Test Bank for Primary Care 6th Edition By Buttaro

TEST BANK FOR PRIMARY CARE 6TH EDITION BYB
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, TESTvBANKvFORvPRIMARYvCAREv6THvEDITIONvBYvBUTTARO


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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MULTIPLEvCHOICE

1. Avsmall,vruralvhospitalvisvpartvofvanvAccountablevCarevOrganizationv(ACO)vandvisvdesignatedva
svavLevelv1vACO.vWhatvisvpartvofvthisvdesignation?
a. Bonusesvbasedvonvachievementvofvbenchmarks
b. Carevcoordinationvforvchronicvdiseases
c. Standardsvforvminimumvcashvreserves
d. Strictvrequirementsvforvfinancialvreporting
ANS:v A
AvLevelv1vACOvhasvthevleastvamountvofvfinancialvriskvandvrequirements,vbutvreceivesvsharedvs
avingsvbonusesvbasedvonvachievementvofvbenchmarksvforvqualityvmeasuresvandvexpenditures.
vCarevcoordinationvandvminimumvcashvreservesvstandardsvarevpartvofvLevelv2vACOvrequireme

nts.vLevelv3vACOsvhavevstrictvrequirementsvforvfinancialvreporting.

2. WhatvwasvanvimportantvfindingvofvthevAdvisoryvBoardvsurveyvofv2014vaboutvprimaryvcarevp
referencesvofvpatients?
a. Associationsvwithvareavhospitals
b. Costsvofvambulatoryvcare
c. Easevofvaccessvtovcare
d. Thevratiovofvprovidersvtovpatients
ANS:v C NURSINGTB.COM
Asvpartvofvthev2014vsurvey,vthevAdvisoryvBoardvlearnedvthatvpatientsvdesiredv24/7vaccessvtovc
are,vwalk-
invsettingsvandvthevabilityvtovbevseenvwithinv30vminutes,vandvcarevthatvisvclosevtovhome.vAssoc
iationsvwithvhospitals,vcostsvofvcare,vandvthevratiovofvprovidersvtovpatientsvwerevnotvpartvofvthe
sevresults.

MULTIPLEvRESPONSE

1. Whichvassessmentsvofvcarevprovidersvarevperformedvasvpartvofvthevvalue-
basedvpurchasingv(VBP)vinitiative?v(Selectvallvthatvapply.)
a. AppraisingvcostsvpervcasevofvcarevforvMedicarevpatients
b. Assessingvpatients’vsatisfactionvwithvhospitalvcare
c. Evaluatingvavailablevevidencevtovguidevclinicalvcarevguidelines
d. Monitoringvmortalityvratesvofvallvpatientsvwithvpneumonia
e. RequiringvadvancedvITvstandardsvandvminimumvcashvreserves
ANS:v A,vB,vD
Value-
basedvpurchasingvlooksvatvfivevdomainvareasvofvprocessesvofvcare,vincludingvefficiencyvofvcarev(
costvpervcase),vexperiencevofvcarev(patientvsatisfactionvmeasures),vandvoutcomesvofvcarev(morta
lityvratesvforvcertainvconditions).vEvaluationvofvevidencevtovguidevclinicalvcarevisvpartvofveviden
ce-
basedvpractice.vThevrequirementsvforvITvstandardsvandvfinancialvstatusvarevpartvofvAccountable
vCarevOrganizationvstandards.




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Chapter 02: Translating Research into Clinical Practice Butta
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ro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLEvCHOICE

1. WhatvisvthevpurposevofvLevelvIIvresearch?
a. Tovdefinevcharacteristicsvofvinterestvofvgroupsvofvpatients
b. Tovdemonstratevtheveffectivenessvofvanvinterventionvorvtreatment
c. Tovdescribevrelationshipsvamongvcharacteristicsvorvvariables
d. Tovevaluatevthevnaturevofvrelationshipsvbetweenvtwovvariables
ANS:v C
LevelvIIvresearchvisvconcernedvwithvdescribingvthevrelationshipsvamongvcharacteristicsvorvv
ariables.vLevelvIvresearchvisvconductedvtovdefinevthevcharacteristicsvofvgroupsvofvpatients.vLe
velvIIvresearchvevaluatesvthevnaturevofvthevrelationshipsvbetweenvvariables.vLevelvIVvresear
chvisvconductedvtovdemonstratevtheveffectivenessvofvinterventionsvorvtreatments.

