Primary Care 5th ED Sample items

Chapter 001 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? Bonuses based on achievement of benchmarks 2. What was an important finding of the Advisory Board survey of 2014 about primary care preferences of patients? Ease of access to care. 3. Which assessments of care providers are performed as part of the Value Based Purchasing initiative? (Select all that apply.) Appraising costs per case of care for Medicare patients Assessing patients’ satisfaction with hospital care Monitoring mortality rates of all patients with pneumonia Chapter 002 1. To reduce adverse events associated with care transitions, the Centers for Medicare and Medicaid Service have implemented which policy? Reduction of payments for patients readmitted within 30 days after discharge 2. According to Naylor’s transitional care model, which intervention has resulted in lower costs and fewer re-hospitalizations in high-risk older patients? Coordination of post-hospital care by advanced practice nurses 3. Which approaches are among those recommended by the Agency for Healthcare Research and Quality to improve health literacy in patients? (Select all that apply.) Empowering patients and families Correct Repeating the instructions Correct Supplementing teaching with visual aids Correct Chapter 003 1. What is the purpose of Level II research? To describe relationships among characteristics or variables 2. Which is the most appropriate research design for a Level III research study? Experimental design 3.What is the purpose of clinical research trials in the spectrum of translational research? Examination of safety and effectiveness of various interventions Chapter 004 1. The provider learns that a patient is taking herbal supplements for a variety of reasons. What is an important point to discuss with this patient about taking such supplements? Many supplements lack clear clinical evidence of efficacy Correct 2. A patient takes glucosamine chondroitin to help control osteoarthritis pain. Which medications, taken in conjunction with this medication, are of concern? Blood-thinning agents Correct 3. Which dietary supplements have shown some effectiveness in reducing blood pressure in patients with hypertension? (Select all that apply.) CoQ10 Correct Garlic extract Correct L-arginine Correct Test Bank - Chapter 005 1. The chronic care model (CCM) was developed to manage patients with complicated chronic conditions because the traditional acute care model could not provide efficient and cost-effective chronic care. did not meet longitudinal health care needs for this population. Correct 2. What are functions of patient registries in the chronic care model? (Select all that apply.) Alerting providers to medication interactions Correct Recommending routine screenings Correct Reminding providers about immunizations Correct Transmitting clinical data about patients Correct 3. Which are key components of the Patient-Centered Medical Home? (Select all that apply.) Access to care Correct Comprehensive care Correct Coordination of care Correct Test Bank - Chapter 006 1. A primary care provider administers the “Newest Vital Sign” health literacy test to a patient newly diagnosed with a chronic disease. What information is gained by administering this test? Ability to calculate data, along with general knowledge about health Correct 2. What is the main reason for using the REALM-SF instrument to evaluate health literacy? It evaluates medical word recognition. Correct 3. A female patient who is from the Middle East schedules an appointment in a primary care office. To provide culturally responsive care, what will the clinic personnel do when meeting this patient for the first time? Inquire about the patient’s beliefs about health and treatment Correct Test Bank - Chapter 007 1. A patient expresses concern that she is at risk for breast cancer. To best assess the risk for this patient, what is the best initial action? Gather and record a three-generation pedigree Correct 2. A patient asks about direct-to-consumer (DTC) genetic testing. What will the provider tell the patient? Much of the information does not predict disease risk. Test Bank - Chapter 008 1. What is an important part of patient care that can minimize the risk of a formal patient complaint even when a mistake is made? Maintaining effective patient communication Correct 2. What are some causes for failures or delays in diagnosing patients resulting in malpractice claims? (Select all that apply.) Failing to request appropriate consultations Not acting on diagnostic test results Test Bank - Chapter 009 1. Which behavior is most characteristic of early adolescence? Arguing with parents and teachers 2. What is the initial sign of puberty in the adolescent male? Testicular enlargement 3. A parent reports that an adolescent child does well in school but seems to consistently make poor decisions about activities with friends. What will the practitioner recommend as an approach to help the adolescent make better decisions? Listening without making suggestions about choices Test Bank - Chapter 010