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