Question 1

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

Accepted Answer

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 E

Question 2

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

Accepted Answer

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 B

Question 3

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

Accepted Answer

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

Question 4

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

Accepted Answer

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

Question 5

Current JCAHO standards for accreditation emphasize which of the following?

Accepted Answer

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

Question 6

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

Accepted Answer

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 7

What voluntary accrediting agency monitors quality in respiratory care departments?

Accepted Answer

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

Question 8

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?

Accepted Answer

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

Question 9

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

Accepted Answer

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

Question 10

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.

Accepted Answer

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

Question 11

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

Accepted Answer

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

Question 12

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

Accepted Answer

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

Question 13

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

Accepted Answer

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

Question 14

What organization is responsible for credentialing respiratory therapists?

Accepted Answer

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

Question 15

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

Accepted Answer

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 16

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

Accepted Answer

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

Question 17

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

Accepted Answer

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 18

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

Accepted Answer

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 19

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

Accepted Answer

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

Question 20

The word "credentialing" in general refers to what?

Accepted Answer

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

Exam 2: Quality and Evidence-Based Respiratory Care