Nursing Frameworks, Care Coordination, and Documentation: Key Concepts for Healthcare Students

A nurse evaluates care aimed at improving patient experience, population health, reducing costs, and improving provider well-being. Which framework is being applied? A. QSEN B. IHI Quadruple Aim C. Maslow's Hierarchy D. Evidence-based practice

B. IHI Quadruple Aim

Which nursing action best reflects the primary focus of healthcare delivery systems? A. Treating illness only B. Promoting and maintaining health C. Increasing hospital revenue D. Expanding technology use

B. Promoting and maintaining health

Which factor most contributes to the increasing complexity of healthcare? A. Fewer regulations B. Younger population C. Chronic disease prevalence D. Reduced specialization

C. Chronic disease prevalence

Which strategy best promotes quality of care? A. Task-based assignments B. Evidence-based practice C. Provider preference D. Cost reduction alone

B. Evidence-based practice

Which payment method rewards improved patient outcomes? A. Fee-for-service B. Out-of-pocket C. Value-based reimbursement D. Capitation

C. Value-based reimbursement

Which team member focuses on coordinating community resources? A. RN B. Respiratory therapist C. Social worker D. UAP

C. Social worker

Which nurse action best supports continuity of care? A. Shift report only B. Coordinating follow-up services C. Completing charting early D. Delegating ADLs

B. Coordinating follow-up services

During ISBAR communication, which information belongs in the Recommendation section? A. Past medical history B. Nurse name C. Suggested interventions D. Current diagnosis

C. Suggested interventions

Which situation demonstrates effective care coordination? A. Independent provider decisions B. Shared information across disciplines C. Separate documentation systems D. Delayed referrals

B. Shared information across disciplines

Which Joint Commission goal reduces medication errors? A. Staff education only B. Patient identification C. Increased staffing D. Shift length limits

B. Patient identification

Discharge planning should begin at which time? A. Day of discharge B. Admission C. After provider orders D. After patient teaching

B. Admission

Which outcome indicates successful discharge planning? A. Patient leaves early B. Patient understands follow-up care C. Paperwork completed D. Family notified

B. Patient understands follow-up care

Health is best defined as: A. Absence of disease B. Ability to work C. Dynamic physical, mental, and social well-being D. Lack of symptoms

C. Dynamic physical, mental, and social well-being

According to Maslow, which need is priority? A. Esteem B. Love/belonging C. Safety D. Physiologic

D. Physiologic

Which is an example of a health disparity? A. Patient refusal B. Limited access due to poverty C. Personal beliefs D. Genetic illness

B. Limited access due to poverty

Which factor is a social determinant of health? A. Blood type B. Housing stability C. Immunization status D. BMI

B. Housing stability

Immunizations are an example of which prevention level? A. Primary B. Secondary C. Tertiary D. Restorative

A. Primary

Cancer screenings represent which prevention level? A. Primary B. Secondary C. Tertiary D. Palliative

B. Secondary

Rehabilitation following stroke is which prevention level? A. Primary B. Secondary C. Tertiary D. Acute

C. Tertiary

Which describes a chronic illness? A. Short duration B. Curable C. Long-term management D. Sudden onset

C. Long-term management

Why are chronic illnesses increasing? A. Poor diagnostics B. Aging population C. Reduced survival D. Fewer resources

B. Aging population

Which is a modifiable risk factor? A. Age B. Sex C. Smoking D. Genetics

C. Smoking

Which is an unmodifiable risk factor? A. Diet B. Exercise C. Stress D. Age

D. Age

Which statement uses person-first language? A. The diabetic client B. Diabetic patient C. Person with diabetes D. Diabetes victim

C. Person with diabetes

Which disability affects cognition? A. Physical B. Sensory C. Developmental D. Cognitive

D. Cognitive

Which principle reflects human dignity? A. Efficiency B. Standardization C. Respect for inherent worth D. Cost containment

C. Respect for inherent worth

Person-centered care focuses on: A. Provider goals B. Patient preferences C. Institutional policy D. Task completion

