, TEST BANK FOR PRIMARY CARE 7th EDITION BY BUTTARO
n9 n9 n9 n9 n9 n9 n9 n9
Chapter 01: Interprofessional Collaborative Practice: Where We Are Toda
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y Buttaro: Primary Care: A Collaborative Practice, 7th Edition
n9 n9 n9 n9 n9 n9 n9 n9
MULTIPLE CHOICE n9
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designat
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ed as a Level 1 ACO. What is part of this designation?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Bonuses based on achievement of benchmarks n9 n9 n9 n9 n9
b. Care coordination for chronic diseases n9 n9 n9 n9
c. Standards for minimum cash reserves n9 n9 n9 n9
d. Strict requirements for financial reporting n9 n9 n9 n9
ANS: A n 9
A Level 1 ACO has the least amount of financial risk and requirements, but receives share
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
d savings bonuses based on achievement of benchmarks for quality measures and expendi
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
tures. Care coordination and minimum cash reserves standards are part of Level 2 ACO r
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
equirements. Level 3 ACOs have strict requirements for financial reporting.
n9 n9 n9 n9 n9 n9 n9 n9 n9
2. What was an important finding of the Advisory Board survey of 2014 about primary ca
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
re preferences of patients?
n9 n9 n9
a. Associations with area hospitals n9 n9 n9
b. Costs of ambulatory care n9 n9 n9
c. Ease of access to care n9 n9 n9 n9
d. The ratio of providers to patient n9 n9 n9 n9 n9
s ANS: C
n9 n 9
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
to care, walk-
n9 n9 n9
in settings and the ability to be seen within 30 minutes, and care that is close to home.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Associations with hospitals, costs of care, and the ratio of providers to patients were not
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
part of these results.
n9 n9 n9
MULTIPLE RESPONSE n9
1. Which assessments of care providers are performed as part of the value-
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
based purchasing (VBP) initiative? (Select all that apply.)
n9 n9 n9 n9 n9 n9 n9
a. Appraising costs per case of care for Medicare patients n9 n9 n9 n9 n9 n9 n9 n9
b. Assessing patients’ satisfaction with hospital care n9 n9 n9 n9 n9
c. Evaluating available evidence to guide clinical care guidelines n9 n9 n9 n9 n9 n9 n9
d. Monitoring mortality rates of all patients with pneumonia n9 n9 n9 n9 n9 n9 n9
e. Requiring advanced IT standards and minimum cash reserves n9 n9 n9 n9 n9 n9 n9
ANS: A, B, D n 9 n9 n9
Value-
based purchasing looks at five domain areas of processes of care, including efficiency of c
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
are (cost per case), experience of care (patient satisfaction measures), and outcomes of ca
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
re (mortality rates for certain conditions). Evaluation of evidence to guide clinical care is
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
part of evidence- n9 n9
based practice. The requirements for IT standards and financial status are part of Account
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
able Care Organization standards.
n9 n9 n9
, TEST BANK FOR PRIMARY CARE 7th EDITION BY BUTTARO
n9 n9 n9 n9 n9 n9 n9 n9
Chapter 02: Translating Research into Clinical Practice But
n9 n9 n9 n9 n9 n9 n9
taro: Primary Care: A Collaborative Practice, 7th Edition
n9 n9 n9 n9 n9 n9 n9
MULTIPLE CHOICE n9
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 n 9
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.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Level II research evaluates the nature of the relationships between variables. Level IV res
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
earch is conducted to demonstrate the effectiveness of interventions or treatments.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
2. Which is the most appropriate research design for a Level III research study?
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a. Epidemiological studies n9
b. Experimental design n9
c. Qualitative studies n9
d. Randomized clinical trials n9 n9
ANS: B n 9
The experimental design is the most appropriate design for a Level III study. Epidemi
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ological studies are aNpU
prR
opSrI
n9 iaN
teGfT
orBL.eC
veOlMI I studies. Qualitative designs are useful
n9 n9 n9 n9 n9 n9 n9 n9
for Level I studies. Randomized clinical trials are used for Level IV studies.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
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 n9 n9 n9 n9 n9 n9 n9 n9 n9
c. Examination of safety and effectiveness of various interventions n9 n9 n9 n9 n9 n9 n9
d. Exploration of fundamental mechanisms of biology, disease, or behavior
n9 n9 n9 n9 n9 n9 n9 n9
ANS: C n 9
Clinical research trials are concerned with determining the safety and effectiveness of int
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
erventions. Adoption of interventions and practices is part of clinical implementation. Det
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ermination of the basis of disease and treatment options is part of the preclinical research
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
phase. Exploration of the fundamental mechanisms of biology, disease, or behavior is par
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
t of the basic research stage.
