Primary Care 1 Exam 1 Textbook
Study Questions And Answers
Interprofessional collaboration is important for successful, cost-
effective care, but the American healthcare system faces challenges
such as
A. an aging population with multiple chronic medical conditions
that may require multiple medications.
B. lack of primary care providers.
C. excessive financial and social resources.
D. healthcare providers who have unlimited time and resources
that must be used. -
correct answer ✅A. an aging population with multiple chronic
medical conditions that may require multiple medications.
Value-based purchasing is a Center for Medicare and Medicaid
Services (CMS) initiative that affects all practicing providers who
admit Medicare patients to a hospital setting. The goal of this
initiative is to improve patient care quality by linking payment by
CMS for impatient services to successful patient outcomes.
Unplanned hospital readmission within 30 days is one metric that
this program evaluates. This has encouraged hospitals to
A. discharge patients early in the morning to make beds available to
waiting patients.
B. keep patients admitted for longer to better manage their chronic
conditions.
,Primary Care 1 Exam 1 Textbook
Study Questions And Answers
C. improve communication and care coordination to help involve
patients and their caregivers in the discharge plans.
D. hire more primary care providers to better manage patients'
chronic medical conditions in an outpatient setting. -
correct answer ✅C. improve communication and care coordination
to help involve patients and their caregivers in the discharge plans.
The National Academy of Science, Engineering, and Medicine has
created a definition of primary care and has also developed six aims
of patient-centered primary care. Which of the following is one of
those aims?
A. Patient centered: Providing care that is respectful of and
responsive to individual patient preferences, needs, and values, and
ensuring that patient values guide all clinic decisions.
B. Inexpensive: Medical care should not come at a high price.
C. Replaced by specialists: Medical care has become so specialized
that there is no longer a need for primary care providers.
D. Family and caregiver centered: Providing care to a patient means
involving all those that will be helping and working with that
patient to ensure their needs are the priority before the patient's
needs. -
correct answer ✅A. Patient centered: Providing care that is
respectful of and responsive to individual patient preferences,
,Primary Care 1 Exam 1 Textbook
Study Questions And Answers
needs, and values, and ensuring that patient values guide all clinic
decisions.
Evidence-based practice was implemented by Archibald Cochrane
in response to observations that
A. clinical outcomes are most effective when developed using
traditions and guidance handed down from previous generations of
clinicians.
B. treatment decisions were being made without evidence to
demonstrate the effectiveness of those interventions.
C. research in medicine was unnecessary as each patient requires a
unique plan of care.
D. only physicians were concerned with evidence-based practice.
Evidence-based practice was not necessary for nurses. -
correct answer ✅B. treatment decisions were being made without
evidence to demonstrate the effectiveness of those interventions.
A nurse on a med-surg unit believes that bedside handoff report
could improve patient care and outcomes. This nurse recognizes
the need and discusses it with the unit manager. The nurse
manager researches evidence-based practice using this technique.
The nurse manager creates and plans staff education around
bedside report. The unit adopts a bedside handoff report
, Primary Care 1 Exam 1 Textbook
Study Questions And Answers
procedure, and it is monitored for effectiveness. This process was
created using Lewin's change theory.
A. Understanding how, why, and what rate new ideas spread
through a specific population.
B. Proposing a new idea, researching a new idea, and implementing
the new idea in practice.
C. Unfreezing, movement, and refreezing.
D. Lewin's change theory consists of five steps: knowledge,
persuasion, decision, implementation, and confirmation. -
correct answer ✅C. Unfreezing, movement, and refreezing.
A primary care provider is utilizing the Chronic Care Model (CCM)
when treating an 80-year-old patient with multiple chronic medical
conditions. This provider ensures that their patient understands all
their diagnoses as well as their medication treatment plan, has
appropriate referrals to specialists, and is up-to-date with
appropriate vaccinations. By doing all these things, the provider is
focusing on _____________ needs of the patient's health condition
rather than fragmented, episodic visits.
