NSG517 Quizlet Study Guide- Chapter 23

CHAPTER 23

Question 1All of the following are purposes for patient outcomes to be reported except:

  Satisfy federal requirements

  Supplemental revenue stream

  Improve patient outcomes

  Improve care delivery

Question 2Which of the following is an identified reason for not tracking APRN-specific outcomes today?

  Lack of systems matching provider to patient

  Underutilization of APRNs

  Fear of superior APRN outcomes

  Lack of funding

Question 3A conceptual model that was developed in Canada for ACNPs and adapted from a nurse role effectiveness model comprised of primary components that focus on structure, process, and outcome is best known as:

  Hamrick Model

  Donabedian Model

  Outcomes Evaluation Model

  Nurse Practitioner Role Effectiveness Model

Question 4The Donabedian Model identifies which of the following as predicting a higher likelihood of successfully identifying APRN impact on outcomes?

  Isolation of a single component

  Inclusion of at least two components

  Measuring components nationwide

  Comparing components directly to physician care

Question 5Multiple studies have compared APRN care to physician care in the United States and Canada. What have these results mostly shown?

  APRN care is superior to physician care

  Physician care is superior to APRN care

  The care provided is mostly equivalent, with patient satisfaction from APRN care superior to physician care in some studies.

  The care provided is equivalent across all categories

Question 6Which of the following should be the focus of APRN care in the future?

  APRN mortality rates

  APRN patient wait times

  National APRN outcomes compared to physician outcomes

  The unique aspects of APRN-provided care

Question 7In an analysis of CNM-provided services compared to physicians, which of the following was reported in 2006 when analyzing pregnant women and cesarean delivery rates?

  CNM care resulted in 1.7 times less cesarean deliveries

  Physician care resulted in 1.7 times less cesarean deliveries

  Physician and CNM care showed no difference in deliveries

  APRN care resulted in 1.7 times more live births

Question 8All of the following factors make comparisons between APRN and physician productivity difficult except:

  Unequal provider reimbursement rates

  Lack of focus on patient outcomes

  Inequality of APRN role

  Increased time spent with patients by APRNs

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