Deck 24: Measuring Advanced Practice Nurse Performance: Outcome Indicators, Models of Evaluation, and the Issue of Value

Question 1

What action can the advanced practice nurse (APN) take to be an effective leader and advocate for value issues associated with clients?

A) Know what the stakeholders want.
B) Attend seminars and training events.
C) Work longer hours to see more clients.
D) Focus on recruiting skilled nurses.

Answer 1

Know what the stakeholders want.

Question 2

Using the Donabedian framework, how can the nurse affect quality of care at the micro level?

A) Assess outcomes.
B) Assess client satisfaction.
C) Review cost-effectiveness.
D) Discuss clinical research findings.

Answer 2

Assess client satisfaction.

Question 3

What areas of care does the advanced practice nurse (APN) identify as difficult for clients to access?

A) Primary care
B) Mental health care
C) Orthopedic care
D) Urgent care

Answer 3

Mental health care

Question 4

What should the advanced practice nurse (APN) keep in mind when treating each client?

A) Ordering the highest level of testing for ailments
B) Treating the clients with high-cost medication to ensure best results
C) Justifying the need for the considered treatment before prescribing
D) Encouraging the client to change diet and lifestyle

Question 5

The advanced practice nurse (APN) is trying to maintain a more cost-effective practice. Which global expenditures should the APN consider?

A) Pharmaceutical costs
B) Insurance costs
C) Price of services
D) Goods and supplies

Question 6

The advanced practice nurse (APN) wishes to determine quality at the individual, societal, and organizational levels. Which should the APN take into consideration?

A) Access and cost issues
B) Cancellation frequency per client
C) Client satisfaction scores
D) Number of client visits per day

Question 7

The nurse is educating another practitioner about the Institute of Medicine's (IOM's) National Health Care Quality Roundtable. Which statement by the practitioner indicates that teaching has been effective?

A) "The objectives include assessing the health-care needs of communities."
B) "The objectives include providing low-cost health care to the elderly."
C) "The objectives include keeping hospitals staffed with quality health-care providers."
D) "The objectives include assessing hospitals for areas of growth."

Question 8

What action can the advanced practice nurse (APN) take to provide high-quality care to clients?

A) Create general care guidelines for clients based on the disease process.
B) Make decisions on behalf of the client about treatment.
C) Discuss options for medical treatment with the client's family.
D) Respect clients in their decision making.

Question 9

Which action by the advanced practice nurse (APN) is an Institute of Medicine (IOM) aim for quality improvement in order to promote safety?

A) Providing services based on scientific knowledge
B) Providing respectful care
C) Preventing waste
D) Preventing infection

Question 10

Which action by the advanced practice nurse (APN) is an Institute of Medicine (IOM) aim for quality improvement in order to promote efficiency?

A) Increasing the number of clients seen per day
B) Preventing accidental waste of materials
C) Providing care that does not vary based on characteristics
D) Refraining from providing services to those who will not benefit