Test Bank - Primary Care Interprofessional Collaborative Practice 6th Edition (Buttaro, 2021)
TEST BANK
Primary Care
Interprofessional Collaborative Practice
Terry Mahan Buttaro, JoAnn Trybulski, Patricia Polgar-Bailey, Joanne Sandberg-Cook
6th Edition
, Test Bank - Primary Care Interprofessional Collaborative Practice 6th Edition (Buttaro, 2021)
Table of Contents
Part 1 Introduction
Chapter 1 Interprofessional Collaborative Practice
Chapter 2 Translating Research into Clinical Practice
Chapter 3 Empowering Patients as Collaborative Partners
Chapter 4 Coordinated Chronic Care
Chapter 5 An Introduction to Health Care Disparities and Culturally Responsive Primary Care
Chapter 6 Patient/Family Education and Health Literacy
Chapter 7 Genetic Considerations in Primary Care
Chapter 8 Risk Management
Part 2 Primary Care: Adolescence Through Adulthood
Chapter 9 Adolescent Issues
Chapter 10 LGBTQ Patient Care
Chapter 11 Pregnancy, Prenatal Care, and Lactation
Chapter 12 Human Trafficking
Chapter 13 Aging and Common Geriatric Syndromes
Chapter 14 Palliative Care
Chapter 15 Acute, Chronic, Oncologic, and End-of-Life Pain Management in Primary Care
Part 3 Health Promotion
Chapter 16 Wellness
Chapter 17 Obesity and Weight Management
Chapter 18 Principles of Occupational and Environmental Health in Primary Care
Chapter 19 College Health
Chapter 20 Presurgical Clearance
Chapter 21 Preparticipation Sports Physical
Part 4 Office Emergencies
Chapter 22 Acute Bronchospasm
Chapter 23 Anaphylaxis
Chapter 24 Bites and Stings
Chapter 25 Bradycardia and Tachycardia
Chapter 26 Chemical Exposure
Chapter 27 Electrical Injuries
Chapter 28 Environmental and Food Allergies
Chapter 29 Head Trauma
Chapter 30 Hypotension
Chapter 31 Poisoning
Chapter 32 Sexual Assault
Chapter 33 Syncope
Chapter 34 Thermal Injuries
Part 5 Evaluation and Management of Skin Disorders
Chapter 35 Examination of the Skin and Approach to Diagnosis of Skin Disorders
Chapter 36 Surgical Office Procedures
Chapter 37 Principles of Dermatologic Therapy
Chapter 38 Screening for Skin Cancer
Chapter 39 Adnexal Disease
Chapter 40 Alopecia
Chapter 41 Animal and Human Bites
Chapter 42 Benign Skin Lesions
Chapter 43 Bullous Pemphigoid
Chapter 44 Burns (Minor)
Chapter 45 Cutaneous Adverse Drug Reactions
Chapter 46 Eczematous Dermatitis
Chapter 47 Infections and Infestations
, Test Bank - Primary Care Interprofessional Collaborative Practice 6th Edition (Buttaro, 2021)
Chapter 48 Nail Disorders
Chapter 49 Maculopapular Skin Disorders
Chapter 50 Pigmentation Changes
Chapter 51 Wound Management
Part 6 Evaluation and Management of Eye Disorders
Chapter 52 Evaluation of the Eyes
Chapter 53 Cataracts
Chapter 54 Blepharitis, Hordeolum, and Chalazion
Chapter 55 Conjunctivitis
Chapter 56 Corneal Surface Defects and Ocular Surface Foreign Bodies
Chapter 57 Dry Eye Syndrome
Chapter 58 Nasolacrimal Duct Obstruction and Dacryocystitis
Chapter 59 Preseptal and Orbital Cellulitis
Chapter 60 Pingueculae and Pterygia
Chapter 61 Traumatic Ocular Disorders
Part 7 Evaluation and Management of Ear Disorders
Chapter 62 Auricular Disorders
Chapter 63 Cerumen Impaction
Chapter 64 Cholesteatoma
Chapter 65 Impaired Hearing
Chapter 66 Inner Ear Disturbances
Chapter 67 Otitis Externa
Chapter 68 Otitis Media
Chapter 69 Tympanic Membrane Perforation
Part 8 Evaluation and Management of Nose Disorders
Chapter 70 Chronic Nasal Congestion and Discharge
Chapter 71 Epistaxis
Chapter 72 Nasal Trauma
Chapter 73 Rhinitis
Chapter 74 Sinusitis
Chapter 75 Smell and Taste Disturbances
