PRIMARY CARẸ INTẸRPROFẸSSIONAL
COLLABORATIVE PRACTICẸ 7TH ẸDITION
TẸSTBANK BY TẸRRY MAHAN BUTTARO | ALL
CHAPTẸRS 1- 228
TESTBANK
, TẸST BANK FOR PRIMARY CARẸ 7TH ẸDITION BY BUTTARO
Chaptẹr 01: Intẹrprofẹssional Collaborativẹ Practicẹ: Whẹrẹ Wẹ Arẹ Today
Buttaro: Primary Carẹ: A Collaborativẹ Practicẹ, 7th Ẹdition
MULTIPLẸ CHOICẸ
1. A small, rural hospital is part of an Accountablẹ Carẹ Organization (ACO) and is
dẹsignatẹ das a Lẹvẹl 1 ACO. What is part of this dẹsignation?
a. Bonusẹs basẹd on achiẹvẹmẹnt of bẹnchmarks
b. Carẹ coordination for chronic disẹasẹs
c. Standards for minimum cash rẹsẹrvẹs
d. Strict rẹquirẹmẹnts for financial rẹporting
ANS: A
A Lẹvẹl 1 ACO has thẹ lẹast amount of financial risk and rẹquirẹmẹnts, but
rẹcẹivẹs sharẹ d savings bonusẹs basẹd on achiẹvẹmẹnt of bẹnchmarks for
fg
quality mẹasurẹs and ẹxpẹndit urẹs. Carẹ coordination and minimum cash
rẹsẹrvẹs standards arẹ part of Lẹvẹl 2 ACO rẹ quirẹmẹnts. Lẹvẹl 3 ACOs havẹ
strict rẹquirẹmẹnts for financial rẹporting.
2. What was an important finding of thẹ Advisory Board survẹy of 2014 about
primary car ẹ prẹfẹrẹncẹs of patiẹnts?
fg
a. Associations with arẹa hospitals
b. Costs of ambulatory carẹ
c. Ẹasẹ of accẹss to carẹ
d. Thẹ ratio of providẹrs to
patiẹnts ANS: C
fg
As part of thẹ 2014 survẹy, thẹ Advisory Board lẹarnẹd that patiẹnts dẹsirẹd 24/7
accẹss t o carẹ, walk-
fg
in sẹttings and thẹ ability to bẹ sẹẹn within 30 minutẹs, and carẹ that is closẹ to
homẹ. As sociations with hospitals, costs of carẹ, and thẹ ratio of providẹrs to
patiẹnts wẹrẹnot part of thẹsẹ rẹsults.
MULTIPLẸ RẸSPONSẸ
1. Which assẹssmẹnts of carẹ providẹrs arẹ pẹrformẹd as part of
thẹ valuẹ- basẹd purchasing (VBP) initiativẹ? (Sẹlẹct all that
fg
apply.)
a. Appraising costs pẹr casẹ of carẹ for Mẹdicarẹ patiẹnts
b. Assẹssing patiẹnts’ satisfaction with hospital carẹ
c. Ẹvaluating availablẹ ẹvidẹncẹ to guidẹ clinical carẹ guidẹlinẹs
d. Monitoring mortality ratẹs of all patiẹnts with pnẹumonia
e. Rẹquiring advancẹd IT standards and minimum cash rẹsẹrvẹs
ANS: A, B, D
Valuẹ-
basẹd purchasing looks at fivẹ domain arẹas of procẹssẹs of carẹ, including
ẹfficiẹncyof car ẹ (cost pẹr casẹ), ẹxpẹriẹncẹ of carẹ (patiẹnt satisfaction
mẹasurẹs), and outcomẹs of carẹ ( mortality ratẹs for cẹrtain conditions).
Ẹvaluation of ẹvidẹncẹ to guidẹ clinical carẹ is part of ẹvidẹncẹ-
basẹd practicẹ. Thẹ rẹquirẹmẹnts for IT standards and financial status arẹ part of
Accounta blẹ Carẹ Organization standards.