2. WhichvisvthevmostvappropriatevresearchvdesignvforvavLevelvIIIvresearchvstudy?
a. Epidemiologicalvstudies
b. Experimentalvdesign
c. Qualitativevstudies
d. Randomizedvclinicalvtrials
ANS:v B
ThevexperimentalvdesignvisvthevmostvappropriatevdesignvforvavLevelvIIIvstudy.vEpidemiologic
alvstudiesvarevaNpU
prR
opSrI
iaN
teGfT
orBL.eC
veOlvM
IIvstudies.vQualitativevdesignsvarevuseful
forvLevelvIvstudies.vRandomizedvclinicalvtrialsvarevusedvforvLevelvIVvstudies.

3. Whatvisvthevpurposevofvclinicalvresearchvtrialsvinvthevspectrumvofvtranslationalvresearch?
a. Adoptionvofvinterventionsvandvclinicalvpracticesvintovroutinevclinicalvcare
b. Determinationvofvthevbasisvofvdiseasevandvvariousvtreatmentvoptions
c. Examinationvofvsafetyvandveffectivenessvofvvariousvinterventions
d. Explorationvofvfundamentalvmechanismsvofvbiology,vdisease,vorvbehavior
ANS:v C
Clinicalvresearchvtrialsvarevconcernedvwithvdeterminingvthevsafetyvandveffectivenessvofvinterve
ntions.vAdoptionvofvinterventionsvandvpracticesvisvpartvofvclinicalvimplementation.vDeterminat
ionvofvthevbasisvofvdiseasevandvtreatmentvoptionsvisvpartvofvthevpreclinicalvresearchvphase.vExplo
rationvofvthevfundamentalvmechanismsvofvbiology,vdisease,vorvbehaviorvisvpartvofvthevbasicvres
earchvstage.




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Chapter 03: Empowering Patients as Collaborative partners: A New Model forP
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rimary Care
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Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLEvCHOICE

1. Whichvstatementvmadevbyvavhealthvcarevprovidervdemonstratesvthevmostvappropriatevu
nderstandingvforvthevgoalvofvavperformancevreport?
a. “Thisvprocessvallowsvmevtovcritiquevthevperformancevofvthevrestvofvthevstaff.”
b. “Mostvorganizationsvrequirevstaffvtovundergovavperformancevevaluationvyearly.”
c. “Itvisvhardvtovbevpersonallyvcriticizedvbutvthat’svhowvwevlearnvtovchange.”
d. “Thevcommentsvshouldvhelpvmevimprovevmyvmanagementvskills.”
ANS:v D
Thevgoalvofvthevperformancevreportvisvtovprovidevguidancevtovstaffvinvthevareasvofvprofessionalv
development,vmentoring,vandvleadershipvdevelopment.vAvpeervreviewvisvwrittenvbyvothersvwho
vperformvsimilarvskillsv(peers).vThevremainingvoptionsvmayvbevtruevbutvdovnotvprovidevevidenc

evofvunderstandingvofvthevgoalvofvthisvprofessionalvrequirement.

MULTIPLEvRESPONSE

1. Whichvassessmentvquestionvwouldvavhealthvcarevprovidervaskvwhenvengagingvinvthevprevisitvs
tagevofvthevnewvmodelvforvprimaryvcare?v(Selectvallvthatvapply.)
a. “Arevyouvreadyvtovdiscussvsomevofvthevcommunityvresourcesvthatvarevavailable?”
b. “ArevyouvexperiencingvanNyUsid
RSevI
efN
feGctTsvB
fr.COyM
om ourvnewlyvprescribedvmedications?”
c. “Dovyouvanticipatevanyvproblemsvwithvadheringvtovyourvtreatmentvplan?”
d. “Arevyouvreadyvtovdiscussvthevresultsvofvyourvlaboratoryvtests?”
e. “Dovyouvhavevanyvquestionsvaboutvthevlabvtestsvthatvhavevbeenvorderedvforvyou?”
ANS:v B,vC,vE
Thevnursingvresponsibilitiesvinvthevprevisitvstagevincludevassessingvthevpatient’svtolerancevofvp
rescribedvmedications,vunderstandingvofvexistingvtreatmentvplan,vandveducationvaboutvrequire
dvlabvtesting.vThevprimaryvcarevprovidervisvresponsiblevforvscreeningvlabvdatavandvdiscussingv
communityvresourcesvduringvthevactualvvisit.




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