NSG554 Exam 1 NSG 554 Primary Care Exam 1

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NSG554 Exam 1 /NSG 554 Primary Care Exam 1 Newest 2025/2026 With Complete Questions And Correct Answers |Already Graded A+||Brand New Version!

• A small, rural hospital is part of an Accountable Care Organization

(ACO) and is designated as a Level 1 ACO. What is part of this designation?

• Bonuses based on achievement of benchmarks
• Care coordination for chronic diseases
• Standards for minimum cash reserves

d. Strict requirements for financial reporting - ANSWER-ANS: A

A Level 1 ACO has the least amount of financial risk and requirements, but receives shared savings bonuses based on achievement of benchmarks for quality measures and expenditures. Care coordination and minimum cash reserves standards are part of Level 2 ACO requirements. Level 3 ACOs require financial reporting

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• What was an important finding of the Advisory Board survey of 2014

about primary care preferences of patients?

• Associations with area hospitals
• Costs of ambulatory care
• Ease of access to care

d. The ratio of providers to patients - ANSWER-ANS: C

As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to care, walk-in settings and the ability to be seen within 30 minutes, and care that is close to home. Associations with hospitals, costs of care, and the ratio of providers to patients were not part of these results.

• Which statement made by a health care provider demonstrates the

most appropriate understanding for the goal of a performance report?

• "This process allows me to critique the performance of the rest of the

staff." b. "Most organizations require staff to undergo a performance evaluation yearly."

• "It is hard to be personally criticized but that's how we learn to

change."

• "The comments should help me improve my management skills." -

ANSWER-ANS: D

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The goal of the performance report is to provide guidance to staff in the areas of professional development, mentoring, and leadership development. A peer review is written by others who perform similar skills (peers). The remaining options may be true but do not provide evidence of understanding of the goal of this professional requirement.

• Which assessment question would a health care provider ask when

engaging in the previsit stage of the new model for primary care? (Select all that apply.)

• "Are you ready to discuss some of the community resources that are

available?"

• "Are you experiencing any side effects from your newly prescribed

medications?"

• "Do you anticipate any problems with adhering to your treatment

plan?"

• "Are you ready to discuss the results of your laboratory tests?"
• "Do you have any questions about the lab tests that have been ordered

for you?" - ANSWER-ANS: B, C, E

The nursing responsibilities in the previsit stage include assessing the patient's tolerance of prescribed medications, understanding of existing treatment plan, and education about required lab testing. The primary care provider is responsible for screening lab data and discussing community resources during the actual visit.

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• To reduce adverse events associated with care transitions, the Centers

for Medicare and Medicaid Service have implemented which policy?

• Mandates for communication among primary caregivers and

hospitalists

• Penalties for failure to perform medication reconciliations at time of

discharge

• Reduction of payments for patients readmitted within 30 days after

discharge

• Requirements for written discharge instructions for patients and

caregivers - ANSWER-ANS: C

As a component of the Affordable Care Act, the Centers for Medicare and Medicaid Service developed the Readmissions Reduction Program reducing payments for certain patients readmitted within 30 days of discharge. The CMS did not mandate communication, institute penalties for failure to perform medication reconciliations, or require written discharge instructions.

• According to multiple research studies, which intervention has

resulted in lower costs and fewer rehospitalizations in high-risk older patients?

• Coordination of posthospital care by advanced practice health care

providers

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