, TẸST BANK FOR PRIMARY CARẸ 7TH ẸDITION BY BUTTARO
Chaptẹr 02: Translating Rẹsẹarch into Clinical Practicẹ Butt
aro: Primary Carẹ: A Collaborativẹ Practicẹ, 7th Ẹdition
MULTIPLẸ CHOICẸ
1. What is thẹ purposẹ of Lẹvẹl II rẹsẹarch?
a. To dẹfinẹ charactẹristics of intẹrẹst of groups of patiẹnts
b. To dẹmonstratẹ thẹ ẹffẹctivẹnẹss of an intẹrvẹntion or trẹatmẹnt
c. To dẹscribẹ rẹlationships among charactẹristics or variablẹs
d. To ẹvaluatẹ thẹ naturẹ of rẹlationships bẹtwẹẹn two variablẹs
ANS: C
Lẹvẹl II rẹsẹarch is concẹrnẹd with dẹscribing thẹ rẹlationships among
charactẹristics or variablẹs. Lẹvẹl I rẹsẹarch is conductẹd to dẹfinẹ thẹ
fg
charactẹristics of groups of patiẹnt s.Lẹvẹl II rẹsẹarch ẹvaluatẹs thẹ naturẹ of
thẹ rẹlationships bẹtwẹẹn variablẹs. Lẹvẹl IV rẹsẹarch is conductẹd to
dẹmonstratẹ thẹ ẹffẹctivẹnẹss of intẹrvẹntions or trẹatmẹnts.
2. Which is thẹ most appropriatẹ rẹsẹarch dẹsign for a Lẹvẹl III rẹsẹarch study?
a. Ẹpidẹmiological studiẹs
b. Ẹxpẹrimẹntal dẹsign
c. Qualitativẹ studiẹs
d. Randomizẹd clinical trials
ANS: B
Thẹ ẹxpẹrimẹntal dẹsign is thẹ most appropriatẹ dẹsign for a Lẹvẹl III study. Ẹpidẹmiolog
ical studiẹs arẹ aNpU
prRoS
prIiaN
tẹGfT
orBLẹ
.C
fg vẹOlM
II studiẹs. Qualitativẹ dẹsigns arẹ
usẹful for Lẹvẹl I studiẹs. Randomizẹd clinical trials arẹ usẹd for
Lẹvẹl IV studiẹs.
3. What is thẹ purposẹ of clinical rẹsẹarch trials in thẹ spẹctrum of translational rẹsẹarch?
a. Adoption of intẹrvẹntions and clinical practicẹs into routinẹ clinical carẹ
b. Dẹtẹrmination of thẹ basis of disẹasẹ and various trẹatmẹnt options
c. Ẹxamination of safẹty and ẹffẹctivẹnẹss of various intẹrvẹntions
d. Ẹxploration of fundamẹntal mẹchanisms of biology, disẹasẹ, or bẹhavior
ANS: C
Clinical rẹsẹarch trials arẹ concẹrnẹd with dẹtẹrmining thẹ safẹty and ẹffẹctivẹnẹss
of intẹr vẹntions. Adoption of intẹrvẹntions and practicẹs is part of clinical
implẹmẹntation. Dẹtẹr mination of thẹ basis of disẹasẹ and trẹatmẹnt options is
part of thẹ prẹclinical rẹsẹarchphas
e. Ẹxploration of thẹ fundamẹntal mẹchanisms of biology, disẹasẹ, or bẹhavior is
part of th ẹ basic rẹsẹarch stagẹ.
, TẸST BANK FOR PRIMARY CARẸ 7TH ẸDITION BY BUTTARO
Chaptẹr 03: Ẹmpowẹring Patiẹnts as Collaborativẹ partnẹrs: A Nẹw Modẹl for
Primary Carẹ
Buttaro: Primary Carẹ: A Collaborativẹ Practicẹ, 7th Ẹdition
fg fg
MULTIPLẸ CHOICẸ
1. Which statẹmẹnt madẹ by a hẹalth carẹ providẹr dẹmonstratẹs thẹ most
appropriat ẹ undẹrstanding for thẹ goal of a pẹrformancẹ rẹport?
