Exam 1 Ambulatory Nursing Care
Questions and Answers Updated
2024/2025
***KnowvthevelementsvofvthevNIHvClearvandvSimplevCommunicationsvprocessvandvbevablevt
ovapplyvthemvtovavclinicalvexample.v-vCORRECTvANSWER-
5vStepsvforvClearvandvSimplevcommunication:
1.vDetermine/definevtargetvaudience,vassessvlearningvstylev
2.vTargetvaudiencevresearch,vassessvrumors/mythsvandvmisinfo,vdeterminevfeelings,vfillvinv
gapsvinvinfo
3.vDevelopvconceptvforvproduct,vusevinfovfromvaudiencevresearchvtovoutlinevobjectives/styl
e/format/approach,vputtingvitvtogether
4.vDevelopvcontent,vvisualvdefinedvfeatures,vtailoredvtovneedsvofvaudiencevtovliteracy
5.vPre-
testvorvrevisevdraftvmaterials,vmeasurevresponsevofvaudiencevtovproduct,vmeasurevtheirvco
mprehension
3vGeneralvcontextsvofvambulatoryvcarevnurses:v-vCORRECTvANSWER--
episodic/preventativevcare
-chronicvdiseasevmanagement
-practicevoperations
6vprinciplesvofvCCTMvNusingv-vCORRECTvANSWER-
Thesevsixvprinciplesvprovidevavbasisvforvestablishingvanvinformedvandvcollaborativevcarevco
ordinationvprocessvthatvincludesvallvstaff,vkeyvstakeholders,vandvnursevleadersvacrossvthevc
ontinuumvofvcare:
-Knowvhowvcarevisvcoordinatedvinvyourvsetting
-Knowvwhovisvprovidingvcare
-
Establishvrelationshipsvwithvmultipleventitiesvandvindividualsvwhovcanvworkvtogethervtovimpr
ovevcarevcoordinationvandvtransitionvmanagementvsystems
-
Knowvthevvaluevofvtechnology,vitsvimpactvonvworkflow,vandvthevrolesvofvcarevcoordinationvte
amvmembers
-Engagevthevpatientvandvfamily
-Engagevallvteamvmembersvinvcarevcoordination
Actionv-vCORRECTvANSWER-
Actionvisvthevstagevinvwhichvpeoplevhavevmadevspecificvovertvmodificationsvinvtheirvlifestyle
, svwithinvthevpastvsixvmonths.vBecausevactionvisvobservable,vthevoverallvprocessvofvbehavior
vchangevoftenvhasvbeenvequatedvwithvaction.vButvinvthevTTM,vActionvisvonlyvonevofvsixvstage
s.vTypically,vnotvallvmodificationsvofvbehaviorvcountvasvActionvinvthisvModel.vInvmostvapplica
tions,vpeoplevhavevtovattainvavcriterionvthatvscientistsvandvprofessionalsvagreevisvsufficientvt
ovreducevriskvofvdisease.vForvexample,vreductionvinvthevnumbervofvcigarettesvorvswitchingvt
ovlow-tarvandvlow-
nicotinevcigarettesvwerevformerlyvconsideredvacceptablevactions.vNowvthevconsensusvisvcl
ear—onlyvtotalvabstinencevcounts.
Specificvmodificationsvinvpastv6vmos
activelyvengaged
AffordablevCarevActv-vCORRECTvANSWER-
Inv2011,vthevlawvprovidedvforvfreevpreventivevcarevforvseniorsvsuchvasvannualvwellnessvvisit
svandvpersonalizedvpreventionvplans
CommunityvCarevTransitionsvprogramvforvatvriskvSeniorvAdults,vpreventingvEDvvisitsvandvh
ospitalvreadmissions
increasedvreimbursementvforvprimaryvcare
StatevsanctionedvPatientvCenteredvMedicalvHomes
PhysicianvreimbursementvchangingvfromvFee-for-ServicevtovValuevBasedvCarevmodels
AlcoholvandvDrugvInterventionvCardv-vCORRECTvANSWER-
ThevSECSATvAlcoholv&vDrugvInterventionvCardvwasvdevelopedvtovusevasvavguidevandvoutli
nevforvavbriefvalcoholvinterventionvwithvpatients.vOnevsidevincludesvavstandardvdrinkvchart,vl
ow-
riskvalcoholvconsumptionvchartvandvavdiagramvtovusevasvavvisualvaidvtovdemonstratevlevelvo
fvriskvbasedvonvthevpatient'svAUDITvscore.vThevothervsidevincludesvanvoutlinevofvanvMI-
vbasedvbriefvalcoholvintervention,vasvwellvasvincludingvavmenuvofvoptionsvforvpatientsvatvhigh
ervlevelsvofvriskvwhovmayvneedvadditionalvformsvofvtreatment.