Chapter 76 Tumors and Polyps of the Nose
Part 9 Evaluation and Management of Oropharynx Disorders
Chapter 77 Dental Abscess
Chapter 78 Diseases of the Salivary Gland
Chapter 79 Epiglottitis
Chapter 80 Oral Infections
Chapter 81 Parotitis
Chapter 82 Peritonsillar Abscess
Chapter 83 Pharyngitis and Tonsillitis
Part 10 Evaluation and Management of Pulmonary Disorders
Chapter 84 Acute Bronchitis
Chapter 85 Asthma
Chapter 86 Chest Pain (Noncardiac)
Chapter 87 Chronic Cough
Chapter 88 Chronic Obstructive Pulmonary Disease
Chapter 89 Dyspnea
Chapter 90 Hemoptysis
Chapter 91 Lung Cancer
Chapter 92 Pleural Effusions and Pleurisy
Chapter 93 Pneumonia
Chapter 94 Pneumothorax
Chapter 95 Pulmonary Embolism
Chapter 96 Pulmonary Hypertension
, Test Bank - Primary Care Interprofessional Collaborative Practice 6th Edition (Buttaro, 2021)
Chapter 97 Sarcoidosis
Part 11 Evaluation and Management of Cardiovascular Disorders
Chapter 98 Cardiac Diagnostic Testing
Chapter 99 Abdominal Aortic Aneurysm
Chapter 100 Cardiac Arrhythmias
Chapter 101 Carotid Artery Disease
Chapter 102 Chest Pain and Coronary Artery Disease
Chapter 103 Heart Failure
Chapter 104 Hypertension
Chapter 105 Infective Endocarditis
Chapter 106 Myocarditis
Chapter 107 Peripheral Arterial and Venous Insufficiency
Chapter 108 Valvular Heart Disease and Cardiac Murmurs
Part 12 Evaluation and Management of Gastrointestinal Disorders
Chapter 109 Abdominal Pain and Infections
Chapter 110 Anorectal Complaints
Chapter 111 Cholelithiasis and Cholecystitis
Chapter 112 Cirrhosis
Chapter 113 Constipation
Chapter 114 Diarrhea, Noninfectious
Chapter 115 Diverticular Disease
Chapter 116 Oropharyngeal Dysphagia in Adults
Chapter 117 Gastroesophageal Reflux Disease
Chapter 118 Gastrointestinal Hemorrhage
Chapter 119 Hepatitis
Chapter 120 Inflammatory Bowel Disease
Chapter 121 Irritable Bowel Syndrome
Chapter 122 Jaundice
Chapter 123 Nausea and Vomiting
Chapter 124 Pancreatitis
Chapter 125 Tumors of the Gastrointestinal Tract
Chapter 126 Peptic Ulcer Disease
Part 13 Evaluation and Management of Genitourinary Disorders
Chapter 127 Incontinence
Chapter 128 Prostate Cancer
Chapter 129 Prostatic Hyperplasia (Benign)
Chapter 130 Proteinuria and Hematuria
Chapter 131 Renal Failure
Chapter 132 Sexual Dysfunction (Male)
Chapter 133 Testicular Disorders
Chapter 134 Urinary Calculi
Chapter 135 Urinary Tract Infections and Sexually Transmitted Infections
Chapter 136 Uropathies (Obstructive) and Tumors of the Genitourinary Tract (Kidneys, Ureters, and Bladder)
Part 14 Evaluation and Management of Gynecologic Concerns
Chapter 137 Amenorrhea
Chapter 138 Bartholin Gland Cysts and Abscesses
Chapter 139 Breast Disorders
Chapter 140 Chronic Pelvic Pain
Chapter 141 Abnormal Uterine Bleeding
Chapter 142 Dysmenorrhea
Chapter 143 Dyspareunia
Chapter 144 Ectopic Pregnancy
Chapter 145 Fertility Control
Chapter 146 Genital Tract Cancers
Chapter 147 Infertility
, Test Bank - Primary Care Interprofessional Collaborative Practice 6th Edition (Buttaro, 2021)
Chapter 148 Menopause
Chapter 149 Cervical Cancer Screening Abnormalities
Chapter 150 Pelvic Inflammatory Disease
Chapter 151 Sexual Dysfunction (Female)
Chapter 152 Unplanned Pregnancy
Chapter 153 Vulvar and Vaginal Disorders
Part 15 Evaluation and Management of Musculoskeletal and Arthritic Disorders
Chapter 154 Ankle and Foot Pain
Chapter 155 Bone Lesions
Chapter 156 Bursitis
Chapter 157 Fibromyalgia and Myofascial Pain Syndrome
Chapter 158 Gout
Chapter 159 Septic Arthritis
Chapter 160 Low Back Pain