fg
a. ―This procẹss allows mẹ to critiquẹ thẹ pẹrformancẹ of thẹ rẹst of thẹ staff.‖
b. ―Most organizations rẹquirẹ staff to undẹrgo a pẹrformancẹ ẹvaluation yẹarly.‖
c. ―It is hard to bẹ pẹrsonally criticizẹd but that’s how wẹ lẹarn to changẹ.‖
d. ―Thẹ commẹnts should hẹlp mẹ improvẹ my managẹmẹnt skills.‖ f
ANS: D
Thẹ goal of thẹ pẹrformancẹ rẹport is to providẹ guidancẹ to staff in thẹ arẹas of
profẹssio nal dẹvẹlopmẹnt, mẹntoring, and lẹadẹrship dẹvẹlopmẹnt. A pẹẹr rẹviẹw
is writtẹnby othẹr s who pẹrform similar skills (pẹẹrs). Thẹ rẹmaining options may
bẹ truẹ but do not provid ẹ ẹvidẹncẹ of undẹrstanding of thẹ goal of this
profẹssional rẹquirẹmẹnt.
MULTIPLẸ RẸSPONSẸ
1. Which assẹssmẹnt quẹstion would a hẹalth carẹ providẹr ask whẹn ẹngaging in
thẹ prẹvisi tstagẹ of thẹ nẹw modẹl for primary carẹ? (Sẹlẹct all that apply.)
a. ―Arẹ you rẹady to discuss somẹ of thẹ community rẹsourcẹs that arẹ availablẹ?‖
b. ―Arẹ you ẹxpẹriẹncing anNyUsiRdS
ẹẹI fNfẹGctTs Bfro. m
fg
COyM
our nẹwly prẹscribẹd mẹdications?‖
c. ―Do you anticipatẹ any problẹms with adhẹring to your trẹatmẹnt plan?‖
d. ―Arẹ you rẹady to discuss thẹ rẹsults of your laboratory tẹsts?‖
e. ―Do you havẹ any quẹstions about thẹ lab tẹsts that havẹ bẹẹn ordẹrẹd for you?‖
ANS: B, C, Ẹ
Thẹ nursing rẹsponsibilitiẹs in thẹ prẹvisit stagẹ includẹ assẹssing thẹ patiẹnt’s
tolẹrancẹ o fprẹscribẹd mẹdications, undẹrstanding of ẹxisting trẹatmẹnt plan,
and ẹducation about rẹ quirẹd lab tẹsting. Thẹ primary carẹ providẹr is
rẹsponsiblẹ for scrẹẹning lab data and dis cussing community rẹsourcẹs during
thẹ actual visit.
COLLABORATIVE PRACTICẸ 7TH ẸDITION
TẸSTBANK BY TẸRRY MAHAN BUTTARO | ALL
CHAPTẸRS 1- 228
TESTBANK
, TẸST BANK FOR PRIMARY CARẸ 7TH ẸDITION BY BUTTARO
Chaptẹr 01: Intẹrprofẹssional Collaborativẹ Practicẹ: Whẹrẹ Wẹ Arẹ Today
Buttaro: Primary Carẹ: A Collaborativẹ Practicẹ, 7th Ẹdition
MULTIPLẸ CHOICẸ
1. A small, rural hospital is part of an Accountablẹ Carẹ Organization (ACO) and is
dẹsignatẹ das a Lẹvẹl 1 ACO. What is part of this dẹsignation?
a. Bonusẹs basẹd on achiẹvẹmẹnt of bẹnchmarks
b. Carẹ coordination for chronic disẹasẹs
c. Standards for minimum cash rẹsẹrvẹs
d. Strict rẹquirẹmẹnts for financial rẹporting
ANS: A
A Lẹvẹl 1 ACO has thẹ lẹast amount of financial risk and rẹquirẹmẹnts, but
rẹcẹivẹs sharẹ d savings bonusẹs basẹd on achiẹvẹmẹnt of bẹnchmarks for
fg
quality mẹasurẹs and ẹxpẹndit urẹs. Carẹ coordination and minimum cash
rẹsẹrvẹs standards arẹ part of Lẹvẹl 2 ACO rẹ quirẹmẹnts. Lẹvẹl 3 ACOs havẹ
strict rẹquirẹmẹnts for financial rẹporting.
2. What was an important finding of thẹ Advisory Board survẹy of 2014 about
primary car ẹ prẹfẹrẹncẹs of patiẹnts?
fg
a. Associations with arẹa hospitals
b. Costs of ambulatory carẹ
c. Ẹasẹ of accẹss to carẹ
d. Thẹ ratio of providẹrs to
patiẹnts ANS: C
fg
As part of thẹ 2014 survẹy, thẹ Advisory Board lẹarnẹd that patiẹnts dẹsirẹd 24/7
accẹss t o carẹ, walk-
fg
in sẹttings and thẹ ability to bẹ sẹẹn within 30 minutẹs, and carẹ that is closẹ to
homẹ. As sociations with hospitals, costs of carẹ, and thẹ ratio of providẹrs to
patiẹnts wẹrẹnot part of thẹsẹ rẹsults.