Applyvappropriateveducationalvapproachesvandvtoolsvforveachvlevelvofvliteracy:vbasic,vinter
mediate,vproficient.v-vCORRECTvANSWER-BelowvBasic:vDemonstration,vverbal,v
Simplevinstructions
Intermediate:
Applyvprinciplesvofvcarevcoordinationvtovspecificvclientvchallenges.vHowvwouldvavcarevcoord
inatorvbevablevtovhelpvavparticularvcomplexvclient?v-vCORRECTvANSWER-
Primaryvandvacutevcommunicating
-MorevcomprehensivevEMRvsystemvtovpromotevcontinuityvofvcare
-Referralvtovspecialistsvandvsimplifyingvissues
-Ensuringvresourcesvarevavailablevfirst
-Transportation,vtelephone,vhealthyvfood,vhome,v
-Simplifyvcomplexityvofvsystem
Transitionvcoaches
Questions and Answers Updated
2024/2025
***KnowvthevelementsvofvthevNIHvClearvandvSimplevCommunicationsvprocessvandvbevablevt
ovapplyvthemvtovavclinicalvexample.v-vCORRECTvANSWER-
5vStepsvforvClearvandvSimplevcommunication:
1.vDetermine/definevtargetvaudience,vassessvlearningvstylev
2.vTargetvaudiencevresearch,vassessvrumors/mythsvandvmisinfo,vdeterminevfeelings,vfillvinv
gapsvinvinfo
3.vDevelopvconceptvforvproduct,vusevinfovfromvaudiencevresearchvtovoutlinevobjectives/styl
e/format/approach,vputtingvitvtogether
4.vDevelopvcontent,vvisualvdefinedvfeatures,vtailoredvtovneedsvofvaudiencevtovliteracy
5.vPre-
testvorvrevisevdraftvmaterials,vmeasurevresponsevofvaudiencevtovproduct,vmeasurevtheirvco
mprehension
3vGeneralvcontextsvofvambulatoryvcarevnurses:v-vCORRECTvANSWER--
episodic/preventativevcare
-chronicvdiseasevmanagement
-practicevoperations
6vprinciplesvofvCCTMvNusingv-vCORRECTvANSWER-
Thesevsixvprinciplesvprovidevavbasisvforvestablishingvanvinformedvandvcollaborativevcarevco
ordinationvprocessvthatvincludesvallvstaff,vkeyvstakeholders,vandvnursevleadersvacrossvthevc
ontinuumvofvcare:
-Knowvhowvcarevisvcoordinatedvinvyourvsetting
-Knowvwhovisvprovidingvcare
-
Establishvrelationshipsvwithvmultipleventitiesvandvindividualsvwhovcanvworkvtogethervtovimpr
ovevcarevcoordinationvandvtransitionvmanagementvsystems
-
Knowvthevvaluevofvtechnology,vitsvimpactvonvworkflow,vandvthevrolesvofvcarevcoordinationvte
amvmembers
-Engagevthevpatientvandvfamily
-Engagevallvteamvmembersvinvcarevcoordination
Actionv-vCORRECTvANSWER-
Actionvisvthevstagevinvwhichvpeoplevhavevmadevspecificvovertvmodificationsvinvtheirvlifestyle
, svwithinvthevpastvsixvmonths.vBecausevactionvisvobservable,vthevoverallvprocessvofvbehavior
vchangevoftenvhasvbeenvequatedvwithvaction.vButvinvthevTTM,vActionvisvonlyvonevofvsixvstage
s.vTypically,vnotvallvmodificationsvofvbehaviorvcountvasvActionvinvthisvModel.vInvmostvapplica
tions,vpeoplevhavevtovattainvavcriterionvthatvscientistsvandvprofessionalsvagreevisvsufficientvt
ovreducevriskvofvdisease.vForvexample,vreductionvinvthevnumbervofvcigarettesvorvswitchingvt
ovlow-tarvandvlow-
nicotinevcigarettesvwerevformerlyvconsideredvacceptablevactions.vNowvthevconsensusvisvcl
ear—onlyvtotalvabstinencevcounts.
Specificvmodificationsvinvpastv6vmos
activelyvengaged
AffordablevCarevActv-vCORRECTvANSWER-
Inv2011,vthevlawvprovidedvforvfreevpreventivevcarevforvseniorsvsuchvasvannualvwellnessvvisit
svandvpersonalizedvpreventionvplans
CommunityvCarevTransitionsvprogramvforvatvriskvSeniorvAdults,vpreventingvEDvvisitsvandvh
ospitalvreadmissions
increasedvreimbursementvforvprimaryvcare
StatevsanctionedvPatientvCenteredvMedicalvHomes
PhysicianvreimbursementvchangingvfromvFee-for-ServicevtovValuevBasedvCarevmodels
AlcoholvandvDrugvInterventionvCardv-vCORRECTvANSWER-
ThevSECSATvAlcoholv&vDrugvInterventionvCardvwasvdevelopedvtovusevasvavguidevandvoutli
nevforvavbriefvalcoholvinterventionvwithvpatients.vOnevsidevincludesvavstandardvdrinkvchart,vl
ow-
riskvalcoholvconsumptionvchartvandvavdiagramvtovusevasvavvisualvaidvtovdemonstratevlevelvo
fvriskvbasedvonvthevpatient'svAUDITvscore.vThevothervsidevincludesvanvoutlinevofvanvMI-
vbasedvbriefvalcoholvintervention,vasvwellvasvincludingvavmenuvofvoptionsvforvpatientsvatvhigh
ervlevelsvofvriskvwhovmayvneedvadditionalvformsvofvtreatment.
Applyvappropriateveducationalvapproachesvandvtoolsvforveachvlevelvofvliteracy:vbasic,vinter
mediate,vproficient.v-vCORRECTvANSWER-BelowvBasic:vDemonstration,vverbal,v
Simplevinstructions
Intermediate:
Applyvprinciplesvofvcarevcoordinationvtovspecificvclientvchallenges.vHowvwouldvavcarevcoord
inatorvbevablevtovhelpvavparticularvcomplexvclient?v-vCORRECTvANSWER-
Primaryvandvacutevcommunicating
-MorevcomprehensivevEMRvsystemvtovpromotevcontinuityvofvcare
-Referralvtovspecialistsvandvsimplifyingvissues
-Ensuringvresourcesvarevavailablevfirst
-Transportation,vtelephone,vhealthyvfood,vhome,v
-Simplifyvcomplexityvofvsystem
Transitionvcoaches
