Nursing Research and Evidence-Based Practice, Quizzes of Nursing

Download Nursing Research and Evidence-Based Practice and more Quizzes Nursing in PDF only on Docsity! 1 / 8 NR 511 Week 1 Exam Questions Updated 1. What is the goal of nursing research? A. Make decisions regarding nursing education based on published literature B. Determine topics that could develop nursing knowledge C. Gather information from published literature to make decisions about application to clinical practice D. Conduct studies to develop a body of nursing knowledge: D. Conduct studies to develop a body of nursing knowledge 2. Which is the most important question to ask in evidence-based practice? A. What findings constitute evidence? B. How will the findings be used? C. Is this a randomized controlled trial? D.What theory is being utilized?: B. How will the findings be used? 3. Nursing research should be utilized by: A. Nurses at the bedside B. Advanced practice nurses C. Nurse researchers 2 / 8 D. Nurses at all levels of practice: D. Nurses at all levels of practice 4. A clinical guideline may be found useful if the guideline was: A. Published 2 years ago B. Created using one group C. Authored by a relatively unknown source D. Funded by an anonymous source: A. Published 2 years ago 5. Practice guidelines are designed to: A. Be inflexible B. Be utilized in every circumstance C. Provide a reference point for decision making D. Be created by a professional organization to guide the practice of a profes- sion: c. Provide a reference point for decision making. 6. Which of the following is an example of determining whether a crucial element of a guideline is applicable to your patients? A.There are no intended specific patients in the guideline. B.You are a primary-care provider and the guidelines were written for prima- ry-care providers. 5 / 8 C. Systematic reviews of descriptive or qualitative studies D. Single descriptive or qualitative study: C. Systematic reviews of descriptive or qualitative studies 12.Which of the following would be considered the research design for Level VI evidence? A. Systematic reviews of descriptive or qualitative studies B. Opinion of authorities and expert committees C. Well--designed case control or cohort studies D. Single descriptive or qualitative study: C. Well--designed case control or cohort studies 13.Which of the following would be considered the research design for Level VII evidence? A. Well-designed controlled trials without randomization B. Opinion of authorities and expert committees C. Well-designed case control or cohort studies D. Single descriptive or qualitative study: B. Opinion of authorities and expert 6 / 8 committees 14. Identify the primary challenge for insurance carriers in today's health delivery model. A. Preventing illness B. Screening for disease C. Educating the public D. Reducing health-care spending: D. Reducing health-care spending 15.Medicare benefits were offered to U.S. beneficiaries beginning in 1965. What was the service added with the Medicare D plan in 2006? A. Health-care screening B. Health-care education C. Pharmaceutical coverage D. Durable medical equipment coverage: C. Pharmaceutical coverage 16.The cost of care provided by an APRN is approximately: A. One-quarter that of a physician B. One-third that of a physician C. One-half that of a physician 7 / 8 D. One and one-half that of a physician: C. One-half that of a physician 17.How do bundled payments differ from fee-for-service or global capitation? A. Bundled payments are designed to reduce the number of payments to providers. B. Bundled payments align payment to care outcomes delivered by the team. C. Bundled payments reduce the amount of paperwork required for payment. D. Bundled payments allow for streamlined and coordinated billing for providers.: B. Bundled payments align payment to care outcomes delivered by the team. 18.Patients require education prior to accessing health-care services for the following reason: A. Many patients do not understand policy benefits and payment responsibil- ity. B. Services may change across the beneficiary year. C. Copayments and deductibles may have already been met by the patient. D. Coding may need to be adjusted to meet the terms of the patient's 10 / electronic medical record software system for documenting and billing for medical services. Why is this so critical? A. Electronic software allows CMS to audit all medical practices' performance. B. Electronic filing protects patient information as required by the Health Insurance Portability and Accountability Act. C. Electric billing and automated electronic filing sets makes timely transition to new provider fee schedule rates possible. D. Medical record software eliminates the possibility for duplicate bills and overcharging patients.: C. Electric billing and automated electronic filing sets makes timely transition to new provider fee schedule rates possible. 