Ambulatory Care Exam 1 Questions
with 100% Correct Answers
Elements of CCTM Correct Answer: -Assuming accountability
-Providing patient support
-Building relationships and agreements among providers that lead to shared
expectations for communication and care
-Developing connectivity via electronic or other information pathways that
encourage timely and effective information flow between
Care coordination Correct Answer: Need high quality referral or transition
Should be timely
Safe: Referrals and transitions are planned and managed to prevent harm to
patients from medical or administrative errors.
Effective: referrals and transitions are based on scientific knowledge
Patient centered
efficient
Equitable
6 principles of CCTM Nusing Correct Answer: These six principles provide a basis
for establishing an informed and collaborative care coordination process that
includes all staff, key stakeholders, and nurse leaders across the continuum of
care:
,-Know how care is coordinated in your setting
-Know who is providing care
-Establish relationships with multiple entities and individuals who can work
together to improve care coordination and transition management systems
-Know the value of technology, its impact on workflow, and the roles of care
coordination team members
-Engage the patient and family
-Engage all team members in care coordination
The logic model and CCTM Correct Answer: The Logic Model depicts program
outcomes, how the program is supposed to accomplish these outcomes and
what is the basis (logic) for these expectations.
Links program inputs (resources) and activities to the program products and
outcomes while communicating the logic
Components:
Inputs: resources that go into the program
Activities: actual events or actions that take place
Products: direct tangible output of program activities
, Outcomes: impact of the program; the sequence of effects triggered by the
program, often expressed in terms of short term, intermediate, and distal
outcomes
Stages of change model Correct Answer: Stages:
◦Precontemplation - no intention to change in the next 6 months
◦Contemplation - intend to change in the next 6 months
◦Preparation - intend to take action in the immediate future
◦Action - observable changes
◦Maintenance - have made changes and working to prevent relapse
◦Termination - not always recognized as a stage
Public health nursing Correct Answer: Lillian Wald visiting nurses - decision that
need public health nurses and integrate courses or have it be post grad
-Education is important
Community - pathological social conditions
Treat community and other sources
Industrialization/depression
-Lack of coordination, resources, access
with 100% Correct Answers
Elements of CCTM Correct Answer: -Assuming accountability
-Providing patient support
-Building relationships and agreements among providers that lead to shared
expectations for communication and care
-Developing connectivity via electronic or other information pathways that
encourage timely and effective information flow between
Care coordination Correct Answer: Need high quality referral or transition
Should be timely
Safe: Referrals and transitions are planned and managed to prevent harm to
patients from medical or administrative errors.
Effective: referrals and transitions are based on scientific knowledge
Patient centered
efficient
Equitable
6 principles of CCTM Nusing Correct Answer: These six principles provide a basis
for establishing an informed and collaborative care coordination process that
includes all staff, key stakeholders, and nurse leaders across the continuum of
care:
,-Know how care is coordinated in your setting
-Know who is providing care
-Establish relationships with multiple entities and individuals who can work
together to improve care coordination and transition management systems
-Know the value of technology, its impact on workflow, and the roles of care
coordination team members
-Engage the patient and family
-Engage all team members in care coordination
The logic model and CCTM Correct Answer: The Logic Model depicts program
outcomes, how the program is supposed to accomplish these outcomes and
what is the basis (logic) for these expectations.
Links program inputs (resources) and activities to the program products and
outcomes while communicating the logic
Components:
Inputs: resources that go into the program
Activities: actual events or actions that take place
Products: direct tangible output of program activities
, Outcomes: impact of the program; the sequence of effects triggered by the
program, often expressed in terms of short term, intermediate, and distal
outcomes
Stages of change model Correct Answer: Stages:
◦Precontemplation - no intention to change in the next 6 months
◦Contemplation - intend to change in the next 6 months
◦Preparation - intend to take action in the immediate future
◦Action - observable changes
◦Maintenance - have made changes and working to prevent relapse
◦Termination - not always recognized as a stage
Public health nursing Correct Answer: Lillian Wald visiting nurses - decision that
need public health nurses and integrate courses or have it be post grad
-Education is important
Community - pathological social conditions
Treat community and other sources
Industrialization/depression
-Lack of coordination, resources, access
