NSG 554 Exam 1 (Latest
Update) Nurse Practitioners in Primary
Care I Questions and Verified Answers
100% Correct {Grade A} – Wilkes
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is
designated as a Level 1 ACO. What is part of this designation?
a. Bonuses based on achievement of benchmarks
b. Care coordination for chronic diseases
c. Standards for minimum cash reserves
d. Strict requirements for financial reporting - Correct answer : A
A Level 1 ACO has the least amount of financial risk and requirements, but receives
shared
savings bonuses based on achievement of benchmarks for quality measures and
expenditures. Care coordination and minimum cash reserves standards are part of
Level 2 ACO requirements. Level 3 ACOs require financial reporting
,2. What was an important finding of the Advisory Board survey of 2014 about primary
care preferences of patients?
a. Associations with area hospitals
b. Costs of ambulatory care
c. Ease of access to care
d. The ratio of providers to patients - Correct answer : C
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7
access to care, walk-in settings and the ability to be seen within 30 minutes, and care
that is close to home. Associations with hospitals, costs of care, and the ratio of
providers to patients were not part of these results.
3. 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." - Correct answer :
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.
4. 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?" -
Correct answer : 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.
5. 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 -
Correct answer : C
Update) Nurse Practitioners in Primary
Care I Questions and Verified Answers
100% Correct {Grade A} – Wilkes
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is
designated as a Level 1 ACO. What is part of this designation?
a. Bonuses based on achievement of benchmarks
b. Care coordination for chronic diseases
c. Standards for minimum cash reserves
d. Strict requirements for financial reporting - Correct answer : A
A Level 1 ACO has the least amount of financial risk and requirements, but receives
shared
savings bonuses based on achievement of benchmarks for quality measures and
expenditures. Care coordination and minimum cash reserves standards are part of
Level 2 ACO requirements. Level 3 ACOs require financial reporting
,2. What was an important finding of the Advisory Board survey of 2014 about primary
care preferences of patients?
a. Associations with area hospitals
b. Costs of ambulatory care
c. Ease of access to care
d. The ratio of providers to patients - Correct answer : C
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7
access to care, walk-in settings and the ability to be seen within 30 minutes, and care
that is close to home. Associations with hospitals, costs of care, and the ratio of
providers to patients were not part of these results.
3. 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." - Correct answer :
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.
4. 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?" -
Correct answer : 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.
5. 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 -
Correct answer : C
