PRIMARYCAREINTERPROFESSIONAL COLLA
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n0 BORATIVEPRECTICE7THEDITIONTESTBANK
BY TERRY MAHAN BUTTARO |ALL CHAPTERS 1-
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228 n0
TESTBANK
, TEST BANK FOR PRIMARY CARE 7TH EDITION BY BUTTARO
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Chapter 01: Interprofessional Collaborative Practice: Where We Are
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Today Buttaro: Primary Care: A Collaborative Practice, 7th Edition
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MULTIPLE CHOICE n0
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is
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designate das a Level 1 ACO. What is part of this designation?
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
a. Bonuses based on achievement of benchmarks n0 n0 n0 n0 n0
b. Care coordination for chronic diseases n0 n0 n0 n0
c. Standards for minimum cash reserves n0 n0 n0 n0
d. Strict requirements for financial reporting n0 n0 n0 n0
ANS: A n0 n0
A Level 1 ACO has the least amount of financial risk and requirements, but receives
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
share d savings bonuses based on achievement of benchmarks for quality measures
n0 n0 fg n0 n0 n0 n0 n0 n0 n0 n0 n0
and expendit ures. Care coordination and minimum cash reserves standards are part
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
of Level 2 ACO re quirements. Level 3 ACOs have strict requirements for financial
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
reporting.
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2. What was an important finding of the Advisory Board survey of 2014 about
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primary car e preferences of patients?
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a. Associations with area hospitals n0 n0 n0
b. Costs of ambulatory care n0 n0 n0
c. Ease of access to care n0 n0 n0 n0
d. The ratio of providers to n0 n0 n0 n0
patients
n0 fg n 0 ANS: n 0 C
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
access t o care, walk-
n0 n0 n0 fg n0
in settings and the ability to be seen within 30 minutes, and care that is close to
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
home. As sociations with hospitals, costs of care, and the ratio of providers to
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
patients werenot part of these results.
n0 n0 n0 n0 n0 n0
MULTIPLE RESPONSE n0
1. Which assessments of care providers are performed as part of the
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value- based purchasing (VBP) initiative? (Select all that apply.)
n0 n0 n0 fg n0 n0 n0 n0 n0
a. Appraising costs per case of care for Medicare patients n0 n0 n0 n0 n0 n0 n0 n0
b. Assessing patients’ satisfaction with hospital care n0 n0 n0 n0 n0
c. Evaluating available evidence to guide clinical care guidelines n0 n0 n0 n0 n0 n0 n0
d. Monitoring mortality rates of all patients with pneumonia n0 n0 n0 n0 n0 n0 n0
e. Requiring advanced IT standards and minimum cash reserves n0 n0 n0 n0 n0 n0 n0
ANS: A, B, D n0 n0 n0 n0
Value-
based purchasing looks at five domain areas of processes of care, including
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
efficiencyof car e (cost per case), experience of care (patient satisfaction measures),
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
and outcomes of care ( mortality rates for certain conditions). Evaluation of evidence
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
to guide clinical care is part of evidence-
n0 n0 n0 n0 n0 n0 n0 n0
based practice. The requirements for IT standards and financial status are part of
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
Accounta ble Care Organization standards.
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, TEST BANK FOR PRIMARY CARE 7TH EDITION BY BUTTARO
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Chapter 02: Translating Research into Clinical Practice
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Butt aro: Primary Care: A Collaborative Practice, 7th
n0 n0 n0 n0 n0 n0 n0 n0
Edition
n0
MULTIPLE CHOICE n0
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
n0 n0 n0 n0 n0 n0 n0 n0
ANS: C n0 n0
Level II research is concerned with describing the relationships among
n0 n0 n0 n0 n0 n0 n0 n0 n0
characteristics or variables. Level I research is conducted to define the
n0 n0 n0 n0 n0 fg n0 n0 n0 n0 n0
characteristics of groups of patient s.Level II research evaluates the nature of the
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
relationships between variables. Level IV research is conducted to demonstrate the
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
effectiveness of interventions or treatments.