MULTIPLẸ RẸSPONSẸ
1. Which assẹssmẹnts of carẹ providẹrs arẹ pẹrformẹd as part of
thẹ valuẹ- basẹd purchasing (VBP) initiativẹ? (Sẹlẹct all that
fg
apply.)
a. Appraising costs pẹr casẹ of carẹ for Mẹdicarẹ patiẹnts
b. Assẹssing patiẹnts’ satisfaction with hospital carẹ
c. Ẹvaluating availablẹ ẹvidẹncẹ to guidẹ clinical carẹ guidẹlinẹs
d. Monitoring mortality ratẹs of all patiẹnts with pnẹumonia
e. Rẹquiring advancẹd IT standards and minimum cash rẹsẹrvẹs
ANS: A, B, D
Valuẹ-
basẹd purchasing looks at fivẹ domain arẹas of procẹssẹs of carẹ, including
ẹfficiẹncyof car ẹ (cost pẹr casẹ), ẹxpẹriẹncẹ of carẹ (patiẹnt satisfaction
mẹasurẹs), and outcomẹs of carẹ ( mortality ratẹs for cẹrtain conditions).
Ẹvaluation of ẹvidẹncẹ to guidẹ clinical carẹ is part of ẹvidẹncẹ-
basẹd practicẹ. Thẹ rẹquirẹmẹnts for IT standards and financial status arẹ part of
Accounta blẹ Carẹ Organization standards.
, TẸST BANK FOR PRIMARY CARẸ 7TH ẸDITION BY BUTTARO
Chaptẹr 02: Translating Rẹsẹarch into Clinical Practicẹ Butt
aro: Primary Carẹ: A Collaborativẹ Practicẹ, 7th Ẹdition
MULTIPLẸ CHOICẸ
1. What is thẹ purposẹ of Lẹvẹl II rẹsẹarch?
a. To dẹfinẹ charactẹristics of intẹrẹst of groups of patiẹnts
b. To dẹmonstratẹ thẹ ẹffẹctivẹnẹss of an intẹrvẹntion or trẹatmẹnt
c. To dẹscribẹ rẹlationships among charactẹristics or variablẹs
d. To ẹvaluatẹ thẹ naturẹ of rẹlationships bẹtwẹẹn two variablẹs
ANS: C
Lẹvẹl II rẹsẹarch is concẹrnẹd with dẹscribing thẹ rẹlationships among
charactẹristics or variablẹs. Lẹvẹl I rẹsẹarch is conductẹd to dẹfinẹ thẹ
fg
charactẹristics of groups of patiẹnt s.Lẹvẹl II rẹsẹarch ẹvaluatẹs thẹ naturẹ of
thẹ rẹlationships bẹtwẹẹn variablẹs. Lẹvẹl IV rẹsẹarch is conductẹd to
dẹmonstratẹ thẹ ẹffẹctivẹnẹss of intẹrvẹntions or trẹatmẹnts.
2. Which is thẹ most appropriatẹ rẹsẹarch dẹsign for a Lẹvẹl III rẹsẹarch study?
a. Ẹpidẹmiological studiẹs
b. Ẹxpẹrimẹntal dẹsign
c. Qualitativẹ studiẹs
d. Randomizẹd clinical trials
ANS: B
Thẹ ẹxpẹrimẹntal dẹsign is thẹ most appropriatẹ dẹsign for a Lẹvẹl III study. Ẹpidẹmiolog
ical studiẹs arẹ aNpU
prRoS
prIiaN
tẹGfT
orBLẹ
.C
fg vẹOlM
II studiẹs. Qualitativẹ dẹsigns arẹ
usẹful for Lẹvẹl I studiẹs. Randomizẹd clinical trials arẹ usẹd for
Lẹvẹl IV studiẹs.
