Test Bank for Primary Care Interprofessional Collaborative Practice 6th Edition by Terry Mahan Buttaro Complete Questions and Answers Study Guide for Advanced Practice Nursing and Healthcare Students Preparing for Primary Care Clinical Assessment Diagnosi

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1. Asmall, ruralhospitalispartofan AccountableCareOrganization(ACO) and is designated as a
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Level 1 ACO. What is part of this designation? JY1 JY 1 JY1 JY1 JY1 JY1 JY1 JY1




a. Bonuses basedonachievementofbenchmarks JY1 JY1 JY1 JY1 JY1




b. Carecoordination for chronic diseases JY1 JY1 JY1 JY1




c. Standards for minimum cash reserves JY1 JY1 fi JY1




d. Strict requirements for financial reporting JY1 JY1 JY1 JY1




ANS: A J Y 1




ALevel1 ACO has theleastamount offinancialrisk and requirements,but receives shared sa vings
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bonuses based on achievement of benchmarks for quality measures and expenditures. Care JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




coordination and minimumcash reserves standards are part of Level 2 ACOrequireme nts. Level JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY 1




3 ACOs have strict requirements for financial reporting.
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2. Whatwas animportantfindingoftheAdvisoryBoardsurveyof2014aboutprimarycarep
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references of patients? JY1 JY1




a. Associationswithareahospitals JY1 JY1 JY1




b. Costsofambulatorycare JY1 JY1 JY1




c. Easeofaccesstocare JY1 JY1 JY1 JY1




d. Theratioofproviderstopatients JY1 JY1 JY1 JY1 JY1 JY1




ANS: J Y 1 C

As part ofthe 2014 survey, the Advisory Board learned that patients desired 24/7 access toc are,
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walk-
in settings and the abilityto be seenwithin 30 minutes, and care that is close to home. Assoc iations
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withhospitals, costsofcare, and theratio ofproviders topatients werenotpartofthe se results.
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MULTIPLE RESPONSE JY1




1. Whichassessmentsofcareprovidersareperformedaspartofthevalue- JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




based purchasing (VBP) initiative? (Select all that apply.)
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a. Appraisingcostspercase ofcareforMedicarepatients JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




b. Assessing patients’ satisfaction with hospital care fi JY1 JY1 JY1 JY1




c. Evaluating available evidence to guide clinical care guidelines fi JY1 JY1 JY1 JY1 JY1 JY1




d. Monitoringmortalityratesofallpatients withpneumonia JY1 JY1 JY1 JY1 JY1 JY1 JY1




e. Requiring advanced ITstandards and minimum cashreserves fi JY1 JY1 JY1 JY1 J Y1 JY1




ANS: A,B,D J Y 1 JY1 JY1




Value-
based purchasing looks at five domain areas ofprocesses ofcare, including efficiencyof care ( cost
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per case), experience ofcare (patient satisfaction measures), and outcomes ofcare (morta lityrates
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forcertainconditions).Evaluationofevidencetoguideclinicalcareispartofeviden ce-
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basedpractice. Therequirements forIT standards and financialstatusarepart ofAccountable Care
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Organization standards. fi

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Chapter 02: Translating Researchinto Clinical Practice Butta
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ro:PrimaryCare: ACollaborative Practice, 6th Edition
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1. What isthepurposeofLevel II research?
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a. Todefinecharacteristicsofinterestofgroupsofpatients
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b. Todemonstrate the effectiveness of an intervention ortreatment
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c. Todescribe relationships among characteristics or variables
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d. Toevaluatethenatureofrelationshipsbetweentwo variables
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ANS: C J Y 1




Level II research is concerned with describing the relationships among characteristics or v
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ariables.Level Iresearch is conducted to definethecharacteristics ofgroups ofpatients. Le velII
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research evaluates the nature of the relationships between variables. Level IV resear ch is
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conducted to demonstrate the effectiveness of interventions or treatments. JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




2. WhichisthemostappropriateresearchdesignforaLevel IIIresearchstudy?
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a. Epidemiological studies JY1




b. Experimental design JY 1




c. Qualitative studies JY1




d. Randomized clinical trials JY1 J Y1




ANS: B J Y 1




Theexperimentaldesign isthe mostappropriatedesignfora Level IIIstudy. Epidemiologic
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al studies are aNpU
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orBL.eC
veOlMII studies. Qualitative designs are useful for
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LevelIstudies.Randomized clinicaltrialsareusedforLevelIVstudies.
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3. What isthepurposeofclinicalresearchtrials inthespectrumoftranslational research?
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a. Adoptionof interventions and clinical practices into routine clinical care JY1 JY1 JY1 J Y1 JY1 JY1 JY1 JY1 JY1




b. Determination ofthe basis ofdisease and various treatment options JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




c. Examinationofsafetyandeffectivenessofvariousinterventions JY1 JY1 JY1 JY1 JY1 JY1 JY1




d. Explorationoffundamentalmechanismsofbiology,disease, orbehavior JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




ANS: C J Y 1




Clinical research trials are concerned with determining the safety and effectiveness of interve
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ntions. Adoption of interventions and practices is part ofclinical implementation. Determinat ion
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ofthe basis ofdisease and treatment options ispart ofthe preclinical researchphase. Explo rationof
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the fundamental mechanisms ofbiology, disease, or behavior is part ofthe basic res earch stage.
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Chapter03: Empowering Patientsas Collaborative partners: A New Model forP rimary
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Care
Buttaro:Primary Care:ACollaborative Practice,6th Edition
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1. Whichstatement madebyahealthcareproviderdemonstratesthemostappropriateu
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nderstanding for the goal of a performance report? fi JY1 JY1 JY1 JY1 JY1 JY1




a. ―This process allows meto critique theperformanceofthe restofthe staff.‖ JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




b. ―Most organizations requirestaff to undergo a performance evaluation yearly.‖ fi JY 1 JY1 JY1 JY1 JY1 fi JY1 JY1




c. ―It is hardto bepersonally criticized but that’s howwelearn to change.‖
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d. ―Thecomments should help meimprovemymanagement skills.‖ JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




ANS: D J Y 1




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 writtenby others who JY1 JY1 fi JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




performsimilar skills (peers). The remaining options may be true but do not provide evidenc e of
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understanding of the goal of this professional requirement. JY 1 J Y1 JY1 JY1 JY 1 JY1 JY1




MULTIPLE RESPONSE JY1




1. Whichassessmentquestionwouldahealthcareprovideraskwhenengaging intheprevisitst age
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of the new model for primary care? (Select all that apply.)
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a. ―Are you readyto discuss someof thecommunityresources thatare available?‖ JY1 JY1 JY1 fi JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




b. ―Are you experiencing anNyUsiRdS eI
efN
feGctTs B
fr. our newly prescribed medications?‖
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c. ―Do you anticipate any problems with adhering to yourtreatment plan?‖ JY1 fi JY1 JY1 JY1 JY1 fi JY1 JY1 JY1




d. ―Areyou readyto discussthe resultsof yourlaboratorytests?‖ JY1 JY1 JY1 JY1 JY1 fi JY1 JY1 JY1 JY1




e. ―Doyouhaveanyquestionsaboutthelabteststhathavebeenorderedfor you?‖ JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1 JY1




ANS: B,C,E J Y 1 JY1 JY1




The nursing responsibilities in the previsit stage include assessing the patient’s tolerance ofp
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rescribed medications, understanding ofexisting treatment plan, and education about requir ed
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lab testing. The primary care provider is responsible for screening lab data and discussin g
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community resources during the actual visit. JY1 JY1 JY1 JY 1 JY1