Patient Care Coordination
Midterm Exam
Course Introduction
Patient Care Coordination is an essential course that focuses on the collaborative efforts required to ensure patients receive comprehensive, seamless, and effective care across various healthcare settings. Students will explore the principles and practices of communication, interdisciplinary teamwork, patient-centered care planning, and transition management. The course emphasizes strategies to improve health outcomes, reduce care fragmentation, and enhance patient satisfaction by integrating clinical care, community resources, and the use of health information technology. Real-world scenarios and case studies provide insight into the roles of care coordinators and the impact of coordinated care on healthcare delivery systems.
Recommended Textbook
Nursing Delegation and Management of Patient Care 2nd Edition by Kathleen Motacki RN MSN
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21 Chapters
433 Verified Questions
433 Flashcards
Source URL: https://quizplus.com/study-set/1687 Page 2
Chapter 1: Leadership and Management
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/33413
Sample Questions
Q1) To become a leader, one must develop certain personal aspects.Which of the following can be identified as competencies expected in creating leadership in oneself?
(Select all that apply.)
A)Asking for overtime
B)Asking for certain patient assignments
C)Personal and professional accountability
D)Acquiring advanced degrees
E)Personal discipline
Answer: C, D, E
Q2) Which nursing actions demonstrate the role of management in nursing?
A)Encouraging autonomous decision making
B)Observing the documentation of appropriate charges to patients
C)Assisting in a code
D)Asking the patient/family about advance directives
Answer: B
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Chapter 2: Organizational Structure of Health Care
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14 Verified Questions
14 Flashcards
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Sample Questions
Q1) What should the nurse expect when working in a product-line leadership structured environment?
A)Coordination of all services within the specialty
B)Slow organizational response to environmental changes
C)Individual service goals
D)Each service area autonomous to the others
Answer: A
Q2) Which action by the nurse indicates a primary care delivery model environment?
A)Development of the plan of care by primary RN to be used on all shifts
B)Calling the physician for clarification after an illegible order is written
C)The unit secretary takes off all orders initially.
D)The charge nurse makes all patient care assignments.
Answer: A
Q3) The fundamental element of any patient care delivery combines work allocation with
A)patient acuity.
B)leadership.
C)clinical decision making.
D)delegation.
Answer: C
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Chapter 3: Strategic Management and Planning
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/33415
Sample Questions
Q1) When establishing a unit action plan, the nurse manager identifies steps to be taken to accomplish the goal.What is most important for achieving the goal?
A)Regularly scheduled meetings
B)Administration attendance at meetings
C)Staff involvement in decisions and actions
D)Involvement of other departments
Answer: C
Q2) In developing mission and values statements, health care facilities incorporate tools to describe desirable behaviors of the organization.These tools describe behaviors such as
A)patient risks.
B)nurse/patient ratios.
C)organizational direction.
D)desired outcomes.
Answer: C
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Chapter 4: Financial Management in Health Care
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/33416
Sample Questions
Q1) A nurse consistently remains past her shift for report or charting.The amount of overtime accumulated is equivalent to a full-time nurse's salary for 1 month.The nurse manager counsels the nurse and emphasizes that one of the responsibilities to the institution is
A)quality patient care.
B)fiscal accountability.
C)accurate documentation.
D)accurate medication administration.
Q2) When assessing the staffing needs, the nurse manager must consider which of the following in addition to the patient care hours?
A)Anticipated retirements
B)Cash budget
C)Staff mix required
D)Scheduled breaks
Q3) When developing a zero-based budget, nurse managers understand
A)the previous year's monies are applied to the current one.
B)all budget needs are justified annually.
C)no changes to patient care delivery can occur.
D)it does not reflect actual changes of the unit.
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Chapter 5: Healthcare Regulatory and Certifying Agencies
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/33417
Sample Questions
Q1) The Joint Commission ( TJC ) surveyors measure each institution's compliance by which of the following? (Select all that apply.)
A)Staff education documentation
B)Interviews with patients and staff
C)Review of medical records
D)Educational materials provided to patients and families
E)Review of employee records
Q2) The ANCC (American Nurses Credentialing Center) is an organization that recognizes excellence in nursing in hospitals.Which outcome would be expected by an institution receiving Magnet Hospital status? (Select all that apply.)
