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Healthcare Delivery
Review Exam
Q&A
2024
,1. A nurse is working in a primary care clinic that uses the patient-
centered medical home (PCMH) model of care. What are some of the
benefits of this model for the patients and the health care team? (Select all
that apply.)
a) Improved coordination of care across different settings and providers
b) Increased access to preventive and chronic care services
c) Enhanced patient satisfaction and engagement
d) Reduced health disparities and costs
e) All of the above
Answer: E. All of the above are benefits of the PCMH model, which aims
to provide comprehensive, coordinated, patient-centered, and accessible
care to improve quality and outcomes.
Rationale: The PCMH model is based on the principles of primary care,
which include accessibility, comprehensiveness, coordination, continuity,
accountability, and patient-centeredness. By providing a team-based
approach to care, the PCMH model can improve communication,
collaboration, and continuity across different settings and providers. This
can enhance patient satisfaction and engagement, as well as prevent
duplication of services, reduce errors, and lower costs. The PCMH model
can also increase access to preventive and chronic care services, such as
screenings, immunizations, disease management, and behavioral health.
This can improve health outcomes and reduce health disparities among
different populations.
2. A nurse is caring for a patient who has a terminal illness and is
receiving palliative care at home. The nurse notices that the patient's
family members have different opinions and expectations about the goals
of care. How should the nurse handle this situation?
a) Respect the patient's wishes and preferences, even if they differ from
those of the family members
b) Encourage the family members to discuss their feelings and concerns
with each other and the health care team
c) Provide information and education about palliative care and its benefits
for the patient and the family
d) All of the above
Answer: D. All of the above are appropriate actions for the nurse to take
in this situation.
, Rationale: Palliative care is an approach to care that focuses on improving
the quality of life of patients with serious or life-limiting illnesses and
their families. It involves addressing physical, emotional, social, spiritual,
and cultural needs through symptom management, communication,
education, and support. The nurse should respect the patient's wishes and
preferences regarding the goals of care, which may include comfort
measures, pain relief, advance directives, or hospice referral. The nurse
should also encourage the family members to communicate their feelings
and concerns with each other and the health care team, as well as provide
information and education about palliative care and its benefits. This can
help reduce conflict, enhance understanding, promote coping, and
facilitate decision making.
3. A nurse is working in a community health center that serves a diverse
population of low-income and uninsured patients. The nurse is aware that
many of these patients face social determinants of health (SDOH) that
affect their health status and outcomes. What are some examples of SDOH
that the nurse should consider when planning and providing care for these
patients? (Select all that apply.)
a) Economic stability
b) Education level
c) Social and community context
d) Health literacy
e) All of the above
Answer: E. All of the above are examples of SDOH that can influence
health status and outcomes.
Rationale: SDOH are the conditions in which people are born, grow, live,
work, and age that affect their health status and outcomes. They include
factors such as income, education, employment, housing, transportation,
social support, culture, discrimination,
and access to health care. These factors can create barriers or opportunities
for health promotion, disease prevention,
and health equity. The nurse should assess the SDOH that affect each
patient and tailor interventions accordingly. For example,
the nurse may provide referrals to social services or community resources,
advocate for policy changes or system improvements,
educate patients about their rights and responsibilities, or collaborate with
other professionals or organizations to address SDOH.
Healthcare Delivery
Review Exam
Q&A
2024
,1. A nurse is working in a primary care clinic that uses the patient-
centered medical home (PCMH) model of care. What are some of the
benefits of this model for the patients and the health care team? (Select all
that apply.)
a) Improved coordination of care across different settings and providers
b) Increased access to preventive and chronic care services
c) Enhanced patient satisfaction and engagement
d) Reduced health disparities and costs
e) All of the above
Answer: E. All of the above are benefits of the PCMH model, which aims
to provide comprehensive, coordinated, patient-centered, and accessible
care to improve quality and outcomes.
Rationale: The PCMH model is based on the principles of primary care,
which include accessibility, comprehensiveness, coordination, continuity,
accountability, and patient-centeredness. By providing a team-based
approach to care, the PCMH model can improve communication,
collaboration, and continuity across different settings and providers. This
can enhance patient satisfaction and engagement, as well as prevent
duplication of services, reduce errors, and lower costs. The PCMH model
can also increase access to preventive and chronic care services, such as
screenings, immunizations, disease management, and behavioral health.
This can improve health outcomes and reduce health disparities among
different populations.
2. A nurse is caring for a patient who has a terminal illness and is
receiving palliative care at home. The nurse notices that the patient's
family members have different opinions and expectations about the goals
of care. How should the nurse handle this situation?
a) Respect the patient's wishes and preferences, even if they differ from
those of the family members
b) Encourage the family members to discuss their feelings and concerns
with each other and the health care team
c) Provide information and education about palliative care and its benefits
for the patient and the family
d) All of the above
Answer: D. All of the above are appropriate actions for the nurse to take
in this situation.
, Rationale: Palliative care is an approach to care that focuses on improving
the quality of life of patients with serious or life-limiting illnesses and
their families. It involves addressing physical, emotional, social, spiritual,
and cultural needs through symptom management, communication,
education, and support. The nurse should respect the patient's wishes and
preferences regarding the goals of care, which may include comfort
measures, pain relief, advance directives, or hospice referral. The nurse
should also encourage the family members to communicate their feelings
and concerns with each other and the health care team, as well as provide
information and education about palliative care and its benefits. This can
help reduce conflict, enhance understanding, promote coping, and
facilitate decision making.
3. A nurse is working in a community health center that serves a diverse
population of low-income and uninsured patients. The nurse is aware that
many of these patients face social determinants of health (SDOH) that
affect their health status and outcomes. What are some examples of SDOH
that the nurse should consider when planning and providing care for these
patients? (Select all that apply.)
a) Economic stability
b) Education level
c) Social and community context
d) Health literacy
e) All of the above
Answer: E. All of the above are examples of SDOH that can influence
health status and outcomes.
Rationale: SDOH are the conditions in which people are born, grow, live,
work, and age that affect their health status and outcomes. They include
factors such as income, education, employment, housing, transportation,
social support, culture, discrimination,
and access to health care. These factors can create barriers or opportunities
for health promotion, disease prevention,
and health equity. The nurse should assess the SDOH that affect each
patient and tailor interventions accordingly. For example,
the nurse may provide referrals to social services or community resources,
advocate for policy changes or system improvements,
educate patients about their rights and responsibilities, or collaborate with
other professionals or organizations to address SDOH.
