Test Generator Questions, Chapter 5, Measurement and Value

1. The ambulatory care nurse has noticed a decrease in individuals visiting the clinic and has been hearing reports that some individuals have stopped coming due to the actions of a couple of staff members. Which action would be most appropriate in this situation?

A. Assess care provided via a survey from the individuals requesting care.

B. Question the staff about the rumors.

C. Consider changing hours of operation to better fit the population.

D. Research data from other local agencies and compare numbers.

Learning Objective: 3

Cognitive Level: Understand

Client Needs: Health Promotion and Maintenance

Integrated Process: Caring
Page and Header: 78, Surveys

2. The ambulatory care nurse is utilizing Donabedian’s methods to analyze the quality results of the clinic’s care. Which categories should the nurse ensure are included in this analysis? Select all that apply.

A. Structure

B. Process

C. Outcome

D. Population

E. Staff involved

Learning Objective: 1

Cognitive Level: Understand

Client Needs: Safe and Effective Care Environment: Management of Care

Integrated Process: Nursing Process
Page and Header: 70, History of Evaluating Quality in Healthcare and Nursing

3. A family member is asking the ambulatory care nurse for assistance in finding a home healthcare agency for an older family member who needs assistance. Which option should the nurse prioritize for this individual?

A. Visit CMS website for comparison data on local agencies.

B. Invite local agencies to the older adult’s home to see which responds the best.

C. Ask friends and neighbors for recommendations for local agencies.

D. Check the Better Business Bureau for information about the local agencies.

Learning Objective: 2

Cognitive Level: Understand

Client Needs: Health Promotion and Maintenance

Integrated Process: Caring
Page and Header: 76, Quality Transparency for the Consumer

4. An APRN, concerned about the lack of adequate healthcare in the surrounding remote areas, has started a company that will operate urgent care centers in several small, medically underserved towns. Which step should this APRN prioritize to ensure each individual receives the best care possible?

A. Compare the facilities’ performance to other similar facilities.

B. Closely follow CMS guidelines and policies.

C. Allow an independent audit of statistical data.

D. Compile responses from consumer surveys following each treatment or visit.

Learning Objective: 4

Cognitive Level: Understand

Client Needs: Safe and Effective Care Environment: Management of Care

Integrated Process: Communication and Documentation
Page and Header: 80, Benchmarking

5. A group of ambulatory care nurses at a day-surgery facility are advocating with other colleagues to improve the care being provided to individuals. Which option should the nurses present as the best goal for this group?

A. Magnet Recognition

B. The Joint Commission certification

C. CMS registration

D. AAACN membership

Learning Objective: 5

Cognitive Level: Understand

Client Needs: Safe and Effective Care Environment: Management of Care

Integrated Process: Nursing Process
Page and Header: 81, Future Phases of NSI