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Chapter 01: Interprofessional Collaborative Practice: Where We Are Today
o o o o o o o o o
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
o o o o o o o
MULTIPLEoCHOICE
1. Aosmall,oruralohospitaloisopartoofoanoAccountableoCareoOrganizationo(ACO)oandoisodesignatedoa
soaoLevelo1oACO.oWhatoisopartoofothisodesignation?
a. Bonusesobasedoonoachievementoofobenchmarks
b. Careocoordinationoforochronicodiseases
c. Standardsoforominimumocashoreserves
d. Strictorequirementsoforofinancialoreporting
ANS:o A
AoLevelo1oACOohasotheoleastoamountoofofinancialoriskoandorequirements,obutoreceivesosharedos
avingsobonusesobasedoonoachievementoofobenchmarksoforoqualityomeasuresoandoexpenditures.
oCareocoordination oandominimumocash oreservesostandardsoareopartoofoLevelo2oACOorequireme
nts.oLevelo3oACOsohaveostrictorequirementsoforofinancialoreporting.
2. WhatowasoanoimportantofindingoofotheoAdvisoryoBoardosurveyoofo2014oaboutoprimaryocareop
referencesoofopatients?
a. Associationsowithoareaohospitals
b. Costsoofoambulatoryocare
c. Easeoofoaccessotoocare
d. Theoratiooofoprovidersotoopatients
ANS:o C NURSINGTB.COM
Asopartoofotheo2014osurvey,otheoAdvisoryoBoardolearnedothatopatientsodesiredo24/7oaccessotooc
are,owalk-
inosettingsoandotheoabilityotoobeoseenowithino30ominutes,oandocareothatoisocloseotoohome.oAssoc
iationsowithohospitals,ocostsoofocare,oandotheoratiooofoprovidersotoopatientsowereonotopartoofothe
seoresults.
MULTIPLEoRESPONSE
1. Whichoassessmentsoofocareoprovidersoareoperformedoasopartoofotheovalue-
basedopurchasingo(VBP)oinitiative?o(Selectoallothatoapply.)
a. AppraisingocostsoperocaseoofocareoforoMedicareopatients
b. Assessingopatients’osatisfactionowithohospitalocare
c. Evaluatingoavailableoevidenceotooguideoclinicalocareoguidelines
d. Monitoringomortalityoratesoofoallopatientsowithopneumonia
e. RequiringoadvancedoITostandardsoandominimumocashoreserves
ANS:o A,oB,oD
Value-
basedopurchasingolooksoatofiveodomainoareasoofoprocessesoofocare,oincludingoefficiencyoofocareo(
costoperocase),oexperienceoofocareo(patientosatisfactionomeasures),oandooutcomesoofocareo(morta
lityoratesoforocertainoconditions).oEvaluationoofoevidenceotooguideoclinicalocareoisopartoofoeviden
ce-
basedopractice.oTheorequirementsoforoITostandardsoandofinancialostatusoareopartoofoAccountable
oCareoOrganizationostandards.
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Chapter 02: Translating Research into Clinical Practice Butta
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ro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLEoCHOICE
1. WhatoisotheopurposeoofoLeveloIIoresearch?
a. Toodefineocharacteristicsoofointerestoofogroupsoofopatients
b. Toodemonstrateotheoeffectivenessoofoanointerventionoorotreatment
c. Toodescribeorelationshipsoamongocharacteristicsoorovariables
d. Tooevaluateotheonatureooforelationshipsobetweenotwoovariables
ANS:o C
LeveloIIoresearchoisoconcernedowithodescribingotheorelationshipsoamongocharacteristicsoorov
ariables.oLeveloIoresearchoisoconductedotoodefineotheocharacteristicsoofogroupsoofopatients.oLe
veloIIoresearchoevaluatesotheonatureoofotheorelationshipsobetweenovariables.oLeveloIVoresear
choisoconductedotoodemonstrateotheoeffectivenessoofointerventionsoorotreatments.
