A care team needs to assign a medication-monitoring task after discharge. Which approach best supports coordinated care?
3 Care Coordination and Continuity Online Quiz Questions
Use this free practice quiz with 20 questions to review 3 Care Coordination and Continuity, test your knowledge, and prepare for your next test or exam.
A patient wants a family caregiver involved in care planning. Including that caregiver, with the patient’s involvement, can support coordinated care.
- A
True
- B
False
When using SBAR to raise a concern, what is the name of the component that states the action or decision being requested?
When organizing care activities, the patient’s and preferences help guide the plan.
A clinician sends an electronic handoff, but the receiving clinician has questions about a critical instruction. What is the best next step?
- A
A written handoff always completes the transfer, even if the receiver has questions.
- B
The sending clinician can stop being accountable as soon as the handoff is sent.
- C
A written handoff can help, and direct communication may be needed to confirm key information.
- D
Direct communication is unnecessary if the receiving team has access to the medical record.
A clinician is preparing a handoff for a patient moving to another care setting. Which details should be included? Select all that apply.
- A
Medication changes and what needs monitoring
- B
The sending clinician’s unrelated personal opinions about the patient
- C
Pending test results and who will review and communicate them
- D
The patient’s current condition and relevant risks
- E
Only the name of the sending clinician
What confirmation method involves repeating a critical instruction to check that it was understood?
Giving a patient a specialist’s name and phone number, by itself, completes a coordinated referral.
- A
True
- B
False
A receiving service has not scheduled a referred patient, and the appointment may be delayed. What should the referring team do to reduce the risk of a gap in care?
- A
Wait for the patient to report whether the appointment happened.
- B
Clarify who will act if the appointment is delayed or the service cannot accept the patient.
- C
Send the referral again without checking whether the first one arrived.
- D
Assume the receiving service will contact the patient and manage all follow-up.
Before discharge, explain what to do, when to do it, which symptoms need urgent help, and whom to .
A patient leaving the hospital has a changed medication regimen and is unsure how to obtain the medicines. Which action best supports continuity of care?
- A
Assume the patient can obtain all prescribed medicines.
- B
Remove the medication change from the discharge plan.
- C
Wait until the next appointment to ask about access problems.
- D
Ask about barriers to obtaining the medicines and coordinate support when possible.
A team is preparing a patient for discharge. Which actions support a clear, coordinated transition? Select all that apply.
- A
Involve the patient and caregiver in understanding the plan.
- B
Explain what to do and which symptoms require urgent help.
- C
Share all patient information with any service that might be useful, regardless of privacy requirements or patient choices.
- D
Identify practical barriers, such as transportation or language, and coordinate support when possible.
- E
Leave follow-up responsibilities implicit so providers can decide later.
A patient is transferred while a test result is still pending. How should the care team prevent that result from being overlooked?
- A
Leave the results unassigned because the test was ordered before discharge.
- B
Ask the patient to determine which provider should review the results.
- C
Assign a responsible person to review and communicate the pending results.
- D
Assume the receiving team will find and interpret all pending results.
A patient with heart failure is going home with changed medicines, a pending test result, and a home-nursing referral. Describe the steps the team should take to support continuity of care if the planned home-nursing visit does not occur.
During a care transition, the receiving clinician has not yet confirmed understanding of the handoff. What should the sending clinician do?
- A
Continue responsibility for a clear transfer until the receiving clinician understands and accepts it.
- B
Transfer responsibility as soon as the patient leaves the sending unit.
- C
End responsibility once the handoff is documented, even if it is not understood.
- D
Ask the patient to confirm that the receiving clinician has accepted responsibility.
A care team is arranging services for a patient moving to a new care setting. The team should use the patient’s goals and preferences to guide the plan.
- A
True
- B
False
A nurse wants to organize a concise message when raising a concern and requesting a decision. What acronym names the structured format with the elements Situation, Background, Assessment, and Recommendation?
A care team needs to assign a clinical task. Which approach best supports safe interdisciplinary teamwork and follow-through?
- A
Give the task to whoever is available and decide later who will follow up or oversee it.
- B
Assign the task to a team member whose role and competence fit, and clarify who will complete it, follow up, and oversee the work.
- C
Keep the task with the team leader even if another team member is better qualified, and leave follow-up responsibility implicit.
- D
Ask the patient to choose which clinician should perform the task and let that clinician determine follow-up.
A patient agrees to a referral, but appointments with the receiving service may be delayed. Which action best supports continuity of care?
- A
Give the patient the receiving service’s phone number and ask them to arrange everything.
- B
Send the referral and assume the receiving service will contact the patient.
- C
Explain the referral, check that it fits the patient’s needs and preferences, send relevant information, and confirm receipt and responsibility for delays.
- D
Wait to share any information until the patient has attended the first appointment.
During a handoff, what hyphenated confirmation method can the receiving clinician use to repeat a critical instruction back to the sender?