CMD Clinical Leadership & Patient Care 2

Question 1

A medical director notices that a physician assistant consistently orders unnecessary diagnostic tests. What is the most appropriate first step?

Accepted Answer

Schedule a one-on-one educational meeting to review evidence-based ordering practices

Answer

An educational conversation is the appropriate initial step to address practice patterns before escalating to disciplinary action.

Question 2

Under the Patient Self-Determination Act, which of the following is a facility's required obligation?

Accepted Answer

Provide written information about patients' rights to make healthcare decisions and formulate advance directives

Answer

The PSDA mandates that facilities inform patients in writing of their rights to make healthcare decisions, including the right to create advance directives.

Question 3

Which quality improvement model uses Plan-Do-Study-Act cycles for iterative change?

Accepted Answer

Model for Improvement (IHI)

Answer

The Institute for Healthcare Improvement's Model for Improvement uses PDSA cycles to test and implement changes incrementally.

Question 4

A resident with dementia refuses a recommended medication. The patient has been deemed to lack decision-making capacity. Who provides surrogate consent?

Accepted Answer

The legally designated healthcare proxy or next of kin per state law

Answer

When a patient lacks decision-making capacity, the legally designated proxy or next of kin per applicable state law must provide informed consent.

Question 5

In a long-term care facility, which metric is most directly tied to CMS Five-Star Quality Rating?

Accepted Answer

Minimum Data Set (MDS) quality measures

Answer

CMS uses MDS-derived quality measures as a core component of the Five-Star Quality Rating System for nursing homes.

(CMD) Certified Medical Director Practice Test

(CMD) Certified Medical Director Practice Test

CMD Clinical Leadership & Patient Care 2