n9 n9 n9 n9 n9
, TEST BANK FOR PRIMARY CARE 7th EDITION BY BUTTARO
n9 n9 n9 n9 n9 n9 n9 n9
Chapter 03: Empowering Patients as Collaborative partners: A New Model for Pri
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
mary Care
n9
Buttaro: Primary Care: A Collaborative Practice, 7th Edition
n9 n9 n9 n9 n9 n9 n9
MULTIPLE CHOICE n9
1. Which statement made by a health care provider demonstrates the most appropria
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
te 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.‖
n9 n9 n9 n9 n9 n9 n9 n9
ANS: D n 9
The goal of the performance report is to provide guidance to staff in the areas of profess
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ional development, mentoring, and leadership development. A peer review is written by ot
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
hers who perform similar skills (peers). The remaining options may be true but do not pr
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ovide evidence of understanding of the goal of this professional requirement.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
MULTIPLE RESPONSE n9
1. Which assessment question would a health care provider ask when engaging in the previ
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sit 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?‖
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
b. ―Are you experiencing anNyUsiRdS
eIefN
feGctTs B
n9 fr.
om our newly prescribed medications?‖
COyM n9 n9 n9 n9 n9 n9
c. ―Do you anticipate any problems with adhering to your treatment plan?‖
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
d. ―Are you ready to discuss the results of your laboratory tests?‖
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
e. ―Do you have any questions about the lab tests that have been ordered for you?‖
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ANS: B, C, E n 9 n9 n9
The nursing responsibilities in the previsit stage include assessing the patient’s tolerance of
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
prescribed medications, understanding of existing treatment plan, and education about re
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
quired lab testing. The primary care provider is responsible for screening lab data and dis
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
cussing community resources during the actual visit.
n9 n9 n9 n9 n9 n9
n9 n9 n9 n9 n9 n9 n9 n9
Chapter 01: Interprofessional Collaborative Practice: Where We Are Toda
n9 n9 n9 n9 n9 n9 n9 n9
y Buttaro: Primary Care: A Collaborative Practice, 7th Edition
n9 n9 n9 n9 n9 n9 n9 n9
MULTIPLE CHOICE n9
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designat
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ed as a Level 1 ACO. What is part of this designation?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Bonuses based on achievement of benchmarks n9 n9 n9 n9 n9
b. Care coordination for chronic diseases n9 n9 n9 n9
c. Standards for minimum cash reserves n9 n9 n9 n9
d. Strict requirements for financial reporting n9 n9 n9 n9
ANS: A n 9
A Level 1 ACO has the least amount of financial risk and requirements, but receives share
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
d savings bonuses based on achievement of benchmarks for quality measures and expendi
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
tures. Care coordination and minimum cash reserves standards are part of Level 2 ACO r
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
equirements. Level 3 ACOs have strict requirements for financial reporting.
n9 n9 n9 n9 n9 n9 n9 n9 n9
2. What was an important finding of the Advisory Board survey of 2014 about primary ca
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
re preferences of patients?
n9 n9 n9
a. Associations with area hospitals n9 n9 n9
b. Costs of ambulatory care n9 n9 n9
c. Ease of access to care n9 n9 n9 n9
d. The ratio of providers to patient n9 n9 n9 n9 n9
s ANS: C
n9 n 9
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
to care, walk-
n9 n9 n9
in settings and the ability to be seen within 30 minutes, and care that is close to home.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Associations with hospitals, costs of care, and the ratio of providers to patients were not
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
part of these results.
n9 n9 n9
MULTIPLE RESPONSE n9
1. Which assessments of care providers are performed as part of the value-
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
based purchasing (VBP) initiative? (Select all that apply.)
n9 n9 n9 n9 n9 n9 n9
a. Appraising costs per case of care for Medicare patients n9 n9 n9 n9 n9 n9 n9 n9
b. Assessing patients’ satisfaction with hospital care n9 n9 n9 n9 n9
c. Evaluating available evidence to guide clinical care guidelines n9 n9 n9 n9 n9 n9 n9
d. Monitoring mortality rates of all patients with pneumonia n9 n9 n9 n9 n9 n9 n9
e. Requiring advanced IT standards and minimum cash reserves n9 n9 n9 n9 n9 n9 n9
ANS: A, B, D n 9 n9 n9
Value-
based purchasing looks at five domain areas of processes of care, including efficiency of c
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
are (cost per case), experience of care (patient satisfaction measures), and outcomes of ca
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
re (mortality rates for certain conditions). Evaluation of evidence to guide clinical care is
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
part of evidence- n9 n9
based practice. The requirements for IT standards and financial status are part of Account
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
able Care Organization standards.
