PRIMARYCAREINTERPROFESSIONAL COLLA
g g g g
BORATIVEPRECTICE6THEDITIONTESTBANK B
g g g g
Y TERRY MAHAN BUTTARO | ALL CHAPTERS 1-
g g g g g g g
228 g
TESTBANK
, TESTgBANKgFORgPRIMARYgCAREg6THgEDITIONgBYgBUTTARO
Chapter 01: Interprofessional Collaborative Practice: Where We Are Today
g g g g g g g g g
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
g g g g g g g
MULTIPLEgCHOICE
1. Agsmall,gruralghospitalgisgpartgofgangAccountablegCaregOrganizationg(ACO)gandgisgdesignated g hi
asgagLevelg1gACO.gWhatgisgpartgofgthisgdesignation?
a. Bonusesgbasedgongachievementgofgbenchmarks
b. Caregcoordinationgforgchronicgdiseases
c. Standardsgforgminimumgcashgreserves
d. Strictgrequirementsgforgfinancialgreporting
ANS:g g A
AgLevelg1gACOghasgthegleastgamountgofgfinancialgriskgandgrequirements,gbutgreceivesgshared g s hi
avingsgbonusesgbasedgongachievementgofgbenchmarksgforgqualitygmeasuresgandgexpenditurges
.gCaregcoordinationgandgminimumgcashgreservesgstandardsgaregpartgofgLevelg2gACOgrequigrem
ents.gLevelg3gACOsghavegstrictgrequirementsgforgfinancialgreporting.
2. WhatgwasgangimportantgfindinggofgthegAdvisorygBoardgsurveygofg2014gaboutgprimarygcarge
preferencesgofgpatients?
hi
a. Associationsgwithgareaghospitals
b. Costsgofgambulatorygcare
c. Easegofgaccessgtogcare
d. Thegratiogofgprovidersgtogpatients g hi
ANS:g C
Asgpartgofgtheg2014gsurvey,gthegAdvisorygBoardglearnedgthatgpatientsgdesiredg24/7gaccessgtgo
care,gwalk-
hi
ingsettingsgandgthegabilitygtogbegseengwithing30gminutes,gandgcaregthatgisgclosegtoghome.gAssgo
ciationsgwithghospitals,gcostsgofgcare,gandgthegratiogofgprovidersgtogpatientsgwere notgpartgogfgt
hi
hesegresults.
MULTIPLEgRESPONSE
1. Whichgassessmentsgofgcaregprovidersgaregperformedgasgpartgofgthegvalue-
gbasedgpurchasing (VBP)ginitiative? g(Selectgallgthatgapply.)
hi
a. AppraisinggcostsgpergcasegofgcaregforgMedicaregpatients
b. Assessinggpatients’gsatisfactiongwithghospitalgcare
c. Evaluatinggavailablegevidencegtogguidegclinicalgcaregguidelines
d. Monitoringgmortalitygratesgofgallgpatientsgwithgpneumonia
e. Requiringgadvancedg ITgstandardsgandgminimumgcashgreserves
ANS:g g A,gB,gD
Value-
basedgpurchasingglooksgatgfivegdomaingareasgofgprocessesgofgcare,gincludinggefficiency ofgcareg(
ih
costgpergcase),gexperiencegofgcareg(patientgsatisfactiongmeasures),gandgoutcomesgofgcareg(mgort
alitygratesgforgcertaingconditions).gEvaluationgofgevidencegtogguidegclinicalgcaregisgpartgofgevide
nce-
basedgpractice.gThegrequirementsgforgITgstandardsgandgfinancialgstatusgaregpartgofgAccountabgl
egCaregOrganizationgstandards.
, TESTgBANKgFORgPRIMARYgCAREg6THgEDITIONgBYgBUTTARO
Chapter 02: Translating Research into Clinical Practice Butt
g g g g g g g g
aro: Primary Care: A Collaborative Practice, 6th Edition
g g g g g g g
MULTIPLEgCHOICE
1. WhatgisgthegpurposegofgLevelg IIgresearch?
a. Togdefinegcharacteristicsgofginterestgofggroupsgofgpatients
b. Togdemonstrategthegeffectivenessgofganginterventiongorgtreatment
c. Togdescribegrelationshipsgamonggcharacteristicsgorgvariables
d. Togevaluategthegnaturegofgrelationshipsgbetweengtwogvariables
ANS:g g C
LevelgIIgresearchgisgconcernedgwithgdescribinggthegrelationshipsgamonggcharacteristicsgorgv
ariables.gLevelgI researchgisgconductedgtogdefinegthegcharacteristicsgofggroupsgofgpatients.gL
hi
evelgIIgresearchgevaluatesgthegnaturegofgthegrelationshipsgbetweengvariables.gLevelgIVgregse
archgisgconductedgtogdemonstrategthegeffectivenessgofginterventionsgorgtreatments.
