Patient Care Coordination
Pre-Test Questions
Course Introduction
Patient Care Coordination focuses on strategies and skills necessary for healthcare professionals to manage and optimize patient care across diverse settings. The course covers principles of interdisciplinary teamwork, efficient communication, and the integration of care plans to ensure patients receive holistic, continuous, and high-quality services. Students will explore case management techniques, the use of health information technologies, patient advocacy, and methods for overcoming barriers to care. Emphasis is placed on collaboration with patients, families, and various providers to promote safety, satisfaction, and successful health outcomes.
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
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Chapter 1: Leadership and Management
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/33413
Sample Questions
Q1) Health care is seen and managed as a business today.Which skills are considered essential to managing health care as a business?
A)Ability to pressure staff to do what you want
B)Resource utilization
C)Cutting corners to make money
D)Providing bonuses to staff members who help the organization to save money
Answer: B
Q2) The management process consists of six functions: planning, staffing, organizing, directing, controlling, and decision making.What might be seen in the decision-making process?
A)Organizing a meeting to address the problem
B)Establishing an alternate site within the hospital for these patients
C)Assigning experienced staff to implement care of these patients
D)Establishing the new area as a step-down unit
Answer: D
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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) In a team nursing health care delivery model environment, the nurse would observe for which action by the staff?
A)The UAPs answer all call lights.
B)The charge nurse is notified when there are patient complaints about care.
C)The UAPs answer their patients' call lights.
D)The RN is notified when there are patient care complaints.
Answer: D
Q2) A nurse who is interested in developing clinical decision-making skills would look for a unit that practices which model for health care delivery?
A)Primary nursing
B)Team nursing
C)Functional nursing
D)Case management
Answer: A
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Chapter 3: Strategic Management and Planning
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) When identifying the objectives in an organization's action plan, what would be an essential tool to use to improve performance?
A)Benchmarking to "best in class performers"
B)Patient satisfaction survey results
C)Employee satisfaction survey results
D)Patient population
Answer: A
Q2) Which of the following could have an impact on strategic planning for a community hospital?
A)Change in primary orthopedic surgeon
B)Increased availability of flu shots
C)Health promotion by the local nursing school
D)Community health fairs
Answer: A
Q3) Strategic goals are developed as a result of which information source?
A)Environmental scan
B)Electronic medical record
C)Changes in nursing practice
D)Changes in staff ratios
Answer: A
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Chapter 4: Financial Management in Health Care
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A community health center leases space from the owner of the building.As the manager develops the budget, they understand this to be a fixed cost.From which of the following would the lease payment be paid?
A)Operating budget
B)Personnel budget
C)Capital budget
D)Cash budget
Q2) A positive budget variance can be identified by which situation?
A)A decrease in the budgeted expenditures
B)An increase in the budgeted expenditures
C)An increase in RN salaries
D)A decrease in patient ratios
Q3) The personnel budget is based on the calculations of which factors? (Select all that apply.)
A)Average daily census
B)Patient safety factors
C)Hours per patient day
D)Number of staff
E)Nurse/patient ratios
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Page 6
Chapter 5: Healthcare Regulatory and Certifying Agencies
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The state regulatory agency may impose a fine on a hospital for which patient safety infraction?
A)Inconsistent adherence to isolation protocol
B)Medication administration error resulting in no harm to the patient
C)Wrong patient sent for chest radiograph
D)Repetitive staffing shortage due to staff discontent
Q2) The Food and Drug Administration ( FDA ) is a department headed by the Secretary of the U.S.Department of Health and Human Services ( HHS ).Which function would be expected of this department?
A)Regulation of herbal drugs
B)Control of the price of medications
C)Regulation of the safety and efficacy of medications
D)Licensing of nurses
Q3) The most common impact on the nurse of The Joint Commission standards is through the management of the pain standard.Which action is necessary to comply with the standard?
