Deck 2: Delivering Evidence-Based Respiratory Care

Question 1

What voluntary accrediting agency monitors quality in respiratory care departments?

A) JRCRTE
B) AARC
C) FDA
D) The Joint Commission

Answer 1

D
Explanation: The Joint Commission requires a hospital service to have a quality assurance plan to provide a system for controlling quality.

Question 2

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

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

Answer 2

C
Explanation: The primary method of ensuring quality in respiratory care is voluntary certification or registration conducted by the National Board for Respiratory Care (NBRC).

Question 3

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 of the above

Answer 3

D
Explanation: The quality of respiratory therapists depends primarily on their training, education, experience, and professionalism.

Question 4

How are competencies being used to monitor the quality of respiratory care?

A) They focus on cost saving strategies.
B) They are used to check the skill and knowledge of respiratory through the use of clinical simulations.
C) They are used to educate therapist on new treatments and procedures.
D) They are used to review protocols.

Question 5

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

Question 6

What organization is responsible for credentialing respiratory therapists?

A) AARC
B) ATS
C) NBRC
D) ACCP

Question 7

Current Joint Commission 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

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?

A) White paper
B) Meta-analysis
C) Alpha review
D) Apical review

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.

Question 10

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

Question 11

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

A) Committee on Accreditation for Respiratory Care
B) American Association for Respiratory Care Education
C) Joint Review Committee Respiratory Care Education
D) Respiratory Care Education Committee

Question 12

Quality in the practice of respiratory care encompasses which of the following?
1) Personnel performing care
2) Equipment used
3) Method or manner in which care is provided
4) Level of experience of respiratory care providers

A)1 and 2 only
B)3 only
C)1, 3, and 4 only
D)1, 2, 3, and 4

Question 13

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

Question 14

What is/are the essential component(s) comprise(s) disease management programs?
1) An integrated health care system that can provide a full range of a patient's needs
2) A knowledge regarding prevention, diagnosis, and treatment of diseases
3) A commitment to CQI
4) A sophisticated clinical and administrative information system that helps assess patterns in the clinical practice

A)1 and 3 only
B)2 only
C)3 and 4 only
D)1, 2, 3, and 4

Question 15

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

Question 16

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-based health care.

Question 17

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

Question 18

Which of the following are characteristics of a respiratory care professional?
1) Participates in continuing education activities.
2) Obtains professional credentials.
3) Adheres to a code of ethics.
4) Completes an accredited education program.

A)1, 2 and 3 only
B)2, 3, and 4 only
C)1, 2, and 4 only
D)1, 2, 3, and 4

Question 19

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

Question 20

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

Question 21

What are the key outcomes that are looked at in different types of studies?

A) Patient survival
B) Discharge from ICU
C) Organ system failure
D) All of the above

Question 22

What is a cohort study?

A) Comparing the clinical outcomes from two different groups
B) Single patient study
C) A literature-based review
D) Collection of patients with similar clinical situations