Test Bank for Primary Care, 6th Edition by Battaro
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TESTBANK
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
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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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MULTIPLE CHOICE aa
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designate d
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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 aa aa aa aa aa
b. Care coordination for chronic diseases aa aa aa aa
c. Standards for minimum cash reserves aa aa aa aa
d. Strict requirements for financial reporting aa aa aa aa
ANS: A a a a a
A Level 1 ACO has the least amount of financial risk and requirements, but receives share
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ad savings bonuses based on achievement of benchmarks for quality measures and expendit
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ures. Care coordination and minimum cash reserves standards are part of Level 2 ACO re q
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uirements. 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 re
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preferences of patients?
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a. Associations with area hospitals aa aa aa
b. Costs of ambulatory care aa aa aa
c. Ease of access to care aa aa aa aa
d. The ratio of providers to patients aa aa aa aa aa
ANS: a a a a C NURSINGTB.COM
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to
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care, walk-
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in settings and the ability to be seen within 30 minutes, and care that is close to home. Asso
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa a a
ciations with hospitals, costs of care, and the ratio of providers to patients were not part of t
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
hese results. aa
MULTIPLE RESPONSE aa
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 aa aa aa aa aa aa aa aa
b. Assessing patients’ satisfaction with hospital care aa aa aa aa aa
c. Evaluating available evidence to guide clinical care guidelines aa aa aa aa aa aa aa
d. Monitoring mortality rates of all patients with pneumonia aa aa aa aa aa aa aa
e. Requiring advanced IT standards and minimum cash reserves aa aa aa aa aa aa aa
ANS: A, B, D a a a a aa aa
Value-
based purchasing looks at five domain areas of processes of care, including efficiency of ca r
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
e (cost per case), experience of care (patient satisfaction measures), and outcomes of care (m
aa aa aa aa aa aa aa aa aa aa aa aa aa aa
ortality rates for certain conditions). Evaluation of evidence to guide clinical care is pa
aa aa aa aa aa aa aa aa aa aa aa aa aa aa
rt of evidence-
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based practice. The requirements for IT standards and financial status are part of Account ab
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le Care Organization standards.
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NURSINGTB.COM
, 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 aa
1. What is the purpose of Level II research?
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a. To definev.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 a a a a
Level II research is concerned with describing the relationships among characteristics or v ar
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iables. Level Iv.research is conducted to define the characteristics of groups of patients. Le vel
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II research evaluates the nature of the relationships between variables. Level IV resear ch is
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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 aa
b. Experimental design aa
c. Qualitative studies aa
d. Randomized clinical trials aa aa
ANS: B a a a a
The experimental design is the most appropriate design for a Level III study. Epidemio
aa aa aa aa aa aa aa aa aa aa aa aa aa
logical studies arev.aNpU
p rR
opSrI
iaN
aateGfT
o rBL.eC
veOl.vMI I studies. Qualitative designs are useful fo
aa a aa aa aa aa aa aa
r 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 aa aa aa aa aa aa aa aa aa
c. Examination of safety and effectiveness of various interventions aa aa aa aa aa aa aa
d. Exploration of fundamental mechanisms of biology, disease, or behavior aa aa aa aa aa aa aa aa
ANS: C a a a a
Clinical research trials are concerned with determining the safety and effectiveness of inte rv
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entions. Adoption of interventions and practices is part of clinical implementation. Dete rmi
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nation of the basis of disease and treatment options is part of the preclinical research ph ase.
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
Exploration of the fundamental mechanisms of biology, disease, or behavior is part o f th
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e basic research stage.
aa aa aa
NURSINGTB.COM
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
a aa aa aa aa aa aa aa
Chapter 03: Empowering Patients as Collaborative partners: A New Model for Prim ar
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y Care
aa
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
aa aa aa aa aa aa aa
MULTIPLE CHOICE aa
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 a a a a
The goal of the performance report is to provide guidance to staff in the areas of professi on
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
al development, mentoring, and leadership development. A peer review is written by oth ers
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who perform similar skills (peers). The remaining options may be true but do not pro vide e
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
vidence of understanding of the goal of this professional requirement.
aa aa aa aa aa aa aa aa aa
MULTIPLE RESPONSE aa
1. Which assessment question would a health care provider ask when engaging in the previs it
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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
ev.I
efN
feGctTs B
fr.
om our newly prescribed medications?‖
COyM aa aa aa a a aa aa
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 a a a a aa aa
The nursing responsibilities in thev.previsit stage include assessing thev.patient’s tolerance of
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prescribed medications, understanding of existing treatment plan, and education about req ui
aa aa aa aa aa aa aa aa aa aa aa
red lab testing. The primary care provider is responsible for screening lab data and discu ssin
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
g community resources during the actual visit.