A)Documentation of the relief of pain
B)Providing for alternative pain medications
C)Prescribing the correct dosage of pain medication
D)Documentation of the frequency of medication administration
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Chapter 6: Organizational Decision Making and Shared Governance
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8 Verified Questions
8 Flashcards
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Sample Questions
Q1) Which of the following are Centralized or self-governance interactions?
1)Position-based
2)Hierarchical communication
3)Synergistic work environment.
4)Separates responsibility/managers are accountable
5)We-they work environment
6)Direct communication
A)1, 2, 3, 5
B)2, 3, 5, 6
C)1, 2, 4, 5
D)1, 3, 5, 6
Q2) Nursing shared governance models have always focused on
A)physician groups controlling all practice models.
B)nurses and physicians making nursing practice decisions.
C)nurses controlling their professional practice.
D)national accreditors controlling nursing practice decisions.
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Chapter 7: Professional Decision Making and Advocacy
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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) Which nursing professional organization represents the interests of nurses regarding many issues, tracks nursing and health care related bills across all states and examines priority issues and trends?
A)ANCC
B)Sigma Theta Tau International
C)ANA
D)CCNE
Q3) Which of the following is a policy that pertains to the decisions that promote the welfare of the public?
A)Social
B)Health
C)Organizational
D)Public
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Chapter 8: Communication in the Work Environment
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) Which exchange between the RN and the UAP requires intervention by the charge nurse?
A)"Take the patient's blood pressure every 15 minutes and inform me of the results."
B)"Check the patient's blood glucose before breakfast and lunch and inform me of the results."
C)"Ambulate the patient in 2210 as far as he can walk."
D)"Shave the patient in 2210.His beard is long."
Q2) The UAP is given ambulation instructions by a staff nurse for a patient 2 days postoperatively.Which of the following ambulation instructions would require further communication to the UAP to ensure the safety of the patient?
A)"Ambulate the patient the length of the hallway and get me if there are any problems."
B)"Have you ambulated this type of post-op patient before?"
C)"Let me know 1 hour before you are ready to ambulate the patient so I can give him his pain medication."
D)"This patient has been ambulating with minimal assistance, but I would like you to walk with him to be sure he is stable."
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Chapter 9: Personnel Policies and Programs in the Workplace
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47 Flashcards
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Sample Questions
Q1) A patient admitted with an elevated ST-segment myocardial infarction on oxygen per nasal cannula for his diagnosed influenza is complaining of shortness of breath with an oxygen saturation of 88%.The albuterol treatment provides no relief.What is the next best action by the RN?
A)Increase the oxygen concentration and recheck the saturation after 10 minutes.
B)Obtain a 12-lead ECG.
C)Notify the health care provider.
D)Call the patient's wife to have her sit with him to calm him.
Q2) The AACN has addressed the issue of horizontal violence in the workplace and made recommendations for actions by the nurse manager.Which of the following are recommendations for action by the AACN against workplace horizontal violence?
A)Develop a culture that does not tolerate violence.
B)Report all incidences to upper management.
C)Separate the two people by not assigning them to work on the same shifts.
D)Ask the two people to sit down and work it out.
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Page 11
Chapter 10: Professional Development
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8 Flashcards
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Sample Questions
Q1) You are the charge nurse on the 3 PM to 11 PM shift.The nurses on this shift range from novice to competent.What response would be expected in the beginner stage of clinical competence development when the nurse is assigned a patient on beta-blockers and scheduled for a stress test?
A)Knows to hold a beta-blocker on a patient scheduled for a stress test because this happened earlier in the week on another patient
B)Must be told to hold the beta-blocker for a patient scheduled for a stress test
C)Understands the rationale for holding the beta-blocker prior to a stress test
D)Holds all medications when the patient is NPO
Q2) The clinical ladder used in some hospitals allows for recognition of both the clinical and academic growth of the individual nurse.On which of the following is this ladder based?
