PRIMARYCAREINTERPROFESSIONALCOLLA
BORATIVEPRECTICE6THEDITIONTESTBANKB
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YTERRYMAHANBUTTARO| ALLCHAPTERS 1-
228
TESTBANK
,MULTIPLE CHOICE
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designated as a T T T T T T T T T T fi T T
Level 1 ACO. What is part of this designation?
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a. Bonuses based on achievement ofbenchmarks T T T T T
b. Care coordination for chronic diseases T T T T
c. Standards for minimum cash reserves T T fi T
d. Strict requirements for financial reporting T T T T
ANS: A T
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared sa
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vings bonuses based on achievement of benchmarks for quality measures and expenditures.
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Care coordination and minimum cash reserves standards are part of Level 2 ACO requireme
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nts. 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 carep
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references of patients? T T
a. Associations with area hospitals T T T
b. Costs of ambulatory care T T T
c. Ease of access to care T T T T
d. The ratio ofproviders to patients T T T T T T
ANS: C T
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access toc
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are, walk- T
in settings and the ability to be seen within 30 minutes, and care that is close to home. Assoc
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iations with hospitals, costs of care, and the ratio of providers to patients werenot part of the
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se results.
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MULTIPLE RESPONSE T
1. Which assessments of care providers are performed as part ofthe value-
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based purchasing (VBP) initiative? (Select all that apply.)
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a. Appraising costs per case of care for Medicare patients T T T T T T T T
b. Assessing patients’ satisfaction with hospital care fi T T T T
c. Evaluating available evidence to guide clinical care guidelines fi T T T T T T
d. Monitoring mortality rates of all patients with pneumonia T T T T T T T
e. Requiring advanced IT standards and minimum cash reserves fi T T T T T T
ANS: A, B, D T T T
Value-
based purchasing looks at five domain areas of processes of care, including efficiencyof care (
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cost per case), experience of care (patient satisfaction measures), and outcomes of care (morta
T T T T T T T T T T fi T T T
lity rates for certain conditions). Evaluation of evidence to guide clinical care is part of eviden ce-
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based practice. The requirements for IT standards and financial status are part of Accountable
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Care Organization standards.
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, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
Chapter 02: Translating Research into Clinical Practice Butta fi
ro: Primary Care: A Collaborative Practice, 6th Edition
MULTIPLE CHOICE T
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 T
Level II research is concerned with describing the relationships among characteristics or v
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ariables. Level I research is conducted to define the characteristics of groups of patients. Le
T T T T T T T T T T T T T fi T
vel II research evaluates the nature of the relationships between variables. Level IV resear ch
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is conducted to demonstrate the effectiveness of interventions or 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 T
b. Experimental design T
c. Qualitative studies T
d. Randomized clinical trials T T
ANS: B T
The experimental design is the most appropriate design for a Level III study. Epidemiologic
T T T T T T T T T T T T T
al studies are aNpU
T p rRoS
prI
iaN
teGfT
orBL.eC
v eOlMII studies. Qualitative designs are useful for
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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
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b. Determination of the basis of disease and various treatment options T T T T T T T T T
c. Examination of safety and effectiveness of various interventions T T T T T T T
d. Exploration of fundamental mechanisms of biology, disease, or behavior T T T T T T T T
ANS: C T
Clinical research trials are concerned with determining the safety and effectiveness of interve
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ntions. Adoption of interventions and practices is part of clinical implementation. Determinat
T T T T T T T T T T T T
ion of the basis of disease and treatment options is part of the preclinical researchphase. Explo
T T T T T T T T fi T T T T T T T
ration of the fundamental mechanisms of biology, disease, or behavior is part of the basic res
T T T T T T T T T T T T T fi T T
earch stage. T
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
Chapter 03: Empowering Patients as Collaborative partners: A New Model forP rimary
T T T T T T T T T fi T T
Care
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
T T T T T T T
MULTIPLE CHOICE T
1. Which statement made by a health care provider demonstrates the most appropriateu
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nderstanding for the goal of a performance report? fi T T T T T T
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.‖
fi T T T T T fi T T
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 T
The goal of the performance report is to provide guidance to staff in the areas of professional
T T T T T T T T T T T T T T T T T
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 evidenc e
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of understanding of the goal of this professional requirement.