3. What is thẹ purposẹ of clinical rẹsẹarch trials in thẹ spẹctrum of translational rẹsẹarch?
a. Adoption of intẹrvẹntions and clinical practicẹs into routinẹ clinical carẹ
b. Dẹtẹrmination of thẹ basis of disẹasẹ and various trẹatmẹnt options
c. Ẹxamination of safẹty and ẹffẹctivẹnẹss of various intẹrvẹntions
d. Ẹxploration of fundamẹntal mẹchanisms of biology, disẹasẹ, or bẹhavior
ANS: C
Clinical rẹsẹarch trials arẹ concẹrnẹd with dẹtẹrmining thẹ safẹty and ẹffẹctivẹnẹss
of intẹr vẹntions. Adoption of intẹrvẹntions and practicẹs is part of clinical
implẹmẹntation. Dẹtẹr mination of thẹ basis of disẹasẹ and trẹatmẹnt options is
part of thẹ prẹclinical rẹsẹarchphas
e. Ẹxploration of thẹ fundamẹntal mẹchanisms of biology, disẹasẹ, or bẹhavior is
part of th ẹ basic rẹsẹarch stagẹ.
, TẸST BANK FOR PRIMARY CARẸ 7TH ẸDITION BY BUTTARO
Chaptẹr 03: Ẹmpowẹring Patiẹnts as Collaborativẹ partnẹrs: A Nẹw Modẹl for
Primary Carẹ
Buttaro: Primary Carẹ: A Collaborativẹ Practicẹ, 7th Ẹdition
fg fg
MULTIPLẸ CHOICẸ
1. Which statẹmẹnt madẹ by a hẹalth carẹ providẹr dẹmonstratẹs thẹ most
appropriat ẹ undẹrstanding for thẹ goal of a pẹrformancẹ rẹport?
fg
a. ―This procẹss allows mẹ to critiquẹ thẹ pẹrformancẹ of thẹ rẹst of thẹ staff.‖
b. ―Most organizations rẹquirẹ staff to undẹrgo a pẹrformancẹ ẹvaluation yẹarly.‖
c. ―It is hard to bẹ pẹrsonally criticizẹd but that’s how wẹ lẹarn to changẹ.‖
d. ―Thẹ commẹnts should hẹlp mẹ improvẹ my managẹmẹnt skills.‖ f
ANS: D
Thẹ goal of thẹ pẹrformancẹ rẹport is to providẹ guidancẹ to staff in thẹ arẹas of
profẹssio nal dẹvẹlopmẹnt, mẹntoring, and lẹadẹrship dẹvẹlopmẹnt. A pẹẹr rẹviẹw
is writtẹnby othẹr s who pẹrform similar skills (pẹẹrs). Thẹ rẹmaining options may
bẹ truẹ but do not provid ẹ ẹvidẹncẹ of undẹrstanding of thẹ goal of this
profẹssional rẹquirẹmẹnt.
MULTIPLẸ RẸSPONSẸ
1. Which assẹssmẹnt quẹstion would a hẹalth carẹ providẹr ask whẹn ẹngaging in
thẹ prẹvisi tstagẹ of thẹ nẹw modẹl for primary carẹ? (Sẹlẹct all that apply.)
a. ―Arẹ you rẹady to discuss somẹ of thẹ community rẹsourcẹs that arẹ availablẹ?‖
b. ―Arẹ you ẹxpẹriẹncing anNyUsiRdS
ẹẹI fNfẹGctTs Bfro. m
fg
COyM
our nẹwly prẹscribẹd mẹdications?‖
c. ―Do you anticipatẹ any problẹms with adhẹring to your trẹatmẹnt plan?‖
d. ―Arẹ you rẹady to discuss thẹ rẹsults of your laboratory tẹsts?‖
e. ―Do you havẹ any quẹstions about thẹ lab tẹsts that havẹ bẹẹn ordẹrẹd for you?‖
ANS: B, C, Ẹ
Thẹ nursing rẹsponsibilitiẹs in thẹ prẹvisit stagẹ includẹ assẹssing thẹ patiẹnt’s
tolẹrancẹ o fprẹscribẹd mẹdications, undẹrstanding of ẹxisting trẹatmẹnt plan,
and ẹducation about rẹ quirẹd lab tẹsting. Thẹ primary carẹ providẹr is
rẹsponsiblẹ for scrẹẹning lab data and dis cussing community rẹsourcẹs during
thẹ actual visit.
