Test Bank for Primary Care The Art and Science of Advanced Practice Nursing – an Interprofessional Approach 6th Edition by Dunphy, WinlandBrown, Porter, and Thomas

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




TEST BANK

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

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 hj hj hj hj hj


b. Care coordination for chronic diseases hj hj hj hj


c. Standards for minimum cash reserves hj hj hj hj


d. Strict requirements for financial reporting hj hj hj hj




ANS: A h j


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 expenditur
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es. Care coordination and minimum cash reserves standards are part of Level 2 ACO requi
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rements. 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 car
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epreferences of patients?
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a. Associations with area hospitals hj hj hj


b. Costs of ambulatory care hj hj hj


c. Ease of access to care hj hj hj hj


d. The ratio of providers to patients hj hj hj hj hj j
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ANS: C h j




As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access t
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ocare, walk-
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in settings and the ability to be seen within 30 minutes, and care that is close to home. Ass
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ociations with hospitals, costs of care, and the ratio of providers to patients werenot part o
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f these results.
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MULTIPLE RESPONSE hj




1. Which assessments of care providers are performed as part of the 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 hj hj hj hj hj hj hj hj


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


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


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


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




ANS: A, B, D h j hj hj


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 (m
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ortality rates for certain conditions). Evaluation of evidence to guide clinical care is part of
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evidence-
based practice. The requirements for IT standards and financial status are part of Accountab
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le Care Organization standards.
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, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
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Chapter 02: Translating Research into Clinical Practice Butt
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aro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE hj




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 h j


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 re
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search 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 hj


b. Experimental design hj


c. Qualitative studies hj


d. Randomized clinical trials hj hj




ANS: B h j


The experimental design is the most appropriate design for a Level III study. Epidemiologi
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cal studies are aNpU
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iaN
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orBL.eC
veOlM
II studies. Qualitative designs are useful
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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
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b. Determination of the basis of disease and various treatment options hj hj hj hj hj hj hj hj hj


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


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




ANS: C h j


Clinical research trials are concerned with determining the safety and effectiveness of inter
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ventions. Adoption of interventions and practices is part of clinical implementation. Determ
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ination of the basis of disease and treatment options is part of the preclinical researchphase.
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Exploration of the fundamental mechanisms of biology, disease, or behavior is part of the b
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asic research stage.
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, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
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Chapter 03: Empowering Patients as Collaborative partners: A New Model fo
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rPrimary Care
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Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE hj




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? hj hj hj hj hj hj hj


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 h j


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




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
efN
hjfeGctTs B
fr.COyM
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 h j hj hj


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 req
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uired lab testing. The primary care provider is responsible for screening lab data and discu
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ssing community resources during the actual visit.
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