Chapter 161 Hip Pain
Chapter 162 Knee Pain
Chapter 163 Metabolic Bone Disease
Chapter 164 Neck Pain
Chapter 165 Osteoarthritis
Chapter 166 Osteomyelitis
Chapter 167 Shoulder Pain
Chapter 168 Sprains, Strains, and Fractures
Chapter 169 Elbow Pain
Chapter 170 Hand and Wrist Pain
Part 16 Evaluation and Management of Neurologic Disorders
Chapter 171 Amyotrophic Lateral Sclerosis
Chapter 172 Bell Palsy
Chapter 173 Cerebrovascular Events
Chapter 174 Dementia
Chapter 175 Dizziness and Vertigo
Chapter 176 Guillain-Barré Syndrome
Chapter 177 Headache
Chapter 178 Infections of the Central Nervous System
Chapter 179 Movement Disorders and Essential Tremor
Chapter 180 Multiple Sclerosis
Chapter 181 Parkinson Disease
Chapter 182 Seizure Disorder
Chapter 183 Trigeminal Neuralgia
Chapter 184 Intracranial Tumors
Part 17 Evaluation and Management of Endocrine and Metabolic Disorders
Chapter 185 Adrenal Gland Disorders
Chapter 186 Diabetes Mellitus
Chapter 187 Hirsutism
Chapter 188 Hypercalcemia and Hypocalcemia
Chapter 189 Hyperkalemia and Hypokalemia
Chapter 190 Hypernatremia and Hyponatremia
Chapter 191 Lipid Disorders
Chapter 192 Metabolic Syndrome
Chapter 193 Parathyroid Gland Disorders
Chapter 194 Thyroid Disorders
Part 18 Evaluation and Management of Rheumatic Disorders
Chapter 195 Polymyalgia Rheumatica and Giant Cell Arteritis
Chapter 196 Raynaud Phenomenon
Chapter 197 Rheumatoid Arthritis
Chapter 198 Seronegative Spondyloarthropathies
, Test Bank - Primary Care Interprofessional Collaborative Practice 6th Edition (Buttaro, 2021)
Chapter 199 Systemic Lupus Erythematosus
Chapter 200 Vasculitis
Part 19 Evaluation and Management of Multisystem Disorders
Chapter 201 Diving-Related Maladies
Chapter 202 Fatigue
Chapter 203 Fever
Chapter 204 Immunodeficiency
Chapter 205 Lymphadenopathy
Chapter 206 Sleep Disorders
Chapter 207 Unintended Weight Loss
Part 20 Evaluation and Management of Infectious Diseases
Chapter 208 Emerging and Reemerging Infectious Diseases
Chapter 209 HIV Infection
Chapter 210 Influenza
Chapter 211 Infectious Diarrhea
Chapter 212 Infectious Mononucleosis
Chapter 213 Tick-Borne Diseases
Chapter 214 Tuberculosis
Chapter 215 Mosquito-Borne Illness
Part 21 Evaluation and Management of Hematologic Disorders
Chapter 216 Anemia
Chapter 217 Blood Coagulation Disorders
Chapter 218 Leukemias
Chapter 219 Lymphomas
Chapter 220 Myelodysplastic Syndromes
Part 22 Evaluation and Management of Oncologic Disorders
Chapter 221 Interprofessional Collaborative Management of the Oncology Patient
Chapter 222 Basic Principles of Oncology Treatment
Chapter 223 Oncology Complications, Paraneoplastic Syndromes, and Cancer Survivorship
Chapter 224 Carcinoma of Unknown Primary
Part 23 Evaluation and Management of Mental Health Disorders
Chapter 225 Anxiety Disorders
Chapter 226 Mood Disorders
Chapter 227 Substance Use Disorders
Chapter 228 Other Mental Health Disorders
, Test Bank - Primary Care Interprofessional Collaborative Practice 6th Edition (Buttaro, 2021)
Chapter 01: Interprofessional Collaborative Practice: Where We Are Today
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
MULTIPLE CHOICE
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is
designated as 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 shared
savings bonuses based on achievement of benchmarks for quality measures and
expenditures. Care coordination and minimum cash reserves standards are part of Level 2
ACO requirements. Level 3 ACOs have strict requirements for financial reporting.