n0 n0 n0 n0 n0
2. Which is the most appropriate research design for a Level III research study?
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a. Epidemiological studies n0
b. Experimental design n0
c. Qualitative studies n0
d. Randomized clinical trials n0 n0
ANS: B n0 n0
The experimental design is the most appropriate design for a Level III study. Epidemiolog
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
ical studies are aNpU
n0 p rRoS
prI
iaN
teGfT
orBL.eC
veOlM
II studies. Qualitative designs are useful
n0 n0 fg n0 n0 n0 n0 n0
for Level I studies. Randomized clinical trials are used for Level IV
n 0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
studies.
n0
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
n0 n0 n0 n0 n0 n0 n0 n0 n0
b. Determination of the basis of disease and various treatment options n0 n0 n0 n0 n0 n0 n0 n0 n0
c. Examination of safety and effectiveness of various interventions n0 n0 n0 n0 n0 n0 n0
d. Exploration of fundamental mechanisms of biology, disease, or behavior
n0 n0 n0 n0 n0 n0 n0 n0
ANS: C n0 n0
Clinical research trials are concerned with determining the safety and effectiveness of
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
inter ventions. Adoption of interventions and practices is part of clinical
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
implementation. Deter mination of the basis of disease and treatment options is part of
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
the preclinical researchphas
n0 n0 n0
e. Exploration of the fundamental mechanisms of biology, disease, or behavior is part
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
of th e basic research stage.
n0 n0 n0 n0 n0 n0
, TEST BANK FOR PRIMARY CARE 7TH EDITION BY BUTTARO
n0 n0 n0 n0 n0 n0 n0 n0
Chapter 03: Empowering Patients as Collaborative partners: A New Model for
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Primary Care
n0 n0
Buttaro: Primary Care: A Collaborative Practice, 7th Edition
n0 n0 n0 n0 n0 fg fg
MULTIPLE CHOICE n0
1. Which statement made by a health care provider demonstrates the most
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
appropriat e understanding 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.‖
n0 n0 n0 n0 n0 n0 n0 n0 n0
c. ―It is hard to be personally criticized but that’s how we learn to change.‖
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
d. ―The comments should help me improve my management skills.‖
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ANS: D n0 n0
The goal of the performance report is to provide guidance to staff in the areas of
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
professio nal development, mentoring, and leadership development. A peer review is
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
writtenby other s who perform similar skills (peers). The remaining options may be
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
true but do not provid e evidence of understanding of the goal of this professional
n0 n0 n0 n0 n0 n 0 n0 n0 n0 n0 n0 n0 n0 n0 n0
requirement.
n0
MULTIPLE RESPONSE n0
1. Which assessment question would a health care provider ask when engaging in the
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previsi tstage of the new model for primary care? (Select all that apply.)
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
a. ―Are you ready to discuss some of the community resources that are available?‖
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
b. ―Are you experiencing anNyUsiRdS eI
efNfeGctTs B
n 0 fr.
om our newly prescribed medications?‖
COyM n 0 n 0 fg n 0 n 0 n 0
c. ―Do you anticipate any problems with adhering to your treatment plan?‖
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
d. ―Are you ready to discuss the results of your laboratory tests?‖
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
e. ―Do you have any questions about the lab tests that have been ordered for you?‖
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
ANS: B, C, E n0 n0 n0 n0
The nursing responsibilities in the previsit stage include assessing the patient’s
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
tolerance o fprescribed medications, understanding of existing treatment plan, and
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
education about re quired lab testing. The primary care provider is responsible for
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
screening lab data and dis cussing community resources during the actual visit.
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
n0 n0 n0
n0 BORATIVEPRECTICE7THEDITIONTESTBANK
BY TERRY MAHAN BUTTARO |ALL CHAPTERS 1-
n0 n0 n0 n0 n0 n0 n0 n0
228 n0
TESTBANK
, TEST BANK FOR PRIMARY CARE 7TH EDITION BY BUTTARO
n0 n0 n0 n0 n0 n0 n0 n0
Chapter 01: Interprofessional Collaborative Practice: Where We Are
n0 n0 n0 n0 n0 n0 n0
Today Buttaro: Primary Care: A Collaborative Practice, 7th Edition
n0 n0 n0 n0 n0 n0 n0 n0 n0
MULTIPLE CHOICE n0
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
designate das a Level 1 ACO. What is part of this designation?
