1. A nurse is working in a primary care clinic that uses the patientcentered medical home (PCMH) model of care. What are some of the

benefits of this model for the patients and the health care team? (Select all

that apply.)

a) Improved coordination of care across different settings and providers

b) Increased access to preventive and chronic care services

c) Enhanced patient satisfaction and engagement

d) Reduced health disparities and costs

e) All of the above

Answer: E. All of the above are benefits of the PCMH model, which aims

to provide comprehensive, coordinated, patient-centered, and accessible

care to improve quality and outcomes.

Rationale: The PCMH model is based on the principles of primary care,

which include accessibility, comprehensiveness, coordination, continuity,

accountability, and patient-centeredness. By providing a team-based

approach to care, the PCMH model can improve communication,

collaboration, and continuity across different settings and providers. This

can enhance patient satisfaction and engagement, as well as prevent

duplication of services, reduce errors, and lower costs. The PCMH model

can also increase access to preventive and chronic care services, such as

screenings, immunizations, disease management, and behavioral health.

This can improve health outcomes and reduce health disparities among

different populations.

2. A nurse is caring for a patient who has a terminal illness and is

receiving palliative care at home. The nurse notices that the patient's

family members have different opinions and expectations about the goals

of care. How should the nurse handle this situation?

a) Respect the patient's wishes and preferences, even if they differ from

those of the family members

b) Encourage the family members to discuss their feelings and concerns

with each other and the health care team

c) Provide information and education about palliative care and its benefits

for the patient and the family

d) All of the above

Answer: D. All of the above are appropriate actions for the nurse to take

in this situation.