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Quizzes > Health & Medicine > Human Anatomy & Medicine

Can You Ace the CNA Chapter 5 Exam?

Think you can ace the cna chapter 5 exam? Let's get started!

Difficulty: Moderate
2-5mins
Learning OutcomesCheat Sheet
Paper art quiz on sky blue background with CNA Chapter 5 exam, diagnosis related groups, quality goals, patient care

This CNA Chapter 5 exam quiz helps you review diagnosis‑related groups, quality care goals, patient‑focused care, and key terms you'll use in care. Use the quick questions to spot gaps before the exam, and for broader review, preview a full practice final .

What is the main purpose of Diagnosis Related Groups (DRGs) in healthcare reimbursement?
To classify patients for prospective payment
To group hospitals by size
To classify nursing interventions
To rate patient satisfaction
Diagnosis Related Groups (DRGs) group hospital cases by diagnosis, treatment, and other factors to set a fixed payment rate per case. This prospective payment system was introduced to control costs and standardize reimbursement. By using DRGs, Medicare can budget more predictably and encourage efficient care delivery.
Which federal program introduced the DRG-based Prospective Payment System for hospital inpatient services?
Affordable Care Act
Medicaid
Social Security Disability Insurance
Medicare
Medicare implemented the DRG prospective payment system in 1983 to reimburse hospitals a predetermined rate for inpatient care. This shift aimed to curb rising costs by paying fixed amounts rather than actual expenses. Medicaid and other programs came later or have different payment structures.
A primary goal of quality care in nursing is to:
Maximize facility revenue
Ensure patient safety
Prioritize staff convenience
Reduce documentation requirements
The foremost goal of quality care is to keep patients safe by minimizing errors and harm. Financial or convenience objectives are secondary and should not compromise safety. Quality frameworks like those from the Institute for Healthcare Improvement focus first on patient safety.
Patient-focused care primarily emphasizes:
Standardizing all treatment plans
Grouping patients by diagnosis
Personalizing care around patient needs
Reducing paperwork
Patient-focused care tailors services to individual preferences, values, and cultural needs rather than treating everyone identically. This approach improves satisfaction and outcomes by involving patients in decision-making. It contrasts with purely protocol-driven or disease-centered models.
Who is responsible for creating standardized nursing diagnoses recognized in care planning?
National Institutes of Health
American Medical Association
NANDA-International
Food and Drug Administration
NANDA-International is the organization that develops and publishes standardized nursing diagnoses used worldwide. These diagnoses help nurses plan and deliver care consistently. Other agencies regulate drugs, medical standards, or research, but NANDA focuses on nursing language.
Which action by a CNA best supports patient safety in a hospital setting?
Performing hand hygiene before every patient interaction
Diagnosing infections
Administering medications
Prescribing diets
Consistent hand hygiene by CNAs prevents the spread of infections and is a cornerstone of patient safety. CNAs are not licensed to diagnose or prescribe therapies. Proper hygiene reduces healthcare-associated infections significantly.
Under the DRG-based Prospective Payment System, hospitals are reimbursed at:
A predetermined fixed rate per case
The actual cost incurred
A per diem rate regardless of case type
A percentage of charges billed
DRGs assign a fixed payment amount based on the grouped diagnosis and procedure codes, regardless of the actual cost incurred. This incentivizes hospitals to manage resources efficiently. It replaces retrospective cost-based reimbursement.
Which quality indicator is commonly used in long-term care to monitor patient care standards?
Staff turnover rate
Average occupancy rate
Number of patient discharges
Incidence of pressure ulcers
Pressure ulcer incidence is tracked as a key quality measure because ulcers often indicate lapses in basic care. Reducing pressure ulcers reflects effective repositioning and skin care protocols. Other metrics may be important operationally but are not direct quality indicators.
An essential component of patient-centered care is:
Using only standardized protocols
Focusing solely on clinical tasks
Involving patients in decision-making
Minimizing family involvement
Patient-centered care emphasizes collaboration and respects patients' values and choices in their health decisions. It goes beyond protocols to include personal preferences and goals. Family involvement and open communication are also valued.
The first step in developing a nursing care plan is:
Assessment
Planning
Implementation
Evaluation
Assessment is the initial stage where data about the patient's health status are collected. Without a thorough assessment, accurate nursing diagnoses and appropriate plans cannot be formed. The nursing process flows from assessment to diagnosis, planning, implementation, and evaluation.
A sentinel event in healthcare is best described as:
A minor medication error with no harm
A routine patient transfer
A scheduled surgery
An unexpected occurrence involving death or serious physical or psychological injury
Sentinel events are adverse events that signal the need for immediate investigation and response. They include incidents like patient suicide or wrong-site surgery. The Joint Commission mandates reporting and analysis when these occur.
Which federal law protects patient health information privacy in healthcare settings?
FMLA
ADA
IDEA
HIPAA
The Health Insurance Portability and Accountability Act (HIPAA) sets national standards for protecting sensitive patient health information. It governs how healthcare providers handle, store, and share personal medical data. Other laws cover disability rights, education, or leave, but HIPAA is specific to health information.
When a hospital compares its performance metrics to peer institutions to identify improvement areas, this practice is called:
Flowcharting
Benchmarking
Pareto chart analysis
Root cause analysis
Benchmarking involves comparing processes and outcomes with industry leaders to establish performance standards. It helps identify gaps and best practices. Root cause analysis investigates specific events, while Pareto charts and flowcharts are analytic tools.
In the DRG reimbursement system, which of the following can result in an add-on payment for unusually high-cost cases?
Early discharge discounts
Routine complexity adjustments
Outlier payments
Diagnosis code modifiers
Outlier payments provide additional reimbursement when a case's cost far exceeds the standard DRG payment. This mechanism prevents hospitals from incurring large losses on exceptionally costly cases. It is separate from routine complexity adjustments or modifiers.
According to standard nursing practice, how frequently should an active care plan be reviewed and updated to remain current?
Every week
Monthly
Every 24 hours
At discharge
Care plans should be reviewed at least every 24 hours or whenever the patient's condition changes significantly. Daily review ensures that interventions remain appropriate and goals are updated. Less frequent reviews risk outdated or irrelevant planning.
Which of the following is an example of implementing patient-focused care during shift changes?
Sending updates via email after shift ends
Posting shift notes in the break room
Transferring all charts to a central station
Conducting bedside handoff reports with patient involvement
Bedside handoff with the patient present engages them in their care and ensures accurate information transfer. It enhances safety by allowing immediate clarification of concerns. Other methods may be less transparent or exclude the patient.
The Plan-Do-Study-Act (PDSA) cycle in healthcare quality improvement stands for:
Perform, Document, Standardize, Analyze
Plan, Develop, Submit, Act
Plan, Do, Study, Act
Prepare, Deliver, Survey, Assess
The PDSA cycle is a systematic series of steps for continuous improvement: plan a change, do it on a small scale, study the data, and act based on results. It's widely used in healthcare to test changes rapidly. Other acronyms represent different models.
Which nursing guideline establishes authoritative statements that describe responsibilities of the nursing role?
Policies and procedures
Hospital bylaws
Clinical protocols
Standards of practice
Standards of practice, issued by professional bodies like the ANA, define the scope, functions, and responsibilities of nurses. Policies and procedures guide organizational operations but are not professional standards. Protocols offer clinical directions but lack the broad authority of standards.
In DRG-based reimbursement, the case mix index (CMI) is used primarily to:
Schedule operating room time
Adjust overall hospital payment by reflecting the average severity and resource intensity of cases
Set per diem nursing staff levels
Determine individual physician salaries
The case mix index represents the average DRG relative weight for all patients treated, indicating the hospital's overall complexity and resource use. A higher CMI signals more complex, resource-intensive cases and leads to higher aggregate payments. It is not used for staffing or physician compensation.
The Hospital Value-Based Purchasing (VBP) program under the Affordable Care Act links Medicare reimbursement to:
Physician credentials
Quality outcomes such as patient satisfaction and clinical effectiveness
Hospital bed capacity
Geographic location
The VBP program adjusts Medicare payments to hospitals based on performance on clinical care, patient experience, safety, and efficiency measures. It incentivizes high-quality care rather than volume of services. Bed count or location do not directly determine VBP scores.
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Study Outcomes