B. Patient preferences

QSEN competency addressing teamwork is focused on: A. Safety B. Informatics C. Collaboration D. Quality improvement

C. Collaboration

Reflective practice primarily improves: A. Documentation speed B. Future nursing care C. Task efficiency D. Policy compliance

B. Future nursing care

Blended competencies integrate: A. Policies only B. Knowledge and skills only C. Knowledge, skills, attitudes D. Tasks and time

C. Knowledge, skills, attitudes

Problem solving requires: A. Memorization B. Critical thinking C. Delegation D. Task focus

B. Critical thinking

Which is a primary reason for documentation? A. Staffing B. Communication C. Scheduling D. Billing only

B. Communication

Which documentation entry is legally appropriate? A. Patient was rude B. Appears intoxicated C. Refused medication D. Probably exaggerating

C. Refused medication

Which documentation method uses SOAP? A. Focus charting B. Narrative C. Problem-oriented D. PIE

C. Problem-oriented

Which format organizes data by discipline? A. Problem-oriented B. Source-oriented C. Computerized D. Focused

B. Source-oriented

Telephone orders require which action? A. Immediate implementation only B. Read-back verification C. Nurse signature only D. No documentation

B. Read-back verification

Which abbreviation practice is safest? A. Use common abbreviations B. Use only approved abbreviations C. Invent shortcuts D. Avoid documentation

B. Use only approved abbreviations

Handoff reports improve: A. Billing B. Communication C. Staffing D. Privacy

B. Communication

Incident reports are used to: A. Assign blame B. Document unusual events C. Replace charting D. Inform families

B. Document unusual events

Which is the first step of the nursing process? A. Diagnosis B. Planning C. Assessment D. Evaluation

C. Assessment

Which data is subjective? A. BP 140/90 B. HR 88 C. Pain 7/10 D. Temp 99.1

C. Pain 7/10

Validating data means: A. Recording immediately B. Confirming accuracy C. Reporting to provider D. Ignoring inconsistencies

B. Confirming accuracy

Objective data is: A. Patient feelings B. Nurse opinions C. Measurable findings D. Assumptions

C. Measurable findings

Nursing diagnoses focus on: A. Diseases B. Patient responses C. Lab values D. Provider orders

B. Patient responses

Which diagnosis uses PES format? A. Risk for infection B. Diabetes mellitus C. Acute pain r/t surgery AEB guarding D. Hypertension

C. Acute pain r/t surgery AEB guarding

Which diagnosis does NOT include AEB? A. Actual B. Risk C. Wellness D. Collaborative

B. Risk

Which is a collaborative problem? A. Pain B. Risk for falls C. Potential complication: bleeding D. Anxiety

C. Potential complication: bleeding

A nurse-initiated intervention is: A. Medication administration B. Teaching repositioning C. Prescribed diet D. IV fluids

B. Teaching repositioning

Physician-initiated interventions require: A. Nurse judgment B. Standing orders only C. Provider order D. Patient request

C. Provider order

Direct care involves: A. Charting B. Teaching patient C. Consulting provider D. Ordering supplies

B. Teaching patient

Indirect care includes: A. Wound care B. Ambulation C. Care coordination D. Medication administration

C. Care coordination

Which goal is written correctly? A. Patient will improve B. Patient will ambulate soon C. Patient will walk 50 ft with walker by end of shift D. Encourage walking

C. Patient will walk 50 ft with walker by end of shift

Evaluation determines if outcomes are: A. Implemented B. Planned C. Met or unmet D. Diagnosed

C. Met or unmet

An evaluative statement must be supported by: A. Assumptions B. Patient data C. Provider opinion D. Policy

B. Patient data

If outcomes are not met, the nurse should: A. Discontinue care B. Revise the care plan C. Ignore results D. Notify administration only

B. Revise the care plan

Which outcome reflects the affective domain? A. Ambulates independently B. Verbalizes reduced anxiety C. Performs injection D. Stable vitals

B. Verbalizes reduced anxiety