Test Bank - Primary Care, Interprofessional Collaborative Practice, 6th Edition (Buttaro, 2021) Chapter 1-228 | All Chapters

PRIMARY CARE INTERPROFESSIONAL COLLA
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BORATIVE PRECTICE 6TH EDITION TESTBANK B
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Y TERRY MAHAN BUTTARO | ALL CHAPTERS 1-
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228




TESTBANK fi

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




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


b. Care coordination for chronic diseases fi fi fi fi


c. Standards for minimum cash reserves fi fi fi fi


d. Strict requirements for financial reporting fi fi fi fi




ANS: A f i


A Level 1 ACO has the least amount of financial risk and requirements, but receives sharedsa
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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? fi fi


a. Associations with area hospitals fi fi fi


b. Costs of ambulatory care fi fi fi


c. Ease of access to care fi fi fi fi


d. The ratio of providers to patients fi fi fi fi fi if




ANS: C f i




As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access toc
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are, walk- fi


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.fi




MULTIPLE RESPONSE fi




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 fi fi fi fi fi fi fi fi


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


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


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


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




ANS: A, B, D f i fi fi


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
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lity rates for certain conditions). Evaluation of evidence to guide clinical care is part of eviden
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ce-
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
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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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MULTIPLE CHOICE fi




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 f i


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 fi


b. Experimental design fi


c. Qualitative studies fi


d. Randomized clinical trials fi fi




ANS: B f i


The experimental design is the most appropriate design for a Level III study. Epidemiologic
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al studies are aNpU
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prI
iaN
teGfT
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 fi fi fi fi fi fi fi fi fi


b. Determination of the basis of disease and various treatment options fi fi fi fi fi fi fi fi fi


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


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




ANS: C f i


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
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ion of the basis of disease and treatment options is part of the preclinical researchphase. Explo
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ration of the fundamental mechanisms of biology, disease, or behavior is part of the basic res
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earch stage. fi

, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
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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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MULTIPLE CHOICE fi




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 fi fi fi fi fi fi


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 f i


The goal of the performance report is to provide guidance to staff in the areas of professional
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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
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e of understanding of the goal of this professional requirement.
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MULTIPLE RESPONSE fi




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 community resources that are available?‖
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b. ―Are you experiencing anNyUsiRdS
eI
efN
feGctTs B
fi 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 f i fi fi


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
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ed lab testing. The primary care provider is responsible for screening lab data and discussin
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g community resources during the actual visit.
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