2. WhichgisgthegmostgappropriategresearchgdesigngforgagLevelg IIIgresearchgstudy?
a. Epidemiologicalgstudies
b. Experimentalgdesign
c. Qualitativegstudies
d. Randomizedgclinicalgtrials
ANS:g g B
Thegexperimentalgdesigng isgthegmostgappropriategdesigngforgagLevelg IIIgstudy.gEpidemiologi
calgstudiesgaregaNpU
prRoS
prI
iaN
teGfT
orBL.eC
veOlM
ih IIgstudies.gQualitativegdesignsgaregusefulg forg
LevelgI studies.gRandomizedgclinicalgtrialsgaregusedgforgLevelgIVgstudies.
hi
3. Whatgisgthegpurposegofgclinicalgresearchgtrialsgingthegspectrumgofgtranslationalg research?
a. Adoptiongofginterventionsgandgclinicalgpracticesgintogroutinegclinicalgcare
b. Determinationgofgthegbasisgofgdiseasegandgvariousgtreatmentgoptions
c. Examinationgofgsafetygandgeffectivenessgofgvariousginterventions
d. Explorationgofgfundamentalgmechanismsgofgbiology,gdisease,gorgbehavior
ANS:g g C
Clinicalgresearchgtrialsgaregconcernedgwithgdetermininggthegsafetygandgeffectivenessgofgintergv
entions.gAdoptiongofginterventionsgandgpracticesgisgpartgofgclinicalgimplementation.gDetermgin
ationgofgthegbasisgofgdiseasegandgtreatmentgoptionsgisgpartgofgthegpreclinicalgresearch phase.gEx
hi
plorationgofgthegfundamentalgmechanismsgofgbiology,gdisease,gorgbehaviorgisgpartgofgthegbgasicg
researchgstage.
, TESTgBANKgFORgPRIMARYgCAREg6THgEDITIONgBYgBUTTARO
Chapter 03: Empowering Patients as Collaborative partners: A New Model for Primary
g g g g g g g g g g g g
Care
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
g g g g g g g
MULTIPLEgCHOICE
1. Whichgstatementgmadegbygaghealthgcaregprovidergdemonstratesgthegmostgappropriate g hi
understandinggforgtheggoalgofgagperformancegreport?
a. ―Thisgprocessgallowsgmegtogcritiquegthegperformancegofgthegrestgofgthegstaff.‖
b. ―Mostgorganizationsgrequiregstaffgtogundergogagperformancegevaluationgyearly.‖
c. ―Itgisghardgtogbegpersonallygcriticizedgbutgthat’sghowgweglearngtogchange.‖
d. ―Thegcommentsgshouldghelpgmegimprovegmygmanagementgskills.‖
ANS:g g D
Theggoalgofgthegperformancegreportgisgtogprovidegguidancegtogstaffgingthegareasgofgprofessiongalg
development,gmentoring,gandgleadershipgdevelopment.gAgpeergreviewgisgwritten bygothersgwh
hi
ogperformgsimilargskillsg(peers).gThegremaininggoptionsgmaygbegtruegbutgdognotgprovidegegviden
cegofgunderstandinggofgtheggoalgofgthisgprofessionalgrequirement.
MULTIPLEgRESPONSE
1. Whichgassessmentgquestiongwouldgaghealthgcaregprovidergaskgwhengengaginggingthegprevisit g hi
stagegofgthegnewgmodelgforgprimarygcare?g(Selectgallgthatgapply.)
a. ―Aregyougreadygtogdiscussgsomegofgthegcommunitygresourcesgthatgaregavailable?‖
b. ―Areg youg experiencingg anNyUsiRdS
eI
efN
feGctTs B
hi fr. ourg newlyg prescribedg medications?‖
COyM
om
c. ―Dogyouganticipateganygproblemsgwithgadheringgtogyourgtreatmentgplan?‖
d. ―Aregyougreadygtogdiscussgthegresultsgofgyourglaboratorygtests?‖
e. ―Dogyoughaveganygquestionsgaboutgtheglabgtestsgthatghavegbeengorderedgforgyou?‖
ANS:g g B,gC,gE
Thegnursinggresponsibilitiesgingthegprevisitgstagegincludegassessinggthegpatient’sgtolerancegof g
ih
prescribedgmedications,gunderstandinggofgexistinggtreatmentgplan,gandgeducationgaboutgreqgu
iredglabgtesting.gThegprimarygcaregprovidergisgresponsiblegforgscreeningglabgdatagandgdiscugssi
nggcommunitygresourcesgduringgthegactualgvisit.
