TEST BANK FOR PRIMARY CARE 6TH EDITION
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BYBUTTARO
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TEST BANK f
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO f f f f f f f f
Chapter 01: Interprofessional Collaborative Practice: Where We Are
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TodayButtaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE f
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designatedas
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a Level 1 ACO. What is part of this designation?
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a. Bonuses based on achievement of benchmarks f f f f f
b. Care coordination for chronic diseases f f f f
c. Standards for minimum cash reserves f f f f
d. Strict requirements for financial reporting f f f f
ANS: A f
A Level 1 ACO has the least amount of financial risk and requirements, but receives
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sharedsavings bonuses based on achievement of benchmarks for quality measures and
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expenditures. Care coordination and minimum cash reserves standards are part of Level 2
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ACO 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
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carepreferences of patients?
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a. Associations with area hospitals f f f
b. Costs of ambulatory care f f f
c. Ease of access to care f f f f
d. The ratio of providers to patients f f f f f
ANS: C NURSINGTB.COM
f
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access
f f f f f f f f f f f f f f
tocare, walk-in settings and the ability to be seen within 30 minutes, and care that is close to
f f f f f f f f f f f f f f f f f f f
home. Associations with hospitals, costs of care, and the ratio of providers to patients
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werenot part of these results.
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MULTIPLE RESPONSE f
1. Which assessments of care providers are performed as part of the value-based
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purchasing(VBP) initiative? (Select all that apply.)
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a. Appraising costs per case of care for Medicare patients f f f f f f f f
b. Assessing patients’ satisfaction with hospital care f f f f f
c. Evaluating available evidence to guide clinical care guidelines f f f f f f f
d. Monitoring mortality rates of all patients with pneumonia f f f f f f f
e. Requiring advanced IT standards and minimum cash reserves f f f f f f f
ANS: A, B, D f f f
Value-based purchasing looks at five domain areas of processes of care, including f f f f f f f f f f f
efficiencyof care (cost per case), experience of care (patient satisfaction measures), and
f f f f f f f f f f f f f
outcomes of care (mortality rates for certain conditions). Evaluation of evidence to guide
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clinical care is part of evidence-based practice. The requirements for IT standards and
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financial status are part of Accountable Care Organization standards.
f f f f f f f f f
NURSINGTB.COM
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
f f f f f f f f
Chapter 02: Translating Research into Clinical Practice
f f f f f f
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
f f f f f f f f
MULTIPLE CHOICE f
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 f
Level II research is concerned with describing the relationships among characteristics or
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variables. Level I research is conducted to define the characteristics of groups of
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patients.Level II research evaluates the nature of the relationships between variables.
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Level IV research is conducted to demonstrate the effectiveness of interventions or
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treatments.
f
2. Which is the most appropriate research design for a Level III research study?
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a. Epidemiological studies f
b. Experimental design f
c. Qualitative studies f
d. Randomized clinical trials f f
ANS: B f
The experimental design is the most appropriate design for a Level III study.
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Epidemiological studies are aNpU
f prR
opSrI
iaN
teGfT
orBL.eC
veOlM
II studies. Qualitative designs are useful f f f f f f f f f
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 f f f f f f f f f
b. Determination of the basis of disease and various treatment options f f f f f f f f f
c. Examination of safety and effectiveness of various interventions f f f f f f f
d. Exploration of fundamental mechanisms of biology, disease, or behavior f f f f f f f f
ANS: C f
Clinical research trials are concerned with determining the safety and effectiveness of
f f f f f f f f f f f
interventions. Adoption of interventions and practices is part of clinical implementation.
f f f f f f f f f f f
Determination of the basis of disease and treatment options is part of the preclinical
f f f f f f f f f f f f f f
researchphase. Exploration of the fundamental mechanisms of biology, disease, or behavior
f f f f f f f f f f f f
is part of the basic research stage.
f f f f f f f
NURSINGTB.COM
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
f f f f f f f f
Chapter 03: Empowering Patients as Collaborative partners: A New Model
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forPrimary Care
f f f
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
f f f f f f f
MULTIPLE CHOICE f
1. Which statement made by a health care provider demonstrates the most
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appropriateunderstanding 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 f
The goal of the performance report is to provide guidance to staff in the areas of professional
f f f f f f f f f f f f f f f f
development, mentoring, and leadership development. A peer review is writtenby others who
f f f f f f f f f f f f f
perform similar skills (peers). The remaining options may be true but do not provide
f f f f f f f f f f f f f f
evidence of understanding of the goal of this professional requirement.
