, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
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Chapter 01: Interprofessional Collaborative Practice: Where We Are TodayB
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uttaro: Primary Care: A Collaborative Practice, 6th Edition
z z z z z z z
MULTIPLE CHOICE z
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designatedas 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 z z z z z
b. Care coordination for chronic diseases z z z z
c. Standards for minimum cash reserves z z z z
d. Strict requirements for financial reporting z z z z
ANS: A z
A Level 1 ACO has the least amount of financial risk and requirements, but receives sharedsavi
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ngs bonuses based on achievement of benchmarks for quality measures and expenditures. Car
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e coordination and minimum cash reserves standards are part of Level 2 ACO requirements. L
z z z z z z z z z z z z z z
evel 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 carepre
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ferences of patients? z z
a. Associations with area hospitals z z z
b. Costs of ambulatory care z z z
c. Ease of access to care z z z z
d. The ratio of providers to patients z z z z z z
ANS: C z
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access tocar
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e, walk-z
in settings and the ability to be seen within 30 minutes, and care that is close to home. Associat
z z z z z z z z z z z z z z z z z z
ions with hospitals, costs of care, and the ratio of providers to patients werenot part of these res
z z z z z z z z z z z z z z z z z z
ults.
MULTIPLE RESPONSE z
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 z z z z z z z z
b. Assessing patients’ satisfaction with hospital care z z z z z
c. Evaluating available evidence to guide clinical care guidelines z z z z z z z
d. Monitoring mortality rates of all patients with pneumonia z z z z z z z
e. Requiring advanced IT standards and minimum cash reserves z z z z z z z
ANS: A, B, D z z z
Value-
based purchasing looks at five domain areas of processes of care, including efficiencyof care (c
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ost per case), experience of care (patient satisfaction measures), and outcomes of care (mortalit
z z z z z z z z z z z z z
y rates for certain conditions). Evaluation of evidence to guide clinical care is part of evidence-
z z z z z z z z z z z z z z z
based practice. The requirements for IT standards and financial status are part of Accountable C
z z z z z z z z z z z z z z
are Organization standards.
z z
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
z z z z z z z z
Chapter 02: Translating Research into Clinical Practice Buttar
z z z z z z z
o: Primary Care: A Collaborative Practice, 6th Edition
z z z z z z z
MULTIPLE CHOICE z
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 z
Level II research is concerned with describing the relationships among characteristics or var
z z z z z z z z z z z z
iables. Level I research is conducted to define the characteristics of groups of patients.Level
z z z z z z z z z z z z z z z
II research evaluates the nature of the relationships between variables. Level IV research is c
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onducted 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 z
b. Experimental design z
c. Qualitative studies z
d. Randomized clinical trials z z
ANS: B z
The experimental design is the most appropriate design for a Level III study. Epidemiological
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studies are aNpU
prR
oS
prI
iaN
teGfT
orBL.eC
veOlM
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 z z z z z z z z z
b. Determination of the basis of disease and various treatment options z z z z z z z z z
c. Examination of safety and effectiveness of various interventions z z z z z z z
d. Exploration of fundamental mechanisms of biology, disease, or behavior z z z z z z z z
ANS: C z
Clinical research trials are concerned with determining the safety and effectiveness of intervent
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ions. Adoption of interventions and practices is part of clinical implementation. Determination
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of the basis of disease and treatment options is part of the preclinical researchphase. Exploration
z z z z z z z z z z z z z z z
zof the fundamental mechanisms of biology, disease, or behavior is part of the basic research sta
z z z z z z z z z z z z z z z
ge.