n9 n9 n9
, TEST BANK FOR PRIMARY CARE 7th EDITION BY BUTTARO
n9 n9 n9 n9 n9 n9 n9 n9
Chapter 02: Translating Research into Clinical Practice But
n9 n9 n9 n9 n9 n9 n9
taro: Primary Care: A Collaborative Practice, 7th Edition
n9 n9 n9 n9 n9 n9 n9
MULTIPLE CHOICE n9
1. What is the purpose of Level II research?
n9 n9 n9 n9 n9 n9 n9
a. To define characteristics of interest of groups of patients
n9 n9 n9 n9 n9 n9 n9 n9
b. To demonstrate the effectiveness of an intervention or treatment
n9 n9 n9 n9 n9 n9 n9 n9
c. To describe relationships among characteristics or variables
n9 n9 n9 n9 n9 n9
d. To evaluate the nature of relationships between two variables
n9 n9 n9 n9 n9 n9 n9 n9
ANS: C n 9
Level II research is concerned with describing the relationships among characteristics or
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
variables. Level I research is conducted to define the characteristics of groups of patients.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
Level II research evaluates the nature of the relationships between variables. Level IV res
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
earch is conducted to demonstrate the effectiveness of interventions or treatments.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
2. Which is the most appropriate research design for a Level III research study?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Epidemiological studies n9
b. Experimental design n9
c. Qualitative studies n9
d. Randomized clinical trials n9 n9
ANS: B n 9
The experimental design is the most appropriate design for a Level III study. Epidemi
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ological studies are aNpU
prR
opSrI
n9 iaN
teGfT
orBL.eC
veOlMI I studies. Qualitative designs are useful
n9 n9 n9 n9 n9 n9 n9 n9
for Level I studies. Randomized clinical trials are used for Level IV studies.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
3. What is the purpose of clinical research trials in the spectrum of translational research?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Adoption of interventions and clinical practices into routine clinical care
n9 n9 n9 n9 n9 n9 n9 n9 n9
b. Determination of the basis of disease and various treatment options n9 n9 n9 n9 n9 n9 n9 n9 n9
c. Examination of safety and effectiveness of various interventions n9 n9 n9 n9 n9 n9 n9
d. Exploration of fundamental mechanisms of biology, disease, or behavior
n9 n9 n9 n9 n9 n9 n9 n9
ANS: C n 9
Clinical research trials are concerned with determining the safety and effectiveness of int
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
erventions. Adoption of interventions and practices is part of clinical implementation. Det
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ermination of the basis of disease and treatment options is part of the preclinical research
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
phase. Exploration of the fundamental mechanisms of biology, disease, or behavior is par
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
t of the basic research stage.
n9 n9 n9 n9 n9
, TEST BANK FOR PRIMARY CARE 7th EDITION BY BUTTARO
n9 n9 n9 n9 n9 n9 n9 n9
Chapter 03: Empowering Patients as Collaborative partners: A New Model for Pri
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
mary Care
n9
Buttaro: Primary Care: A Collaborative Practice, 7th Edition
n9 n9 n9 n9 n9 n9 n9
MULTIPLE CHOICE n9
1. Which statement made by a health care provider demonstrates the most appropria
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
te understanding for the goal of a performance report?
n9 n9 n9 n9 n9 n9 n9 n9
a. ―This process allows me to critique the performance of the rest of the staff.‖
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
b. ―Most organizations require staff to undergo a performance evaluation yearly.‖
n9 n9 n9 n9 n9 n9 n9 n9 n9
c. ―It is hard to be personally criticized but that’s how we learn to change.‖
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
d. ―The comments should help me improve my management skills.‖
n9 n9 n9 n9 n9 n9 n9 n9
ANS: D n 9
The goal of the performance report is to provide guidance to staff in the areas of profess
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ional development, mentoring, and leadership development. A peer review is written by ot
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
hers who perform similar skills (peers). The remaining options may be true but do not pr
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ovide evidence of understanding of the goal of this professional requirement.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
MULTIPLE RESPONSE n9
1. Which assessment question would a health care provider ask when engaging in the previ
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
sit stage of the new model for primary care? (Select all that apply.)
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. ―Are you ready to discuss some of the community resources that are available?‖
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
b. ―Are you experiencing anNyUsiRdS
eIefN
feGctTs B
n9 fr.
om our newly prescribed medications?‖
COyM n9 n9 n9 n9 n9 n9
c. ―Do you anticipate any problems with adhering to your treatment plan?‖
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
d. ―Are you ready to discuss the results of your laboratory tests?‖
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
e. ―Do you have any questions about the lab tests that have been ordered for you?‖
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ANS: B, C, E n 9 n9 n9
The nursing responsibilities in the previsit stage include assessing the patient’s tolerance of
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
prescribed medications, understanding of existing treatment plan, and education about re
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
quired lab testing. The primary care provider is responsible for screening lab data and dis
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
cussing community resources during the actual visit.
n9 n9 n9 n9 n9 n9