aa aa aa aa aa aa
NURSINGTB.COM
aa aa aa aa aa aa aa aa
TESTBANK
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
a aa aa aa aa aa aa aa
Chapter 01: Interprofessional Collaborative Practice: Where We Are Today
aa aa aa aa aa aa aa aa aa
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
aa aa aa aa aa aa aa
MULTIPLE CHOICE aa
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designate d
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
as a Level 1 ACO. What is part of this designation?
aa aa aa aa aa aa aa aa aa aa aa
a. Bonuses based on achievement of benchmarks aa aa aa aa aa
b. Care coordination for chronic diseases aa aa aa aa
c. Standards for minimum cash reserves aa aa aa aa
d. Strict requirements for financial reporting aa aa aa aa
ANS: A a a a a
A Level 1 ACO has the least amount of financial risk and requirements, but receives share
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa a
ad savings bonuses based on achievement of benchmarks for quality measures and expendit
aa aa aa aa aa aa aa aa aa aa aa aa aa
ures. Care coordination and minimum cash reserves standards are part of Level 2 ACO re q
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
uirements. Level 3 ACOs have strict requirements for financial reporting.
aa aa aa aa aa aa aa aa aa
2. What was an important finding of the Advisory Board survey of 2014 about primary ca re
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
preferences of patients?
aa aa aa
a. Associations with area hospitals aa aa aa
b. Costs of ambulatory care aa aa aa
c. Ease of access to care aa aa aa aa
d. The ratio of providers to patients aa aa aa aa aa
ANS: a a a a C NURSINGTB.COM
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
care, walk-
aa aa
in settings and the ability to be seen within 30 minutes, and care that is close to home. Asso
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa a a
ciations with hospitals, costs of care, and the ratio of providers to patients were not part of t
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
hese results. aa
MULTIPLE RESPONSE aa
1. Which assessments of care providers are performed as part of the value-
aa aa aa aa aa aa aa aa aa aa aa
based purchasing (VBP) initiative? (Select all that apply.)
aa aa aa aa aa aa aa aa
a. Appraising costs per case of care for Medicare patients aa aa aa aa aa aa aa aa
b. Assessing patients’ satisfaction with hospital care aa aa aa aa aa
c. Evaluating available evidence to guide clinical care guidelines aa aa aa aa aa aa aa
d. Monitoring mortality rates of all patients with pneumonia aa aa aa aa aa aa aa
e. Requiring advanced IT standards and minimum cash reserves aa aa aa aa aa aa aa
ANS: A, B, D a a a a aa aa
Value-
based purchasing looks at five domain areas of processes of care, including efficiency of ca r
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
e (cost per case), experience of care (patient satisfaction measures), and outcomes of care (m
aa aa aa aa aa aa aa aa aa aa aa aa aa aa
ortality rates for certain conditions). Evaluation of evidence to guide clinical care is pa
aa aa aa aa aa aa aa aa aa aa aa aa aa aa
rt of evidence-
aa aa
based practice. The requirements for IT standards and financial status are part of Account ab
aa aa aa aa aa aa aa aa aa aa aa aa aa aa
le Care Organization standards.
aa aa aa
NURSINGTB.COM
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
a aa aa aa aa aa aa aa
Chapter 02: Translating Research into Clinical Practice Butt
aa aa aa aa aa aa aa aa
aro: Primary Care: A Collaborative Practice, 6th Edition
aa aa aa aa aa aa aa
MULTIPLE CHOICE aa
1. What is the purpose of Level II research?
aa aa aa aa aa a a aa
a. To definev.characteristics of interest of groups of patients
aa aa aa aa aa aa aa
b. To demonstrate the effectiveness of an intervention or treatment
aa aa aa aa aa aa aa aa
c. To describe relationships among characteristics or variables
aa aa aa aa aa aa
d. To evaluate the nature of relationships between two variables
aa aa aa aa aa aa aa aa
ANS: C a a a a
Level II research is concerned with describing the relationships among characteristics or v ar
aa aa aa aa aa aa aa aa aa aa aa aa aa
iables. Level Iv.research is conducted to define the characteristics of groups of patients. Le vel
aa aa aa aa aa aa aa aa aa aa aa aa aa aa a
II research evaluates the nature of the relationships between variables. Level IV resear ch is
a aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
conducted to demonstrate the effectiveness of interventions or treatments.