A. lateral
B. long-term
C. longitudinal
Study Questions And Answers
Interprofessional collaboration is important for successful, cost-
effective care, but the American healthcare system faces challenges
such as
A. an aging population with multiple chronic medical conditions
that may require multiple medications.
B. lack of primary care providers.
C. excessive financial and social resources.
D. healthcare providers who have unlimited time and resources
that must be used. -
correct answer ✅A. an aging population with multiple chronic
medical conditions that may require multiple medications.
Value-based purchasing is a Center for Medicare and Medicaid
Services (CMS) initiative that affects all practicing providers who
admit Medicare patients to a hospital setting. The goal of this
initiative is to improve patient care quality by linking payment by
CMS for impatient services to successful patient outcomes.
Unplanned hospital readmission within 30 days is one metric that
this program evaluates. This has encouraged hospitals to
A. discharge patients early in the morning to make beds available to
waiting patients.
B. keep patients admitted for longer to better manage their chronic
conditions.
,Primary Care 1 Exam 1 Textbook
Study Questions And Answers
C. improve communication and care coordination to help involve
patients and their caregivers in the discharge plans.
D. hire more primary care providers to better manage patients'
chronic medical conditions in an outpatient setting. -
correct answer ✅C. improve communication and care coordination
to help involve patients and their caregivers in the discharge plans.
The National Academy of Science, Engineering, and Medicine has
created a definition of primary care and has also developed six aims
of patient-centered primary care. Which of the following is one of
those aims?
A. Patient centered: Providing care that is respectful of and
responsive to individual patient preferences, needs, and values, and
ensuring that patient values guide all clinic decisions.
B. Inexpensive: Medical care should not come at a high price.
C. Replaced by specialists: Medical care has become so specialized
that there is no longer a need for primary care providers.
D. Family and caregiver centered: Providing care to a patient means
involving all those that will be helping and working with that
patient to ensure their needs are the priority before the patient's
needs. -
correct answer ✅A. Patient centered: Providing care that is
respectful of and responsive to individual patient preferences,
,Primary Care 1 Exam 1 Textbook
Study Questions And Answers
needs, and values, and ensuring that patient values guide all clinic
decisions.
Evidence-based practice was implemented by Archibald Cochrane
in response to observations that
A. clinical outcomes are most effective when developed using
traditions and guidance handed down from previous generations of
clinicians.
B. treatment decisions were being made without evidence to
demonstrate the effectiveness of those interventions.
C. research in medicine was unnecessary as each patient requires a
unique plan of care.
D. only physicians were concerned with evidence-based practice.
Evidence-based practice was not necessary for nurses. -
correct answer ✅B. treatment decisions were being made without
evidence to demonstrate the effectiveness of those interventions.
A nurse on a med-surg unit believes that bedside handoff report
could improve patient care and outcomes. This nurse recognizes
the need and discusses it with the unit manager. The nurse
manager researches evidence-based practice using this technique.
The nurse manager creates and plans staff education around
bedside report. The unit adopts a bedside handoff report
, Primary Care 1 Exam 1 Textbook
Study Questions And Answers
procedure, and it is monitored for effectiveness. This process was
created using Lewin's change theory.
A. Understanding how, why, and what rate new ideas spread
through a specific population.
B. Proposing a new idea, researching a new idea, and implementing
the new idea in practice.
C. Unfreezing, movement, and refreezing.
D. Lewin's change theory consists of five steps: knowledge,
persuasion, decision, implementation, and confirmation. -
correct answer ✅C. Unfreezing, movement, and refreezing.
A primary care provider is utilizing the Chronic Care Model (CCM)
when treating an 80-year-old patient with multiple chronic medical
conditions. This provider ensures that their patient understands all
their diagnoses as well as their medication treatment plan, has
appropriate referrals to specialists, and is up-to-date with
appropriate vaccinations. By doing all these things, the provider is
focusing on _____________ needs of the patient's health condition
rather than fragmented, episodic visits.
A. lateral
B. long-term
C. longitudinal
