PRIMARY CARE INTERPROFESSIONAL COLLA
BORATIVEPRECTICE7THEDITIONTESTBANK
BY TERRY MAHAN BUTTARO | ALL CHAPTERS 1-
228
TESTBANK
, TEST*BANK*FOR*PRIMARY*CARE*7TH*EDITIONBY*BUTTARO
Chapter*01:*Interprofessional*Collaborative*Practice:*Where*We*Are*Tod
a*y*Buttaro:*Primary*Care:*A*Collaborative*Practice,*7th*Edition
MULTIPLE* CHOICE
1. A*small,*rural*hospital*is*part*of*an*Accountable*Care*Organization*(ACO)*and*is*desig
n*ate* das* a* Level* 1* ACO.*What* is*part* of*this* designation?
a. Bonuses* based* on* achievement* of*benchmarks
b. Care*coordination* for* chronic* diseases
c. Standards* for* minimum* cash* reserves
d. Strict*requirements* for* financial* reporting
ANS:* * A
A*Level*1*ACO*has*the*least*amount*of*financial*risk*and*requirements,*but*receives*sh
* are*d*savings*bonuses*based*on*achievement*of*benchmarks*for*quality*measures*and*
ex*pendit*ures.*Care*coordination*and*minimum*cash*reserves*standards*are*part*of*Lev
el*2*ACO* re*quirements.* Level* 3* ACOs*have*strict* requirements* for*financial* reporti
ng.
2. What*was*an*important*finding*of*the*Advisory*Board*survey*of*2014*about*primary
* car*e*preferences*of*patients?
a. Associations* with* area* hospitals
b. Costs* of* ambulatory* care
c. Ease*of* access* to* care
d. The*ratio*of*providers*to*patient
s*ANS: C
As* part* of* the* 2014* survey,* the* Advisory* Board* learned* that* patients* desired* 24/7* ac
ces*s*t*o*care,*walk-
in* settings* and* the* ability*to* be* seen* within* 30*minutes,* and* care* that* is*close* to* ho
me.*As* sociations* with* hospitals,* costs* of* care,* and* the* ratio* of* providers* to* patients*
wereno*t*part*of*these*results.
MULTIPLE*RESPONSE
1. Which*assessments*of*care*providers*are*performed*as*part*of*the*val
u*e-*based*purchasing*(VBP)*initiative?*(Select*all*that*apply.)
a. Appraising* costs* per* case* of* care* for* Medicare* patients
b. Assessing*patients’* satisfaction* with* hospital* care
c. Evaluating*available* evidence* to* guide* clinical* care* guidelines
d. Monitoring* mortality* rates* of* all* patients* with* pneumonia
e. Requiring*advanced* IT* standards* and* minimum* cash* reserves
ANS:* * A,* B,* D
Value-
based*purchasing*looks*at*five*domain*areas*of*processes*of*care,*including*efficiencyof*
c* ar*e*(cost*per*case),*experience*of*care*(patient*satisfaction*measures),*and*outcomes*o
f*c* are* (* mortality* rates* for* certain* conditions).* Evaluation* of* evidence* to* guide* clinic
al* care*is*part*of*evidence-
based*practice.*The*requirements*for*IT*standards*and*financial*status*are*part*of*Accou
n* ta*ble*Care*Organization*standards.
, TEST*BANK*FOR*PRIMARY*CARE*7TH*EDITIONBY*BUTTARO
Chapter*02:*Translating*Research*into*Clinical*Practice*Butt*
aro:*Primary*Care:*A*Collaborative*Practice,*7th*Edition
MULTIPLE* CHOICE
1. What* is* the* purpose* of* Level* II*research?
a. To* define*characteristics* of* interest* of* groups* of* patients
b. To*demonstrate* the* effectiveness* of* an* intervention* or*treatment
c. To*describe* relationships* among* characteristics* or* variables
d. To* evaluate* the* nature* of* relationships* between* two* variables
ANS: C
Level* II*research* is*concerned*with* describing*the*relationships* among*characteristic
s*or*variables.*Level*I research*is*conducted*to*define*the*characteristics*of*groups*of
fg
*pa* tient*s.Level*II*research*evaluates*the*nature*of*the*relationships*between*variabl
es.*Le* vel*IV*research*is*conducted*to*demonstrate*the*effectiveness*of*interventions*
or*treat* ments.