g g g g
BORATIVEPRECTICE6THEDITIONTESTBANK B
g g g g
Y TERRY MAHAN BUTTARO | ALL CHAPTERS 1-
g g g g g g g
228 g
TESTBANK
, TESTgBANKgFORgPRIMARYgCAREg6THgEDITIONgBYgBUTTARO
Chapter 01: Interprofessional Collaborative Practice: Where We Are Today
g g g g g g g g g
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
g g g g g g g
MULTIPLEgCHOICE
1. Agsmall,gruralghospitalgisgpartgofgangAccountablegCaregOrganizationg(ACO)gandgisgdesignated g hi
asgagLevelg1gACO.gWhatgisgpartgofgthisgdesignation?
a. Bonusesgbasedgongachievementgofgbenchmarks
b. Caregcoordinationgforgchronicgdiseases
c. Standardsgforgminimumgcashgreserves
d. Strictgrequirementsgforgfinancialgreporting
ANS:g g A
AgLevelg1gACOghasgthegleastgamountgofgfinancialgriskgandgrequirements,gbutgreceivesgshared g s hi
avingsgbonusesgbasedgongachievementgofgbenchmarksgforgqualitygmeasuresgandgexpenditurges
.gCaregcoordinationgandgminimumgcashgreservesgstandardsgaregpartgofgLevelg2gACOgrequigrem
ents.gLevelg3gACOsghavegstrictgrequirementsgforgfinancialgreporting.
2. WhatgwasgangimportantgfindinggofgthegAdvisorygBoardgsurveygofg2014gaboutgprimarygcarge
preferencesgofgpatients?
hi
a. Associationsgwithgareaghospitals
b. Costsgofgambulatorygcare
c. Easegofgaccessgtogcare
d. Thegratiogofgprovidersgtogpatients g hi
ANS:g C
Asgpartgofgtheg2014gsurvey,gthegAdvisorygBoardglearnedgthatgpatientsgdesiredg24/7gaccessgtgo
care,gwalk-
hi
ingsettingsgandgthegabilitygtogbegseengwithing30gminutes,gandgcaregthatgisgclosegtoghome.gAssgo
ciationsgwithghospitals,gcostsgofgcare,gandgthegratiogofgprovidersgtogpatientsgwere notgpartgogfgt
hi
hesegresults.
MULTIPLEgRESPONSE
1. Whichgassessmentsgofgcaregprovidersgaregperformedgasgpartgofgthegvalue-
gbasedgpurchasing (VBP)ginitiative? g(Selectgallgthatgapply.)
hi
a. AppraisinggcostsgpergcasegofgcaregforgMedicaregpatients
b. Assessinggpatients’gsatisfactiongwithghospitalgcare
c. Evaluatinggavailablegevidencegtogguidegclinicalgcaregguidelines
d. Monitoringgmortalitygratesgofgallgpatientsgwithgpneumonia
e. Requiringgadvancedg ITgstandardsgandgminimumgcashgreserves
ANS:g g A,gB,gD
Value-
basedgpurchasingglooksgatgfivegdomaingareasgofgprocessesgofgcare,gincludinggefficiency ofgcareg(
ih
costgpergcase),gexperiencegofgcareg(patientgsatisfactiongmeasures),gandgoutcomesgofgcareg(mgort
alitygratesgforgcertaingconditions).gEvaluationgofgevidencegtogguidegclinicalgcaregisgpartgofgevide
nce-
basedgpractice.gThegrequirementsgforgITgstandardsgandgfinancialgstatusgaregpartgofgAccountabgl
egCaregOrganizationgstandards.
, TESTgBANKgFORgPRIMARYgCAREg6THgEDITIONgBYgBUTTARO
Chapter 02: Translating Research into Clinical Practice Butt
g g g g g g g g
aro: Primary Care: A Collaborative Practice, 6th Edition
g g g g g g g
MULTIPLEgCHOICE
1. WhatgisgthegpurposegofgLevelg IIgresearch?
a. Togdefinegcharacteristicsgofginterestgofggroupsgofgpatients
b. Togdemonstrategthegeffectivenessgofganginterventiongorgtreatment
c. Togdescribegrelationshipsgamonggcharacteristicsgorgvariables
d. Togevaluategthegnaturegofgrelationshipsgbetweengtwogvariables
ANS:g g C
LevelgIIgresearchgisgconcernedgwithgdescribinggthegrelationshipsgamonggcharacteristicsgorgv
ariables.gLevelgI researchgisgconductedgtogdefinegthegcharacteristicsgofggroupsgofgpatients.gL
hi
evelgIIgresearchgevaluatesgthegnaturegofgthegrelationshipsgbetweengvariables.gLevelgIVgregse
archgisgconductedgtogdemonstrategthegeffectivenessgofginterventionsgorgtreatments.