A)Nurses as teachers
B)Quality nursing leadership
C)Better salaries for staff
D)Increased use of UAPs
E)Quality of care
F)Community relationships
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Chapter 6: Organizational Decision Making and Shared Governance
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8 Verified Questions
8 Flashcards
Source URL: https://quizplus.com/quiz/33418
Sample Questions
Q1) Which of the following are Decentralized or Shared governance interactions?
1)Hierarchical communication
2)Occurs at point of care/service
3)Direct communication
4)High staff input
5)Synergistic work environment
6)Collegiality, collaboration, partnership
A)1, 2, 4, 5, 6
B)1, 3, 4, 5, 6
C)2, 3, 4, 5, 6
D)1, 2, 3, 5, 6
Q2) Which council is concerned with the management of resources as defined in the strategic plan and nursing conceptual framework?
A)Nurse Executive Council
B)Unit-Based Council
C)Nursing quality and patient safety council
D)Advanced practice nurse council
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Chapter 7: Professional Decision Making and Advocacy
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7 Verified Questions
7 Flashcards
Source URL: https://quizplus.com/quiz/33419
Sample Questions
Q1) Which of the following is a policy that pertains to the governing of workplaces?
A)Social
B)Health
C)Organizational
D)Institutional
Q2) How can nurses communicate their positions to help influence policy?
1)Ongoing representation on policy-making committees.
2)Committees or boards.
3)Lobbying.
4)Making new laws at the state level.
5)Meeting with people in positions of influence
A)1, 2, 4
B)1, 2, 5
C)1, 2, 3, 5
D)1, 2, 4, 5
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9
Chapter 8: Communication in the Work Environment
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/33420
Sample Questions
Q1) Formal communication in health care is used to properly inform staff of (Select all that apply.)
A)changes in CPR certification dates.
B)Christmas party celebration.
C)patient survey results.
D)girl Scout cookie order pick-up.
E)termination of an employee.
Q2) A UAP becomes sick at work and asks to leave.Which response by the charge nurse is most appropriate?
A)"You can't leave until all the baths are completed."
B)"Write down what needs to be completed."
C)"Tell me what responsibilities still need to be completed."
D)"Be sure to call by 5 AM if you are still sick tomorrow."
Q3) Which patient should the charge nurse direct the RN to see immediately after the shift report?
A)Patient with a blood sugar of 240 mg/dL
B)Patient complaining of burning on urination
C)Patient in a Posey vest who is trying to get out of bed
D)Patient with a temperature of 38°C who is scheduled for surgery later that day
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Page 10
Chapter 9: Personnel Policies and Programs in the Workplace
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/33421
Sample Questions
Q1) The nurse manager works regularly with a nurse who has recently gone through a custody battle with her ex-husband.The nurse manager has become concerned about some of the changes in appearance of the nurse.One evening the nurse comes to work and seems "giddy" and is acting inappropriately.The nurse manager understands that she must take which of the following actions?
A)Counsel the nurse on these observations.
B)Report this behavior to human resources and the state board of nursing.
C)Give her the evening off.
D)Work closely with her to prevent unsafe care to the patients.
Q2) A patient admitted with an elevated ST-segment myocardial infarction on oxygen per nasal cannula for his diagnosed influenza continues to experience shortness of breath and has no ECG changes.What is the next best action by the RN is best?
A)Call the patient's wife to have her sit with him to calm him.
B)Ask the UAP to obtain a blood glucose level.
C)Call the Rapid Response Team.
D)Ask the charge nurse to check on the other patients.
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Chapter 10: Professional Development
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8 Verified Questions
8 Flashcards
Source URL: https://quizplus.com/quiz/33422
Sample Questions
Q1) You are the nursing supervisor on the 11 PM to 7 AM shift.When making rounds, the charge nurse on the unit reports that one of the patients is dyspneic.What action would be expected from a nurse in the expertise stage of clinical competence when assessing shortness of breath in a patient?
A)Recognizes the patient may have pulmonary edema and orders (or asks the physician for an order) an IVP diuretic
B)Places a patient complaining of shortness of breath in high-Fowler's position after hearing coarse crackles and rhonchi and obtaining a pulse oxygenation of 88%
C)Increases the oxygen concentration
D)Notifies the instructor of the patient's complaints
Q2) The nurse's progression from novice to expert is usually encouraged by the organizations for which they work.Which of the following is an example of a method used to encourage nurses to progress in their level of experience?
