TEST BANK FOR Primary Care: Interprofessional Collaborative Practice 6th Edition by Terry Mahan Buttaro ISBN: 978-0323570152 COMPLETE GUIDE ALL CHAPTERS COVERED 100% VERIFIED A+ GRADE ASSURED!!!!NEW LATEST UPDATE!!!!!

,MULTIPLE CHOICE ap




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



b. Care coordination for chronic diseases ap ap ap ap



c. Standards for minimum cash reserves ap ap ap ap



d. Strict requirements for financial reporting ap ap ap ap




ANS: A a p



A Level 1 ACO has the least amount of financial risk and requirements, but receives shareds
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avings bonuses based on achievement of benchmarks for quality measures and expenditure
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s. Care coordination and minimum cash reserves standards are part of Level 2 ACO require
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ments. 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 care
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preferences of patients? ap ap



a. Associations with area hospitals ap ap ap



b. Costs of ambulatory care ap ap ap



c. Ease of access to care ap ap ap ap



d. The ratio of providers to patients ap ap ap ap ap ap




ANS: C a p




As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to
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care, walk- ap



in settings and the ability to be seen within 30 minutes, and care that is close to home. Asso
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ciations with hospitals, costs of care, and the ratio of providers to patients werenot part of t
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hese results. ap




MULTIPLE RESPONSE ap




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 ap ap ap ap ap ap ap ap



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



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



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



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




ANS: A, B, D a p ap ap



Value-
based purchasing looks at five domain areas of processes of care, including efficiencyof care
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(cost per case), experience of care (patient satisfaction measures), and outcomes of care (mo
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rtality rates for certain conditions). Evaluation of evidence to guide clinical care is part of ev
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idence-
based practice. The requirements for IT standards and financial status are part of Accountabl
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e Care Organization standards.
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, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO


Chapter 02: Translating Research into Clinical Practice
Buttaro: Primary Care: A Collaborative Practice, 6th Edition

MULTIPLE CHOICE ap




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 a p



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 patients.
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Level II research evaluates the nature of the relationships between variables. Level IV res
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earch is conducted to demonstrate the effectiveness of interventions or treatments.
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2. Which is the most appropriate research design for a Level III research study?
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a. Epidemiological studies ap



b. Experimental design ap



c. Qualitative studies ap



d. Randomized clinical trials ap ap




ANS: B a p



The experimental design is the most appropriate design for a Level III study. Epidemiologi
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cal studies are aNpU
ap prR
oS
prI
iaN
teGfT
orBL.eC
veOlM
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 ap ap ap ap ap ap ap ap ap



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



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




ANS: C a p



Clinical research trials are concerned with determining the safety and effectiveness of interv
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entions. Adoption of interventions and practices is part of clinical implementation. Determin
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ation of the basis of disease and treatment options is part of the preclinical researchphase. Ex
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ploration of the fundamental mechanisms of biology, disease, or behavior is part of the basic
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research stage.
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, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO


Chapter 03: Empowering Patients as Collaborative partners: A New Model for
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Primary Careap



Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE ap




1. Which statement made by a health care provider demonstrates the most appropriate
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understanding for the goal of a performance report? ap ap ap ap ap ap ap



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 a p



The goal of the performance report is to provide guidance to staff in the areas of professiona
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l development, mentoring, and leadership development. A peer review is writtenby others w
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ho perform similar skills (peers). The remaining options may be true but do not provide evi
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dence of understanding of the goal of this professional requirement.
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MULTIPLE RESPONSE ap




1. Which assessment question would a health care provider ask when engaging in the previsit
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stage 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
eI
efN
feGctTs B
fr.COyM
om
ap 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 a p ap ap



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