1. Azsmall,zruralzhospitalziszpartzofzanzAccountablezCarezOrganizationz(ACO)zandziszdesignatedza
szazLevelz1zACO.zWhatziszpartzofzthiszdesignation?
a. Bonuseszbasedzonzachievementzofzbenchmarks
b. Carezcoordinationzforzchroniczdiseases
c. Standardszforzminimumzcashzreserves
d. Strictzrequirementszforzfinancialzreporting
ANS:z A
AzLevelz1zACOzhaszthezleastzamountzofzfinancialzriskzandzrequirements,zbutzreceiveszsharedzs
avingszbonuseszbasedzonzachievementzofzbenchmarkszforzqualityzmeasureszandzexpenditures
.zCarezcoordinationzandzminimumzcashzreserveszstandardszarezpartzofzLevelz2zACOzrequirem
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2. WhatzwaszanzimportantzfindingzofzthezAdvisoryzBoardzsurveyzofz2014zaboutzprimaryzcarez
preferenceszofzpatients?
a. Associationszwithzareazhospitals
b. Costszofzambulatoryzcare
c. Easezofzaccessztozcare
d. Thezratiozofzprovidersztozpatients
ANS:z C NURSINGTB.COM
Aszpartzofzthez2014zsurvey,zthezAdvisoryzBoardzlearnedzthatzpatientszdesiredz24/7zaccessztozc
are,zwalk-
inzsettingszandzthezabilityztozbezseenzwithinz30zminutes,zandzcarezthatziszcloseztozhome.zAsso
ciationszwithzhospitals,zcostszofzcare,zandzthezratiozofzprovidersztozpatientszwereznotzpartzofzt
hesezresults.
MULTIPLEzRESPONSE
1. Whichzassessmentszofzcarezproviderszarezperformedzaszpartzofzthezvalue-
basedzpurchasingz(VBP)zinitiative?z(Selectzallzthatzapply.)
a. AppraisingzcostszperzcasezofzcarezforzMedicarezpatients
b. Assessingzpatients’zsatisfactionzwithzhospitalzcare
c. Evaluatingzavailablezevidenceztozguidezclinicalzcarezguidelines
d. Monitoringzmortalityzrateszofzallzpatientszwithzpneumonia
e. RequiringzadvancedzITzstandardszandzminimumzcashzreserves
ANS:z A,zB,zD
Value-
basedzpurchasingzlookszatzfivezdomainzareaszofzprocesseszofzcare,zincludingzefficiencyzofzcarez
(costzperzcase),zexperiencezofzcarez(patientzsatisfactionzmeasures),zandzoutcomeszofzcarez(mor
talityzrateszforzcertainzconditions).zEvaluationzofzevidenceztozguidezclinicalzcareziszpartzofzevid
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ezCarezOrganizationzstandards.
1. WhatziszthezpurposezofzLevelzIIzresearch?
a. Tozdefinezcharacteristicszofzinterestzofzgroupszofzpatients
b. Tozdemonstratezthezeffectivenesszofzanzinterventionzorztreatment
c. Tozdescribezrelationshipszamongzcharacteristicszorzvariables
d. Tozevaluateztheznaturezofzrelationshipszbetweenztwozvariables
ANS:z C
LevelzIIzresearchziszconcernedzwithzdescribingzthezrelationshipszamongzcharacteristicszorzv
ariables.zLevelzIzresearchziszconductedztozdefinezthezcharacteristicszofzgroupszofzpatients.zL
evelzIIzresearchzevaluatesztheznaturezofzthezrelationshipszbetweenzvariables.zLevelzIVzresea
rchziszconductedztozdemonstratezthezeffectivenesszofzinterventionszorztreatments.
2. WhichziszthezmostzappropriatezresearchzdesignzforzazLevelzIIIzresearchzstudy?
a. Epidemiologicalzstudies
b. Experimentalzdesign
c. Qualitativezstudies
d. Randomizedzclinicalztrials
ANS:z B
ThezexperimentalzdesignziszthezmostzappropriatezdesignzforzazLevelzIIIzstudy.zEpidemiologic
alzstudieszarezaNpU
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teGfT
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IIzstudies.zQualitativezdesignszarezuseful
forzLevelzIzstudies.zRandomizedzclinicalztrialszarezusedzforzLevelzIVzstudies.
3. Whatziszthezpurposezofzclinicalzresearchztrialszinzthezspectrumzofztranslationalzresearch?
a. Adoptionzofzinterventionszandzclinicalzpracticeszintozroutinezclinicalzcare
b. Determinationzofzthezbasiszofzdiseasezandzvariousztreatmentzoptions
c. Examinationzofzsafetyzandzeffectivenesszofzvariouszinterventions
d. Explorationzofzfundamentalzmechanismszofzbiology,zdisease,zorzbehavior
ANS:z C
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ntions.zAdoptionzofzinterventionszandzpracticesziszpartzofzclinicalzimplementation.zDeterminat
ionzofzthezbasiszofzdiseasezandztreatmentzoptionsziszpartzofzthezpreclinicalzresearchzphase.zExpl
orationzofzthezfundamentalzmechanismszofzbiology,zdisease,zorzbehaviorziszpartzofzthezbasiczre
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1. Whichzstatementzmadezbyzazhealthzcarezproviderzdemonstrateszthezmostzappropriatez
understandingzforzthezgoalzofzazperformancezreport?
a. “Thiszprocesszallowszmeztozcritiquezthezperformancezofzthezrestzofzthezstaff.”
b. “Mostzorganizationszrequirezstaffztozundergozazperformancezevaluationzyearly.”
c. “Itziszhardztozbezpersonallyzcriticizedzbutzthat’szhowzwezlearnztozchange.”
d. “Thezcommentszshouldzhelpzmezimprovezmyzmanagementzskills.”
ANS:z D
Thezgoalzofzthezperformancezreportzisztozprovidezguidanceztozstaffzinzthezareaszofzprofessional
zdevelopment,zmentoring,zandzleadershipzdevelopment.zAzpeerzreviewziszwrittenzbyzotherszwh
1. Whichzassessmentzquestionzwouldzazhealthzcarezproviderzaskzwhenzengagingzinzthezprevisitzs
tagezofztheznewzmodelzforzprimaryzcare?z(Selectzallzthatzapply.)
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d. “Arezyouzreadyztozdiscusszthezresultszofzyourzlaboratoryztests?”
e. “Dozyouzhavezanyzquestionszaboutzthezlabztestszthatzhavezbeenzorderedzforzyou?”
ANS:z B,zC,zE
Theznursingzresponsibilitieszinzthezprevisitzstagezincludezassessingzthezpatient’sztolerancezofzp
rescribedzmedications,zunderstandingzofzexistingztreatmentzplan,zandzeducationzaboutzrequir
edzlabztesting.zThezprimaryzcarezproviderziszresponsiblezforzscreeningzlabzdatazandzdiscussing
zcommunityzresourceszduringzthezactualzvisit.
NURSINGTB.COM
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