PRIMARY CARE INTERPROFESSIONAL COLLA
n n nn
BORATIVE PRECTICE 6TH EDITION TEST BANK B
n n n n n n
Y TERRY MAHAN BUTTARO | ALL CHAPTERS 1-
n n n n n nn n
228
TEST BANK n
, TESTnBANKnFORnPRIMARYnCAREn6THnEDITIONnBYnBUTTARO
Chapter n01:nInterprofessional nCollaborative nPractice:nWherenWenArenToday n
Buttaro:nPrimary nCare:nAnCollaborative nPractice,n6thnEdition
MULTIPLEnCHOICE
1. An small,n ruraln hospitaln isn part n of nann AccountablenCarenOrganizationn (ACO)n andnisn designatedn a
sn an Leveln 1n ACO.n What n isn part n of n thisn designation?
a. Bonusesn based n onn achievement n of n benchmarks
b. Caren coordinationn forn chronicn diseases
c. Standardsn forn minimumn cashn reserves
d. Strict n requirementsn forn financialn reporting
ANS:n A
An Leveln 1n ACO nhasnthenleast namount nof nfinancialn riskn and nrequirements,n but nreceivesn shared n sa
vingsn bonusesn based n onn achievement n of n benchmarksn forn qualityn measuresn and n expenditures.n
Caren coordinationn and n minimumn cashn reservesn standardsn aren part nof nLeveln 2nACO n requiremen
ts.n Leveln 3n ACOsn haven strict n requirementsn forn financialn reporting.
2. What n wasn ann important nfindingnof nthen Advisoryn Boardnsurveyn ofn 2014naboutnprimaryn caren p
referencesn of n patients?
a. Associationsn withn arean hospitals
b. Costsn of n ambulatoryn care
c. Easen of n accessn ton care
d. Thenrationof nprovidersnton patientsn
ANS:n C
Asn partn of nthen 2014n survey,n then Advisoryn Boardn learned nthatn patientsndesiredn 24/7n accessnton c
are,n walk-
inn settingsn andn then abilityn ton ben seennwithinn 30n minutes,n and n carenthatn isn closen ton home.nAssoc
iationsn withn hospitals,n costsn ofn care,n andn then ration ofn providersn ton patientsnweren notn partn ofnthe
sen results.
MULTIPLEnRESPONSE
1. Whichn assessmentsn of n carenprovidersn arenperformed n asn part n of nthen value-
based n purchasingn (VBP)n initiative?n (Selectn alln thatn apply.)
a. Appraisingn costsn pern casen of n caren forn Medicaren patients
b. Assessingn patients’n satisfactionn withn hospitaln care
c. Evaluatingn availablen evidencen ton guiden clinicaln caren guidelines
d. Monitoringn mortalityn ratesn of n alln patientsn withn pneumonia
e. Requiringn advanced n ITn standardsn and n minimumn cashn reserves
ANS:n A,n B,n D
Value-
based n purchasingn looksn at n fivendomainn areasn ofnprocessesn of ncare,nincludingn efficiencyn of n caren
(cost n pern case),n experiencen of n caren (patient n satisfactionn measures),n and n outcomesn of ncaren (mort
alityn ratesn forn certainn conditions).n Evaluationn of nevidencen tonguiden clinicaln caren isn part n of nevide
nce-
based n practice.n Then requirementsn forn ITn standardsnandn financialn statusn aren partn ofnAccountable
n Caren Organizationn standards.
, TESTnBANKnFORnPRIMARYnCAREn6THnEDITIONnBYnBUTTARO
Chapter n02:nTranslating nResearchninto nClinicalnPracticenButta
ro:nPrimary nCare:nAnCollaborative nPractice,n6thnEdition
MULTIPLEnCHOICE
1. What n isn then purposen of n Leveln II nresearch?
a. Ton definen characteristicsn of n interest n of n groupsn of n patients
b. Ton demonstraten then effectivenessn of n ann interventionn orn treatment
c. Ton describen relationshipsn amongn characteristicsn orn variables
d. Ton evaluaten then naturen of n relationshipsn betweenn twon variables
ANS:n C
Leveln II n researchn isn concerned n withn describingn then relationshipsn amongn characteristicsn orn vari
ables.n Leveln I nresearchn isn conducted ntondefinen thencharacteristicsn of ngroupsn ofnpatients.n Leveln II
n researchn evaluatesn then naturen of n then relationshipsn betweennvariables.n Leveln IV n researchn isn con
ducted n ton demonstraten then effectivenessn of n interventionsn orn treatments.
