NURSING > EXAM > NHS 4000 ASSESSMENT#4-PRACTICE EXAM 2 (Evidence-Based Decision Making & Patient-Centered Care Coor (All)

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NHS 4000 ASSESSMENT#4-PRACTICE EXAM 2 (Evidence-Based Decision Making & Patient-Centered Care Coordination) WITH QUESTIONS & DETAILED RATIONALES CAPELLA PRACTICE

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1. Administrators must choose between two EHR systems: one is cost-efficient but less interoperable, the other is more expensive but fully integrated with partner hospitals. Which decision reflects Distinguished-level evidence-based leadership? A. Choose the cheaper system to reduce expenses B. Evaluate patient outcomes, interoperability, workflow impact, and long-term cost-benefit C. Delegate the decision to IT only D. Postpone selection indefinitely Answer: B Rationale: Distinguished-level decisions weigh evidence, patient outcomes, and system integration, not cost alone. 2. Staff report that a new patient portal increases workload and decreases efficiency. Which approach BEST addresses this challenge? A. Ignore complaints to meet deadlines B. Conduct workflow analysis, provide training, and integrate feedback C. Mandate use without adjustment D. Reduce patient access to minimize issues Answer: B Rationale: Evidence-based leadership balances technology adoption, workflow, and patient centered outcomes. 3. Which metric BEST predicts success of care coordination initiatives? A. Staff overtime hours B. Patient adherence, readmission rates, and satisfaction scores C. IT system uptime only D. Revenue per patient only Answer: B Rationale: Leading indicators reflect patient outcomes and care quality. 4. A hospital considers outsourcing patient scheduling to reduce costs. Staff express concerns about patient experience. Which principle is MOST at risk? A. Beneficence B. Autonomy C. Justice D. Fidelity Answer: A Rationale: Outsourcing without safeguards may compromise patient well-being. 5. Which evidence source BEST informs administrative decisions on technology adoption? A. Vendor marketing materials B. Peer-reviewed literature, internal analytics, and benchmarking C. Staff anecdotal feedback only D. Budget spreadsheets only Answer: B Rationale: Decisions rely on validated research, metrics, and best practices. 6. Which approach MOST reduces risk of patient harm from health IT errors? A. Limited access to patient data B. Staff training, workflow optimization, monitoring, and error reporting C. Ignoring near-misses D. Delegating responsibility entirely to IT Answer: B Rationale: Multi-layered strategies prevent errors and maintain safety.

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