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g g g g g g g g
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Chapterg01:gInterprofessionalgCollaborativegPractice:gWheregWegAregToda
ygButtaro:gPrimarygCare:gAgCollaborativegPractice,g6thgEdition
MULTIPLEgCHOICE
1. Agsmall,gruralghospitalgisgpartgofgangAccountablegCaregOrganizationg(ACO)gandgisgdesignat
edgasgagLevelg1gACO.gWhatgisgpartgofgthisgdesignation?
a. Bonusesgbasedgongachievementgofgbenchmarks
b. Caregcoordinationgforgchronicgdiseases
c. Standardsgforgminimumgcashgreserves
d. Strictgrequirementsgforgfinancialgreporting
ANS:g A
AgLevelg1gACOghasgthegleastgamountgofgfinancialgriskgandgrequirements,gbutgreceivesgshar
edgsavingsgbonusesgbasedgongachievementgofgbenchmarksgforgqualitygmeasuresgandgexpend
itures.gCaregcoordinationgandgminimumgcashgreservesgstandardsgaregpartgofgLevelg2gACOgr
equirements.gLevelg3gACOsghavegstrictgrequirementsgforgfinancialgreporting.
2. WhatgwasgangimportantgfindinggofgthegAdvisorygBoardgsurveygofg2014gaboutgprimarygca
regpreferencesgofgpatients?
a. Associationsgwithgareaghospitals
b. Costsgofgambulatorygcare
c. Easegofgaccessgtogcare
d. Thegratiogofgprovidersgtogpatients
ANS:g C NURSINGTB.COM
Asgpartgofgtheg2014gsurvey,gthegAdvisorygBoardglearnedgthatgpatientsgdesiredg24/7gaccessg
togcare,gwalk-
ingsettingsgandgthegabilitygtogbegseengwithing30gminutes,gandgcaregthatgisgclosegtoghome.gA
ssociationsgwithghospitals,gcostsgofgcare,gandgthegratiogofgprovidersgtogpatientsgweregnotgpar
tgofgthesegresults.
MULTIPLEgRESPONSE
1. Whichgassessmentsgofgcaregprovidersgaregperformedgasgpartgofgthegvalue-
basedgpurchasingg(VBP)ginitiative?g(Selectgallgthatgapply.)
a. AppraisinggcostsgpergcasegofgcaregforgMedicaregpatients
b. Assessinggpatients’gsatisfactiongwithghospitalgcare
c. Evaluatinggavailablegevidencegtogguidegclinicalgcaregguidelines
d. Monitoringgmortalitygratesgofgallgpatientsgwithgpneumonia
e. RequiringgadvancedgITgstandardsgandgminimumgcashgreserves
ANS:g A,gB,gD
Value-
basedgpurchasingglooksgatgfivegdomaingareasgofgprocessesgofgcare,gincludinggefficiencygofgca
reg(costgpergcase),gexperiencegofgcareg(patientgsatisfactiongmeasures),gandgoutcomesgofgcareg
(mortalitygratesgforgcertaingconditions).gEvaluationgofgevidencegtogguidegclinicalgcaregisgpart
gofgevidence-
basedgpractice.gThegrequirementsgforgITgstandardsgandgfinancialgstatusgaregpartgofgAccounta
blegCaregOrganizationgstandards.
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, TESTgBANKgFORgPRIMARYgCAREg6THgEDITIONgBYgBUTTARO
Chapterg02:gTranslatinggResearchgintogClinicalgPracticegButt
aro:gPrimarygCare:gAgCollaborativegPractice,g6thgEdition
MULTIPLEgCHOICE
1. WhatgisgthegpurposegofgLevelgIIgresearch?
a. Togdefinegcharacteristicsgofginterestgofggroupsgofgpatients
b. Togdemonstrategthegeffectivenessgofganginterventiongorgtreatment
c. Togdescribegrelationshipsgamonggcharacteristicsgorgvariables
d. Togevaluategthegnaturegofgrelationshipsgbetweengtwogvariables
ANS:g C
LevelgIIgresearchgisgconcernedgwithgdescribinggthegrelationshipsgamonggcharacteristicsgo
rgvariables.gLevelgIgresearchgisgconductedgtogdefinegthegcharacteristicsgofggroupsgofgpatie
nts.gLevelgIIgresearchgevaluatesgthegnaturegofgthegrelationshipsgbetweengvariables.gLevelgI
Vgresearchgisgconductedgtogdemonstrategthegeffectivenessgofginterventionsgorgtreatments.
