author(s)Joseph Loscalzo; Anthony S. Fauci;
Dennis L. Kasper; Stephen Hauser; Dan Longo; J.
Larry Jameson
TEST BANK
Reference
Ch. 1 — The Practice of Medicine
Question Stem
A 68-year-old man with multiple chronic conditions is admitted
for congestive heart failure exacerbation. The inpatient team
must prioritize which action first to ensure safe transitions of
,care and reduce readmission risk. Which is the best initial
action?
Options
A. Arrange outpatient follow-up with primary care in 2–3 weeks
B. Provide the patient with a generic discharge medication list
C. Conduct a multidisciplinary discharge planning meeting
including medication reconciliation
D. Give patient printed heart-failure lifestyle brochures
Correct Answer
C
Rationales
• Correct (C): Multidisciplinary discharge planning with
medication reconciliation addresses medication errors,
ensures care coordination, and reduces preventable
readmissions—core tenets of safe practice.
• A: Early outpatient follow-up is important but insufficient
alone; timing and coordination are optimized by the
multidisciplinary plan.
• B: A generic medication list risks inaccuracies;
reconciliation by the team ensures accuracy and patient
understanding.
• D: Education materials are helpful adjuncts but do not
substitute for coordinated planning and reconciliation.
,Teaching Point
Multidisciplinary discharge planning and medication
reconciliation reduce readmissions and improve safety.
Citation
Loscalzo et al. (2022). Harrison’s Principles of Internal Medicine
(21st Ed.). Ch. 1.
2)
Reference
Ch. 2 — Promoting Good Health
Question Stem
A community health clinic wants to increase adult influenza
vaccine uptake among patients with COPD. Which strategy is
most likely to improve vaccination rates according to
population-health principles?
Options
A. Passive posters in waiting rooms encouraging vaccination
B. Offering vaccines only during flu season special clinics
C. Implementing standing orders allowing nurses to vaccinate
eligible patients during visits
D. Relying on physician verbal recommendation only
Correct Answer
C
Rationales
, • Correct (C): Standing orders are a systems-level
intervention that increases access and standardizes
preventive care delivery, shown to improve vaccination
rates.
• A: Posters are low-yield passive reminders and often
insufficient to change behavior.
• B: Limited clinic availability reduces access; routine
availability during visits is more effective.
• D: Physician recommendation helps but is variable;
combining recommendation with standing orders yields
better uptake.
Teaching Point
Standing orders standardize preventive care and effectively
increase vaccine uptake.
Citation
Loscalzo et al. (2022). Harrison’s Principles of Internal Medicine
(21st Ed.). Ch. 2.
3)
Reference
Ch. 3 — Vaccine Opposition and Hesitancy
Question Stem
A young mother expresses strong vaccine concerns driven by