A)Rotating nurses to all shifts
B)Rotating nurses into the ICU
C)Quarterly Nursing Excellence awards
D)Tuition reimbursement for advanced degrees
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Chapter 11: Professional Practice and Care Delivery Models and Emerging Practice Models
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/33423
Sample Questions
Q1) Which of the following guides the professional nurse as decision maker?
A)The American Nurses Association ( ANA ) Code of Ethics
B)The ANA Standards of the State Nursing Practice Act
C)State Titles
D)All of the above
Q2) Which author proposed that a nursing care delivery model should consist of five key dimensions?
A)Porter-O'Grady
B)Dubois
C)Watson
D)ANA
Q3) The professional practice model of an organization illustrates the alignment and integration of nursing practice with which of the following:
A)The mission, vision, and values of the organization and the nursing department
B)The mission and vision of the nursing department
C)The mission, vision, and values of the organization
D)The state nursing code of ethics
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Page 13
Chapter 12: Staffing and Scheduling
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/33424
Sample Questions
Q1) There are four major types of staffing plans.The mixed method of staff planning refers to which of the following?
A)The schedule uses decentralized scheduling and its staffing needs are supplemented by the centralized office.
B)The schedule is planned on each individual unit by the nurse manager.
C)The schedule is planned by the nurses themselves.
D)The schedule is planned by nursing service.
Q2) A new nurse is interested in working a "weekend option." Which of the following describes this pattern of scheduling?
A)Nurse works two 12-hour shifts on the weekend and is paid for either 36 or 40 hours a week.
B)Nurse works five shifts a week with alternating weekends.
C)Nurse works three shifts a week and alternates weekends.
D)Nurse works alternating weekends and alternates shifts.
Q3) Which ANA Principles for Nurse Staffing standards are applied to patient care?
A)Staffing levels that must be sufficient for providing quality patient care
B)Mandated staffing ratios
C)Recommended a new method for determining staffing needs
D)Staffing based on patient census
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Page 14
Chapter 13: Delegation of Nursing Tasks
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/33425
Sample Questions
Q1) A UAP is asked to take a patient's temperature every 4 hours and report that temperature to the RN.Which best demonstrates the correct interpretation of right communication?
A)The UAP takes the temperature for the patient every 4 hours.
B)The UAP charts the temperature for the patient every 4 hours.
C)The UAP reports that the patient has been afebrile all day.
D)The UAP reports the temperature for the patient every 4 hours.
Q2) A nurse must delegate some responsibilities of the care of patients on a particularly busy and chaotic day to the LPN and UAP team members.Which of the following can be appropriately delegated to the LPN?
A)Assisting with a central line insertion
B)Giving bath supplies to patients who are capable of bathing themselves
C)Rechecking the blood pressure on a patient who is having episodes of bigeminy and ventricular tachycardia
D)Transporting a patient in a wheelchair for discharge
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15
Chapter 14: Providing Competent Staff
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/33426
Sample Questions
Q1) What retention strategies should the nurse manager use when working with a new orientee?
A)Provide a safe practice environment
B)Encourage more time shadowing preceptor
C)Encourage early independence
D)Provide multiple preceptors for diverse learning
Q2) The second phase of the performance appraisal interview is the participation.It is important for the nurse manager to do which of the following first during this phase?
A)Provide feedback on employee's accomplishments and successes
B)Discuss areas of concern
C)Establish goals
D)Identify areas for improvement
Q3) Orientation of new employees is a two-stage process.The first stage includes orientation to the hospital and its policies and expectations.What would the new nurse expect to accomplish at the time of the unit orientation?
A)Computer training
B)Transcription of orders
C)ECG interpretation
D)BLS training
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Page 16
Chapter 15: Group Management for Effective Outcomes
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/33427
Sample Questions
Q1) Attributes of ineffective teams include which of the following?
A)Respectfully listening
B)Consensus decision-making
C)Leadership is owned by a few who make most of the decisions.
D)Open discussion of disagreements
Q2) When leading a team, a middle performing leader is seen as having which abilities?
A)Loyalty to institution
B)Acts as role model
C)Always positive with fellow nurses
D)Safe in all aspects of work
Q3) When leading a team, a high performing leader is seen as which type of leader?
A)A problem-solver
B)Someone who identifies individual personnel problems
C)Someone who identifies the causes of problems
D)A problem identifier
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17
Chapter 16: Hospital Information Systems
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/33428
Sample Questions
Q1) Which observation requires an intervention of a new graduate nurse by her preceptor?
