Test Bank for Primary Care: Interprofessional Collaborative Practice 7th Edition (Terry Mahan Buttaro, 2024), Chapter 1-228 | Complete Guide A+

, TEST BANK FOR PRIMARY CARE 7th EDITION BY BUTTARO
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Chapter 01: Interprofessional Collaborative Practice: Where We Are Toda
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y Buttaro: Primary Care: A Collaborative Practice, 7th Edition
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MULTIPLE CHOICE C/




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


b. Care coordination for chronic diseases C/ C/ C/ C/


c. Standards for minimum cash reserves C/ C/ C/ C/


d. Strict requirements for financial reporting C/ C/ C/ C/




ANS: A C /


A Level 1 ACO has the least amount of financial risk and requirements, but receives share
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d savings bonuses based on achievement of benchmarks for quality measures and expendi
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tures. Care coordination and minimum cash reserves standards are part of Level 2 ACO re
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quirements. 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 ca
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re preferences of patients?
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a. Associations with area hospitals C/ C/ C/


b. Costs of ambulatory care C/ C/ C/


c. Ease of access to care C/ C/ C/ C/


d. The ratio of providers to patientsC/ C/ C/ C/ C/




C/ ANS: C C /




As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access
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to care, walk-
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in settings and the ability to be seen within 30 minutes, and care that is close to home.
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Associations with hospitals, costs of care, and the ratio of providers to patients were not
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part of these results.
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MULTIPLE RESPONSE C/




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 C/ C/ C/ C/ C/ C/ C/ C/


b. Assessing patients’ satisfaction with hospital care C/ C/ C/ C/ C/


c. Evaluating available evidence to guide clinical care guidelines C/ C/ C/ C/ C/ C/ C/


d. Monitoring mortality rates of all patients with pneumonia C/ C/ C/ C/ C/ C/ C/


e. Requiring advanced IT standards and minimum cash reserves C/ C/ C/ C/ C/ C/ C/




ANS: A, B, D C / C/ C/


Value-
based purchasing looks at five domain areas of processes of care, including efficiency of ca
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re (cost per case), experience of care (patient satisfaction measures), and outcomes of care
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(mortality rates for certain conditions). Evaluation of evidence to guide clinical care is pa
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rt of evidence-
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based practice. The requirements for IT standards and financial status are part of Account
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able Care Organization standards.
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, TEST BANK FOR PRIMARY CARE 7th EDITION BY BUTTARO
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Chapter 02: Translating Research into Clinical Practice But
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taro: Primary Care: A Collaborative Practice, 7th Edition
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MULTIPLE CHOICE C/




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 C /


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
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vel II research evaluates the nature of the relationships between variables. Level IV resear
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ch 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 C/


b. Experimental design C/


c. Qualitative studies C/


d. Randomized clinical trials C/ C/




ANS: B C /


The experimental design is the most appropriate design for a Level III study. Epidemio
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logical studies are aNpU
prR
opSrI
C/iaN
teGfT
orBL.eC
veOl MI I 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 C/ C/ C/ C/ C/ C/ C/ C/ C/


c. Examination of safety and effectiveness of various interventions C/ C/ C/ C/ C/ C/ C/


d. Exploration of fundamental mechanisms of biology, disease, or behavior C/ C/ C/ C/ C/ C/ C/ C/




ANS: C C /


Clinical research trials are concerned with determining the safety and effectiveness of inte
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rventions. Adoption of interventions and practices is part of clinical implementation. Dete
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rmination of the basis of disease and treatment options is part of the preclinical research ph
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ase. Exploration of the fundamental mechanisms of biology, disease, or behavior is part o
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f the basic research stage.
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, TEST BANK FOR PRIMARY CARE 7th EDITION BY BUTTARO
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Chapter 03: Empowering Patients as Collaborative partners: A New Model for Pri
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mary Care
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Buttaro: Primary Care: A Collaborative Practice, 7th Edition
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MULTIPLE CHOICE C/




1. Which statement made by a health care provider demonstrates the most appropriat
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e 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.”
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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 C /


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




1. Which assessment question would a health care provider ask when engaging in the previs
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it 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
eIefN
feGctTs B
C/ 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?”
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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 C / C/ C/


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 disc
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ussing community resources during the actual visit.
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