Updated/Latest Primary Care A Collaborative Practice 6th Edition Terry Mahan Buttaro Test Bank Complete All Chapters Comprehensive Advanced Practice Nursing Resource Clinical Case Studies Questions Answers Rationales Differential Diagnosis Management Cert

PRIMARY CARE INTERPROFESSIONAL
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T COLLABORATIVE PRECTICE 6TH EDITION TEST
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BANK BY TERRY MAHAN BUTTARO | ALL
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CHAPTERS 1-228 T L T L




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, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO L
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Chapter 01: Interprofessional Collaborative Practice: Where We Are Today
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Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE T L




1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designated
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as a Level 1 ACO. What is part of this designation?
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a. Bonuses based on achievement of benchmarks L
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b. Care coordination for chronic diseases L
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c. Standards for minimum cash reserves T L L
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d. Strict requirements for financial reporting L
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ANS: A T L



A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
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savings 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 care
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preferences of patients?
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a. Associations with area hospitals T L T L L
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b. Costs of ambulatory care L
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c. Ease of access to care L
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d. The ratio of providers to patients T L L
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As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to
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care, 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 were
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not part of these results.
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MULTIPLE RESPONSE T L




1. Which assessments of care providers are performed as part of the value-based purchasing
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(VBP) initiative? (Select all that apply.)
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a. Appraising costs per case of care for Medicare patients L
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b. Assessing patients’ satisfaction with hospital care L
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c. Evaluating available evidence to guide clinical care guidelines L
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d. Monitoring mortality rates of all patients with pneumonia L
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e. Requiring advanced IT standards and minimum cash reserves L
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ANS: A, B, D T L L
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Value-based purchasing looks at five domain areas of processes of care, including efficiency T L L
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of care (cost per case), experience of care (patient satisfaction measures), and outcomes of
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care (mortality rates for certain conditions). Evaluation of evidence to guide clinical care is
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part of evidence-based practice. The requirements for IT standards and financial status are
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part of Accountable Care Organization standards.
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, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO L
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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 T L




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 L



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 patients.
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Level II research evaluates the nature of the relationships between variables. Level IV
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research 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 L
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b. Experimental design L
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c. Qualitative studies L
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d. Randomized clinical trials T L L
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ANS: B T L



The experimental design is the most appropriate design for a Level III study.
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TEpidemiological studies are aNpU
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veOlMI I studies. Qualitative designs are useful L
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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 L
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b. Determination of the basis of disease and various treatment options L
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c. Examination of safety and effectiveness of various interventions L
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d. Exploration of fundamental mechanisms of biology, disease, or behavior L
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ANS: C T L



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 research
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phase. Exploration of the fundamental mechanisms of biology, disease, or behavior is part
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of the basic research stage.
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, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO L
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Chapter 03: Empowering Patients as Collaborative partners: A New Model for
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Primary Care
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Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE T L




1. Which statement made by a health care provider demonstrates the most appropriate
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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.” T L T L L
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b. “Most organizations require staff to undergo a performance evaluation yearly.” L
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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.” L
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ANS: D T L



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




1. Which assessment question would a health care provider ask when engaging in the previsit
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stage 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 anNyUsiRdS
eI
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feGctTs B
fr.
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?” T L T L T L L
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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 L L
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The nursing responsibilities in the previsit stage include assessing the patient’s tolerance of
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prescribed 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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