2. Which*is* the* most* appropriate* research* design* for* a* Level* III* research* study?
a. Epidemiological*studies
b. Experimental* design
c. Qualitative*studies
d. Randomized*clinical* trials
ANS: B
The* experimental* design* is* the* most* appropriate* design* for* a* Level* III* study.* Epidemiolog
ical*studies*are*aNpU
p rR
oS
prI
iaN
teGfT
orBL.eC
veOlM
fg II* studies.*Qualitative*designs*are*useful*
for*Level*I*studies.*Randomized*clinical*trials*are*used*for*Level*IV*studi
*es.
3. What* is* the* purpose* of* clinical* research* trials* in* the*spectrum* of* translational* research?
a. Adoption*of* interventions* and* clinical* practices* into* routine* clinical* care
b. Determination* of*the* basis* of* disease* and* various* treatment* options
c. Examination*of*safety* and* effectiveness* of* various* interventions
d. Exploration*of* fundamental* mechanisms* of* biology,* disease,* or* behavior
ANS: C
Clinical*research*trials*are*concerned*with*determining*the*safety*and*effectiveness*of*int
* er*ventions.*Adoption*of*interventions*and*practices*is*part*of*clinical*implementation.*
D*eter*mination*of*the*basis*of*disease*and*treatment*options*is*part*of*the*preclinical*re
sear*chphas
e. Exploration*of*the*fundamental*mechanisms*of*biology,*disease,*or*behavior*is*part*of
* th*e*basic*research*stage.
, TEST*BANK*FOR*PRIMARY*CARE*7TH*EDITIONBY*BUTTARO
Chapter*03:*Empowering*Patients*as*Collaborative*partners:*A*New*Model*for*Prim
a*ry*Care
Buttaro:*Primary*Care:*A*Collaborative*Practice, 7th Edition
fg fg
MULTIPLE* CHOICE
1. Which*statement*made*by*a*health*care*provider*demonstrates*the*most*appropr
i*at*e*understanding*for*the*goal*of*a*performance*report?
a. ―This*process* allows* me*to*critique*the*performance*of*the*rest*of*the*staff.‖
b. ―Most*organizations*require*staff*to*undergo*a*performance*evaluation*yearly.‖
c. ―It*is*hard*to*be*personally*criticized*but*that’s*how*we*learn*to*change.‖
d. ―The*comments*should*help*me*improve*my*management* skills.‖
ANS: D
The*goal*of*the*performance*report*is*to*provide*guidance*to*staff*in*the*areas*of*profes
* sio*nal*development,*mentoring,*and*leadership*development.*A*peer*review*is*written
by*other* s* who* perform* similar* skills* (peers).* The* remaining* options* may* be* true* bu
t* do* n*ot* provid* e* evidence* of* understanding* of* the* goal* of* this* professional* requir
ement.
MULTIPLE*RESPONSE
1. Which*assessment*question*would*a*health*care*provider*ask*when*engaging*in*the*pre
v*isi* tstage* of* the* new* model* for* primary*care?* (Select* all* that* apply.)
a. ―Are*you*ready*to*discuss*some*of*the*community*resources*that*are*available?‖
b. ―Are* you* experiencing* anNyUsiRdS eI
efN
fg feGctTs*B
fr. our newly* prescribed* medications?‖
COyM
om
c. ―Do*you*anticipate*any*problems*with*adhering*to* your*treatment*plan?‖
d. ―Are*you*ready*to*discuss*the*results*of* your*laboratory*tests?‖
e. ―Do*you* have* any*questions* about* the*lab*tests*that* have*been* ordered* for* you?‖
ANS:* * B,* C,* E
The*nursing*responsibilities*in*the*previsit*stage*include*assessing*the*patient’s*toleranc
e*o*fprescribed*medications,*understanding*of*existing*treatment*plan,*and*education*ab
o* ut*re*quired*lab*testing.*The*primary*care*provider*is*responsible*for*screening*lab*d
ata*and*dis*cussing*community*resources*during*the*actual*visit.