2. WhichgisgthegmostgappropriategresearchgdesigngforgagLevelg IIIgresearchgstudy?
a. Epidemiologicalgstudies
b. Experimentalgdesign
c. Qualitativegstudies
d. Randomizedgclinicalgtrials
ANS:g g B
Thegexperimentalgdesigng isgthegmostgappropriategdesigngforgagLevelg IIIgstudy.gEpidemiologi
calgstudiesgaregaNpU
prRoS
prI
iaN
teGfT
orBL.eC
veOlM
ih IIgstudies.gQualitativegdesignsgaregusefulg forg
LevelgI studies.gRandomizedgclinicalgtrialsgaregusedgforgLevelgIVgstudies.
hi
3. Whatgisgthegpurposegofgclinicalgresearchgtrialsgingthegspectrumgofgtranslationalg research?
a. Adoptiongofginterventionsgandgclinicalgpracticesgintogroutinegclinicalgcare
b. Determinationgofgthegbasisgofgdiseasegandgvariousgtreatmentgoptions
c. Examinationgofgsafetygandgeffectivenessgofgvariousginterventions
d. Explorationgofgfundamentalgmechanismsgofgbiology,gdisease,gorgbehavior
ANS:g g C
Clinicalgresearchgtrialsgaregconcernedgwithgdetermininggthegsafetygandgeffectivenessgofgintergv
entions.gAdoptiongofginterventionsgandgpracticesgisgpartgofgclinicalgimplementation.gDetermgin
ationgofgthegbasisgofgdiseasegandgtreatmentgoptionsgisgpartgofgthegpreclinicalgresearch phase.gEx
hi
plorationgofgthegfundamentalgmechanismsgofgbiology,gdisease,gorgbehaviorgisgpartgofgthegbgasicg
researchgstage.
, TESTgBANKgFORgPRIMARYgCAREg6THgEDITIONgBYgBUTTARO
Chapter 03: Empowering Patients as Collaborative partners: A New Model for Primary
g g g g g g g g g g g g
Care
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
g g g g g g g
MULTIPLEgCHOICE
1. Whichgstatementgmadegbygaghealthgcaregprovidergdemonstratesgthegmostgappropriate g hi
understandinggforgtheggoalgofgagperformancegreport?
a. ―Thisgprocessgallowsgmegtogcritiquegthegperformancegofgthegrestgofgthegstaff.‖
b. ―Mostgorganizationsgrequiregstaffgtogundergogagperformancegevaluationgyearly.‖
c. ―Itgisghardgtogbegpersonallygcriticizedgbutgthat’sghowgweglearngtogchange.‖
d. ―Thegcommentsgshouldghelpgmegimprovegmygmanagementgskills.‖
ANS:g g D
Theggoalgofgthegperformancegreportgisgtogprovidegguidancegtogstaffgingthegareasgofgprofessiongalg
development,gmentoring,gandgleadershipgdevelopment.gAgpeergreviewgisgwritten bygothersgwh
hi
ogperformgsimilargskillsg(peers).gThegremaininggoptionsgmaygbegtruegbutgdognotgprovidegegviden
cegofgunderstandinggofgtheggoalgofgthisgprofessionalgrequirement.
MULTIPLEgRESPONSE
1. Whichgassessmentgquestiongwouldgaghealthgcaregprovidergaskgwhengengaginggingthegprevisit g hi
stagegofgthegnewgmodelgforgprimarygcare?g(Selectgallgthatgapply.)
a. ―Aregyougreadygtogdiscussgsomegofgthegcommunitygresourcesgthatgaregavailable?‖
b. ―Areg youg experiencingg anNyUsiRdS
eI
efN
feGctTs B
hi fr. ourg newlyg prescribedg medications?‖
COyM
om
c. ―Dogyouganticipateganygproblemsgwithgadheringgtogyourgtreatmentgplan?‖
d. ―Aregyougreadygtogdiscussgthegresultsgofgyourglaboratorygtests?‖
e. ―Dogyoughaveganygquestionsgaboutgtheglabgtestsgthatghavegbeengorderedgforgyou?‖
ANS:g g B,gC,gE
Thegnursinggresponsibilitiesgingthegprevisitgstagegincludegassessinggthegpatient’sgtolerancegof g
ih
prescribedgmedications,gunderstandinggofgexistinggtreatmentgplan,gandgeducationgaboutgreqgu
iredglabgtesting.gThegprimarygcaregprovidergisgresponsiblegforgscreeningglabgdatagandgdiscugssi
nggcommunitygresourcesgduringgthegactualgvisit.