NEW NURS 6531 FINAL PART 1 ACTUAL EXAM
WITH Q&A TETSED AND APPROVED NEWLY
MODIFIED TESTED AND APPROVED!!!
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?" --
ANSWER--ANS: 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.
Which is the most appropriate research design for a Level III research study? p. 6
a. Epidemiological studies
b. Experimental design
c. Qualitative studies
d. Randomized clinical trials -- ANSWER--ANS: B
Page 1 of 156
,The experimental design is the most appropriate design for a Level III study. Epidemiological
studies are appropriate for Level II studies. Qualitative designs are useful for Level I studies.
Randomized clinical trials are used for Level IV studies.
What is the purpose of clinical research trials in the spectrum of translational research? p. 6
a. Adoption of interventions and clinical practices into routine clinical care
b. Determination of the basis of disease and various treatment options
c. Examination of safety and effectiveness of various interventions
d. Exploration of fundamental mechanisms of biology, disease, or behavior -- ANSWER--
ANS: C
Clinical research trials are concerned with determining the safety and effectiveness of
interventions. Adoption of interventions and practices is part of clinical implementation.
Determination of the basis of disease and treatment options is part of the preclinical research
phase. Exploration of the fundamental mechanisms of biology, disease, or behavior is part of
the basic research stage.
What is the Quadruple Aim? p. 15 -- ANSWER--1) Improved patient satisfaction
2) Reduce per capita costs
3) Improve population health
4) Improve patient care team experience
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
Page 2 of 156
,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 -- ANSWER--
ANS: C
As a component of the Affordable Care Act, the Centers for Medicare and Medicaid Service
developed the Readmissions Reduction Program reducing payments for certain patients
readmitted within 30 days of discharge. The CMS did not mandate communication, institute
penalties for failure to perform medication reconciliations, or require written discharge
instructions.
According to multiple research studies, which intervention has resulted in lower costs and
fewer rehospitalizations in high-risk older patients?
a. Coordination of posthospital care by advanced practice health care providers
b. Frequent posthospital clinic visits with a primary care provider
c. Inclusion of extended family members in the outpatient plan of care
d. Telephone follow-up by the pharmacist to assess medication compliance -- ANSWER--
ANS: A
Research studies provided evidence that high-risk older patients who had posthospital care
coordinated by an APN had reduced rehospitalization rates. It did not include clinic visits
with a primary care provider, inclusion of extended family members in the plan of care, or
telephone follow-up by a pharmacist
What was an important finding of the Advisory Board survey of 2014 about primary care
preferences of patients? p. 2
a. Associations with area hospitals
Page 3 of 156
, b. Costs of ambulatory care
c. Ease of access to care
d. The ratio of providers to patients -- ANSWER--ANS: 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.
Which assessments of care providers are performed as part of the value-based purchasing
(VBP) initiative? (Select all that apply.) p. 1
a. Appraising costs per case of care for Medicare patients
b. Assessing patients' satisfaction with hospital care
c. Evaluating available evidence to guide clinical care guidelines
d. Monitoring mortality rates of all patients with pneumonia
e. Requiring advanced IT standards and minimum cash reserves -- ANSWER--ANS: A, B, D
Value-based purchasing looks at five domain areas of processes of care, including
efficiency of care (cost per case), experience of care (patient satisfaction measures), and
outcomes of care (mortality rates for certain conditions). Evaluation of evidence to guide
clinical care is part of evidence-based practice. The requirements for IT standards and
financial status are part of Accountable Care Organization standards
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? p. 2
a. Bonuses based on achievement of benchmarks
Page 4 of 156
WITH Q&A TETSED AND APPROVED NEWLY
MODIFIED TESTED AND APPROVED!!!
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?" --
ANSWER--ANS: 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.
Which is the most appropriate research design for a Level III research study? p. 6
a. Epidemiological studies
b. Experimental design
c. Qualitative studies
d. Randomized clinical trials -- ANSWER--ANS: B
Page 1 of 156
,The experimental design is the most appropriate design for a Level III study. Epidemiological
studies are appropriate for Level II studies. Qualitative designs are useful for Level I studies.
Randomized clinical trials are used for Level IV studies.
What is the purpose of clinical research trials in the spectrum of translational research? p. 6
a. Adoption of interventions and clinical practices into routine clinical care
b. Determination of the basis of disease and various treatment options
c. Examination of safety and effectiveness of various interventions
d. Exploration of fundamental mechanisms of biology, disease, or behavior -- ANSWER--
ANS: C
Clinical research trials are concerned with determining the safety and effectiveness of
interventions. Adoption of interventions and practices is part of clinical implementation.
Determination of the basis of disease and treatment options is part of the preclinical research
phase. Exploration of the fundamental mechanisms of biology, disease, or behavior is part of
the basic research stage.
What is the Quadruple Aim? p. 15 -- ANSWER--1) Improved patient satisfaction
2) Reduce per capita costs
3) Improve population health
4) Improve patient care team experience
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
Page 2 of 156
,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 -- ANSWER--
ANS: C
As a component of the Affordable Care Act, the Centers for Medicare and Medicaid Service
developed the Readmissions Reduction Program reducing payments for certain patients
readmitted within 30 days of discharge. The CMS did not mandate communication, institute
penalties for failure to perform medication reconciliations, or require written discharge
instructions.
According to multiple research studies, which intervention has resulted in lower costs and
fewer rehospitalizations in high-risk older patients?
a. Coordination of posthospital care by advanced practice health care providers
b. Frequent posthospital clinic visits with a primary care provider
c. Inclusion of extended family members in the outpatient plan of care
d. Telephone follow-up by the pharmacist to assess medication compliance -- ANSWER--
ANS: A
Research studies provided evidence that high-risk older patients who had posthospital care
coordinated by an APN had reduced rehospitalization rates. It did not include clinic visits
with a primary care provider, inclusion of extended family members in the plan of care, or
telephone follow-up by a pharmacist
What was an important finding of the Advisory Board survey of 2014 about primary care
preferences of patients? p. 2
a. Associations with area hospitals
Page 3 of 156
, b. Costs of ambulatory care
c. Ease of access to care
d. The ratio of providers to patients -- ANSWER--ANS: 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.
Which assessments of care providers are performed as part of the value-based purchasing
(VBP) initiative? (Select all that apply.) p. 1
a. Appraising costs per case of care for Medicare patients
b. Assessing patients' satisfaction with hospital care
c. Evaluating available evidence to guide clinical care guidelines
d. Monitoring mortality rates of all patients with pneumonia
e. Requiring advanced IT standards and minimum cash reserves -- ANSWER--ANS: A, B, D
Value-based purchasing looks at five domain areas of processes of care, including
efficiency of care (cost per case), experience of care (patient satisfaction measures), and
outcomes of care (mortality rates for certain conditions). Evaluation of evidence to guide
clinical care is part of evidence-based practice. The requirements for IT standards and
financial status are part of Accountable Care Organization standards
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? p. 2
a. Bonuses based on achievement of benchmarks
Page 4 of 156