BORATIVEPRECTICE7THEDITIONTESTBANK
BY TERRY MAHAN BUTTARO | ALL CHAPTERS 1-
228
TESTBANK
, TEST*BANK*FOR*PRIMARY*CARE*7TH*EDITIONBY*BUTTARO
Chapter*01:*Interprofessional*Collaborative*Practice:*Where*We*Are*Tod
a*y*Buttaro:*Primary*Care:*A*Collaborative*Practice,*7th*Edition
MULTIPLE* CHOICE
1. A*small,*rural*hospital*is*part*of*an*Accountable*Care*Organization*(ACO)*and*is*desig
n*ate* das* a* Level* 1* ACO.*What* is*part* of*this* designation?
a. Bonuses* based* on* achievement* of*benchmarks
b. Care*coordination* for* chronic* diseases
c. Standards* for* minimum* cash* reserves
d. Strict*requirements* for* financial* reporting
ANS:* * A
A*Level*1*ACO*has*the*least*amount*of*financial*risk*and*requirements,*but*receives*sh
* are*d*savings*bonuses*based*on*achievement*of*benchmarks*for*quality*measures*and*
ex*pendit*ures.*Care*coordination*and*minimum*cash*reserves*standards*are*part*of*Lev
el*2*ACO* re*quirements.* Level* 3* ACOs*have*strict* requirements* for*financial* reporti
ng.
2. What*was*an*important*finding*of*the*Advisory*Board*survey*of*2014*about*primary
* car*e*preferences*of*patients?
a. Associations* with* area* hospitals
b. Costs* of* ambulatory* care
c. Ease*of* access* to* care
d. The*ratio*of*providers*to*patient
s*ANS: C
As* part* of* the* 2014* survey,* the* Advisory* Board* learned* that* patients* desired* 24/7* ac
ces*s*t*o*care,*walk-
in* settings* and* the* ability*to* be* seen* within* 30*minutes,* and* care* that* is*close* to* ho
me.*As* sociations* with* hospitals,* costs* of* care,* and* the* ratio* of* providers* to* patients*
wereno*t*part*of*these*results.
MULTIPLE*RESPONSE
1. Which*assessments*of*care*providers*are*performed*as*part*of*the*val
u*e-*based*purchasing*(VBP)*initiative?*(Select*all*that*apply.)
a. Appraising* costs* per* case* of* care* for* Medicare* patients
b. Assessing*patients’* satisfaction* with* hospital* care
c. Evaluating*available* evidence* to* guide* clinical* care* guidelines
d. Monitoring* mortality* rates* of* all* patients* with* pneumonia
e. Requiring*advanced* IT* standards* and* minimum* cash* reserves
ANS:* * A,* B,* D
Value-
based*purchasing*looks*at*five*domain*areas*of*processes*of*care,*including*efficiencyof*
c* ar*e*(cost*per*case),*experience*of*care*(patient*satisfaction*measures),*and*outcomes*o
f*c* are* (* mortality* rates* for* certain* conditions).* Evaluation* of* evidence* to* guide* clinic
al* care*is*part*of*evidence-
based*practice.*The*requirements*for*IT*standards*and*financial*status*are*part*of*Accou
n* ta*ble*Care*Organization*standards.
, TEST*BANK*FOR*PRIMARY*CARE*7TH*EDITIONBY*BUTTARO
Chapter*02:*Translating*Research*into*Clinical*Practice*Butt*
aro:*Primary*Care:*A*Collaborative*Practice,*7th*Edition
MULTIPLE* CHOICE
1. What* is* the* purpose* of* Level* II*research?
a. To* define*characteristics* of* interest* of* groups* of* patients
b. To*demonstrate* the* effectiveness* of* an* intervention* or*treatment
c. To*describe* relationships* among* characteristics* or* variables
d. To* evaluate* the* nature* of* relationships* between* two* variables
ANS: C
Level* II*research* is*concerned*with* describing*the*relationships* among*characteristic
s*or*variables.*Level*I research*is*conducted*to*define*the*characteristics*of*groups*of
fg
*pa* tient*s.Level*II*research*evaluates*the*nature*of*the*relationships*between*variabl
es.*Le* vel*IV*research*is*conducted*to*demonstrate*the*effectiveness*of*interventions*
or*treat* ments.