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
z z z z z z z z
Chapter 03: Empowering Patients as Collaborative partners: A New Model forPr
z z z z z z z z z z z
imary Care
z
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
z z z z z z z
MULTIPLE CHOICE z
1. Which statement made by a health care provider demonstrates the most appropriateun
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derstanding for the goal of a performance report? z z z z z z z
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 z
The goal of the performance report is to provide guidance to staff in the areas of professional de
z z z z z z z z z z z z z z z z z
velopment, mentoring, and leadership development. A peer review is writtenby others who per
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form similar skills (peers). The remaining options may be true but do not provide evidence of u
z z z z z z z z z z z z z z z z
nderstanding of the goal of this professional requirement. z z z z z z z
MULTIPLE RESPONSE z
1. Which assessment question would a health care provider ask when engaging in the previsitsta
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ge 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
z fr.COyM
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?‖
z z z z z z z z z z
e. ―Do you have any questions about the lab tests that have been ordered for you?‖
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ANS: B, C, E z z z
The nursing responsibilities in the previsit stage include assessing the patient’s tolerance ofpre
z z z z z z z z z z z z z
scribed medications, understanding of existing treatment plan, and education about required l
z z z z z z z z z z z
ab testing. The primary care provider is responsible for screening lab data and discussing com
z z z z z z z z z z z z z z
munity resources during the actual visit.
z z z z z
z z z z z z z z
Chapter 01: Interprofessional Collaborative Practice: Where We Are TodayB
z z z z z z z z z
uttaro: Primary Care: A Collaborative Practice, 6th Edition
z z z z z z z
MULTIPLE CHOICE z
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designatedas a
z z z z z z z z z z z z z z z z
Level 1 ACO. What is part of this designation?
z z z z z z z z z
a. Bonuses based on achievement of benchmarks z z z z z
b. Care coordination for chronic diseases z z z z
c. Standards for minimum cash reserves z z z z
d. Strict requirements for financial reporting z z z z
ANS: A z
A Level 1 ACO has the least amount of financial risk and requirements, but receives sharedsavi
z z z z z z z z z z z z z z z z
ngs bonuses based on achievement of benchmarks for quality measures and expenditures. Car
z z z z z z z z z z z z
e coordination and minimum cash reserves standards are part of Level 2 ACO requirements. L
z z z z z z z z z z z z z z
evel 3 ACOs have strict requirements for financial reporting.
z z z z z z z z
2. What was an important finding of the Advisory Board survey of 2014 about primary carepre
z z z z z z z z z z z z z z z
ferences of patients? z z
a. Associations with area hospitals z z z
b. Costs of ambulatory care z z z
c. Ease of access to care z z z z
d. The ratio of providers to patients z z z z z z
ANS: C z
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access tocar
z z z z z z z z z z z z z z z z
e, walk-z
in settings and the ability to be seen within 30 minutes, and care that is close to home. Associat
z z z z z z z z z z z z z z z z z z
ions with hospitals, costs of care, and the ratio of providers to patients werenot part of these res
z z z z z z z z z z z z z z z z z z
ults.
MULTIPLE RESPONSE z
1. Which assessments of care providers are performed as part of the value-
z z z z z z z z z z z
based purchasing(VBP) initiative? (Select all that apply.)
z z z z z z z
a. Appraising costs per case of care for Medicare patients z z z z z z z z
b. Assessing patients’ satisfaction with hospital care z z z z z
c. Evaluating available evidence to guide clinical care guidelines z z z z z z z
d. Monitoring mortality rates of all patients with pneumonia z z z z z z z
e. Requiring advanced IT standards and minimum cash reserves z z z z z z z
ANS: A, B, D z z z
Value-
based purchasing looks at five domain areas of processes of care, including efficiencyof care (c
z z z z z z z z z z z z z z z
ost per case), experience of care (patient satisfaction measures), and outcomes of care (mortalit
z z z z z z z z z z z z z
y rates for certain conditions). Evaluation of evidence to guide clinical care is part of evidence-
z z z z z z z z z z z z z z z
based practice. The requirements for IT standards and financial status are part of Accountable C
z z z z z z z z z z z z z z
are Organization standards.
z z
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
z z z z z z z z
Chapter 02: Translating Research into Clinical Practice Buttar
z z z z z z z
o: Primary Care: A Collaborative Practice, 6th Edition
z z z z z z z
MULTIPLE CHOICE z
1. What is the purpose of Level II research?
z z z z z z z
a. To define characteristics of interest of groups of patients
z z z z z z z z
b. To demonstrate the effectiveness of an intervention or treatment
z z z z z z z z
c. To describe relationships among characteristics or variables
z z z z z z
d. To evaluate the nature of relationships between two variables
z z z z z z z z
ANS: C z
Level II research is concerned with describing the relationships among characteristics or var
z z z z z z z z z z z z
iables. Level I research is conducted to define the characteristics of groups of patients.Level
z z z z z z z z z z z z z z z
II research evaluates the nature of the relationships between variables. Level IV research is c
z z z z z z z z z z z z z z
onducted to demonstrate the effectiveness of interventions or treatments.