2. What was an important finding of the Advisory Board survey of 2014 about primary
care 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 patients
ANS: C
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to
care, walk-in settings and the ability to be seen within 30 minutes, and care that is close to
home. Associations with hospitals, costs of care, and the ratio of providers to patients were
not part of these results.
M U L T I P L E RESPONSE
1. Which assessments of care providers are performed as part of the value-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 I T standards and minimum cash reserves
ANS: A, B, D
Value-based purchasing looks at five domain areas of processes of care, including
efficiency of care (cost per case), experience of care (patient satisfaction measures), and
outcomes of care (mortality rates for certain conditions). Evaluation of evidence to guide
clinical care is part of evidence-based practice. The requirements for IT standards and
financial status are part of Accountable Care Organization standards.
, Test Bank - Primary Care Interprofessional Collaborative Practice 6th Edition (Buttaro, 2021)
Chapter 02: Translating Research into Clinical Practice
Buttaro: Primary Care: A Collaborative Practice, 6th 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 characteristics or
variables. Level I research is conducted to define the characteristics of groups of patients.
Level II research evaluates the nature of the relationships between variables. Level I V
research is conducted to demonstrate the effectiveness of interventions or treatments.
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.
Epidemiological studies are appropriate for "Level II" studies
Qualitative designs are useful for Level I studies. Randomized clinical trials are used for
Level I V studies.
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
interventions. Adoption of interventions and practices is part of clinical implementation.
Determination of the basis of disease and treatment options is part of the preclinical
research phase. Exploration of the fundamental mechanisms of biology, disease, or behavior
is part of the basic research stage.
, Test Bank - Primary Care Interprofessional Collaborative Practice 6th Edition (Buttaro, 2021)
Chapter 03: Empowering Patients as Collaborative partners: A New Model for
Primary Care
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
MULTIPLE CHOICE
1. Which statement made by a health care provider demonstrates the most
appropriate 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
professional development, mentoring, and leadership development. A peer review is
written by others who perform similar skills (peers). The remaining options may be true but
do not provide evidence of understanding of the goal of this professional requirement.
M U L T I P L E RESPONSE
1. Which assessment question would a health care provider ask when engaging in the
previsit stage 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 any side effects from your newly prescribed
medications?”
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 tolerance of
prescribed medications, understanding of existing treatment plan, and education about
required lab testing. The primary care provider is responsible for screening lab data and
discussing community resources during the actual visit.
, Test Bank - Primary Care Interprofessional Collaborative Practice 6th Edition (Buttaro, 2021)
Chapter 04: Coordinated Chronic Care
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
MULTIPLE CHOICE
1. To reduce adverse events associated with care transitions, the Centers for Medicare
and Medicaid Service have implemented which policy?
a. Mandates for communication among primary caregivers and hospitalists
b. Penalties for failure to perform medication reconciliations at time of discharge
c. Reduction of payments for patients readmitted within 30 days after discharge
d. Requirements for written discharge instructions for patients and caregivers
ANS: C
As a component of the Affordable Care Act, the Centers for Medicare and Medicaid Service
developed the Readmissions Reduction Program reducing payments for certain patients
readmitted within 30 days of discharge. The CMS did not mandate communication, institute
penalties for failure to perform medication reconciliations, or require written discharge
instructions.
2. According to multiple research studies, which intervention has resulted in lower costs
and fewer rehospitalizations in high-risk older patients?
a. Coordination of posthospital care by advanced practice health care providers
b. Frequent posthospital clinic visits with a primary care provider
c. Inclusion of extended family members in the outpatient plan of care
d. Telephone follow-up by the pharmacist to assess medication compliance
ANS: A
Research studies provided evidence that high-risk older patients who had posthospital care
coordinated by an APN had reduced rehospitalization rates. It did not include clinic visits
with a primary care provider, inclusion of extended family members in the plan of care, or
telephone follow-up by a pharmacist.