A)Administering a medication after checking the patient's name and birth date.
B)Leaving patient room without charting vital signs.
C)Reporting a patient's change in level of consciousness to the nurse practitioner.
D)Checking the apical pulse on a patient receiving digoxin (Lanoxin).
Q2) The electronic health record (EHR) provides information to all members of the health care team on their patients.The nurse manager and other team members recognize the advantages of the EHR, which include
A)being handy for patients to carry with them.
B)protecting patient privacy.
C)being easier for patients to read.
D)making data available for research and continuous performance improvement.
Q3) Advantages to using the electronic health record (EHR) include that
A)hospitals no longer need to store medical records.
B)medical records are complete and easily accessible to health care providers.
C)unit secretaries can still call for "old records."
D)diagnostic tests are not available for direct visualization.
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Page 18
Chapter 17: Ethical and Legal Issues in Patient Care
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/33429
Sample Questions
Q1) If a patient does not have an advance directive or has not expressed his wishes regarding end of life care, what ethical principle may help the family to make the right decision?
A)Autonomy
B)Fidelity
C)Beneficence
D)Veracity
Q2) The International Council of Nurses (ICN) Code of Ethics for nurses is primarily a statement in support of
A)environmental protection.
B)professional membership.
C)everyday decision making.
D)collective bargaining.
Q3) Which measure can be used to avoid ethical dilemmas in the health care setting?
A)Advance directive or living will
B)Religious beliefs of the nurse
C)Designation of a durable power of attorney
D)Values of the care givers
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19
Chapter 18: Improving Organizational Performance
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A unit secretary mistakenly enters the wrong medication into the MAR when transcribing orders.After a root cause analysis, it is determined that the cause is the illegibility of the physician's order.Which measure should be taken to prevent future incidences?
A)The physician is required to carry a typewriter with him to type the orders onto the order sheet.
B)The physician must either write legibly or orders will not be transcribed.
C)The unit secretary must receive more training on transcribing orders.
D)Introduction of a computer entry system for all physician orders will be instituted.
Q2) A sentinel event is usually one that results in an unexpected outcome for the patient and "signals" the need for investigation and response.Which of these situations would be considered a sentinel event?
A)Patient dies because there is no bed available in the ICU.
B)Patient receives an incorrect dose of medication.
C)Patient consents to be terminally weaned.
D)A patient's family is upset with a physician's approach.
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Chapter 19: Evidence-Based Practice
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/33431
Sample Questions
Q1) Of the steps to implementation, research is not complete until which of the following steps is accomplished?
A)Synthesizing relevant research
B)Determining the sufficiency of the sample
C)Instituting the change
D)Monitoring the outcome
Q2) In determining the applicability of a research study, the nurse must look at many factors.Which factors can be used to determine appropriateness of the research to the individual setting? (Select all that apply.)
A)Sample size
B)Credentials of authors
C)Time element
D)Context
E)Intervention used
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21
Chapter 20: Monitoring Outcomes and the Use of Data for Improvement
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) Core measures identified by The Joint Commission include standard orders regarding care and data collection for
A)infection rates.
B)community-acquired pneumonia admission rates.
C)rates of smokers admitted with acute myocardial infarction.
D)rates of smokers admitted with hypertension.
Q2) What information obtained from hospital data collection can be used for staffing purposes?
A)Patient satisfaction
B)Staff competency
C)Best practice
D)Use of agency nurses
Q3) Which hospital data collection result will most likely affect nursing practice?
A)Changes in staffing patterns
B)Changes in patient acuity
C)Introduction of the needleless system
D)Changes to the interview process
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Page 22
Chapter
Interviewing, Nclex, and Continuing Education
Sample Questions
Q1) Which advice to the new graduate regarding their first nursing position is best?
A)Go on several interviews.
B)Accept a job where you currently work as a technician.
C)Accept a job in the intensive care unit.
D)Everything you need to know about the position will be provided at the interview.
Q2) A new nurse has an appointment for an interview with the nurse manager of a medical/surgical unit.What should be an essential part of her plan for the interview?
A)Inquire about shift coverage.
B)Inquire as to how many new nurses are starting on that unit.
C)Inquire about the length of the orientation.
D)Inquire about the unit secretary's responsibilities.
Q3) A nurse manager is legally allowed to ask the following question:
A)Work history
B)Age
C)Number and ages of children
D)Religion
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