Test Bank for Primary Care: Interprofessional Collaborative Practice 6th Edition by Terry Mahan Buttaro – Questions with Correct Answers, Exam Prep 2026

TEST BANK FOR n n




PrimaryCare Interprofessional Collaborative Practice 6th Edition
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|Chapter1-228|Complete TestBank n n




Authors:Terry Mahan Buttaro, Patricia Polgar-Bailey, Joanne Sandberg-Cook, JoAnn Trybulski
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Chapter 01: Interprofessional Collaborative Practice:
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Where We Are Today
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Buttaro: Primary Care: A Collaborative Practice, 6th
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Edition
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MULTIPLE CHOICE n




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




b. Care coordination for chronic diseases n n n n




c. Standards for minimum cash reserves n n n n




d. Strict requirements for financialreporting n n n n




ANS: A n n




A Level 1 ACO has the least amount of financial risk and requirements, but receives shared savings
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bonuses based on achievement of benchmarks for quality measures and expenditures. Care
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coordination and minimum cash reserves standards are part of Level 2 ACO requirements. Level 3
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ACOs have strict requirements for financial reporting.
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2. What was an important finding of the AdvisoryBoard survey of 2014 about primary care preferences
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of patients?
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a. Associations with area hospitals n n n




b. Costs of ambulatory care n n n




c. Ease of access to care n n n n




d. The ratio of providers to patients n n n n n




ANS: C n n




As part of the 2014 survey, the AdvisoryBoard learned that patients desired 24/7 access to care, walk-
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in settings and the ability to be seen within 30 minutes, and care that is close to home.
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Associations with hospitals, costs of care, and the ratio of providers to patients were not part of these n n n n n n n n n n n n n n n n n




results.
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,MULTIPLE RESPONSE n




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




b. Assessing patients’ satisfaction with hospital care n n n n n




c. Evaluating available evidence to guide clinical care guidelines n n n n n n n




d. Monitoring mortality rates of all patients with pneumonia n n n n n n n




e. Requiring advanced IT standards and minimum cash reserves n n n n n n n




ANS: A, B, D n n n n




Value-based purchasing looks at five domain areas of processes of care, including efficiency of care
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(cost per case), experience of care (patient satisfaction measures), and outcomes of care (mortality
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rates for certain conditions). Evaluation of evidence to guide clinical care is part of evidence-based
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practice. The requirements for IT standards and financial status are part of Accountable Care
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Organization standards.
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Chapter 02: Translating Research into Clinical Practice
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Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE n




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 n n




Level II research is concerned with describing the relationships among characteristics or variables.
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Level I research is conducted to define the characteristics of groups of patients. Level II research
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evaluates the nature of the relationships between variables. Level IV research is conducted to
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demonstrate the effectiveness of interventions or 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 n




b. Experimental design n




c. Qualitative studies n




d. Randomized clinical trials n n




ANS: B n n




The experimental design is the most appropriate design for a Level III study. Epidemiological studies
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are appropriate for Level II studies. Qualitative designs are useful for Level I studies. Randomized
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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 n n n n n n n n n




b. Determination of the basis of disease and various treatment options n n n n n n n n n




c. Examination of safety and effectiveness of various interventions n n n n n n n




d. Exploration of fundamental mechanisms of biology, disease, or behavior n n n n n n n n




ANS: C n n




Clinical research trials are concerned with determining the safety and effectiveness of interventions.
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Adoption of interventions and practices is part of clinical implementation. Determination of the basis
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of disease and treatment options is part of the preclinical research phase. Exploration of the
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fundamental mechanisms of biology, disease, or behavior is part of the basic research stage.
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Chapter 03: Empowering Patients as Collaborative partners: A New Model for Primary Care
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Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE n




1. Which statement made bya health care provider demonstrates the most appropriate
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understanding for the goal of a performance report?
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a. ―This process allows me to critiquethe performance ofthe restofthestaff.‖
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b. ―Most organizations require staff to undergo a performance evaluation yearly.‖n n n n n n n n n




c. ―It is hard to bepersonallycriticized but that’s how we learnto change.‖
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d. ―Thecomments should help me improve my management skills.‖ n n n n n n n n




ANS: D n n




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




1. Which assessment question would a health care provider ask when engaging in the previsit stage of
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the new model for primary care? (Select all that apply.)
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a. ―Areyou ready todiscusssome ofthecommunityresources that areavailable?‖
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b. ―Are you experiencing any side effects from your newly prescribed medications?‖
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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 labteststhat have been ordered for you?‖
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ANS: B, C, E n n n n

, The nursing responsibilities in the previsit stage include assessing the patient’s tolerance of
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prescribed medications, understanding of existing treatment plan, and education about required lab
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testing. The primary care provider is responsible for screening lab data and discussing community
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resources during the actual visit.
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Chapter 04: Coordinated Chronic Care
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Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE n




1. To reduce adverse events associated with care transitions, the Centers for Medicare and
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Medicaid Service have implemented which policy?
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a. Mandates for communication among primary caregivers and hospitalists n n n n n n n




b. Penalties for failure to perform medication reconciliations at time of discharge n n n n n n n n n n




c. Reduction of payments for patients readmitted within 30 days after discharge n n n n n n n n n n




d. Requirements for written discharge instructions for patients and caregivers n n n n n n n n




ANS: C n n




As a component of the Affordable Care Act, the Centers for Medicare and Medicaid Service
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developed the Readmissions Reduction Program reducing payments for certain patients readmitted
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within 30 days of discharge. The CMS did not mandate communication, institute penalties for failure
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to perform medication reconciliations, or require written discharge instructions.
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2. According to multiple research studies, which intervention has resulted in lower costs and fewer
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rehospitalizations in high-risk older patients?
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a. Coordination of posthospital care by advanced practice health care providers n n n n n n n n n




b. Frequent posthospital clinic visits with a primary care provider n n n n n n n n




c. Inclusion of extended family members in the outpatient plan of care n n n n n n n n n n




d. Telephone follow-up by the pharmacist to assess medication compliance n n n n n n n n




ANS: A n n




Research studies provided evidence that high-risk older patients who had posthospital care
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coordinated by an APN had reduced rehospitalization rates. It did not include clinic visits with a
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primary care provider, inclusion of extended family members in the plan of care, or telephone
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follow-up by a pharmacist.
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MULTIPLE RESPONSE n




1. Which advantages are provided to the chronically ill patient by personal electronic monitoring
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devices? (Select all that apply.)
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a. Helps provide more patient control their health and lifestyle
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b. Eliminates need for regular medical and nursing follow-up visits n n n n n n n n




c. Helps the early identification of patient health-related problems
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d. Helps health care providers in keeping track of the patient’s health status
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e. Cost is often covered by Medicare n n n n n