what is the primary purpose of a patient centered medical home pcmh

ATI RN

ATI Leadership

1. What is the primary purpose of a patient-centered medical home (PCMH)?

A. To coordinate all aspects of patient care
B. To reduce healthcare costs
C. To implement the latest clinical guidelines
D. To provide financial incentives for providers

Correct answer: A

Rationale: The correct answer is A: 'To coordinate all aspects of patient care.' A patient-centered medical home (PCMH) aims to provide comprehensive and continuous care by coordinating various aspects of a patient's healthcare needs. While reducing healthcare costs and implementing clinical guidelines are important goals in healthcare, the primary focus of a PCMH is on enhancing patient care coordination to improve outcomes and patient satisfaction. Providing financial incentives for providers is not the primary purpose of a PCMH, although it can be a component of some models to encourage quality care delivery.

2. What is the main purpose of the NCLEX examination?

A. Ensure that individuals have passed nursing classes.
B. Provide assurance that nursing schools are part of the service agency.
C. Enable potential students to determine the best nursing schools.
D. Ensure the safety of the public.

Correct answer: D

Rationale: The main purpose of the NCLEX examination is to ensure the safety of the public by determining if candidates have the knowledge and skills necessary to provide safe and effective nursing care. Choice A is incorrect as the exam evaluates if individuals are ready to begin nursing practice, not just passed classes. Choice B is incorrect as the exam is not related to the affiliation of nursing schools with service agencies. Choice C is incorrect as the exam is not designed to help potential students choose the best nursing schools, but rather to assess individual readiness for nursing practice to protect public safety.

3. A manager is prioritizing the following issues. Of the following issues, which should be considered urgent and important?

A. The manager of physical therapy calls and complains about inappropriate behaviors of one of the staff nurses with one of his therapists.
B. A staff nurse reports a pattern of malfunctioning IV pumps on the unit during her current shift, resulting in overdosing of medications.
C. One of the staff nurses, who would have been an extra nurse for the next shift, calls in sick.
D. A small group of staff nurses request a meeting to discuss initiating a scheduling committee.

Correct answer: B

Rationale: The correct answer is B because patient safety is a critical concern in healthcare settings. Malfunctioning IV pumps leading to medication overdosing poses a direct threat to patient safety and must be addressed urgently. Choice A involves interpersonal issues between staff members which are important but can be addressed in a less urgent manner compared to patient safety concerns. Choice C, a staff nurse calling in sick, is important for staffing but can be managed through existing protocols. Choice D, initiating a scheduling committee, is a routine operational matter that can be addressed at a later time and does not pose an immediate risk to patient safety.

4. What is the focus of a continuous quality improvement program?

A. Family
B. Client
C. Nurse
D. Physician

Correct answer: B

Rationale: The correct answer is B: Client. Continuous quality improvement programs are primarily focused on improving services and outcomes for clients or patients. While families, nurses, and physicians are essential in healthcare, in the context of quality improvement, the main focus is on enhancing the experience and results for the clients receiving care. Choices A, C, and D are incorrect because they do not align with the primary goal of a continuous quality improvement program, which is to enhance client satisfaction, safety, and outcomes.

5. The nurse manager is responsible for implementing a new electronic health record (EHR) system. What is the first step in this process?

A. Train all staff on the new system
B. Identify the project team
C. Develop a training program
D. Conduct a needs assessment

Correct answer: B

Rationale: The correct first step in implementing a new electronic health record (EHR) system is to identify the project team. This team will be crucial in overseeing the entire implementation process, including tasks like developing a training program (Choice C) and conducting a needs assessment (Choice D). Training all staff on the new system (Choice A) is an important step but typically occurs after the project team has been identified to ensure a smooth and efficient implementation.