Test Bank - Primary Care, Interprofessional Collaborative Practice, 6th Edition (Buttaro, 2021) Chapter 1-228 | All Chapters

PRIMARY CARE INTERPROFESSIONAL COLLA
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BORATIVE PRECTICE 6TH EDITION TESTBANK B
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Y TERRY MAHAN BUTTARO | ALL CHAPTERS 1-
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228




TEST BANK wl

, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
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Chapter 01: Interprofessional Collaborative Practice: Where We Are Toda
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yButtaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE wl




1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designa
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tedas a Level 1 ACO. What is part of this designation?
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a. Bonuses based on achievement of benchmarks wl wl wl wl wl


b. Care coordination for chronic diseaseswl wl wl wl


c. Standards for minimum cash reserves wl wl wl wl


d. Strict requirements for financial reporting
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ANS: A w l


A Level 1 ACO has the least amount of financial risk and requirements, but receives sha
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redsavings bonuses based on achievement of benchmarks for quality measures and expe
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nditures. Care coordination and minimum cash reserves standards are part of Level 2 A
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CO requirements. Level 3 ACOs have strict requirements for financial reporting.
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2. What was an important finding of the Advisory Board survey of 2014 about primary c
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arepreferences of patients?
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a. Associations with area hospitals wl wl wl


b. Costs of ambulatory care wl wl wl


c. Ease of access to care wl wl wl wl


d. The ratio of providers to patientwl wl wl wl wl




sANS: C
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As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 acces
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s tocare, walk-
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in settings and the ability to be seen within 30 minutes, and care that is close to home.
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Associations with hospitals, costs of care, and the ratio of providers to patients werenot
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part of these results.
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MULTIPLE RESPONSE wl




1. Which assessments of care providers are performed as part of the value-
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based purchasing(VBP) initiative? (Select all that apply.)
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a. Appraising costs per case of care for Medicare patients wl wl wl wl wl wl wl wl


b. Assessing patients’ satisfaction with hospital care wl wl wl wl wl


c. Evaluating available evidence to guide clinical care guidelines wl wl wl wl wl wl wl


d. Monitoring mortality rates of all patients with pneumonia wl wl wl wl wl wl wl


e. Requiring advanced IT standards and minimum cash reserves wl wl wl wl wl wl wl




ANS: A, B, D w l wl wl


Value-
based purchasing looks at five domain areas of processes of care, including efficiencyof c
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are (cost per case), experience of care (patient satisfaction measures), and outcomes of ca
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re (mortality rates for certain conditions). Evaluation of evidence to guide clinical care is
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part of evidence-
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based practice. The requirements for IT standards and financial status are part of Account
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able Care Organization standards.
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, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
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Chapter 02: Translating Research into Clinical Practice But
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taro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE wl




1. What is the purpose of Level II research?
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a. To define characteristics of interest of groups of patients
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b. To demonstrate the effectiveness of an intervention or treatment
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c. To describe relationships among characteristics or variables
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d. To evaluate the nature of relationships between two variables
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ANS: C w l


Level II research is concerned with describing the relationships among characteristics
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or variables. Level I research is conducted to define the characteristics of groups of pat
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ients.Level II research evaluates the nature of the relationships between variables. Lev
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el IV research is conducted to demonstrate the effectiveness of interventions or treatm
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ents.

2. Which is the most appropriate research design for a Level III research study?
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a. Epidemiological studies wl


b. Experimental design wl


c. Qualitative studies wl


d. Randomized clinical trials wl wl




ANS: B w l


The experimental design is the most appropriate design for a Level III study. Epidemiol
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ogical studies are aNpU
prR
oS
prI
iaN
teGfT
wlorBL.eC
veOl M
II studies. Qualitative designs are useful
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for Level I studies. Randomized clinical trials are used for Level IV studies.
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3. What is the purpose of clinical research trials in the spectrum of translational research?
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a. Adoption of interventions and clinical practices into routine clinical care
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b. Determination of the basis of disease and various treatment options wl wl wl wl wl wl wl wl wl


c. Examination of safety and effectiveness of various interventions wl wl wl wl wl wl wl


d. Exploration of fundamental mechanisms of biology, disease, or behavior wl wl wl wl wl wl wl wl




ANS: C w l


Clinical research trials are concerned with determining the safety and effectiveness of int
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erventions. Adoption of interventions and practices is part of clinical implementation. Det
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ermination of the basis of disease and treatment options is part of the preclinical researchp
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hase. Exploration of the fundamental mechanisms of biology, disease, or behavior is part
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of the basic research stage.
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, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
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Chapter 03: Empowering Patients as Collaborative partners: A New Model fo
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rPrimary Care
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Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE wl




1. Which statement made by a health care provider demonstrates the most appropri
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ateunderstanding for the goal of a performance report?
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a. ―This process allows me to critique the performance of the rest of the staff.‖
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b. ―Most organizations require staff to undergo a performance evaluation yearly.‖
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c. ―It is hard to be personally criticized but that’s how we learn to change.‖
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d. ―The comments should help me improve my management skills.‖
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ANS: D w l


The goal of the performance report is to provide guidance to staff in the areas of profess
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ional development, mentoring, and leadership development. A peer review is writtenby ot
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hers who perform similar skills (peers). The remaining options may be true but do not pr
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ovide evidence of understanding of the goal of this professional requirement.
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MULTIPLE RESPONSE wl




1. Which assessment question would a health care provider ask when engaging in the previ
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sitstage of the new model for primary care? (Select all that apply.)
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a. ―Are you ready to discuss some of the community resources that are available?‖
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b. ―Are you experiencing anNyUsiRdS
eIefN
feGctTs B
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om our newly prescribed medications?‖
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c. ―Do you anticipate any problems with adhering to your treatment plan?‖
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d. ―Are you ready to discuss the results of your laboratory tests?‖
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e. ―Do you have any questions about the lab tests that have been ordered for you?‖
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ANS: B, C, E w l wl wl


The nursing responsibilities in the previsit stage include assessing the patient’s tolerance
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ofprescribed medications, understanding of existing treatment plan, and education about
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required lab testing. The primary care provider is responsible for screening lab data and
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discussing community resources during the actual visit.
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