2. Whichn isn then most n appropriaten researchn designn forn an Leveln III n researchn study?
a. Epidemiologicaln studies
b. Experimentaln design
c. Qualitativen studies
d. Randomized n clinicaln trials
ANS:n B
Then experimentaln designn isn then most n appropriaten designn forn anLeveln IIIn study.n Epidemiologi
calnstudiesnarenaNpUprR
opSrI
iaN
teGfT
orBL.eC
veOlnMI I nstudies.nQualitativendesignsnarenuseful
fornLeveln I n studies.n Randomized n clinicaln trialsn aren used n forn Leveln IVn studies.
3. What n isn then purposen of n clinicaln researchn trialsn inn then spectrumn of n translationaln research?
a. Adoptionn of n interventionsn and n clinicaln practicesn inton routinen clinicaln care
b. Determinationn of n then basisn of n diseasen and n variousn treatment n options
c. Examinationn of n safetyn and n effectivenessn of n variousn interventions
d. Explorationn of n fundamentaln mechanismsn of n biology,n disease,n orn behavior
ANS:n C
Clinicaln researchn trialsn aren concerned n withn determiningn then safetyn andneffectivenessn of ninterve
ntions.n Adoptionn of ninterventionsn andnpracticesn isn part n ofn clinicaln implementation.n Determinat
ionn of n thenbasisn of ndiseasen andntreatment n optionsn isn part n of n then preclinicaln researchn phase.n Expl
orationn of n then fundamentaln mechanismsn of n biology,n disease,n orn behaviorn isn part n ofn then basicn re
searchn stage.
, TESTnBANKnFORnPRIMARYnCAREn6THnEDITIONnBYnBUTTARO
Chapter n03:nEmpowering nPatients nasnCollaborative npartners:nAnNewnModelnfornPrima
rynCare
Buttaro:nPrimary nCare:nAnCollaborative nPractice,n6thnEdition
MULTIPLEnCHOICE
1. Whichn statement n maden bynanhealthncarenprovidern demonstratesn then most n appropriaten
understandingn forn then goaln of n an performancen report?
a. “Thisn processn allowsn men ton critiquen then performancen of n then rest n of n then staff.”
b. “Most n organizationsn requiren staff n ton undergon an performancen evaluationn yearly.”
c. “It n isn hard n ton ben personallyn criticized n but n that’sn hown wen learnn ton change.”
d. “Then commentsn should n helpn men improven myn management n skills.”
ANS:n D
Then goaln of n then performancen report n isn tonprovidenguidancen tonstaff ninn then areasn ofn professionaln
development,n mentoring,n and nleadershipn development.n An peern review nisn writtenn byn othersn wh
on performn similarn skillsn (peers).n Then remainingn optionsn mayn ben truen but n don not n providen evide
ncen of n understandingn of n then goaln of n thisn professionaln requirement.
MULTIPLE nRESPONSE
1. Whichn assessment n questionn would n an healthncarenprovidernaskn whenn engagingn innthenprevisit n s
tagen of n then new n modeln forn primaryn care?n (Selectn alln thatn apply.)
a. “Aren youn readyn ton discussn somen of n then communityn resourcesn that n aren available?”
b. “Arenyoun experiencingn anNyUsiRdS enIefN
feG
ctTs B
fr.COyM
om ourn newlyn prescribed n medications?”
c. “Don youn anticipaten anyn problemsn withn adheringn ton yourn treatment n plan?”
d. “Aren youn readyn ton discussn then resultsn of n yourn laboratoryn tests?”
e. “Don youn haven anyn questionsn about n then labn testsn that n haven beenn ordered n forn you?”
