Content Distribution
Health Care Delivery
Human Resource Management
Quality and Safety
Business Management
Pretest Questions
PART 1: HEALTH CARE DELIVERY
1. A nurse executive is leading a strategic p
...
Content Distribution
Health Care Delivery
Human Resource Management
Quality and Safety
Business Management
Pretest Questions
PART 1: HEALTH CARE DELIVERY
1. A nurse executive is leading a strategic planning initiative to improve care
coordination across the continuum. Which model should be implemented to best
achieve this goal?
a. A siloed departmental structure with independent budgets
b. An accountable care organization (ACO) model with integrated delivery systems
c. A fee-for-service reimbursement structure
d. A decentralized nursing model with unit-based decision making
Answer: b. An accountable care organization (ACO) model with integrated delivery
systems
Rationale: ACOs are designed to improve care coordination across the continuum by
linking payment to quality outcomes and cost efficiency. This model incentivizes
integration and collaboration across settings. Siloed structures and fee-for-service models
fragment care rather than coordinate it.
2. The nurse executive is evaluating a proposed change to the clinical
documentation system. According to Kotter's change management model, which
action should be taken FIRST?
a. Create a steering committee to implement the change
b. Establish a sense of urgency by communicating the need for change
c. Celebrate short-term wins to maintain momentum
d. Anchor the changes in organizational culture
Answer: b. Establish a sense of urgency by communicating the need for change
*Rationale: Kotter's 8-step model begins with creating urgency. Without a compelling
reason for change, stakeholders lack motivation. The committee (step 2), wins (step 6),
and anchoring (step 8) come later in the process.*
3. A nurse executive is implementing a shared governance model. Which outcome
best indicates successful implementation?
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