TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO WITH COMPLETE SOLUTION GUIDE

TEST BANK FOR PRIMARY CARE 6TH EDITION BYB
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COMPLETE SOLUTION GUIDE.
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TEST BANK bg

, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO bg bg bg bg bg bg bg bg




Chapter 01: Interprofessional Collaborative Practice: Where We Are
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TodayButtaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE bg




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




b. Care coordination for chronic diseases bg bg bg bg




c. Standards for minimum cash reserves bg bg bg bg




d. Strict requirements for financial reporting bg bg bg bg




ANS: A b g




A Level 1 ACO has the least amount of financial risk and requirements, but receives
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sharedsavings bonuses based on achievement of benchmarks for quality measures and
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expenditures. Care coordination and minimum cash reserves standards are part of Level 2
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ACO requirements. 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
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carepreferences of patients?
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a. Associations with area hospitals bg bg bg




b. Costs of ambulatory care bg bg bg




c. Ease of access to care bg bg bg bg




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




ANS: C NURSINGTB.COM
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As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access
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tocare, walk-in settings and the ability to be seen within 30 minutes, and care that is close to
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home. Associations with hospitals, costs of care, and the ratio of providers to patients
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werenot part of these results.
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MULTIPLE RESPONSE bg




1. Which assessments of care providers are performed as part of the value-based
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purchasing(VBP) initiative? (Select all that apply.)
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a. Appraising costs per case of care for Medicare patients bg bg bg bg bg bg bg bg




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




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




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




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




ANS: A, B, D b g bg bg




Value-based purchasing looks at five domain areas of processes of care, including bg bg bg bg bg bg bg bg bg bg bg




efficiencyof care (cost per case), experience of care (patient satisfaction measures), and
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outcomes of care (mortality rates for certain conditions). Evaluation of evidence to guide
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clinical care is part of evidence-based practice. The requirements for IT standards and
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financial status are part of Accountable Care Organization standards.
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NURSINGTB.COM

, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
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Chapter 02: Translating Research into Clinical Practice
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Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE bg




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 b g




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
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patients.Level II research evaluates the nature of the relationships between variables.
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Level IV research is conducted to demonstrate the effectiveness of interventions or
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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 bg




b. Experimental design bg




c. Qualitative studies bg




d. Randomized clinical trials bg bg




ANS: B b g




The experimental design is the most appropriate design for a Level III study.
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Epidemiological studies are aNpU
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II studies. Qualitative designs are useful bg bg bg bg bg bg bg bg bg




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 bg bg bg bg bg bg bg bg bg




b. Determination of the basis of disease and various treatment options bg bg bg bg bg bg bg bg bg




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




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




ANS: C b g




Clinical research trials are concerned with determining the safety and effectiveness of
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interventions. Adoption of interventions and practices is part of clinical implementation.
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Determination of the basis of disease and treatment options is part of the preclinical
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researchphase. Exploration of the fundamental mechanisms of biology, disease, or behavior
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is part of the basic research stage.
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NURSINGTB.COM

, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
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Chapter 03: Empowering Patients as Collaborative partners: A New Model
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forPrimary Care
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Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE bg




1. Which statement made by a health care provider demonstrates the most
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appropriateunderstanding 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.‖
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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 b g




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




1. Which assessment question would a health care provider ask when engaging in the
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previsitstage 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 anNyUsid
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fr.
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om 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 b g bg bg




The nursing responsibilities in the previsit stage include assessing the patient’s tolerance
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ofprescribed medications, understanding of existing treatment plan, and education about
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required lab testing. The primary care provider is responsible for screening lab data and
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discussing community resources during the actual visit.
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NURSINGTB.COM