ANS:n B,n C,n E
Thennursingn responsibilitiesn inn then previsit n stagen includen assessingn then patient’sn tolerancen of n pr
escribed n medications,n understandingn of nexistingn treatment nplan,n andneducationn aboutn required
n labn testing.n Then primaryn caren providern isn responsiblen forn screeningn labn datan and n discussingn co
mmunityn resourcesn duringn then actualn visit.
n n nn
BORATIVE PRECTICE 6TH EDITION TEST BANK B
n n n n n n
Y TERRY MAHAN BUTTARO | ALL CHAPTERS 1-
n n n n n nn n
228
TEST BANK n
, TESTnBANKnFORnPRIMARYnCAREn6THnEDITIONnBYnBUTTARO
Chapter n01:nInterprofessional nCollaborative nPractice:nWherenWenArenToday n
Buttaro:nPrimary nCare:nAnCollaborative nPractice,n6thnEdition
MULTIPLEnCHOICE
1. An small,n ruraln hospitaln isn part n of nann AccountablenCarenOrganizationn (ACO)n andnisn designatedn a
sn an Leveln 1n ACO.n What n isn part n of n thisn designation?
a. Bonusesn based n onn achievement n of n benchmarks
b. Caren coordinationn forn chronicn diseases
c. Standardsn forn minimumn cashn reserves
d. Strict n requirementsn forn financialn reporting
ANS:n A
An Leveln 1n ACO nhasnthenleast namount nof nfinancialn riskn and nrequirements,n but nreceivesn shared n sa
vingsn bonusesn based n onn achievement n of n benchmarksn forn qualityn measuresn and n expenditures.n
Caren coordinationn and n minimumn cashn reservesn standardsn aren part nof nLeveln 2nACO n requiremen
ts.n Leveln 3n ACOsn haven strict n requirementsn forn financialn reporting.
2. What n wasn ann important nfindingnof nthen Advisoryn Boardnsurveyn ofn 2014naboutnprimaryn caren p
referencesn of n patients?
a. Associationsn withn arean hospitals
b. Costsn of n ambulatoryn care
c. Easen of n accessn ton care
d. Thenrationof nprovidersnton patientsn
ANS:n C
Asn partn of nthen 2014n survey,n then Advisoryn Boardn learned nthatn patientsndesiredn 24/7n accessnton c
are,n walk-
inn settingsn andn then abilityn ton ben seennwithinn 30n minutes,n and n carenthatn isn closen ton home.nAssoc
iationsn withn hospitals,n costsn ofn care,n andn then ration ofn providersn ton patientsnweren notn partn ofnthe
sen results.
MULTIPLEnRESPONSE
1. Whichn assessmentsn of n carenprovidersn arenperformed n asn part n of nthen value-
based n purchasingn (VBP)n initiative?n (Selectn alln thatn apply.)
a. Appraisingn costsn pern casen of n caren forn Medicaren patients
b. Assessingn patients’n satisfactionn withn hospitaln care
c. Evaluatingn availablen evidencen ton guiden clinicaln caren guidelines
d. Monitoringn mortalityn ratesn of n alln patientsn withn pneumonia
e. Requiringn advanced n ITn standardsn and n minimumn cashn reserves
ANS:n A,n B,n D
Value-
based n purchasingn looksn at n fivendomainn areasn ofnprocessesn of ncare,nincludingn efficiencyn of n caren
(cost n pern case),n experiencen of n caren (patient n satisfactionn measures),n and n outcomesn of ncaren (mort
alityn ratesn forn certainn conditions).n Evaluationn of nevidencen tonguiden clinicaln caren isn part n of nevide
nce-
based n practice.n Then requirementsn forn ITn standardsnandn financialn statusn aren partn ofnAccountable
n Caren Organizationn standards.
, TESTnBANKnFORnPRIMARYnCAREn6THnEDITIONnBYnBUTTARO
Chapter n02:nTranslating nResearchninto nClinicalnPracticenButta
ro:nPrimary nCare:nAnCollaborative nPractice,n6thnEdition
MULTIPLEnCHOICE
1. What n isn then purposen of n Leveln II nresearch?
a. Ton definen characteristicsn of n interest n of n groupsn of n patients
b. Ton demonstraten then effectivenessn of n ann interventionn orn treatment
c. Ton describen relationshipsn amongn characteristicsn orn variables
d. Ton evaluaten then naturen of n relationshipsn betweenn twon variables
ANS:n C
Leveln II n researchn isn concerned n withn describingn then relationshipsn amongn characteristicsn orn vari
ables.n Leveln I nresearchn isn conducted ntondefinen thencharacteristicsn of ngroupsn ofnpatients.n Leveln II
n researchn evaluatesn then naturen of n then relationshipsn betweennvariables.n Leveln IV n researchn isn con
ducted n ton demonstraten then effectivenessn of n interventionsn orn treatments.