A)The concept that people will work harder when recognized
B)The concept that nurses respond to harder work
C)The concept of growth in nursing from novice to expert
D)The concept that nurses like to be intellectually stimulated
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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
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Sample Questions
Q1) 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
Q2) What is a Professional Practice Model (PPM)?
A)The conceptual framework and philosophy of nursing at a specific organization
B)Practice standards of an organization
C)A model of a specific theorist
D)Organizational philosophy
Q3) Care delivery models are continually improved to adjust to which of the following?
A)National safety goals and best evidence
B)National safety goals and outcomes
C)To national patient safety goals, value-based outcomes, regulatory requirements, and current best evidence.
D)Regulatory requirements
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Page 13
Chapter 12: Staffing and Scheduling
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36 Verified Questions
36 Flashcards
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Sample Questions
Q1) There are four major types of staffing plans.The self-scheduling method of staff planning refers to which of the following?
A)The schedule is planned based on the central or core staff.
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 nurse has accepted a position on a nursing unit where the nurse manager promotes autonomy and staff involvement in decision making.What would the nurse expect to observe on this unit?
A)Nurse manager mandates changes.
B)Staff takes responsibility for assignments.
C)Staff participates on hospital committees.
D)Nurses are recognized for excellence in practice.
Q3) What is the best advantage to preference scheduling for nurses?
A)Institutional rules can be applied.
B)Staff decide shifts.
C)Scheduling is determine by first-come, first-served basis.
D)Blocks of time are predictable.
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Chapter 13: Delegation of Nursing Tasks
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A nurse assesses a patient reported to have normal vital signs throughout the night and finds the patient in acute respiratory distress.What is the nurse's next best action?
A)Delegate vital signs to the UAP.
B)Ask another nurse to call the health care provider.
C)Call a code.
D)Start another peripheral IV line.
Q2) A patient turns his call light on and states, "I'm having trouble breathing." Which team members should be delegated to respond to this call light?
A)RN
B)LPN
C)Senior student nurse
D)UAP
Q3) The nurse and UAP are working together with four patients.Which patient should the nurse assign the UAP?
A)A patient waiting for discharge instructions before going home
B)A patient who received morphine 20 minutes ago and now has the call light on
C)A patient with diabetes who needs her blood glucose checked
D)A patient returning from a bronchoscopy
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Chapter 14: Providing Competent Staff
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19 Verified Questions
19 Flashcards
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Sample Questions
Q1) Accrediting agencies require that staff demonstrate competency in their jobs.Annual competency of mandatory skills is evaluated.Which of the following skills should be demonstrated annually in the health care field as required by accrediting agencies?
A)Management of violent patients
B)Fire safety
C)Transport of patients
D)Transcription of orders
Q2) Which of the following best explains the use of career development strategies in health care institutions?
A)Encourages nurses to move into management
B)Reduces attrition
C)Reduces dissatisfaction
D)Reduces sick time
Q3) What is the nurse manager's primary role in a new nurse's orientation program?
A)Provides feedback
B)Acts as a role model
C)Orients to unit
D)Encourages shift changes
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Chapter 15: Group Management for Effective Outcomes
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23 Flashcards
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Sample Questions
Q1) Which of the following techniques should the manager use when talking with the low-performing employee?
A)Reassure him that this conversation is not reflected in his evaluation.
B)Compare her performance to that of the high-performer.
C)Describe the observations and be sure he knows the consequences.
D)Allow no explanations for her actions since she is so good at citing blame.
Q2) Which of the following should be used to evaluate the staff's performance when deciding high, middle, or low? (Select all that apply.)
A)Never late
B)Teamwork
C)Communication
D)Knowledge and competence
E)Responsive to constructive criticism.
Q3) When a nurse manager leads a group meeting, which of the following guidelines should be practiced?
A)Strictly adhere to agenda.
B)Establish goals and objectives.
C)Make the meeting seem friendly.
D)Provide snacks.