2. WhichgisgthegmostgappropriategresearchgdesigngforgagLevelgIIIgresearchgstudy?
a. Epidemiologicalgstudies
b. Experimentalgdesign
c. Qualitativegstudies
d. Randomizedgclinicalgtrials
ANS:g B
ThegexperimentalgdesigngisgthegmostgappropriategdesigngforgagLevelgIIIgstudy.gEpidemiolog
icalgstudiesgaregaNpU
prR
opSrI
iaN
teGfT
orBL.eC
veOlgM
IIgstudies.gQualitativegdesignsgareguseful
forgLevelgIgstudies.gRandomizedgclinicalgtrialsgaregusedgforgLevelgIVgstudies.
3. Whatgisgthegpurposegofgclinicalgresearchgtrialsgingthegspectrumgofgtranslationalgresearch?
a. Adoptiongofginterventionsgandgclinicalgpracticesgintogroutinegclinicalgcare
b. Determinationgofgthegbasisgofgdiseasegandgvariousgtreatmentgoptions
c. Examinationgofgsafetygandgeffectivenessgofgvariousginterventions
d. Explorationgofgfundamentalgmechanismsgofgbiology,gdisease,gorgbehavior
ANS:g C
Clinicalgresearchgtrialsgaregconcernedgwithgdetermininggthegsafetygandgeffectivenessgofginter
ventions.gAdoptiongofginterventionsgandgpracticesgisgpartgofgclinicalgimplementation.gDeter
minationgofgthegbasisgofgdiseasegandgtreatmentgoptionsgisgpartgofgthegpreclinicalgresearchgpha
se.gExplorationgofgthegfundamentalgmechanismsgofgbiology,gdisease,gorgbehaviorgisgpartgofgt
hegbasicgresearchgstage.
NURSINGTB.COM
, TESTgBANKgFORgPRIMARYgCAREg6THgEDITIONgBYgBUTTARO
Chapterg03:gEmpoweringgPatientsgasgCollaborativegpartners:gAgNewgModelgfo
rgPrimarygCare
Buttaro:gPrimarygCare:gAgCollaborativegPractice,g6thgEdition
MULTIPLEgCHOICE
1. Whichgstatementgmadegbygaghealthgcaregprovidergdemonstratesgthegmostgappropriat
egunderstandinggforgtheggoalgofgagperformancegreport?
a. “Thisgprocessgallowsgmegtogcritiquegthegperformancegofgthegrestgofgthegstaff.”
b. “Mostgorganizationsgrequiregstaffgtogundergogagperformancegevaluationgyearly.”
c. “Itgisghardgtogbegpersonallygcriticizedgbutgthat’sghowgweglearngtogchange.”
d. “Thegcommentsgshouldghelpgmegimprovegmygmanagementgskills.”
ANS:g D
Theggoalgofgthegperformancegreportgisgtogprovidegguidancegtogstaffgingthegareasgofgprofessio
nalgdevelopment,gmentoring,gandgleadershipgdevelopment.gAgpeergreviewgisgwrittengbygothe
rsgwhogperformgsimilargskillsg(peers).gThegremaininggoptionsgmaygbegtruegbutgdognotgprovi
degevidencegofgunderstandinggofgtheggoalgofgthisgprofessionalgrequirement.
MULTIPLEgRESPONSE
1. Whichgassessmentgquestiongwouldgaghealthgcaregprovidergaskgwhengengaginggingthegprevis
itgstagegofgthegnewgmodelgforgprimarygcare?g(Selectgallgthatgapply.)
a. “Aregyougreadygtogdiscussgsomegofgthegcommunitygresourcesgthatgaregavailable?”
b. “AregyougexperiencingganNyUsidRS
egI
efN
feGctTsgB
fr.COyM
om ourgnewlygprescribedgmedications?”
c. “Dogyouganticipateganygproblemsgwithgadheringgtogyourgtreatmentgplan?”
d. “Aregyougreadygtogdiscussgthegresultsgofgyourglaboratorygtests?”
e. “Dogyoughaveganygquestionsgaboutgtheglabgtestsgthatghavegbeengorderedgforgyou?”
ANS:g B,gC,gE
Thegnursinggresponsibilitiesgingthegprevisitgstagegincludegassessinggthegpatient’sgtolerancego
fgprescribedgmedications,gunderstandinggofgexistinggtreatmentgplan,gandgeducationgaboutgre
quiredglabgtesting.gThegprimarygcaregprovidergisgresponsiblegforgscreeningglabgdatagandgdis
cussinggcommunitygresourcesgduringgthegactualgvisit.