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
a. Bonuses based on achievement of benchmarks n0 n0 n0 n0 n0
b. Care coordination for chronic diseases n0 n0 n0 n0
c. Standards for minimum cash reserves n0 n0 n0 n0
d. Strict requirements for financial reporting n0 n0 n0 n0
ANS: A n0 n0
A Level 1 ACO has the least amount of financial risk and requirements, but receives
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
share d savings bonuses based on achievement of benchmarks for quality measures
n0 n0 fg n0 n0 n0 n0 n0 n0 n0 n0 n0
and expendit ures. Care coordination and minimum cash reserves standards are part
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
of Level 2 ACO re quirements. Level 3 ACOs have strict requirements for financial
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
reporting.
n0
2. What was an important finding of the Advisory Board survey of 2014 about
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
primary car e preferences of patients?
n0 n0 n0 fg n0 n0
a. Associations with area hospitals n0 n0 n0
b. Costs of ambulatory care n0 n0 n0
c. Ease of access to care n0 n0 n0 n0
d. The ratio of providers to n0 n0 n0 n0
patients
n0 fg n 0 ANS: n 0 C
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
access t o care, walk-
n0 n0 n0 fg n0
in settings and the ability to be seen within 30 minutes, and care that is close to
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
home. As sociations with hospitals, costs of care, and the ratio of providers to
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
patients werenot part of these results.
n0 n0 n0 n0 n0 n0
MULTIPLE RESPONSE n0
1. Which assessments of care providers are performed as part of the
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
value- based purchasing (VBP) initiative? (Select all that apply.)
n0 n0 n0 fg n0 n0 n0 n0 n0
a. Appraising costs per case of care for Medicare patients n0 n0 n0 n0 n0 n0 n0 n0
b. Assessing patients’ satisfaction with hospital care n0 n0 n0 n0 n0
c. Evaluating available evidence to guide clinical care guidelines n0 n0 n0 n0 n0 n0 n0
d. Monitoring mortality rates of all patients with pneumonia n0 n0 n0 n0 n0 n0 n0
e. Requiring advanced IT standards and minimum cash reserves n0 n0 n0 n0 n0 n0 n0
ANS: A, B, D n0 n0 n0 n0
Value-
based purchasing looks at five domain areas of processes of care, including
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
efficiencyof car e (cost per case), experience of care (patient satisfaction measures),
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
and outcomes of care ( mortality rates for certain conditions). Evaluation of evidence
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
to guide clinical care is part of evidence-
n0 n0 n0 n0 n0 n0 n0 n0
based practice. The requirements for IT standards and financial status are part of
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
Accounta ble Care Organization standards.
n0 n0 n0 n0 n0
, TEST BANK FOR PRIMARY CARE 7TH EDITION BY BUTTARO
n0 n0 n0 n0 n0 n0 n0 n0
Chapter 02: Translating Research into Clinical Practice
n0 n0 n0 n0 n0 n0
Butt aro: Primary Care: A Collaborative Practice, 7th
n0 n0 n0 n0 n0 n0 n0 n0
Edition
n0
MULTIPLE CHOICE n0
1. What is the purpose of Level II research?
n0 n0 n0 n0 n0 n0 n0
a. To define characteristics of interest of groups of patients
n0 n0 n0 n0 n0 n0 n0 n0
b. To demonstrate the effectiveness of an intervention or treatment
n0 n0 n0 n0 n0 n0 n0 n0
c. To describe relationships among characteristics or variables
n0 n0 n0 n0 n0 n0
d. To evaluate the nature of relationships between two variables
n0 n0 n0 n0 n0 n0 n0 n0
ANS: C n0 n0
Level II research is concerned with describing the relationships among
n0 n0 n0 n0 n0 n0 n0 n0 n0
characteristics or variables. Level I research is conducted to define the
n0 n0 n0 n0 n0 fg n0 n0 n0 n0 n0
characteristics of groups of patient s.Level II research evaluates the nature of the
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
relationships between variables. Level IV research is conducted to demonstrate the
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
effectiveness of interventions or treatments.
