PRIMARY CARE,A COLLABORATIVE PRACTICE
5TH EDITION BY TERRY BUTTARO-TEST BANK
FOR PRIMARY CARE(ALL
CHAPTERS)COMPLETE GUIDE/2024
MULTI CHOICE:
• Which assessments of care providers are performed as part of the Value Based
Purchasing initiative?
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
• 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
,• 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?
A. Bonuses based on achievement of benchmarks
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
Chapter 2: Translating Research Into Clinical Practice Test Bank
Multiple Choice
• Which is the most appropriate research design for a Level III research study?
A. Epidemiological studies
B. Experimental design
C. Qualitative studies
D. Randomized clinical trials
ANS: B
The experimental design is the most appropriate design for a Level III study.
Epidemiological studies are appropriate for Level II studies. Qualitative designs are
useful for Level I studies. Randomized clinical trials are used for Level IV studies.
REF: Level III Research/Experimental Design
• What is the purpose of clinical research trials in the spectrum of translational
research?
A. Adoption of interventions and clinical practices into routine clinical care
B. Determination of the basis of disease and various treatment options
C. Examination of safety and effectiveness of various interventions
D. Exploration of fundamental mechanisms of biology, disease, or behavior
ANS: C
,Clinical research trials are concerned with determining the safety and effectiveness
of interventions. Adoption of interventions and practices is part of clinical
implementation. Determination of the basis of disease and treatment options is part
of the pre-clinical research phase. Exploration of the fundamental mechanisms of
biology, disease, or behavior is part of the basic research stage. REF: Translational
Science Spectrum
• What is the purpose of Level II research?
A. To define characteristics of interest of groups of patients
B. To demonstrate the effectiveness of an intervention or treatment
C. To describe relationships among characteristics or variables
D. To evaluate the nature of relationships between two variables
ANS: C
Level II research is concerned with describing the relationships among
characteristics or variables. Level I research is conducted to define the
characteristics of groups of patients. Level II research evaluates the nature of the
relationships between variables. Level IV research is conducted to demonstrate the
effectiveness of interventions or treatments. REF: Level II Research
Chapter 3: The Patient, the Provider, and Primary Care: An Integrated
PerspectiveTest Bank
Multiple Choice
• A patient takes glucosamine chondroitin to help control osteoarthritis pain. Which
medications, 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
• 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?
, 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
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.
Supplements may be taken with prescription medications as long as the effects, side effects,
and drug interactions are known. REF: Alternative Therapies for Common Chronic
Conditions
• Which dietary supplements have shown some effectiveness in reducing blood
pressure inpatients with hypertension?
Select all that apply.
A. Chromium picolinate
B. Cinnamon
C. CoQ10
D. Garlic extract
E. L-arginine
ANS: C, D, E
CoQ10, garlic extract, and L-arginine have demonstrated effectiveness in reducing blood
pressure in some studies. Chromium picolinate and cinnamon have been studied for effects
on glucose tolerance and fasting glucose. REF: Alternative Therapies for Common Chronic
Conditions/Prehypertension and Hypertens
Multiple Choice
• A 60-year-old patient who leads a sedentary lifestyle has expressed an interest in
beginning an aerobic exercise program. What will the provider include when counseling
this patient about this program?
A. Begin with a 45 to 60 minute workout
B. Include a 1 to 2 minute warm up before exercise
C. Maintain a heart rate between 80 and 128 beats per minute
D. Stretching should be performed prior to activity
ANS: D
The heart rate should be kept between 50% and 80% of the maximum heart rate (220 minus
the patient’s age = 160), which is 80 to 128 beats per minute. Patients who are not
5TH EDITION BY TERRY BUTTARO-TEST BANK
FOR PRIMARY CARE(ALL
CHAPTERS)COMPLETE GUIDE/2024
MULTI CHOICE:
• Which assessments of care providers are performed as part of the Value Based
Purchasing initiative?
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
• 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
,• 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?
A. Bonuses based on achievement of benchmarks
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
Chapter 2: Translating Research Into Clinical Practice Test Bank
Multiple Choice
• Which is the most appropriate research design for a Level III research study?
A. Epidemiological studies
B. Experimental design
C. Qualitative studies
D. Randomized clinical trials
ANS: B
The experimental design is the most appropriate design for a Level III study.
Epidemiological studies are appropriate for Level II studies. Qualitative designs are
useful for Level I studies. Randomized clinical trials are used for Level IV studies.
REF: Level III Research/Experimental Design
• What is the purpose of clinical research trials in the spectrum of translational
research?
A. Adoption of interventions and clinical practices into routine clinical care
B. Determination of the basis of disease and various treatment options
C. Examination of safety and effectiveness of various interventions
D. Exploration of fundamental mechanisms of biology, disease, or behavior
ANS: C
,Clinical research trials are concerned with determining the safety and effectiveness
of interventions. Adoption of interventions and practices is part of clinical
implementation. Determination of the basis of disease and treatment options is part
of the pre-clinical research phase. Exploration of the fundamental mechanisms of
biology, disease, or behavior is part of the basic research stage. REF: Translational
Science Spectrum
• What is the purpose of Level II research?
A. To define characteristics of interest of groups of patients
B. To demonstrate the effectiveness of an intervention or treatment
C. To describe relationships among characteristics or variables
D. To evaluate the nature of relationships between two variables
ANS: C
Level II research is concerned with describing the relationships among
characteristics or variables. Level I research is conducted to define the
characteristics of groups of patients. Level II research evaluates the nature of the
relationships between variables. Level IV research is conducted to demonstrate the
effectiveness of interventions or treatments. REF: Level II Research
Chapter 3: The Patient, the Provider, and Primary Care: An Integrated
PerspectiveTest Bank
Multiple Choice
• A patient takes glucosamine chondroitin to help control osteoarthritis pain. Which
medications, 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
• 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?
, 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
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.
Supplements may be taken with prescription medications as long as the effects, side effects,
and drug interactions are known. REF: Alternative Therapies for Common Chronic
Conditions
• Which dietary supplements have shown some effectiveness in reducing blood
pressure inpatients with hypertension?
Select all that apply.
A. Chromium picolinate
B. Cinnamon
C. CoQ10
D. Garlic extract
E. L-arginine
ANS: C, D, E
CoQ10, garlic extract, and L-arginine have demonstrated effectiveness in reducing blood
pressure in some studies. Chromium picolinate and cinnamon have been studied for effects
on glucose tolerance and fasting glucose. REF: Alternative Therapies for Common Chronic
Conditions/Prehypertension and Hypertens
Multiple Choice
• A 60-year-old patient who leads a sedentary lifestyle has expressed an interest in
beginning an aerobic exercise program. What will the provider include when counseling
this patient about this program?
A. Begin with a 45 to 60 minute workout
B. Include a 1 to 2 minute warm up before exercise
C. Maintain a heart rate between 80 and 128 beats per minute
D. Stretching should be performed prior to activity
ANS: D
The heart rate should be kept between 50% and 80% of the maximum heart rate (220 minus
the patient’s age = 160), which is 80 to 128 beats per minute. Patients who are not
