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Test Bank For Primary Care A Collaborative practice 6th Edition by Buttaro.

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Test Bank For Primary Care A Collaborative practice 6th Edition by Buttaro. Chapter 4: The Patient, the Provider, and Primary Care: An Integrated Perspective Test Bank Multiple Choice 1. A patient takes glucosaminechondroitin to help control osteoarthritis pain. Whichmedications, taken in conjunction with this medication, are of concern? a. Anticholinergic drugs b. Beta blocker medications c. Blood-thinning agents d. Narcotic analgesics ANS: C Glucosamine chondroitin can prolong bleeding if taken with other blood-thinning agents. It does not have anticholinergic effects, cardiac effects or analgesic effects. REF: Alternative Therapies for Common Chronic Conditions/Joint Pain 2. The provider learns that a patient is taking herbal supplements for a variety of reasons. Whatis an important point to discuss with this patient about taking such supplements? a. Because they are not FDA approved, they are not safe b. Dietary supplements are safer than most prescription medications c. Many supplements lack clear clinical evidence of efficacy d. Supplements should not be taken with prescription medications ANS: C Test Bank 2 Many dietary supplements lack clinical evidence to support their use. Even though they are not FDA approved, federal law mandates that the products are safe and cannot make misleading claims about use. Supplements are not necessarily safer than prescription drugs. Supplementsmay be taken with prescription medications as long as the effects, side effects, and drug interactions are known. REF: Alternative Therapies for Common Chronic Conditions 3. Which dietary supplements have shown some effectiveness in reducing blood pressure inpatients with hyperten

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Buttaro: Primary Care, A Collaborative Practice, 6th Ed.

Test Bank For Primary Care 6th Edition by Buttaro.

,Test Bank 2




Primary Care : A Collaborative Practice, 6th Edition
Terry Buttaro, JoAnn Trybulski, Patricia Polgar-Bailey Joanne
Sandberg-Cook


Chapter 1: The Evolving Landscape of Collaborative
Practice
Test Bank
Multiple Choice




1. Which assessments of care providers are performed as part of the Value Based
Purchasinginitiative?
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
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. REF: Value Based
Purchasing

, Buttaro: Primary Care, A Collaborative Practice, 6th Ed.
2. What was an important finding of the Advisory Board survey of 2014 about
primary carepreferences 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. REF: The New Look of Primary Care




3. A small, rural hospital is part of an Accountable Care Organization (ACO) and is
designatedas a Level 1 ACO. What is part of this designation?


a. Bonuses based on achievement of benchmarks

, Test Bank 2




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. REF:
Accountable Care Organizations

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