Deck 2: Quality and Evidence-Based Respiratory Care

Question 1

Quality in the practice of respiratory care encompasses which of the following?

A)personnel performing care
B)equipment used
C)method or manner in which care is provided
D)level of experience of respiratory care providers
E)all of the above

Answer 1

E

Question 2

The responsibilities of a respiratory care department manager include all of the following except:

A)check that medical devices function at an appropriate and safe level
B)develop respiratory care protocols and procedures
C)regulate medications delivered by respiratory care staff
D)maintain knowledge of changes in medications and delivery devices
E)evaluate new devices and methods for effectiveness commensurate with cost

Answer 2

C

Question 3

Current JCAHO standards for accreditation emphasize which of the following?

A)continual quality improvement
B)therapist-driven protocols
C)license and registration of health care providers
D)health, welfare, and safety of patients using respiratory care equipment
E)development of continuing education programs for health care providers

Answer 3

A

Question 4

Who is professionally responsible for the clinical function of the respiratory care department?

A)shift supervisor
B)department head
C)medical director
D)clinical supervisor
E)senior pulmonologist

Question 5

Respiratory care education programs are reviewed by which committee to ensure quality?

A)Committee for Accreditation of Respiratory Care
B)American Association for Respiratory Care Education
C)Joint Review Committee Respiratory Care Education
D)Respiratory Care Education Committee
E)none of the above

Question 6

The medical director of respiratory care is responsible for all the following except:

A)supervision of ongoing quality assurance activities
B)supervision of respiratory therapists performing pulmonary function testing
C)participation in the selection and promotion of technical staff
D)medical direction of the in-service and educational programs
E)establishment of safety and equipment effectiveness standards

Question 7

What organization is responsible for credentialing respiratory therapists?

A)AARC
B)ATS
C)NBRC
D)ACCP
E)all the above

Question 8

Which of the following factors is important in determining the quality of care delivered by a respiratory therapist?

A)education
B)experience
C)training
D)all the above
E)none of the above

Question 9

What is the chief reason that respiratory care protocols were developed and are currently being used in hospitals throughout North America?

A)enhance proper allocation of respiratory care services
B)decrease patient care costs to hospitals and insurance companies
C)expand patient care skills among respiratory care providers
D)enhance efficiency of respiratory care personnel in providing patient care
E)justify reasons for increasing patient care costs

Question 10

For the CRT credential, what does the letter "T" stand for?

A)therapist
B)technician
C)trainee
D)teacher
E)none of the above

Question 11

The word "credentialing" in general refers to what?

A)recognition of an individual in the profession
B)licensure by a state or national organization
C)successful completion of entry-level board examination
D)voluntary certification by state agency
E)not used in the field of respiratory care

Question 12

What voluntary accrediting agency monitors quality in respiratory care departments?

A)JRCRTE
B)AARC
C)FDA
D)JCAHO
E)AMA

Question 13

HIPAA was established in 1996 to set standards related to sharing confidential health history information about patients. What does the letter "P" stand for?

A)privacy
B)portability
C)patient
D)protection
E)people

Question 14

What is the most essential aspect of providing quality respiratory care?
A) Care being provided is indicated.B. Care is delivered competently and appropriately.C. Patient is appropriately evaluated by physician before care is initiated.D. A and B.E. A, B, and C.

A)Care being provided is indicated.
B)
B)Care is delivered competently and appropriately.
C)
C)Patient is appropriately evaluated by physician before care is initiated.

Question 15

What agency is responsible for ensuring quality in respiratory care through voluntary certification and registration?

A)JRCRTE
B)CoARC
C)NBRC
D)AARC
E)CAAHE

Question 16

Which of the following is a key element of a respiratory care protocol program?

A)strong and committed medical direction
B)collaborative environment among health care providers
C)responsiveness to address and correct problems
D)capable therapists
E)all of the above

Question 17

Responsibility for the technical direction of a respiratory care department lies with whom?

A)medical director
B)department manager
C)hospital administrator
D)shift supervisor
E)hospital biomedical engineering department

Question 18

Which of the following is/are characteristics of a respiratory care professional?

A)participates in continuing education activities
B)obtains professional credentials
C)adheres to a code of ethics
D)completes an accredited education program
E)all the above

Question 19

What term is used to describe the process in which a government agency gives an individual permission to practice an occupation?

A)certification
B)licensure
C)registry
D)credentialing
E)none of the above

Question 20

Which of the following is an essential element of a comprehensive protocol program?

A)carefully structured assessment tool and care plan form
B)active quality monitoring
C)comprehensive delineation of boundaries between respiratory care, nursing, and physician personnel
D)both B and C
E)none of the above

Question 21

What is one advantage that has been shown of respiratory care protocols?

A)increase in the number of procedures performed by respiratory care providers
B)decrease in the overordering of respiratory care services
C)decrease in the cost savings to respiratory care departments
D)decrease in the cost of performing each respiratory care procedure
E)decrease in the demand for qualified respiratory care providers

Question 22

Hospital restructuring and redesign have involved all of the following except:

A)cross-training employees and using unlicensed assistive staff
B)nursing unit having its own admitting and medical laboratory facilities
C)downsizing and decentralizing high-budget, labor-intensive departments
D)deploying respiratory care personnel to individual nursing units
E)training multiskilled assistive personnel to perform basic patient care

Question 23

What system has the federal government developed to evaluate the quality of care given to Medicare beneficiaries?

A)hospital restructuring and design
B)patient-focused care
C)peer review organizations (PROs)
D)protocols
E)case study reviews

Question 24

Respiratory care plans may be monitored by which of the following?

A)experienced care plan auditors
B)computerized case study exercises
C)patient scenarios
D)comparison of therapist's patient assessment with the department's "gold standard" assessment
E)all the above

Question 25

What term is used in current health care that refers to an organized strategy of delivering care to a large group of individuals?

A)patient-focused care
B)protocol-based medicine
C)disease management
D)evidence-based medicine

Question 26

What term is used to describe the work done by a researcher who reviews numerous studies on a single topic and gives more weight to the more rigorous ones before making recommendations?

A)state-of-the-art paper
B)meta-analysis
C)alpha review
D)apical review
E)none of the above

Question 27

To monitor correctness of respiratory care plans, which of the following should be used?

A)nursing care plans
B)physician progress notes
C)care plan auditors and case study exercises
D)daily patient rounds with medical director
E)regular multidisciplinary patient rounds

Question 28

Treatment based on careful review of available literature is known as:

A)evidence-based medicine
B)protocol-based medicine
C)review-based medicine
D)team health care

Question 29

The effectiveness of the patient-focused care model has been limited by which one of the following?

A)requirement that each nursing unit has its own admitting, x-ray unit, medical laboratory, pharmacy, and physical therapy facilities
B)reduction of the number of health care providers for patients
C)expense of relocating radiology, pharmacy, and laboratory services to nursing units
D)assignment of cross-trained personnel to specific units
E)expense of training multiskilled personnel to perform patient care