f f f f f f f f f f
MULTIPLE RESPONSE f
1. Which assessment question would a health care provider ask when engaging in the
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previsitstage 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 anNyUsid
RSeIefN
feGctTsB
f fr.COyM
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 f f f
The nursing responsibilities in the previsit stage include assessing the patient’s tolerance
f f f f f f f f f f f
ofprescribed medications, understanding of existing treatment plan, and education about
f f f f f f f f f f f
required lab testing. The primary care provider is responsible for screening lab data and
f f f f f f f f f f f f f f
discussing community resources during the actual visit.
f f f f f f f
NURSINGTB.COM
f f f f f f
BYBUTTARO
f f
TEST BANK f
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO f f f f f f f f
Chapter 01: Interprofessional Collaborative Practice: Where We Are
f f f f f f f
TodayButtaro: Primary Care: A Collaborative Practice, 6th Edition
f f f f f f f f f
MULTIPLE CHOICE f
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designatedas
f f f f f f f f f f f f f f f
a Level 1 ACO. What is part of this designation?
f f f f f f f f f f
a. Bonuses based on achievement of benchmarks f f f f f
b. Care coordination for chronic diseases f f f f
c. Standards for minimum cash reserves f f f f
d. Strict requirements for financial reporting f f f f
ANS: A f
A Level 1 ACO has the least amount of financial risk and requirements, but receives
f f f f f f f f f f f f f f
sharedsavings bonuses based on achievement of benchmarks for quality measures and
f f f f f f f f f f f f
expenditures. Care coordination and minimum cash reserves standards are part of Level 2
f f f f f f f f f f f f f
ACO requirements. Level 3 ACOs have strict requirements for financial reporting.
f f f f f f f f f f f
2. What was an important finding of the Advisory Board survey of 2014 about primary
f f f f f f f f f f f f f
carepreferences of patients?
f f f f
a. Associations with area hospitals f f f
b. Costs of ambulatory care f f f
c. Ease of access to care f f f f
d. The ratio of providers to patients f f f f f
ANS: C NURSINGTB.COM
f
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access
f f f f f f f f f f f f f f
tocare, walk-in settings and the ability to be seen within 30 minutes, and care that is close to
f f f f f f f f f f f f f f f f f f f
home. Associations with hospitals, costs of care, and the ratio of providers to patients
f f f f f f f f f f f f f f
werenot part of these results.
f f f f f f
MULTIPLE RESPONSE f
1. Which assessments of care providers are performed as part of the value-based
f f f f f f f f f f f
purchasing(VBP) initiative? (Select all that apply.)
f f f f f f f
a. Appraising costs per case of care for Medicare patients f f f f f f f f
b. Assessing patients’ satisfaction with hospital care f f f f f
c. Evaluating available evidence to guide clinical care guidelines f f f f f f f
d. Monitoring mortality rates of all patients with pneumonia f f f f f f f
e. Requiring advanced IT standards and minimum cash reserves f f f f f f f
ANS: A, B, D f f f
Value-based purchasing looks at five domain areas of processes of care, including f f f f f f f f f f f
efficiencyof care (cost per case), experience of care (patient satisfaction measures), and
f f f f f f f f f f f f f
outcomes of care (mortality rates for certain conditions). Evaluation of evidence to guide
f f f f f f f f f f f f f
clinical care is part of evidence-based practice. The requirements for IT standards and
f f f f f f f f f f f f f
financial status are part of Accountable Care Organization standards.
f f f f f f f f f
NURSINGTB.COM
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
f f f f f f f f
Chapter 02: Translating Research into Clinical Practice
f f f f f f
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
f f f f f f f f
MULTIPLE CHOICE f
1. What is the purpose of Level II research?
f f f f f f f
a. To define characteristics of interest of groups of patients
f f f f f f f f
b. To demonstrate the effectiveness of an intervention or treatment
f f f f f f f f
c. To describe relationships among characteristics or variables
f f f f f f
d. To evaluate the nature of relationships between two variables
f f f f f f f f
ANS: C f
Level II research is concerned with describing the relationships among characteristics or
f f f f f f f f f f f
variables. Level I research is conducted to define the characteristics of groups of
f f f f f f f f f f f f f
patients.Level II research evaluates the nature of the relationships between variables.
