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TEST BANK FOR Buttaro: Primary Care: A Collaborative Practice/ Interprofessional Collaborative Practice 6TH EDITION (All Chapters 1- 228) Questions And Answers in 260 Pages.
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TEST BANK FOR Buttaro: Primary Care: A Collaborative Practice/ Interprofessional Collaborative Practice 6TH EDITION (All Chapters 1- 228) Questions And Answers in 260 Pages.

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  • April 15, 2025
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  • 2024/2025
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TEST BANK FOR ga ga




Primary Care Interprofessional Collaborative Practice 6th Edition
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|Chapter 1-228|Complete TestBank A+ ga ga ga




Authors: Terry Mahan Buttaro, Patricia Polgar-Bailey, Joanne Sandberg-Cook, JoAnn Trybulski
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Chapter 01: Interprofessional Collaborative Practice:
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Where We Are Today
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Buttaro: Primary Care: A Collaborative Practice, 6th
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Edition
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MULTIPLE CHOICE ga




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



b. Care coordination for chronic diseases ga ga ga ga



c. Standards for minimum cash reserves ga ga ga ga



d. Strict requirements for financial reporting ga ga ga ga




ANS: g a



A
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
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savings 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 requirements.
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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 care
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preferences of patients?
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a. Associations with area hospitals ga ga ga



b. Costs of ambulatory care ga ga ga



c. Ease of access to care ga ga ga ga



d. The ratio of providers to patients ga ga ga ga ga




ANS: C g a



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




1. Which assessments of care providers are performed as part of the value-based purchasing (VBP)
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initiative? (Select all that apply.)
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a. Appraising costs per case of care for Medicare patients ga ga ga ga ga ga ga ga



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



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



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



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




ANS: A, B, D g a ga ga



Value-based purchasing looks at five domain areas of processes of care, including efficiency of
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care (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 part
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of evidence-based practice. The requirements for IT standards and financial status are part of
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Accountable Care Organization standards.
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Chapter 02: Translating Research into Clinical Practice
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Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE ga




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 g a



Level II research is concerned with describing the relationships among characteristics or
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variables. Level I research is conducted to define the characteristics of groups of patients. Level
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II research evaluates the nature of the relationships between variables. Level IV research 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 ga



b. Experimental design ga



c. Qualitative studies ga



d. Randomized clinical trials ga ga




ANS: B g a



The experimental design is the most appropriate design for a Level III study. Epidemiological
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studies are appropriate for Level II studies. Qualitative designs are useful for Level I studies.
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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 ga ga ga ga ga ga ga ga ga



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



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




ANS: C g a



Clinical research trials are concerned with determining the safety and effectiveness of
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interventions. Adoption of interventions and practices is part of clinical implementation.
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Determination of the basis of disease and treatment options is part of the preclinical research
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phase. Exploration of the fundamental mechanisms of biology, disease, or behavior is part of the
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basic research stage.
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Chapter 03: Empowering Patients as Collaborative partners: A New Model for Primary
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Care
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Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE ga




1. Which statement made by a health care provider demonstrates the most appropriate
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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 g a



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 written by others who
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perform similar skills (peers). The remaining options may be true but do not provide evidence of
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understanding of the goal of this professional requirement.
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MULTIPLE
RESPONSE
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1. Which assessment question would a health care provider ask when engaging in the previsit stage
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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 any side effects from your 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: g a B, C, E ga ga

, 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 required
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lab testing. The primary care provider is responsible for screening lab data and discussing
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community resources during the actual visit.
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Chapter 04: Coordinated Chronic Care
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Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE ga




1. To reduce adverse events associated with care transitions, the Centers for Medicare and
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Medicaid Service have implemented which policy?
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a. Mandates for communication among primary caregivers and hospitalists ga ga ga ga ga ga ga



b. Penalties for failure to perform medication reconciliations at time of discharge
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c. Reduction of payments for patients readmitted within 30 days after discharge
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d. Requirements for written discharge instructions for patients and caregivers ga ga ga ga ga ga ga ga




ANS: C g a



As a component of the Affordable Care Act, the Centers for Medicare and Medicaid Service
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developed the Readmissions Reduction Program reducing payments for certain patients
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readmitted within 30 days of discharge. The CMS did not mandate communication, institute
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penalties for failure to perform medication reconciliations, or require written discharge
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instructions.
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2. According to multiple research studies, which intervention has resulted in lower costs and fewer
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rehospitalizations in high-risk older patients?
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a. Coordination of posthospital care by advanced practice health care providers ga ga ga ga ga ga ga ga ga



b. Frequent posthospital clinic visits with a primary care provider ga ga ga ga ga ga ga ga



c. Inclusion of extended family members in the outpatient plan of care ga ga ga ga ga ga ga ga ga ga



d. Telephone follow-up by the pharmacist to assess medication compliance ga ga ga ga ga ga ga ga




ANS: A g a



Research studies provided evidence that high-risk older patients who had posthospital care
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coordinated by an APN had reduced rehospitalization rates. It did not include clinic visits with
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a primary care provider, inclusion of extended family members in the plan of care, or
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telephone follow-up by a pharmacist.
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MULTIPLE RESPONSE ga




1. Which advantages are provided to the chronically ill patient by personal electronic monitoring
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devices? (Select all that apply.)
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a. Helps provide more patient control their health and lifestyle
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b. Eliminates need for regular medical and nursing follow-up visits ga ga ga ga ga ga ga ga



c. Helps the early identification of patient health-related problems
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d. Helps health care providers in keeping track of the patient’s health status
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e. Cost is often covered by Medicare ga ga ga ga ga

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