z z z z z z z z
2. Which is the most appropriate research design for a Level III research study?
z z z z z z z z z z z z
a. Epidemiological studies z
b. Experimental design z
c. Qualitative studies z
d. Randomized clinical trials z z
ANS: B z
The experimental design is the most appropriate design for a Level III study. Epidemiological
z z z z z z z z z z z z z z
studies are aNpU
prR
oS
prI
iaN
teGfT
orBL.eC
veOlM
II studies. Qualitative designs are useful
z z z z z z z z
for Level I studies. Randomized clinical trials are used for Level IV studies.
z z z z z z z z z z z z
3. What is the purpose of clinical research trials in the spectrum of translational research?
z z z z z z z z z z z z z
a. Adoption of interventions and clinical practices into routine clinical care z z z z z z z z z
b. Determination of the basis of disease and various treatment options z z z z z z z z z
c. Examination of safety and effectiveness of various interventions z z z z z z z
d. Exploration of fundamental mechanisms of biology, disease, or behavior z z z z z z z z
ANS: C z
Clinical research trials are concerned with determining the safety and effectiveness of intervent
z z z z z z z z z z z z
ions. Adoption of interventions and practices is part of clinical implementation. Determination
z z z z z z z z z z z z
of the basis of disease and treatment options is part of the preclinical researchphase. Exploration
z z z z z z z z z z z z z z z
zof the fundamental mechanisms of biology, disease, or behavior is part of the basic research sta
z z z z z z z z z z z z z z z
ge.
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
z z z z z z z z
Chapter 03: Empowering Patients as Collaborative partners: A New Model forPr
z z z z z z z z z z z
imary Care
z
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
z z z z z z z
MULTIPLE CHOICE z
1. Which statement made by a health care provider demonstrates the most appropriateun
z z z z z z z z z z z z
derstanding for the goal of a performance report? z z z z z z z
a. ―This process allows me to critique the performance of the rest of the staff.‖
z z z z z z z z z z z z z
b. ―Most organizations require staff to undergo a performance evaluation yearly.‖
z z z z z z z z z
c. ―It is hard to be personally criticized but that’s how we learn to change.‖
z z z z z z z z z z z z z
d. ―The comments should help me improve my management skills.‖
z z z z z z z z
ANS: D z
The goal of the performance report is to provide guidance to staff in the areas of professional de
z z z z z z z z z z z z z z z z z
velopment, mentoring, and leadership development. A peer review is writtenby others who per
z z z z z z z z z z z z z
form similar skills (peers). The remaining options may be true but do not provide evidence of u
z z z z z z z z z z z z z z z z
nderstanding of the goal of this professional requirement. z z z z z z z
MULTIPLE RESPONSE z
1. Which assessment question would a health care provider ask when engaging in the previsitsta
z z z z z z z z z z z z z z
ge of the new model for primary care? (Select all that apply.)
z z z z z z z z z z z
a. ―Are you ready to discuss some of the community resources that are available?‖
z z z z z z z z z z z z
b. ―Are you experiencing anNyUsiRdS
eIefN
feGctTs B
z fr.COyM
om our newly prescribed medications?‖
z z z z z z
c. ―Do you anticipate any problems with adhering to your treatment plan?‖
z z z z z z z z z z
d. ―Are you ready to discuss the results of your laboratory tests?‖
z z z z z z z z z z
e. ―Do you have any questions about the lab tests that have been ordered for you?‖
z z z z z z z z z z z z z z
ANS: B, C, E z z z
The nursing responsibilities in the previsit stage include assessing the patient’s tolerance ofpre
z z z z z z z z z z z z z
scribed medications, understanding of existing treatment plan, and education about required l
z z z z z z z z z z z
ab testing. The primary care provider is responsible for screening lab data and discussing com
z z z z z z z z z z z z z z
munity resources during the actual visit.
z z z z z