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Page 17
Chapter 16: Hospital Information Systems
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25 Flashcards
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Sample Questions
Q1) A health care facility is using an electronic health record (EHR) system for documentation purposes.Every Thursday from 11:00 to 12:00 PM, the EHR shuts down for maintenance.Which would be of concern to the nurse during that weekly downtime?
A)Illegal access to records can take place.
B)Loss of previous documentation can occur.
C)Loss of coordination of medication list and vital signs can occur.
D)Sometimes passwords are lost.
Q2) The Nursing Minimum Data Set (NMDS) is a collection of established uniform standards for collecting data.It includes the North American Nursing Diagnosis Association International (NANDA-I)-approved list of nursing diagnoses as well as other sources of nursing language.What is the advantage of the NMDS to the patient?
A)Data can be entered from multiple sources into the patient's record.
B)Nurses must be able to speak and understand English.
C)Nurses must know all the NANDA diagnoses.
D)Patient receives a daily update of charges.
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Chapter 17: Ethical and Legal Issues in Patient Care
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Sample Questions
Q1) A nurse decides to use the ethical principle of teleology to make clinical decisions.This principle is based on the premise that actions are determined by their consequences.Which situation would most likely cause an ethical dilemma for this nurse?
A)Assisting with a laparoscopy for a tubal pregnancy
B)Refusal of a patient to take his medications
C)Patient reconsiders surgery for cancer
D)Woman refuses to terminate her pregnancy even knowing the fetus has non-life-sustaining defects
Q2) Which ethical principle should help guide the nurse who suspects another nurse is incorrectly charting pain medications and then taking them?
A)Autonomy
B)Veracity
C)Justice
D)Beneficence
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Chapter 18: Improving Organizational Performance
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Sample Questions
Q1) What benchmarks might be expected to be measured for hospital performance? (Select all that apply.)
A)Average length of hospital stay for cardiac surgery
B)Total admissions for cardiac surgery
C)Infection rates for cardiac surgery
D)Length of surgery
E)Deaths by surgeon
Q2) The National Database of Nursing Quality Indicators (NDNQI) has established which of the following goals to assist nurses to make practice changes in order to benefit patients?
A)Patient satisfaction
B)Employee satisfaction
C)Unit-specific measures
D)Medication errors
Q3) What area is included when risk management explores the prevention of accidents, injuries, and errors?
A)Financial risk
B)Quality of care
C)Employee management
D)Employee promotion
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Chapter 19: Evidence-Based Practice
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25 Flashcards
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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) When providing care to patients, nurses make patient care decisions based on which of the following? (Select all that apply.)
A)Resource availability
B)Nurse practice act
C)Shared governance
D)Managerial leadership style
E)Tradition
F)Clinical circumstances
Q3) Which responses by nurses incorporate reasons for resistance to research utilization?
A)"I want to see the outcomes for the patients."
B)"I believe that patients will not benefit from this change."
C)"I've grown tired of doing it the same way."
D)"I'm ready for a change."
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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) 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
Q2) One of the best indicators of clinical performance can be attributed to A)yearly census.
B)patient satisfaction surveys.
C)employee satisfaction surveys.
D)staff turnover.
Q3) When reviewing outcome measurement for clinical use, the reviewers must understand that the data
A)identify the improvement required.
B)identify the cause of the problem.
C)identify questions to be asked.
D)identify the results only.
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Chapter 21: New Graduates: the Immediate Future: Job
Interviewing, Nclex, and Continuing Education
Sample Questions
Q1) When following up with a thank-you letter to the nurse manager after an interview, the new nurse should include
A)interests based on information from the interview.
B)questions that were forgotten at the time of the interview.
C)contact numbers.
D)references.
Q2) A nurse manager is legally allowed to ask the following question:
A)Work history
B)Age
C)Number and ages of children
D)Religion
Q3) Which is most appropriate for the new graduate when preparing for the first interview?
A)Bring a list of references that was quickly put together.
B)List membership as a CCRN in 1 year as a goal.
C)Provide a list of weaknesses.
D)List tardiness as a weakness identified in school and how it has been corrected.
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