24.All health-care practices should develop a compliance plan. Compliance plans offer practice safeguards that prevent which of the following? A. Malpractice claims B. Conflict-of-interest claims C. Health Insurance Portability and Accountability Act violations D. Safety and Health Administration violations: 11 / B. Conflict-of-interest claims 25.What is the purpose of an Evaluation and Management Audit Tool? A.To justify CPT coding B.To provide guidelines for CMS review C.To assist in estimating profit/loss for patient visits D.To allow hospitals to comply with CMS guidelines: A. To justify CPT coding 26.Each state has criteria defining the level of collaboration required between the Advanced Practice Registered Nurse (APRN) and an oversight physician. Which is among the questions an APRN should seek when selecting a practice setting? A. List of practice limitations as an APRN B. Standard hourly rate as office staff C. Expectation for net revenue generation D. Standard benefit package offered to office staff: C. Expectation for net revenue generation 27. Identify one of the primary reasons for an APRN to develop a business plan: A.To monitor monthly actual expense to budgeted expense 12 / B.To reduce the likelihood of litigation action C.To identify the marketing needed to grow the APRN practice D.To assure accreditation standards are met: C. To identify the marketing needed to grow the APRN practice 28.Despite the growth in the numbers of APRNs over the last decades, the role of the profession is often not understood by the public. What actions should APRNs undertake to market their services to the public? A. Request that the physician act as an APRN spokesperson. B. Increase articles in nursing professional journals about the APRN role. C. Personally seek out the news media to communicate their value. D. Rely on patients to communicate their benefits to neighbors.: C. Personally seek out the news media to communicate their value. 29.Phases of diagnostic reasoning: -data acquisition -hypothesis formation -hypothesis evaluation -problem naming -goal setting -therapeutic option consideration 15 / 49.Reimbursement for providers: fee for service. Reimbursement value for visit. Often determined by third party payers (Medicare, Medicaid, Indemnity Insurance Companies, Managed Care Organizations, Workers Compen- sation, Veterans Administration, and Auto liability). All third- party payments are based on MPFS. 50.Differential Diagnosis: list of possible diagnosis usually listed in priority order 51.new patient vs established patient: whether or not seen in last 3 years 52.Primary prevention: examples: (supplements, immunizations, sunscreen, seat belts, nutrition counseling, exercise 53.Secondary prevention: detection of disease at it's early stages (screenings for skin cancer, breast cancer, HTN screening, mammograms) 54.Tertiary: -restoration of health and mgmt of disease-(dialysis in CKD, chemotherapy, statins for HLD) 55.SNAPPs: -Summarize (history and physical). -Narrow-(narrow the differentials to 2 or 3). -Analyze-(compare the DDX). -Probe-Probe the preceptor (ask questions). 16 / -P-Plan(come up with a specific plan). -S-Self-directed learning (research topics that you are unaware of) 56.5 things to consider when ordering tests: cost convenience sensitivity specificity predictive value 57.prioritizing complaints: Requires a pt-centered approach, not enough time to address everything 58.Fee for Service: A model that is structured so a provider is given a set amount of monetary reimbursement for a specific visit/procedure performed that is adjusted for geographical location 59.Public payers: Government agencies (Medicare/Medicaid) 60.Private payers: insurance companies 61.Global Capitation: Global capitation is a payment model specifically for integrat- ed health care delivery. In this model, capitation payment for services delivered by different providers or at different levels of care is combined into a single prospective payment to an integrated care 17 / organization or a large physician group. 62.insurance exchange: allows citizens to select a plan that meets their financial and health needs 63.Accountable Care Organizations: groups of providers—providers, hospitals, outpatient-care facilities—that come together to coordinate the care of patients, seeking to offer a high quality of care at a lower cost 64.Medicaid: offers medical assistance to individuals and families with low incomes and limited resources 65.Past medical history: childhood and other illnesses surgical history other hospital admissions history of trauma pregnancies psychiatric diagnoses 66.randomized controlled trial: an experiment in which participants are randomly assigned to different conditions for the purpose of examining the effectiveness of an intervention 67.Specificity of a test: equal to the number of true negatives