f f f f f f f f f f f f
Level IV research is conducted to demonstrate the effectiveness of interventions or
f f f f f f f f f f f f
treatments.
f
2. Which is the most appropriate research design for a Level III research study?
f f f f f f f f f f f f
a. Epidemiological studies f
b. Experimental design f
c. Qualitative studies f
d. Randomized clinical trials f f
ANS: B f
The experimental design is the most appropriate design for a Level III study.
f f f f f f f f f f f f
Epidemiological studies are aNpU
f prR
opSrI
iaN
teGfT
orBL.eC
veOlM
II studies. Qualitative designs are useful f f f f f f f f f
for Level I studies. Randomized clinical trials are used for Level IV studies.
f f f f f f f f f f f f
3. What is the purpose of clinical research trials in the spectrum of translational research?
f f f f f f f f f f f f f
a. Adoption of interventions and clinical practices into routine clinical care f f f f f f f f f
b. Determination of the basis of disease and various treatment options f f f f f f f f f
c. Examination of safety and effectiveness of various interventions f f f f f f f
d. Exploration of fundamental mechanisms of biology, disease, or behavior f f f f f f f f
ANS: C f
Clinical research trials are concerned with determining the safety and effectiveness of
f f f f f f f f f f f
interventions. Adoption of interventions and practices is part of clinical implementation.
f f f f f f f f f f f
Determination of the basis of disease and treatment options is part of the preclinical
f f f f f f f f f f f f f f
researchphase. Exploration of the fundamental mechanisms of biology, disease, or behavior
f f f f f f f f f f f f
is part of the basic research stage.
f f f f f f f
NURSINGTB.COM
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
f f f f f f f f
Chapter 03: Empowering Patients as Collaborative partners: A New Model
f f f f f f f f f
forPrimary Care
f f f
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
f f f f f f f
MULTIPLE CHOICE f
1. Which statement made by a health care provider demonstrates the most
f f f f f f f f f f
appropriateunderstanding for the goal of a performance report?
f f f f f f f f f
a. “This process allows me to critique the performance of the rest of the staff.”
f f f f f f f f f f f f f
b. “Most organizations require staff to undergo a performance evaluation yearly.”
f f f f f f f f f
c. “It is hard to be personally criticized but that’s how we learn to change.”
f f f f f f f f f f f f f
d. “The comments should help me improve my management skills.”
f f f f f f f f
ANS: D f
The goal of the performance report is to provide guidance to staff in the areas of professional
f f f f f f f f f f f f f f f f
development, mentoring, and leadership development. A peer review is writtenby others who
f f f f f f f f f f f f f
perform similar skills (peers). The remaining options may be true but do not provide
f f f f f f f f f f f f f f
evidence of understanding of the goal of this professional requirement.
f f f f f f f f f f
MULTIPLE RESPONSE f
1. Which assessment question would a health care provider ask when engaging in the
f f f f f f f f f f f f
previsitstage of the new model for primary care? (Select all that apply.)
f f f f f f f f f f f f f
a. “Are you ready to discuss some of the community resources that are available?”
f f f f f f f f f f f f
b. “Are you experiencing anNyUsid
RSeIefN
feGctTsB
f fr.COyM
om our newly prescribed medications?”
f f f f f f f
c. “Do you anticipate any problems with adhering to your treatment plan?”
f f f f f f f f f f
d. “Are you ready to discuss the results of your laboratory tests?”
f f f f f f f f f f
e. “Do you have any questions about the lab tests that have been ordered for you?”
f f f f f f f f f f f f f f
ANS: B, C, E f f f
The nursing responsibilities in the previsit stage include assessing the patient’s tolerance
f f f f f f f f f f f
ofprescribed medications, understanding of existing treatment plan, and education about
f f f f f f f f f f f
required lab testing. The primary care provider is responsible for screening lab data and
f f f f f f f f f f f f f f
discussing community resources during the actual visit.
f f f f f f f
NURSINGTB.COM