M U L T I P L E RESPONSE
1. Which advantages are provided to the chronically ill patient by personal
electronic monitoring devices? (Select all that apply.)
a. Helps provide more patient control their health and lifestyle
b. Eliminates need for regular medical and nursing follow-up visits
c. Helps the early identification of patient health-related problems
d. Helps health care providers in keeping track of the patient’s health status
e. Cost is often covered by
Medicare ANS: A, C, D, E
TEST BANK
Primary Care
Interprofessional Collaborative Practice
Terry Mahan Buttaro, JoAnn Trybulski, Patricia Polgar-Bailey, Joanne Sandberg-Cook
6th Edition
, Test Bank - Primary Care Interprofessional Collaborative Practice 6th Edition (Buttaro, 2021)
Table of Contents
Part 1 Introduction
Chapter 1 Interprofessional Collaborative Practice
Chapter 2 Translating Research into Clinical Practice
Chapter 3 Empowering Patients as Collaborative Partners
Chapter 4 Coordinated Chronic Care
Chapter 5 An Introduction to Health Care Disparities and Culturally Responsive Primary Care
Chapter 6 Patient/Family Education and Health Literacy
Chapter 7 Genetic Considerations in Primary Care
Chapter 8 Risk Management
Part 2 Primary Care: Adolescence Through Adulthood
Chapter 9 Adolescent Issues
Chapter 10 LGBTQ Patient Care
Chapter 11 Pregnancy, Prenatal Care, and Lactation
Chapter 12 Human Trafficking
Chapter 13 Aging and Common Geriatric Syndromes
Chapter 14 Palliative Care
Chapter 15 Acute, Chronic, Oncologic, and End-of-Life Pain Management in Primary Care
Part 3 Health Promotion
Chapter 16 Wellness
Chapter 17 Obesity and Weight Management
Chapter 18 Principles of Occupational and Environmental Health in Primary Care
Chapter 19 College Health
Chapter 20 Presurgical Clearance
Chapter 21 Preparticipation Sports Physical
Part 4 Office Emergencies
Chapter 22 Acute Bronchospasm
Chapter 23 Anaphylaxis
Chapter 24 Bites and Stings
Chapter 25 Bradycardia and Tachycardia
Chapter 26 Chemical Exposure
Chapter 27 Electrical Injuries
Chapter 28 Environmental and Food Allergies
Chapter 29 Head Trauma
Chapter 30 Hypotension
Chapter 31 Poisoning
Chapter 32 Sexual Assault
Chapter 33 Syncope
Chapter 34 Thermal Injuries
Part 5 Evaluation and Management of Skin Disorders
Chapter 35 Examination of the Skin and Approach to Diagnosis of Skin Disorders
Chapter 36 Surgical Office Procedures
Chapter 37 Principles of Dermatologic Therapy
Chapter 38 Screening for Skin Cancer
Chapter 39 Adnexal Disease
Chapter 40 Alopecia
Chapter 41 Animal and Human Bites
Chapter 42 Benign Skin Lesions
Chapter 43 Bullous Pemphigoid
Chapter 44 Burns (Minor)
Chapter 45 Cutaneous Adverse Drug Reactions
Chapter 46 Eczematous Dermatitis
Chapter 47 Infections and Infestations
, Test Bank - Primary Care Interprofessional Collaborative Practice 6th Edition (Buttaro, 2021)
Chapter 48 Nail Disorders
Chapter 49 Maculopapular Skin Disorders
Chapter 50 Pigmentation Changes
Chapter 51 Wound Management
Part 6 Evaluation and Management of Eye Disorders
Chapter 52 Evaluation of the Eyes
Chapter 53 Cataracts
Chapter 54 Blepharitis, Hordeolum, and Chalazion
Chapter 55 Conjunctivitis
Chapter 56 Corneal Surface Defects and Ocular Surface Foreign Bodies
Chapter 57 Dry Eye Syndrome
Chapter 58 Nasolacrimal Duct Obstruction and Dacryocystitis
Chapter 59 Preseptal and Orbital Cellulitis
Chapter 60 Pingueculae and Pterygia
Chapter 61 Traumatic Ocular Disorders
Part 7 Evaluation and Management of Ear Disorders
Chapter 62 Auricular Disorders
Chapter 63 Cerumen Impaction
Chapter 64 Cholesteatoma
Chapter 65 Impaired Hearing
Chapter 66 Inner Ear Disturbances
Chapter 67 Otitis Externa
Chapter 68 Otitis Media