aa aa aa aa aa aa aa aa
2. Which is the most appropriate research design for a Level III research study?
aa aa aa aa aa aa aa aa aa aa aa aa
a. Epidemiological studies aa
b. Experimental design aa
c. Qualitative studies aa
d. Randomized clinical trials aa aa
ANS: B a a a a
The experimental design is the most appropriate design for a Level III study. Epidemio
aa aa aa aa aa aa aa aa aa aa aa aa aa
logical studies arev.aNpU
p rR
opSrI
iaN
aateGfT
o rBL.eC
veOl.vMI I studies. Qualitative designs are useful fo
aa a aa aa aa aa aa aa
r Level I studies. Randomized clinical trials are used for Level IV studies.
aa aa aa aa aa aa aa aa aa aa a a aa
3. What is the purpose of clinical research trials in the spectrum of translational research?
aa aa aa aa aa aa aa aa aa aa aa aa aa
a. Adoption of interventions and clinical practices into routine clinical care
aa aa aa aa aa aa aa aa aa
b. Determination of the basis of disease and various treatment options aa aa aa aa aa aa aa aa aa
c. Examination of safety and effectiveness of various interventions aa aa aa aa aa aa aa
d. Exploration of fundamental mechanisms of biology, disease, or behavior aa aa aa aa aa aa aa aa
ANS: C a a a a
Clinical research trials are concerned with determining the safety and effectiveness of inte rv
aa aa aa aa aa aa aa aa aa aa aa aa aa
entions. Adoption of interventions and practices is part of clinical implementation. Dete rmi
aa aa aa aa aa aa aa aa aa aa aa aa
nation of the basis of disease and treatment options is part of the preclinical research ph ase.
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
Exploration of the fundamental mechanisms of biology, disease, or behavior is part o f th
aa aa aa aa aa aa aa aa aa aa aa aa aa aa
e basic research stage.
aa aa aa
NURSINGTB.COM
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
a aa aa aa aa aa aa aa
Chapter 03: Empowering Patients as Collaborative partners: A New Model for Prim ar
aa aa aa aa aa aa aa aa aa aa aa aa
y Care
aa
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
aa aa aa aa aa aa aa
MULTIPLE CHOICE aa
1. Which statement made by a health care provider demonstrates the most appropriat
aa aa aa aa aa aa aa aa aa aa aa aa
e understanding for the goal of a performance report?
aa aa aa aa aa aa aa aa
a. ―This process allows me to critique the performance of the rest of the staff.‖
aa aa aa aa aa aa aa aa aa aa aa aa aa
b. ―Most organizations require staff to undergo a performance evaluation yearly.‖
aa aa aa aa aa aa aa aa aa
c. ―It is hard to be personally criticized but that’s how we learn to change.‖
aa aa aa aa aa aa aa aa aa aa aa aa aa
d. ―The comments should help me improve my management skills.‖
aa aa aa aa aa aa aa aa
ANS: D a a a a
The goal of the performance report is to provide guidance to staff in the areas of professi on
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
al development, mentoring, and leadership development. A peer review is written by oth ers
aa aa aa aa aa aa aa aa aa aa aa aa aa aa
who perform similar skills (peers). The remaining options may be true but do not pro vide e
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
vidence of understanding of the goal of this professional requirement.
aa aa aa aa aa aa aa aa aa
MULTIPLE RESPONSE aa
1. Which assessment question would a health care provider ask when engaging in the previs it
aa aa aa aa aa aa aa aa aa aa aa aa aa aa
stage of the new model for primary care? (Select all that apply.)
aa aa aa aa aa aa aa aa a a aa aa aa
a. ―Are you ready to discuss some of the community resources that are available?‖
aa aa aa aa aa aa aa aa aa aa aa aa
b. ―Are you experiencing anNyUsiRdS
ev.I
efN
feGctTs B
fr.
om our newly prescribed medications?‖
COyM aa aa aa a a aa aa
c. ―Do you anticipate any problems with adhering to your treatment plan?‖
aa aa aa aa aa aa aa aa aa aa
d. ―Are you ready to discuss the results of your laboratory tests?‖
aa aa aa aa aa aa aa aa aa aa
e. ―Do you have any questions about the lab tests that have been ordered for you?‖
aa aa aa aa aa aa aa aa aa aa aa aa aa aa
ANS: B, C, E a a a a aa aa
The nursing responsibilities in thev.previsit stage include assessing thev.patient’s tolerance of
aa aa aa aa aa aa aa aa aa aa aa
prescribed medications, understanding of existing treatment plan, and education about req ui
aa aa aa aa aa aa aa aa aa aa aa
red lab testing. The primary care provider is responsible for screening lab data and discu ssin
aa aa aa aa aa aa aa aa aa aa aa aa aa aa aa
g community resources during the actual visit.
aa aa aa aa aa aa
NURSINGTB.COM
