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

TEST BANK FOR PRIMARY CARE 6TH EDITION BY B
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UTTARO

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TESTBANK b

, 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 b




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




b. Care coordination for chronic diseases b b b b




c. Standards for minimum cash reserves b b b b




d. Strict requirements for financial reporting b b b b




ANS: A b




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 b b b




b. Costs of ambulatory care b b b




c. Ease of access to care b b b b




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




ANS: C b NURSINGTB.COM
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to care,
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walk-in settings and the ability to be seen within 30 minutes, and care that is close to 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 b




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




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




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




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




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




ANS: A, B, D b b b




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 of
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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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, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
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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 b




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 b




Level II research is concerned with describing the relationships among characteristics or
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variables. Level Iresearch is conducted to define the characteristics of groups of patients. Level II
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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 b




b. Experimental design b




c. Qualitative studies b




d. Randomized clinical trials b b




ANS: B b




The experimental design is the most appropriate design for a Level III study.
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EpidemiologicalstudiesareaNpU
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iaN
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orBL.eCveOlMI I studies.Qualitativedesignsareuseful b b b b b b b b b




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 b b b b b b b b b




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




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




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




ANS: C b




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
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the basic research stage.
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, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO b b b b b b b b




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 b




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 b




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
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of understanding of the goal of this professional requirement.
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MULTIPLE RESPONSE b




1. Which assessment question would a health care provider ask when engaging in the previsit
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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
eIefN
feGctTs B
fr.
om our newly prescribed medications?‖
COyM
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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 b b b




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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