  1. Understand Diagnosis-Related Groups -

    Explain how DRGs organize patient care based on diagnoses, affecting hospital reimbursement and resource planning.

  2. Analyze Quality Care Goals -

    Differentiate between key quality standards in long-term and acute care settings to ensure compliance and patient safety.

  3. Evaluate Healthcare System Structures -

    Describe the roles and interactions of various care settings - including hospitals, clinics, and home health agencies - within the U.S. healthcare system.

  4. Apply Patient-Focused Care Principles -

    Implement strategies for individualized communication, dignity, and cultural sensitivity to enhance patient satisfaction and outcomes.

  5. Utilize Instant Feedback for Self-Assessment -

    Review your cna chapter 5 exam answers to identify knowledge gaps, reinforce concepts, and track your progress in real time.

  6. Develop Effective Test-Taking Strategies -

    Adopt proven techniques for time management, question analysis, and stress reduction to improve performance on the ch 5 test.

Cheat Sheet

  1. Diagnosis Related Groups (DRGs) -

    DRGs categorize patients by diagnosis and treatment into fixed-reimbursement groups to streamline billing under Medicare's Prospective Payment System (CMS.gov). For example, DRG 470 covers major hip and knee replacements, helping facilities predict costs. Mnemonic trick: remember "DRG = Detailed Reimbursed Grouping" to recall the concept easily.

  2. Quality Care Goals (IOM STEEEP) -

    The Institute of Medicine outlines six quality care goals - Safe, Timely, Effective, Efficient, Equitable and Patient-centered - in its landmark reports (IOM, 2001). You can recall these aims with the STEEEP mnemonic: think of a smooth, "STEEP" pathway to high-performance care. This framework informs quality metrics and outcome assessments on the cna chapter 5 exam answers.

  3. Healthcare Delivery Levels -

    The health care system is structured into primary (first-contact clinics), secondary (specialists, community hospitals) and tertiary (advanced care centers) levels (WHO). For example, family physicians handle immunizations and routine check-ups at the primary level. Visualize a pyramid to remember that intensity of services increases as you move upward.

  4. Patient-Focused Care & AIDET Communication -

    Patient-focused care emphasizes holistic approaches and respect for individual preferences to boost satisfaction and safety (Agency for Healthcare Research and Quality). The AIDET communication framework - Acknowledge, Introduce, Duration, Explanation, Thank You - ensures clear, empathetic interactions. Memorize AIDET to excel in patient-centered scenarios on your ch 5 test.

  5. Accurate Documentation with SOAP Notes -

    SOAP notes structure clinical documentation into Subjective, Objective, Assessment, and Plan, standardizing communication among caregivers (University of Washington School of Medicine). For instance, "S: patient reports pain 4/10; O: vital signs stable; A: postoperative recovery; P: continue pain management" shows how each section works. Use this SOAP format to nail your cna chapter 5 exam answers on documentation questions.

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