2. Whichn isn then most n appropriaten researchn designn forn an Leveln III n researchn study?
a. Epidemiologicaln studies
b. Experimentaln design
c. Qualitativen studies
d. Randomized n clinicaln trials
ANS:n B
Then experimentaln designn isn then most n appropriaten designn forn anLeveln IIIn study.n Epidemiologi
calnstudiesnarenaNpUprR
opSrI
iaN
teGfT
orBL.eC
veOlnMI I nstudies.nQualitativendesignsnarenuseful
fornLeveln I n studies.n Randomized n clinicaln trialsn aren used n forn Leveln IVn studies.
3. What n isn then purposen of n clinicaln researchn trialsn inn then spectrumn of n translationaln research?
a. Adoptionn of n interventionsn and n clinicaln practicesn inton routinen clinicaln care
b. Determinationn of n then basisn of n diseasen and n variousn treatment n options
c. Examinationn of n safetyn and n effectivenessn of n variousn interventions
d. Explorationn of n fundamentaln mechanismsn of n biology,n disease,n orn behavior
ANS:n C
Clinicaln researchn trialsn aren concerned n withn determiningn then safetyn andneffectivenessn of ninterve
ntions.n Adoptionn of ninterventionsn andnpracticesn isn part n ofn clinicaln implementation.n Determinat
ionn of n thenbasisn of ndiseasen andntreatment n optionsn isn part n of n then preclinicaln researchn phase.n Expl
orationn of n then fundamentaln mechanismsn of n biology,n disease,n orn behaviorn isn part n ofn then basicn re
searchn stage.
, TESTnBANKnFORnPRIMARYnCAREn6THnEDITIONnBYnBUTTARO
Chapter n03:nEmpowering nPatients nasnCollaborative npartners:nAnNewnModelnfornPrima
rynCare
Buttaro:nPrimary nCare:nAnCollaborative nPractice,n6thnEdition
MULTIPLEnCHOICE
1. Whichn statement n maden bynanhealthncarenprovidern demonstratesn then most n appropriaten
understandingn forn then goaln of n an performancen report?
a. “Thisn processn allowsn men ton critiquen then performancen of n then rest n of n then staff.”
b. “Most n organizationsn requiren staff n ton undergon an performancen evaluationn yearly.”
c. “It n isn hard n ton ben personallyn criticized n but n that’sn hown wen learnn ton change.”
d. “Then commentsn should n helpn men improven myn management n skills.”
ANS:n D
Then goaln of n then performancen report n isn tonprovidenguidancen tonstaff ninn then areasn ofn professionaln
development,n mentoring,n and nleadershipn development.n An peern review nisn writtenn byn othersn wh
on performn similarn skillsn (peers).n Then remainingn optionsn mayn ben truen but n don not n providen evide
ncen of n understandingn of n then goaln of n thisn professionaln requirement.
MULTIPLE nRESPONSE
1. Whichn assessment n questionn would n an healthncarenprovidernaskn whenn engagingn innthenprevisit n s
tagen of n then new n modeln forn primaryn care?n (Selectn alln thatn apply.)
a. “Aren youn readyn ton discussn somen of n then communityn resourcesn that n aren available?”
b. “Arenyoun experiencingn anNyUsiRdS enIefN
feG
ctTs B
fr.COyM
om ourn newlyn prescribed n medications?”
c. “Don youn anticipaten anyn problemsn withn adheringn ton yourn treatment n plan?”
d. “Aren youn readyn ton discussn then resultsn of n yourn laboratoryn tests?”
e. “Don youn haven anyn questionsn about n then labn testsn that n haven beenn ordered n forn you?”
ANS:n B,n C,n E
Thennursingn responsibilitiesn inn then previsit n stagen includen assessingn then patient’sn tolerancen of n pr
escribed n medications,n understandingn of nexistingn treatment nplan,n andneducationn aboutn required
n labn testing.n Then primaryn caren providern isn responsiblen forn screeningn labn datan and n discussingn co
mmunityn resourcesn duringn then actualn visit.
