CCM Certification Practice Test Flashcards
Using the average cost of a problem and the cost of intervention to demonstrate savings is:
A. A product evaluation
B. A cost-effective analysis
C. A cost-benefit analysis
D. An efficacy study
C. A cost-benefit analysis
In Erickson’s psychosocial model of development, which stage is typical of those entering young adulthood?
A. Intimacy vs. isolation
B. Initiative vs. guilt
C. Ego integrity vs. despair
D. Identity vs. role confusion
A. Intimacy vs. Isolation
Erickson’s psychosocial development model focuses on conflicts at each stage of the lifespan and the virtue that results from finding balance in the conflict. The first 5 stages refer to infancy and childhood and the last 3 stages to adulthood:
Intimacy vs isolation (Young adulthood): Love/intimacy or lack of close relationships.
Generativity vs stagnation (Middle age): Caring and achievements or stagnation.
Ego integrity vs despair (Older adulthood): Acceptance and wisdom or failure to accept changes of aging/despair
Measuring the effectiveness of an intervention rather than the monetary savings is:
A. A cost-effective analysis
B. A product evaluation
C. An efficacy study
D. A cost-benefit analysis
A. Cost- effective Analysis
A cost-effective analysis measures the effectiveness of an intervention rather than the monetary savings. For example, annually 2 million infections result in 90,000 deaths and an estimated $6.7 billion in additional health costs. From that perspective, decreasing infections should reduce costs, but there are human savings in suffering as well, and it can be difficult to place a dollar value on that. If each infection adds about 12 days to hospitalization, then a reduction of 5 infections (5 X 12 = 60) would result in a cost-effective savings of 60 fewer patient infection days.
A hispanic patient is admitted to a hospital unit where a nurse is to obtain the patient’s admission history but the patient speaks very little English. What should the nurse do?
A. Ask the patient’s 12-year-old son, who is fluent in English to interpret
B. Use sign language and pictures to supplement questions
C. Ask the patient’s wife, who speaks fair English, to answer the questions for the patient.
D. Arrange for an interpreter
D. Arrange for an interpreter
The Health Insurance Portability and Accountability Act (HIPPA) regulates:
A. Medical trials
B. The transfer of patients from one facility to another
C. The rights of the individual related to privacy of health information
D. Workplace safety
C. The rights of the individual related to privacy of health information
The nurse is teaching a 45-year-old woman with a colostomy to perform colostomy irrigation. The nurse prepared written directions and a video, but the patient ignores them. Instead, the patient picks up the equipment and looks at each part, trying to figure it out. The patient’s learning style is probably:
A. Auditory
B. Kinesthetic
C. Visual
D. Mixed
B. Kinesthetic
A retrospective attempt to determine the cause of an event is:
A. External benchmarking
B. Internal trending
C. Tracer methodology
D. Root Cause Analysis
D. Root Cause Analysis
All departments in a healthcare institution should strive toward:
A. A spirit of competition
B. Increased budget allotment
C. Autonomy
D. A common vision of care
D. A common vision of care
An Alzheimer patient walked away from the hospital and was found hiding in the parking lot. The most appropriate nursing diagnosis to account for his behavior is:
A. Impaired memory
B. Wandering
C. Risk prone health behavior
D. Acute Confusion
B. Wandering
Clinical Pathways should be based on:
A. Committee Recommendations
B. Evidence-based research
C. Staff preferences
D. A survey of current practices in the area
B. Evidence-based research
An 80-year-old patient is dying of cancer and has been in and out of consciousness. The family should be encouraged to:
A. Talk to the patient, as hearing is usually the last sense to fail
B. Raise the head of the patient’s bed if respirations become rattling to help the patient clear secretions
C. Offer the patient frequent sips of water to avoid dehydration
D. Go home, as the patient does not know they are present.
A. Talk to the patient, as hearing is usually the last sense to fail
A cost-savings study showed that a free medical clinic ordered 17 different types of dressing supplies because of varying staff preferences. Because of this large number, the clinic was not able to buy in sufficient bulk to receive a large quantity discount. The best solution to this problem is:
A. Continue to order the same types of supplies to keep the staff happy.
B. Reduce the number of dressing supplies ordered according to administrative preference.
C. Complete a 6 month survey of the use of dressing supplies.
D. Create an ad hoc team to survey staff preferences and agree on a reduced number of dressing supplies.
D. Create an ad hoc team to survey staff preferences and agree on a reduced number of dressing supplies
A 76-year-old female with lung cancer was placed on hospice care by her physician 6 months earlier (two 90 day periods), but she is still alive. Her family asks the nurse if the patient will be removed from hospice care. The best response is:
A. “She will be removed from hospice care until her condition worsens because she has exceeded the 6-month period”
B. “She has exhausted all of her hospice care benefits and will be removed from hospice care”
C. “She can continue with hospice care if the physician continues to authorize care every 90 days”
D. “She can continue with hospice care as long as the physician authorizes the care every 60 days”
D. She can continue with hospice care as long as the physician authorizes the care every 60 days.
The best question to elicit information about a patient’s pain is:
A. “What is your pain on a scale of 1 to 10?”
B. “Are you having pain?”
C. “Will you describe your pain for me?”
D. “What kind of pain are you having?”
C. Will you describe your pain for me?
The pain scale is used after the patient has described his/her pain and the nurse has explained in detail, with examples, what the pain scale means.
Failure mode and effects analysis (FMEA) is done:
A. During the trial of a new process
B. Upon utilization of a new process
C. Prior to utilization of a new process
D. Retrospectively
C. Prior to utilization of a new process
