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BORATIVEPRECTICE6THEDITIONTESTBANKB Y
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TERRY MAHANBUTTARO | ALL CHAPTERS 1- 228
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TESTBANK f
, 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 f
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designa
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tedas a Level 1 ACO. What is part of this designation?
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a. Bonuses based on achievement of benchmarks f f f f f
b. Care coordination for chronic diseases f f f f
c. Standards for minimum cash reserves f f f f
d. Strict requirements for financial reporting f f f f
ANS: A f f
A Level 1 ACO has the least amount of financial risk and requirements, but receives sha
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redfdsavings bonuses based on achievement of benchmarks for quality measures and expe
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nditures. Care coordination and minimum cash reserves standards are part of Level 2 A
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CO requirements. 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
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carefdpreferences of patients? f f
a. Associations with area hospitals f f f
b. Costs of ambulatory care f f f
c. Ease of access to care f f f f
d. The ratio of providers to patient f f f f f
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sANS: C f
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7
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acces s tofdcare, walk- f f f
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 werefdnot
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part of these results.
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MULTIPLE RESPONSE f
1. Which assessments of care providers are performed as part of the value-
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based purchasingfd(VBP) initiative? (Select all that apply.)
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a. Appraising costs per case of care for Medicare patients f f f f f f f f
b. Assessing patients’ satisfaction with hospital care f f f f f
c. Evaluating available evidence to guide clinical care guidelines f f f f f f f
d. Monitoring mortality rates of all patients with pneumonia f f f f f f f
e. Requiring advanced IT standards and minimum cash reserves f f f f f f f
ANS: A, B, D f f f f
Value-
based purchasing looks at five domain areas of processes of care, including efficiencyof c are
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(cost per case), experience of care (patient satisfaction measures), and outcomes of ca re
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(mortality rates for certain conditions). Evaluation of evidence to guide clinical care is part of
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evidence-
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based practice. The requirements for IT standards and financial status are part of Accoun
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table 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 f
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 f
Level II research is concerned with describing the relationships among characteristics
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or variables. Level I research is conducted to define the characteristics of groups of pa
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tients.Level II research evaluates the nature of the relationships between variables. Le
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vel IV research is conducted to demonstrate the effectiveness of interventions or treat
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ments.
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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 f
b. Experimental design f
c. Qualitative studies f
d. Randomized clinical trials f f
ANS: B f f
The experimental design is the most appropriate design for a Level III study. Epidemiol
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ogical studies are aNpU
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prI
iaN
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orBL.eC
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veOlfdM
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 f f f f f f f f f
b. Determination of the basis of disease and various treatment options f f f f f f f f f
c. Examination of safety and effectiveness of various interventions f f f f f f f
d. Exploration of fundamental mechanisms of biology, disease, or behavior f f f f f f f f
ANS: C f f
Clinical research trials are concerned with determining the safety and effectiveness of int
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erventions. Adoption of interventions and practices is part of clinical implementation. De
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termination of the basis of disease and treatment options is part of the preclinical researchfd
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phase. Exploration of the fundamental mechanisms of biology, disease, or behavior is
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pa rt of the basic research stage.
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, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
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Chapter 03: Empowering Patients as Collaborative partners: A New Model f
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orPrimary Care
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Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE f
1. Which statement made by a health care provider demonstrates the most appropri
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atefdunderstanding 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.‖ f f f f f f f f
ANS: D f f
The goal of the performance report is to provide guidance to staff in the areas of
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profes sional development, mentoring, and leadership development. A peer review is
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writtenby others who perform similar skills (peers). The remaining options may be true
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but do notf provide evidence of understanding of the goal of this professional
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requirement.
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MULTIPLE RESPONSE f
1. Which assessment question would a health care provider ask when engaging in the prev
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isitstage 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 efdI
efN
feGctTs B
fr.
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 f
The nursing responsibilities in the previsit stage include assessing the patient’s tolerancef
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offdprescribed medications, understanding of existing treatment plan, and education about f f f f f f f f f
required lab testing. The primary care provider is responsible for screening lab data
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an d discussing community resources during the actual visit.
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