Chapter 69 Tympanic Membrane Perforation
Part 8 Evaluation and Management of Nose Disorders
Chapter 70 Chronic Nasal Congestion and Discharge
Chapter 71 Epistaxis
Chapter 72 Nasal Trauma
Chapter 73 Rhinitis
Chapter 74 Sinusitis
Chapter 75 Smell and Taste Disturbances
Chapter 76 Tumors and Polyps of the Nose
Part 9 Evaluation and Management of Oropharynx Disorders
Chapter 77 Dental Abscess
Chapter 78 Diseases of the Salivary Gland
Chapter 79 Epiglottitis
Chapter 80 Oral Infections
Chapter 81 Parotitis
Chapter 82 Peritonsillar Abscess
Chapter 83 Pharyngitis and Tonsillitis
Part 10 Evaluation and Management of Pulmonary Disorders
Chapter 84 Acute Bronchitis
Chapter 85 Asthma
Chapter 86 Chest Pain (Noncardiac)
Chapter 87 Chronic Cough
Chapter 88 Chronic Obstructive Pulmonary Disease
Chapter 89 Dyspnea
Chapter 90 Hemoptysis
Chapter 91 Lung Cancer
Chapter 92 Pleural Effusions and Pleurisy
Chapter 93 Pneumonia
Chapter 94 Pneumothorax
Chapter 95 Pulmonary Embolism
Chapter 96 Pulmonary Hypertension
, Test Bank - Primary Care Interprofessional Collaborative Practice 6th Edition (Buttaro, 2021)
Chapter 97 Sarcoidosis
Part 11 Evaluation and Management of Cardiovascular Disorders
Chapter 98 Cardiac Diagnostic Testing
Chapter 99 Abdominal Aortic Aneurysm
Chapter 100 Cardiac Arrhythmias
Chapter 101 Carotid Artery Disease
Chapter 102 Chest Pain and Coronary Artery Disease
Chapter 103 Heart Failure
Chapter 104 Hypertension
Chapter 105 Infective Endocarditis
Chapter 106 Myocarditis
Chapter 107 Peripheral Arterial and Venous Insufficiency
Chapter 108 Valvular Heart Disease and Cardiac Murmurs
Part 12 Evaluation and Management of Gastrointestinal Disorders
Chapter 109 Abdominal Pain and Infections
Chapter 110 Anorectal Complaints
Chapter 111 Cholelithiasis and Cholecystitis
Chapter 112 Cirrhosis
Chapter 113 Constipation
Chapter 114 Diarrhea, Noninfectious
Chapter 115 Diverticular Disease
Chapter 116 Oropharyngeal Dysphagia in Adults
Chapter 117 Gastroesophageal Reflux Disease
Chapter 118 Gastrointestinal Hemorrhage
Chapter 119 Hepatitis
Chapter 120 Inflammatory Bowel Disease
Chapter 121 Irritable Bowel Syndrome
Chapter 122 Jaundice
Chapter 123 Nausea and Vomiting
Chapter 124 Pancreatitis
Chapter 125 Tumors of the Gastrointestinal Tract
Chapter 126 Peptic Ulcer Disease
Part 13 Evaluation and Management of Genitourinary Disorders
Chapter 127 Incontinence
Chapter 128 Prostate Cancer
Chapter 129 Prostatic Hyperplasia (Benign)
Chapter 130 Proteinuria and Hematuria
Chapter 131 Renal Failure
Chapter 132 Sexual Dysfunction (Male)
Chapter 133 Testicular Disorders
Chapter 134 Urinary Calculi
Chapter 135 Urinary Tract Infections and Sexually Transmitted Infections
Chapter 136 Uropathies (Obstructive) and Tumors of the Genitourinary Tract (Kidneys, Ureters, and Bladder)
Part 14 Evaluation and Management of Gynecologic Concerns
Chapter 137 Amenorrhea
Chapter 138 Bartholin Gland Cysts and Abscesses
Chapter 139 Breast Disorders
Chapter 140 Chronic Pelvic Pain
Chapter 141 Abnormal Uterine Bleeding
Chapter 142 Dysmenorrhea
Chapter 143 Dyspareunia
Chapter 144 Ectopic Pregnancy
Chapter 145 Fertility Control
Chapter 146 Genital Tract Cancers
Chapter 147 Infertility
, Test Bank - Primary Care Interprofessional Collaborative Practice 6th Edition (Buttaro, 2021)
Chapter 148 Menopause
Chapter 149 Cervical Cancer Screening Abnormalities
Chapter 150 Pelvic Inflammatory Disease
Chapter 151 Sexual Dysfunction (Female)
Chapter 152 Unplanned Pregnancy
Chapter 153 Vulvar and Vaginal Disorders
Part 15 Evaluation and Management of Musculoskeletal and Arthritic Disorders
Chapter 154 Ankle and Foot Pain
Chapter 155 Bone Lesions