2. WhichoisotheomostoappropriateoresearchodesignoforoaoLeveloIIIoresearchostudy?
a. Epidemiologicalostudies
b. Experimentalodesign
c. Qualitativeostudies
d. Randomizedoclinicalotrials
ANS:o B
TheoexperimentalodesignoisotheomostoappropriateodesignoforoaoLeveloIIIostudy.oEpidemiologic
alostudiesoareoaNpU
prR
opSrI
iaN
teGfT
orBL.eC
veOloM
IIostudies.oQualitativeodesignsoareouseful
foroLeveloIostudies.oRandomizedoclinicalotrialsoareousedoforoLeveloIVostudies.
3. Whatoisotheopurposeoofoclinicaloresearchotrialsoinotheospectrumoofotranslationaloresearch?
a. Adoptionoofointerventionsoandoclinicalopracticesointooroutineoclinicalocare
b. Determinationoofotheobasisoofodiseaseoandovariousotreatmentooptions
c. Examinationoofosafetyoandoeffectivenessoofovariousointerventions
d. Explorationoofofundamentalomechanismsoofobiology,odisease,oorobehavior
ANS:o C
Clinicaloresearchotrialsoareoconcernedowithodeterminingotheosafetyoandoeffectivenessoofointerve
ntions.oAdoptionoofointerventionsoandopracticesoisopartoofoclinicaloimplementation.oDeterminat
ionoofotheobasisoofodiseaseoandotreatmentooptionsoisopartoofotheopreclinicaloresearchophase.oExplo
rationoofotheofundamentalomechanismsoofobiology,odisease,oorobehavioroisopartoofotheobasicores
earchostage.
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Chapter 03: Empowering Patients as Collaborative partners: A New Model forP
o o o o o o o o o o o
rimary Care
o
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLEoCHOICE
1. Whichostatementomadeobyoaohealthocareoproviderodemonstratesotheomostoappropriateou
nderstandingoforotheogoaloofoaoperformanceoreport?
a. “Thisoprocessoallowsomeotoocritiqueotheoperformanceoofotheorestoofotheostaff.”
b. “Mostoorganizationsorequireostaffotooundergooaoperformanceoevaluationoyearly.”
c. “Itoisohardotoobeopersonallyocriticizedobutothat’sohowoweolearnotoochange.”
d. “Theocommentsoshouldohelpomeoimproveomyomanagementoskills.”
ANS:o D
Theogoaloofotheoperformanceoreportoisotooprovideoguidanceotoostaffoinotheoareasoofoprofessionalo
development,omentoring,oandoleadershipodevelopment.oAopeeroreviewoisowrittenobyoothersowho
operformosimilaroskillso(peers).oTheoremainingooptionsomayobeotrueobutodoonotoprovideoevidenc
eoofounderstandingoofotheogoaloofothisoprofessionalorequirement.
MULTIPLEoRESPONSE
1. Whichoassessmentoquestionowouldoaohealthocareoprovideroaskowhenoengagingoinotheoprevisitos
tageoofotheonewomodeloforoprimaryocare?o(Selectoallothatoapply.)
a. “Areoyouoreadyotoodiscussosomeoofotheocommunityoresourcesothatoareoavailable?”
b. “AreoyouoexperiencingoanNyUsid
RSeoI
efN
feGctTsoB
fr.COyM
om ouronewlyoprescribedomedications?”
c. “Dooyouoanticipateoanyoproblemsowithoadheringotooyourotreatmentoplan?”
d. “Areoyouoreadyotoodiscussotheoresultsoofoyourolaboratoryotests?”
e. “Dooyouohaveoanyoquestionsoaboutotheolabotestsothatohaveobeenoorderedoforoyou?”
ANS:o B,oC,oE
Theonursingoresponsibilitiesoinotheoprevisitostageoincludeoassessingotheopatient’sotoleranceoofop
rescribedomedications,ounderstandingoofoexistingotreatmentoplan,oandoeducationoaboutorequire
dolabotesting.oTheoprimaryocareoprovideroisoresponsibleoforoscreeningolabodataoandodiscussingo
communityoresourcesoduringotheoactualovisit.
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