01
Choose one
1 point
Several providers are involved in a person’s care, but they have been working from disconnected plans. Which approach best reflects the purpose of care coordination?
Free Practice Quiz Question List
2 Care Coordination and Continuity Online Quiz Questions
Use this free practice quiz with 20 questions to review 2 Care Coordination and Continuity, test your knowledge, and prepare for your next test or exam.
20 questions
02
True or false
1 point
A care team includes a person’s caregiver in planning without first obtaining the person’s agreement. Is this consistent with the guidance for care coordination?
- A
True
- B
False
03
Choose one
1 point
Which situation is an example of a transition of care?
- A
A clinician updates a note while the person remains with the same provider and level of care.
- B
A care team revises a person’s goals without changing the provider or setting.
- C
A person moves from a hospital to a rehabilitation facility.
- D
A pharmacy renews a prescription without a change in the person’s care setting.
04
True or false
1 point
A discharge alone completes a safe transition, even if the receiving provider has not received a plan and the person does not know what to do next. True or false?
- A
True
- B
False
05
Written response
1 point
What process compares medication lists and resolves differences during many care transitions?
06
Written response
1 point
What term describes arranging for needed care and supports to continue when a person changes setting or provider?
07
Fill in the blank
1 point
During a care handoff, the sending and receiving providers should clarify during the transfer.
08
Fill in the blank
1 point
After a person moves to a new setting, the care team should that services and appointments have begun, address problems, and revise the plan if needs have changed.
09
Choose one
1 point
A person’s care needs change, and the current shared plan no longer matches the services being arranged. What should the team do?
- A
Update the shared plan and communicate the changes to relevant team members.
- B
Keep both versions in use so each provider can follow the instructions they received first.
- C
Wait until the next transition before informing other team members.
- D
Remove the person’s goals from the plan to avoid confusion.
10
Choose all
1 point
Which actions support effective care coordination? Select all that apply.
- A
Identify the person’s needs, preferences, goals, and barriers to care.
- B
Let each provider decide independently who will complete tasks and follow up.
- C
Agree who is responsible for each task and who will follow up.
- D
Share relevant information promptly with people who need it.
- E
Avoid changing the plan even when needs or circumstances change.
11
Choose all
1 point
Which information may appropriately be included in a shared care plan? Select all that apply.
- A
The person’s health concerns, goals, and agreed actions.
- B
Current medications and relevant allergies.
- C
Only the name of the most recent provider, with no contact information or responsibilities.
- D
Follow-up steps, warning signs, and what to do if the plan is not working.
- E
Instructions to keep the plan unchanged even when care changes.
12
Choose one
1 point
A person leaving the hospital is unsure what to do if symptoms worsen. Which action best supports a safe transition?
- A
Give the person a list of referrals without explaining what happens next.
- B
Explain the plan in understandable terms and check that the person or caregiver knows how to manage care and whom to contact.
- C
Assume that written discharge instructions are understood without checking.
- D
Ask the person to wait until the next routine appointment if symptoms worsen.
13
Open ended
1 point
A person with heart failure is leaving the hospital for home. Describe key actions the care team should take to coordinate a safe transition and confirm that care continues.
14
True or false
1 point
The person receiving care should be included in decisions and planning, and a caregiver or support person should be included with the person’s agreement. True or false?
- A
True
- B
False
15
Choose one
1 point
A person receives care from a hospital, a specialist, and a primary-care clinic. Their plans are disconnected. What should the team prioritize to coordinate care?
- A
Let each provider make decisions using only its own records and goals.
- B
Organize care around the person’s needs and preferences while helping providers work toward shared goals.
- C
Focus coordination only on scheduling appointments.
- D
Have the person choose between conflicting plans after providers have acted.
16
Choose one
1 point
A care team has agreed on several actions, but no one knows who will complete them or check their progress. What is the best next step?
- A
Wait until a task is overdue before deciding who owns it.
- B
Give every task to the person receiving care, regardless of support needs.
- C
Agree who is responsible for each task and who will follow up.
- D
Ask each provider to assume another provider will complete any unassigned task.
17
Written response
1 point
What term describes the current, person-centered reference used to coordinate actions across providers and settings?
18
Choose one
1 point
A person’s needs change after a shared care plan has been distributed. What should the team do to reduce the risk of conflicting instructions?
- A
Communicate the changes and update the shared plan so the team is not following conflicting instructions.
- B
Keep the original plan unchanged until every provider independently notices the change.
- C
Send the revised plan only to the provider who first created it.
- D
Ask the person to choose which provider’s instructions to follow.
19
Written response
1 point
In the transition checklist, what stage involves explaining the plan in understandable terms and checking that the person or caregiver knows how to manage care and whom to contact?
20
Choose one
1 point
A hospital is transferring a person’s care to a rehabilitation facility. Which action best supports a safe handoff?
- A
Send the information after the receiving provider requests it, without assigning transfer responsibility.
- B
Send every available record, even if it is irrelevant, and assume the receiving provider will find what is needed.
- C
Tell the person to carry all information and leave the receiving provider to determine whether to accept the handoff.
- D
Send accurate, relevant information in time for action, clarify responsibility during the transfer, and confirm the receiving provider accepted the handoff.