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MULTIPLE RESPONSE T
1. Which assessment question would a health care provider ask when engaging in the previsitst
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age of the new model for primary care? (Select all that apply.)
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a. ―Are you ready to discuss some of the communityresources that are available?‖
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b. ―Are you experiencing anNyUsiRdS eI
efN
feGctTs B
T fr.
om our newly prescribed medications?‖
COyM T T if T T T
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 T T T
The nursing responsibilities in the previsit stage include assessing the patient’s tolerance ofp
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rescribed medications, understanding of existing treatment plan, and education about requir
fi T fi T T T T T T T T
ed lab testing. The primary care provider is responsible for screening lab data and discussin g
T T T T T T T T T T T T T T T T
community resources during the actual visit. T T T T T
BORATIVEPRECTICE6THEDITIONTESTBANKB
fi
YTERRYMAHANBUTTARO| ALLCHAPTERS 1-
228
TESTBANK
,MULTIPLE CHOICE
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designated as a T T T T T T T T T T fi T T
Level 1 ACO. What is part of this designation?
T T T T T T T T
a. Bonuses based on achievement ofbenchmarks T T T T T
b. Care coordination for chronic diseases T T T T
c. Standards for minimum cash reserves T T fi T
d. Strict requirements for financial reporting T T T T
ANS: A T
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared sa
T T T T T T T T T T T T T T T fi T
vings bonuses based on achievement of benchmarks for quality measures and expenditures.
T T T T T T T T T T T T
Care coordination and minimum cash reserves standards are part of Level 2 ACO requireme
T T T T T T T T T T T T T T
nts. Level 3 ACOs have strict requirements for financial reporting.
T T T T T T T T T
2. What was an important finding of the Advisory Board survey of 2014 about primary carep
T fi T T T T T T T T T T T T T
references of patients? T T
a. Associations with area hospitals T T T
b. Costs of ambulatory care T T T
c. Ease of access to care T T T T
d. The ratio ofproviders to patients T T T T T T
ANS: C T
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access toc
T T T T T T T T fi T T T T T T T
are, walk- T
in settings and the ability to be seen within 30 minutes, and care that is close to home. Assoc
T T T T T T T T T T T T T T T T T T T
iations with hospitals, costs of care, and the ratio of providers to patients werenot part of the
T T T T T T fi T T T T T T T T T T
se results.
fi
MULTIPLE RESPONSE T
1. Which assessments of care providers are performed as part ofthe value-
T T T T T T T T T T T T
based purchasing (VBP) initiative? (Select all that apply.)
T fi T T T T T
a. Appraising costs per case of care for Medicare patients T T T T T T T T
b. Assessing patients’ satisfaction with hospital care fi T T T T
c. Evaluating available evidence to guide clinical care guidelines fi T T T T T T
d. Monitoring mortality rates of all patients with pneumonia T T T T T T T
e. Requiring advanced IT standards and minimum cash reserves fi T T T T T T
ANS: A, B, D T T T
Value-
based purchasing looks at five domain areas of processes of care, including efficiencyof care (
T T T T T T T T T T T T T T T
cost per case), experience of care (patient satisfaction measures), and outcomes of care (morta
T T T T T T T T T T fi T T T
lity rates for certain conditions). Evaluation of evidence to guide clinical care is part of eviden ce-
T T T T T T T T T T T T T T T T
based practice. The requirements for IT standards and financial status are part of Accountable
T T T T T T T T T T T T T T
Care Organization standards.
T fi
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
Chapter 02: Translating Research into Clinical Practice Butta fi
ro: Primary Care: A Collaborative Practice, 6th Edition
MULTIPLE CHOICE T
1. What is the purpose of Level II research?
T T T T T T fi
a. To define characteristics of interest of groups of patients
T T T T T T T T
b. To demonstrate the effectiveness of an intervention or treatment
T T T T T T T T
c. To describe relationships among characteristics or variables
T T T fi T T
d. To evaluate the nature of relationships between two variables
T T T T T T T fi
ANS: C T
Level II research is concerned with describing the relationships among characteristics or v
T T T T T T T T T T T T T
ariables. Level I research is conducted to define the characteristics of groups of patients. Le
T T T T T T T T T T T T T fi T
vel II research evaluates the nature of the relationships between variables. Level IV resear ch
T T T T T T T T T T T T T T T
is conducted to demonstrate the effectiveness of interventions or treatments.