NURSINGTB.COM
g g g g g g g g
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g g g g g g
TEST BANK g
, TESTgBANKgFORgPRIMARYgCAREg6THgEDITIONgBYgBUTTARO
Chapterg01:gInterprofessionalgCollaborativegPractice:gWheregWegAregToda
ygButtaro:gPrimarygCare:gAgCollaborativegPractice,g6thgEdition
MULTIPLEgCHOICE
1. Agsmall,gruralghospitalgisgpartgofgangAccountablegCaregOrganizationg(ACO)gandgisgdesignat
edgasgagLevelg1gACO.gWhatgisgpartgofgthisgdesignation?
a. Bonusesgbasedgongachievementgofgbenchmarks
b. Caregcoordinationgforgchronicgdiseases
c. Standardsgforgminimumgcashgreserves
d. Strictgrequirementsgforgfinancialgreporting
ANS:g A
AgLevelg1gACOghasgthegleastgamountgofgfinancialgriskgandgrequirements,gbutgreceivesgshar
edgsavingsgbonusesgbasedgongachievementgofgbenchmarksgforgqualitygmeasuresgandgexpend
itures.gCaregcoordinationgandgminimumgcashgreservesgstandardsgaregpartgofgLevelg2gACOgr
equirements.gLevelg3gACOsghavegstrictgrequirementsgforgfinancialgreporting.
2. WhatgwasgangimportantgfindinggofgthegAdvisorygBoardgsurveygofg2014gaboutgprimarygca
regpreferencesgofgpatients?
a. Associationsgwithgareaghospitals
b. Costsgofgambulatorygcare
c. Easegofgaccessgtogcare
d. Thegratiogofgprovidersgtogpatients
ANS:g C NURSINGTB.COM
Asgpartgofgtheg2014gsurvey,gthegAdvisorygBoardglearnedgthatgpatientsgdesiredg24/7gaccessg
togcare,gwalk-
ingsettingsgandgthegabilitygtogbegseengwithing30gminutes,gandgcaregthatgisgclosegtoghome.gA
ssociationsgwithghospitals,gcostsgofgcare,gandgthegratiogofgprovidersgtogpatientsgweregnotgpar
tgofgthesegresults.
MULTIPLEgRESPONSE
1. Whichgassessmentsgofgcaregprovidersgaregperformedgasgpartgofgthegvalue-
basedgpurchasingg(VBP)ginitiative?g(Selectgallgthatgapply.)
a. AppraisinggcostsgpergcasegofgcaregforgMedicaregpatients
b. Assessinggpatients’gsatisfactiongwithghospitalgcare
c. Evaluatinggavailablegevidencegtogguidegclinicalgcaregguidelines
d. Monitoringgmortalitygratesgofgallgpatientsgwithgpneumonia
e. RequiringgadvancedgITgstandardsgandgminimumgcashgreserves
ANS:g A,gB,gD
Value-
basedgpurchasingglooksgatgfivegdomaingareasgofgprocessesgofgcare,gincludinggefficiencygofgca
reg(costgpergcase),gexperiencegofgcareg(patientgsatisfactiongmeasures),gandgoutcomesgofgcareg
(mortalitygratesgforgcertaingconditions).gEvaluationgofgevidencegtogguidegclinicalgcaregisgpart
gofgevidence-
basedgpractice.gThegrequirementsgforgITgstandardsgandgfinancialgstatusgaregpartgofgAccounta
blegCaregOrganizationgstandards.
NURSINGTB.COM
, TESTgBANKgFORgPRIMARYgCAREg6THgEDITIONgBYgBUTTARO
Chapterg02:gTranslatinggResearchgintogClinicalgPracticegButt
aro:gPrimarygCare:gAgCollaborativegPractice,g6thgEdition
MULTIPLEgCHOICE
1. WhatgisgthegpurposegofgLevelgIIgresearch?
a. Togdefinegcharacteristicsgofginterestgofggroupsgofgpatients
b. Togdemonstrategthegeffectivenessgofganginterventiongorgtreatment
c. Togdescribegrelationshipsgamonggcharacteristicsgorgvariables
d. Togevaluategthegnaturegofgrelationshipsgbetweengtwogvariables
ANS:g C
LevelgIIgresearchgisgconcernedgwithgdescribinggthegrelationshipsgamonggcharacteristicsgo
rgvariables.gLevelgIgresearchgisgconductedgtogdefinegthegcharacteristicsgofggroupsgofgpatie
nts.gLevelgIIgresearchgevaluatesgthegnaturegofgthegrelationshipsgbetweengvariables.gLevelgI
Vgresearchgisgconductedgtogdemonstrategthegeffectivenessgofginterventionsgorgtreatments.
