Test Bank for Primary Care: Interprofessional Collaborative Practice 7th Edition (Terry Mahan Buttaro, 2024), Chapter 1-228 | Complete Guide A+

, TEST BANK FOR PRIMARY CARE 7TH EDITION BY BUTTARO
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Chapter 01: Interprofessional Collaborative Practice: Where We Are Tod
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ayButtaro: Primary Care: A Collaborative Practice, 7th Edition
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MULTIPLE CHOICE w#




1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is desig
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natedas a Level 1 ACO. What is part of this designation?
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a. Bonuses based on achievement of benchmarks w# w# w# w# w#


b. Care coordination for chronic diseasesw# w# w# w#


c. Standards for minimum cash reserves w# w# w# w#


d. Strict requirements for financial reporting
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ANS: A w #


A Level 1 ACO has the least amount of financial risk and requirements, but receives s
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haredsavings bonuses based on achievement of benchmarks for quality measures and e
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xpenditures. Care coordination and minimum cash reserves standards are part of Level
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2 ACO requirements. Level 3 ACOs have strict requirements for financial reporting.
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2. What was an important finding of the Advisory Board survey of 2014 about primar
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y carepreferences of patients?
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a. Associations with area hospitals w# w# w#


b. Costs of ambulatory care w# w# w#


c. Ease of access to care w# w# w# w#


d. The ratio of providers to patien w# w# w# w# w#




tsANS: C
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As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 acc
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ess tocare, walk-
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in settings and the ability to be seen within 30 minutes, and care that is close to hom
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e. Associations with hospitals, costs of care, and the ratio of providers to patients wer
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enot part of these results.
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MULTIPLE RESPONSE w#




1. Which assessments of care providers are performed as part of the value-
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based purchasing(VBP) initiative? (Select all that apply.)
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a. Appraising costs per case of care for Medicare patients w# w# w# w# w# w# w# w#


b. Assessing patients’ satisfaction with hospital care w# w# w# w# w#


c. Evaluating available evidence to guide clinical care guidelines w# w# w# w# w# w# w#


d. Monitoring mortality rates of all patients with pneumonia w# w# w# w# w# w# w#


e. Requiring advanced IT standards and minimum cash reserves w# w# w# w# w# w# w#




ANS: A, B, D w # w# w#


Value-
based purchasing looks at five domain areas of processes of care, including efficiencyof
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#


care (cost per case), experience of care (patient satisfaction measures), and outcomes o
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f care (mortality rates for certain conditions). Evaluation of evidence to guide clinical c
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are is part of evidence-
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based practice. The requirements for IT standards and financial status are part of Acco
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untable Care Organization standards.w# w# w#

, TEST BANK FOR PRIMARY CARE 7th EDITION BY BUTTARO
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Chapter 02: Translating Research into Clinical Practice Bu
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ttaro: Primary Care: A Collaborative Practice, 7th Edition
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MULTIPLE CHOICE w#




1. What is the purpose of Level II research?
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a. To define characteristics of interest of groups of patients
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b. To demonstrate the effectiveness of an intervention or treatment
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c. To describe relationships among characteristics or variables
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d. To evaluate the nature of relationships between two variables
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ANS: C w #


Level II research is concerned with describing the relationships among characteristic
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s or variables. Level I research is conducted to define the characteristics of groups o
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f patients.Level II research evaluates the nature of the relationships between variable
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s. Level IV research is conducted to demonstrate the effectiveness of interventions o
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r treatments.
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2. Which is the most appropriate research design for a Level III research study?
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a. Epidemiological studies w#


b. Experimental design w#


c. Qualitative studies w#


d. Randomized clinical trials w# w#




ANS: B w #


The experimental design is the most appropriate design for a Level III study. Epidemi
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ological studies are aNpU
prR
oS
prI
iaN
teGfT
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veOl M
II studies. Qualitative designs are useful
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for Level I studies. Randomized clinical trials are used for Level IV studies.
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3. What is the purpose of clinical research trials in the spectrum of translational research?
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a. Adoption of interventions and clinical practices into routine clinical care
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b. Determination of the basis of disease and various treatment options w# w# w# w# w# w# w# w# w#


c. Examination of safety and effectiveness of various interventions
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d. Exploration of fundamental mechanisms of biology, disease, or behavior
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ANS: C w #


Clinical research trials are concerned with determining the safety and effectiveness of i
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nterventions. Adoption of interventions and practices is part of clinical implementation.
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#Determination of the basis of disease and treatment options is part of the preclinical res
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earchphase. Exploration of the fundamental mechanisms of biology, disease, or behavio
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r is part of the basic research stage.
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, TEST BANK FOR PRIMARY CARE 7th EDITION BY BUTTARO
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Chapter 03: Empowering Patients as Collaborative partners: A New Model
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forPrimary Care
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Buttaro: Primary Care: A Collaborative Practice, 7th Edition
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MULTIPLE CHOICE w#




1. Which statement made by a health care provider demonstrates the most approp
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riateunderstanding for the goal of a performance report?
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a. “This process allows me to critique the performance of the rest of the staff.”
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b. “Most organizations require staff to undergo a performance evaluation yearly.”
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c. “It is hard to be personally criticized but that’s how we learn to change.”
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d. “The comments should help me improve my management skills.”
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ANS: D w #


The goal of the performance report is to provide guidance to staff in the areas of prof
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essional development, mentoring, and leadership development. A peer review is written
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by others who perform similar skills (peers). The remaining options may be true but d
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o not provide evidence of understanding of the goal of this professional requirement.
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MULTIPLE RESPONSE w#




1. Which assessment question would a health care provider ask when engaging in the pr
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evisitstage of the new model for primary care? (Select all that apply.)
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a. “Are you ready to discuss some of the community resources that are available?”
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b. “Are you experiencing anNyUsiRdS
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feGctTs B
fr.
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COyM
om our newly prescribed medications?” w# w# w# w# w#


c. “Do you anticipate any problems with adhering to your treatment plan?”
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d. “Are you ready to discuss the results of your laboratory tests?”
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e. “Do you have any questions about the lab tests that have been ordered for you?”
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ANS: B, C, E w # w# w#


The nursing responsibilities in the previsit stage include assessing the patient’s toleranc
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e ofprescribed medications, understanding of existing treatment plan, and education ab
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out required lab testing. The primary care provider is responsible for screening lab da
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ta and discussing community resources during the actual visit.
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