n0 n0 n0 n0 n0
2. Which is the most appropriate research design for a Level III research study?
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
a. Epidemiological studies n0
b. Experimental design n0
c. Qualitative studies n0
d. Randomized clinical trials n0 n0
ANS: B n0 n0
The experimental design is the most appropriate design for a Level III study. Epidemiolog
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
ical studies are aNpU
n0 p rRoS
prI
iaN
teGfT
orBL.eC
veOlM
II studies. Qualitative designs are useful
n0 n0 fg n0 n0 n0 n0 n0
for Level I studies. Randomized clinical trials are used for Level IV
n 0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
studies.
n0
3. What is the purpose of clinical research trials in the spectrum of translational research?
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
a. Adoption of interventions and clinical practices into routine clinical care
n0 n0 n0 n0 n0 n0 n0 n0 n0
b. Determination of the basis of disease and various treatment options n0 n0 n0 n0 n0 n0 n0 n0 n0
c. Examination of safety and effectiveness of various interventions n0 n0 n0 n0 n0 n0 n0
d. Exploration of fundamental mechanisms of biology, disease, or behavior
n0 n0 n0 n0 n0 n0 n0 n0
ANS: C n0 n0
Clinical research trials are concerned with determining the safety and effectiveness of
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
inter ventions. Adoption of interventions and practices is part of clinical
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
implementation. Deter mination of the basis of disease and treatment options is part of
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
the preclinical researchphas
n0 n0 n0
e. Exploration of the fundamental mechanisms of biology, disease, or behavior is part
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
of th e basic research stage.
n0 n0 n0 n0 n0 n0
, TEST BANK FOR PRIMARY CARE 7TH EDITION BY BUTTARO
n0 n0 n0 n0 n0 n0 n0 n0
Chapter 03: Empowering Patients as Collaborative partners: A New Model for
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
Primary Care
n0 n0
Buttaro: Primary Care: A Collaborative Practice, 7th Edition
n0 n0 n0 n0 n0 fg fg
MULTIPLE CHOICE n0
1. Which statement made by a health care provider demonstrates the most
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
appropriat e understanding for the goal of a performance report?
n0 n0 fg n0 n0 n0 n0 n0 n0 n0
a. ―This process allows me to critique the performance of the rest of the staff.‖
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
b. ―Most organizations require staff to undergo a performance evaluation yearly.‖
n0 n0 n0 n0 n0 n0 n0 n0 n0
c. ―It is hard to be personally criticized but that’s how we learn to change.‖
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
d. ―The comments should help me improve my management skills.‖
n0 n0 n0 n0 n0 n0 n0 f n0
ANS: D n0 n0
The goal of the performance report is to provide guidance to staff in the areas of
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
professio nal development, mentoring, and leadership development. A peer review is
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
writtenby other s who perform similar skills (peers). The remaining options may be
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
true but do not provid e evidence of understanding of the goal of this professional
n0 n0 n0 n0 n0 n 0 n0 n0 n0 n0 n0 n0 n0 n0 n0
requirement.
n0
MULTIPLE RESPONSE n0
1. Which assessment question would a health care provider ask when engaging in the
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
previsi tstage of the new model for primary care? (Select all that apply.)
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
a. ―Are you ready to discuss some of the community resources that are available?‖
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
b. ―Are you experiencing anNyUsiRdS eI
efNfeGctTs B
n 0 fr.
om our newly prescribed medications?‖
COyM n 0 n 0 fg n 0 n 0 n 0
c. ―Do you anticipate any problems with adhering to your treatment plan?‖
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
d. ―Are you ready to discuss the results of your laboratory tests?‖
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
e. ―Do you have any questions about the lab tests that have been ordered for you?‖
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
ANS: B, C, E n0 n0 n0 n0
The nursing responsibilities in the previsit stage include assessing the patient’s
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
tolerance o fprescribed medications, understanding of existing treatment plan, and
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
education about re quired lab testing. The primary care provider is responsible for
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
screening lab data and dis cussing community resources during the actual visit.
n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0 n0