Chapter 156 Bursitis
Chapter 157 Fibromyalgia and Myofascial Pain Syndrome
Chapter 158 Gout
Chapter 159 Septic Arthritis
Chapter 160 Low Back Pain
Chapter 161 Hip Pain
Chapter 162 Knee Pain
Chapter 163 Metabolic Bone Disease
Chapter 164 Neck Pain
Chapter 165 Osteoarthritis
Chapter 166 Osteomyelitis
Chapter 167 Shoulder Pain
Chapter 168 Sprains, Strains, and Fractures
Chapter 169 Elbow Pain
Chapter 170 Hand and Wrist Pain
Part 16 Evaluation and Management of Neurologic Disorders
Chapter 171 Amyotrophic Lateral Sclerosis
Chapter 172 Bell Palsy
Chapter 173 Cerebrovascular Events
Chapter 174 Dementia
Chapter 175 Dizziness and Vertigo
Chapter 176 Guillain-Barré Syndrome
Chapter 177 Headache
Chapter 178 Infections of the Central Nervous System
Chapter 179 Movement Disorders and Essential Tremor
Chapter 180 Multiple Sclerosis
Chapter 181 Parkinson Disease
Chapter 182 Seizure Disorder
Chapter 183 Trigeminal Neuralgia
Chapter 184 Intracranial Tumors
Part 17 Evaluation and Management of Endocrine and Metabolic Disorders
Chapter 185 Adrenal Gland Disorders
Chapter 186 Diabetes Mellitus
Chapter 187 Hirsutism
Chapter 188 Hypercalcemia and Hypocalcemia
Chapter 189 Hyperkalemia and Hypokalemia
Chapter 190 Hypernatremia and Hyponatremia
Chapter 191 Lipid Disorders
Chapter 192 Metabolic Syndrome
Chapter 193 Parathyroid Gland Disorders
Chapter 194 Thyroid Disorders
Part 18 Evaluation and Management of Rheumatic Disorders
Chapter 195 Polymyalgia Rheumatica and Giant Cell Arteritis
Chapter 196 Raynaud Phenomenon
Chapter 197 Rheumatoid Arthritis
Chapter 198 Seronegative Spondyloarthropathies
, Test Bank - Primary Care Interprofessional Collaborative Practice 6th Edition (Buttaro, 2021)
Chapter 199 Systemic Lupus Erythematosus
Chapter 200 Vasculitis
Part 19 Evaluation and Management of Multisystem Disorders
Chapter 201 Diving-Related Maladies
Chapter 202 Fatigue
Chapter 203 Fever
Chapter 204 Immunodeficiency
Chapter 205 Lymphadenopathy
Chapter 206 Sleep Disorders
Chapter 207 Unintended Weight Loss
Part 20 Evaluation and Management of Infectious Diseases
Chapter 208 Emerging and Reemerging Infectious Diseases
Chapter 209 HIV Infection
Chapter 210 Influenza
Chapter 211 Infectious Diarrhea
Chapter 212 Infectious Mononucleosis
Chapter 213 Tick-Borne Diseases
Chapter 214 Tuberculosis
Chapter 215 Mosquito-Borne Illness
Part 21 Evaluation and Management of Hematologic Disorders
Chapter 216 Anemia
Chapter 217 Blood Coagulation Disorders
Chapter 218 Leukemias
Chapter 219 Lymphomas
Chapter 220 Myelodysplastic Syndromes
Part 22 Evaluation and Management of Oncologic Disorders
Chapter 221 Interprofessional Collaborative Management of the Oncology Patient
Chapter 222 Basic Principles of Oncology Treatment
Chapter 223 Oncology Complications, Paraneoplastic Syndromes, and Cancer Survivorship
Chapter 224 Carcinoma of Unknown Primary
Part 23 Evaluation and Management of Mental Health Disorders
Chapter 225 Anxiety Disorders
Chapter 226 Mood Disorders
Chapter 227 Substance Use Disorders
Chapter 228 Other Mental Health Disorders
, Test Bank - Primary Care Interprofessional Collaborative Practice 6th Edition (Buttaro, 2021)
Chapter 01: Interprofessional Collaborative Practice: Where We Are Today
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
MULTIPLE CHOICE
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is
designated as 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 shared
savings bonuses based on achievement of benchmarks for quality measures and
expenditures. Care coordination and minimum cash reserves standards are part of Level 2
ACO requirements. Level 3 ACOs have strict requirements for financial reporting.