T T T T T T T T T
2. Which is the most appropriate research design for a Level III research study?
T T T T T T T T T T T T
a. Epidemiological studies T
b. Experimental design T
c. Qualitative studies T
d. Randomized clinical trials T T
ANS: B T
The experimental design is the most appropriate design for a Level III study. Epidemiologic
T T T T T T T T T T T T T
al studies are aNpU
T p rRoS
prI
iaN
teGfT
orBL.eC
v eOlMII studies. Qualitative designs are useful for
T T if T T T T T T T
Level I studies. Randomized clinical trials are used for Level IV studies.
T T T fi T T T T T T T
3. What is the purpose of clinical research trials in the spectrum of translational research?
T T T T T T T T T T T T T
a. Adoption of interventions and clinical practices into routine clinical care
T T T T T T T T T
b. Determination of the basis of disease and various treatment options T T T T T T T T T
c. Examination of safety and effectiveness of various interventions T T T T T T T
d. Exploration of fundamental mechanisms of biology, disease, or behavior T T T T T T T T
ANS: C T
Clinical research trials are concerned with determining the safety and effectiveness of interve
T T T T T T fi T T T T T T
ntions. Adoption of interventions and practices is part of clinical implementation. Determinat
T T T T T T T T T T T T
ion of the basis of disease and treatment options is part of the preclinical researchphase. Explo
T T T T T T T T fi T T T T T T T
ration of the fundamental mechanisms of biology, disease, or behavior is part of the basic res
T T T T T T T T T T T T T fi T T
earch stage. T
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
Chapter 03: Empowering Patients as Collaborative partners: A New Model forP rimary
T T T T T T T T T fi T T
Care
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
T T T T T T T
MULTIPLE CHOICE T
1. Which statement made by a health care provider demonstrates the most appropriateu
T T T T T T T T T T T T
nderstanding for the goal of a performance report? fi T T T T T T
a. ―This process allows me to critique the performance of the rest of the staff.‖
T T T T T T T T T T T T T
b. ―Most organizations require staff to undergo a performance evaluation yearly.‖
fi T T T T T fi T T
c. ―It is hard to be personally criticized but that’s how we learn to change.‖
T T T T T T fi T T T T T T
d. ―The comments should help me improve my management skills.‖
T T T T T T T T
ANS: D T
The goal of the performance report is to provide guidance to staff in the areas of professional
T T T T T T T T T T T T T T T T T
development, mentoring, and leadership development. A peer review is writtenby others who
T T fi T T T T T T T T T
perform similar skills (peers). The remaining options may be true but do not provide evidenc e
T T T T T T T T T T T T T T T T
of understanding of the goal of this professional requirement.
T T T T T T T T
MULTIPLE RESPONSE T
1. Which assessment question would a health care provider ask when engaging in the previsitst
T T T T T T T T T T fi T T T
age of the new model for primary care? (Select all that apply.)
T T T T T T T T T T T
a. ―Are you ready to discuss some of the communityresources that are available?‖
T T T fi T T T T T T T T
b. ―Are you experiencing anNyUsiRdS eI
efN
feGctTs B
T fr.
om our newly prescribed medications?‖
COyM T T if T T T
c. ―Do you anticipate any problems with adhering to your treatment plan?‖
T fi T T T T fi T T T
d. ―Are you ready to discuss the results of your laboratory tests?‖
T T T T T fi T T T T
e. ―Do you have any questions about the lab tests that have been ordered for you?‖
T T T T T T T T T T T T T T
ANS: B, C, E T T T
The nursing responsibilities in the previsit stage include assessing the patient’s tolerance ofp
T T T T T T T T T T fi T T
rescribed medications, understanding of existing treatment plan, and education about requir
fi T fi T T T T T T T T
ed lab testing. The primary care provider is responsible for screening lab data and discussin g
T T T T T T T T T T T T T T T T
community resources during the actual visit. T T T T T