2. WhichgisgthegmostgappropriategresearchgdesigngforgagLevelgIIIgresearchgstudy?
a. Epidemiologicalgstudies
b. Experimentalgdesign
c. Qualitativegstudies
d. Randomizedgclinicalgtrials
ANS:g B
ThegexperimentalgdesigngisgthegmostgappropriategdesigngforgagLevelgIIIgstudy.gEpidemiolog
icalgstudiesgaregaNpU
prR
opSrI
iaN
teGfT
orBL.eC
veOlgM
IIgstudies.gQualitativegdesignsgareguseful
forgLevelgIgstudies.gRandomizedgclinicalgtrialsgaregusedgforgLevelgIVgstudies.
3. Whatgisgthegpurposegofgclinicalgresearchgtrialsgingthegspectrumgofgtranslationalgresearch?
a. Adoptiongofginterventionsgandgclinicalgpracticesgintogroutinegclinicalgcare
b. Determinationgofgthegbasisgofgdiseasegandgvariousgtreatmentgoptions
c. Examinationgofgsafetygandgeffectivenessgofgvariousginterventions
d. Explorationgofgfundamentalgmechanismsgofgbiology,gdisease,gorgbehavior
ANS:g C
Clinicalgresearchgtrialsgaregconcernedgwithgdetermininggthegsafetygandgeffectivenessgofginter
ventions.gAdoptiongofginterventionsgandgpracticesgisgpartgofgclinicalgimplementation.gDeter
minationgofgthegbasisgofgdiseasegandgtreatmentgoptionsgisgpartgofgthegpreclinicalgresearchgpha
se.gExplorationgofgthegfundamentalgmechanismsgofgbiology,gdisease,gorgbehaviorgisgpartgofgt
hegbasicgresearchgstage.
NURSINGTB.COM
, TESTgBANKgFORgPRIMARYgCAREg6THgEDITIONgBYgBUTTARO
Chapterg03:gEmpoweringgPatientsgasgCollaborativegpartners:gAgNewgModelgfo
rgPrimarygCare
Buttaro:gPrimarygCare:gAgCollaborativegPractice,g6thgEdition
MULTIPLEgCHOICE
1. Whichgstatementgmadegbygaghealthgcaregprovidergdemonstratesgthegmostgappropriat
egunderstandinggforgtheggoalgofgagperformancegreport?
a. “Thisgprocessgallowsgmegtogcritiquegthegperformancegofgthegrestgofgthegstaff.”
b. “Mostgorganizationsgrequiregstaffgtogundergogagperformancegevaluationgyearly.”
c. “Itgisghardgtogbegpersonallygcriticizedgbutgthat’sghowgweglearngtogchange.”
d. “Thegcommentsgshouldghelpgmegimprovegmygmanagementgskills.”
ANS:g D
Theggoalgofgthegperformancegreportgisgtogprovidegguidancegtogstaffgingthegareasgofgprofessio
nalgdevelopment,gmentoring,gandgleadershipgdevelopment.gAgpeergreviewgisgwrittengbygothe
rsgwhogperformgsimilargskillsg(peers).gThegremaininggoptionsgmaygbegtruegbutgdognotgprovi
degevidencegofgunderstandinggofgtheggoalgofgthisgprofessionalgrequirement.
MULTIPLEgRESPONSE
1. Whichgassessmentgquestiongwouldgaghealthgcaregprovidergaskgwhengengaginggingthegprevis
itgstagegofgthegnewgmodelgforgprimarygcare?g(Selectgallgthatgapply.)
a. “Aregyougreadygtogdiscussgsomegofgthegcommunitygresourcesgthatgaregavailable?”
b. “AregyougexperiencingganNyUsidRS
egI
efN
feGctTsgB
fr.COyM
om ourgnewlygprescribedgmedications?”
c. “Dogyouganticipateganygproblemsgwithgadheringgtogyourgtreatmentgplan?”
d. “Aregyougreadygtogdiscussgthegresultsgofgyourglaboratorygtests?”
e. “Dogyoughaveganygquestionsgaboutgtheglabgtestsgthatghavegbeengorderedgforgyou?”
ANS:g B,gC,gE
Thegnursinggresponsibilitiesgingthegprevisitgstagegincludegassessinggthegpatient’sgtolerancego
fgprescribedgmedications,gunderstandinggofgexistinggtreatmentgplan,gandgeducationgaboutgre
quiredglabgtesting.gThegprimarygcaregprovidergisgresponsiblegforgscreeningglabgdatagandgdis
cussinggcommunitygresourcesgduringgthegactualgvisit.
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