2. Which*is* the* most* appropriate* research* design* for* a* Level* III* research* study?
a. Epidemiological*studies
b. Experimental* design
c. Qualitative*studies
d. Randomized*clinical* trials
ANS: B
The* experimental* design* is* the* most* appropriate* design* for* a* Level* III* study.* Epidemiolog
ical*studies*are*aNpU
p rR
oS
prI
iaN
teGfT
orBL.eC
veOlM
fg II* studies.*Qualitative*designs*are*useful*
for*Level*I*studies.*Randomized*clinical*trials*are*used*for*Level*IV*studi
*es.
3. What* is* the* purpose* of* clinical* research* trials* in* the*spectrum* of* translational* research?
a. Adoption*of* interventions* and* clinical* practices* into* routine* clinical* care
b. Determination* of*the* basis* of* disease* and* various* treatment* options
c. Examination*of*safety* and* effectiveness* of* various* interventions
d. Exploration*of* fundamental* mechanisms* of* biology,* disease,* or* behavior
ANS: C
Clinical*research*trials*are*concerned*with*determining*the*safety*and*effectiveness*of*int
* er*ventions.*Adoption*of*interventions*and*practices*is*part*of*clinical*implementation.*
D*eter*mination*of*the*basis*of*disease*and*treatment*options*is*part*of*the*preclinical*re
sear*chphas
e. Exploration*of*the*fundamental*mechanisms*of*biology,*disease,*or*behavior*is*part*of
* th*e*basic*research*stage.
, TEST*BANK*FOR*PRIMARY*CARE*7TH*EDITIONBY*BUTTARO
Chapter*03:*Empowering*Patients*as*Collaborative*partners:*A*New*Model*for*Prim
a*ry*Care
Buttaro:*Primary*Care:*A*Collaborative*Practice, 7th Edition
fg fg
MULTIPLE* CHOICE
1. Which*statement*made*by*a*health*care*provider*demonstrates*the*most*appropr
i*at*e*understanding*for*the*goal*of*a*performance*report?
a. ―This*process* allows* me*to*critique*the*performance*of*the*rest*of*the*staff.‖
b. ―Most*organizations*require*staff*to*undergo*a*performance*evaluation*yearly.‖
c. ―It*is*hard*to*be*personally*criticized*but*that’s*how*we*learn*to*change.‖
d. ―The*comments*should*help*me*improve*my*management* skills.‖
ANS: D
The*goal*of*the*performance*report*is*to*provide*guidance*to*staff*in*the*areas*of*profes
* sio*nal*development,*mentoring,*and*leadership*development.*A*peer*review*is*written
by*other* s* who* perform* similar* skills* (peers).* The* remaining* options* may* be* true* bu
t* do* n*ot* provid* e* evidence* of* understanding* of* the* goal* of* this* professional* requir
ement.
MULTIPLE*RESPONSE
1. Which*assessment*question*would*a*health*care*provider*ask*when*engaging*in*the*pre
v*isi* tstage* of* the* new* model* for* primary*care?* (Select* all* that* apply.)
a. ―Are*you*ready*to*discuss*some*of*the*community*resources*that*are*available?‖
b. ―Are* you* experiencing* anNyUsiRdS eI
efN
fg feGctTs*B
fr. our newly* prescribed* medications?‖
COyM
om
c. ―Do*you*anticipate*any*problems*with*adhering*to* your*treatment*plan?‖
d. ―Are*you*ready*to*discuss*the*results*of* your*laboratory*tests?‖
e. ―Do*you* have* any*questions* about* the*lab*tests*that* have*been* ordered* for* you?‖
ANS:* * B,* C,* E
The*nursing*responsibilities*in*the*previsit*stage*include*assessing*the*patient’s*toleranc
e*o*fprescribed*medications,*understanding*of*existing*treatment*plan,*and*education*ab
o* ut*re*quired*lab*testing.*The*primary*care*provider*is*responsible*for*screening*lab*d
ata*and*dis*cussing*community*resources*during*the*actual*visit.