2. What was an important finding of the Advisory Board survey of 2014 about primary
care 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 patients
ANS: C
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to
care, walk-in settings and the ability to be seen within 30 minutes, and care that is close to
home. Associations with hospitals, costs of care, and the ratio of providers to patients were
not part of these results.
M U L T I P L E RESPONSE
1. Which assessments of care providers are performed as part of the value-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 I T standards and minimum cash reserves
ANS: A, B, D
Value-based purchasing looks at five domain areas of processes of care, including
efficiency of care (cost per case), experience of care (patient satisfaction measures), and
outcomes of care (mortality rates for certain conditions). Evaluation of evidence to guide
clinical care is part of evidence-based practice. The requirements for IT standards and
financial status are part of Accountable Care Organization standards.
, Test Bank - Primary Care Interprofessional Collaborative Practice 6th Edition (Buttaro, 2021)
Chapter 02: Translating Research into Clinical Practice
Buttaro: Primary Care: A Collaborative Practice, 6th 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 characteristics or
variables. Level I research is conducted to define the characteristics of groups of patients.
Level II research evaluates the nature of the relationships between variables. Level I V
research is conducted to demonstrate the effectiveness of interventions or treatments.
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.
Epidemiological studies are appropriate for "Level II" studies
Qualitative designs are useful for Level I studies. Randomized clinical trials are used for
Level I V studies.
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
interventions. Adoption of interventions and practices is part of clinical implementation.
Determination of the basis of disease and treatment options is part of the preclinical
research phase. Exploration of the fundamental mechanisms of biology, disease, or behavior
is part of the basic research stage.
, Test Bank - Primary Care Interprofessional Collaborative Practice 6th Edition (Buttaro, 2021)
Chapter 03: Empowering Patients as Collaborative partners: A New Model for
Primary Care
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
MULTIPLE CHOICE
1. Which statement made by a health care provider demonstrates the most
appropriate 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
professional development, mentoring, and leadership development. A peer review is
written by others who perform similar skills (peers). The remaining options may be true but
do not provide evidence of understanding of the goal of this professional requirement.
M U L T I P L E RESPONSE
1. Which assessment question would a health care provider ask when engaging in the
previsit stage 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 any side effects from your newly prescribed
medications?”
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 tolerance of
prescribed medications, understanding of existing treatment plan, and education about
required lab testing. The primary care provider is responsible for screening lab data and
discussing community resources during the actual visit.
, Test Bank - Primary Care Interprofessional Collaborative Practice 6th Edition (Buttaro, 2021)
Chapter 04: Coordinated Chronic Care
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
MULTIPLE CHOICE
1. To reduce adverse events associated with care transitions, the Centers for Medicare
and Medicaid Service have implemented which policy?
a. Mandates for communication among primary caregivers and hospitalists
b. Penalties for failure to perform medication reconciliations at time of discharge
c. Reduction of payments for patients readmitted within 30 days after discharge
d. Requirements for written discharge instructions for patients and caregivers
ANS: C
As a component of the Affordable Care Act, the Centers for Medicare and Medicaid Service
developed the Readmissions Reduction Program reducing payments for certain patients
readmitted within 30 days of discharge. The CMS did not mandate communication, institute
penalties for failure to perform medication reconciliations, or require written discharge
instructions.
2. According to multiple research studies, which intervention has resulted in lower costs
and fewer rehospitalizations in high-risk older patients?
a. Coordination of posthospital care by advanced practice health care providers
b. Frequent posthospital clinic visits with a primary care provider
c. Inclusion of extended family members in the outpatient plan of care
d. Telephone follow-up by the pharmacist to assess medication compliance
ANS: A
Research studies provided evidence that high-risk older patients who had posthospital care
coordinated by an APN had reduced rehospitalization rates. It did not include clinic visits
with a primary care provider, inclusion of extended family members in the plan of care, or
telephone follow-up by a pharmacist.
M U L T I P L E RESPONSE
1. Which advantages are provided to the chronically ill patient by personal
electronic monitoring devices? (Select all that apply.)
a. Helps provide more patient control their health and lifestyle
b. Eliminates need for regular medical and nursing follow-up visits
c. Helps the early identification of patient health-related problems
d. Helps health care providers in keeping track of the patient’s health status
e. Cost is often covered by
Medicare ANS: A, C, D, E
