Test Bank for Primary Care: Interprofessional Collaborative Practice 7th Edition (Terry Mahan Buttaro, 2024), Chapter 1-228 | Complete Guide A+

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,Chapter 01: Interprofessional Collaborative Practice: Where We Are Today
Buttaro: Primary Care: A Collaborative Practice, 7th Edition

MULTIPLE CHOICE x




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


b. Care coordination for chronic diseases x x x x


c. Standards for minimum cash reserves x x x x


d. Strict requirements for financial reporting x x x x




ANS: A x


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
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expenditures. Care coordination and minimum cash reserves standards are part of Level 2
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ACO 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 care
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preferences of patients? x x


a. Associations with area hospitals x x x


b. Costs of ambulatory care x x x


c. Ease of access to care x x x x


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




ANS: C x




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. Associations with hospitals, costs of care, and the ratio of providers to patients were
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not part of these results.
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MULTIPLE RESPONSE x




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 x x x x x x x x


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


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


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


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




ANS: A, B, D x x x


Value-based purchasing looks at five domain areas of processes of care, including efficiency
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of care (cost per case), experience of care (patient satisfaction measures), and outcomes of
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care (mortality rates for certain conditions). Evaluation of evidence to guide clinical care is
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part of evidence-based practice. The requirements for IT standards and financial status are
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part of Accountable Care Organization standards.
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,Chapter 02: Translating Research into Clinical Practice
Buttaro: Primary Care: A Collaborative Practice, 6th Edition

MULTIPLE CHOICE x




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 x


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.
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Level II research evaluates the nature of the relationships between variables. Level IV
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research is 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 x


b. Experimental design x


c. Qualitative studies x


d. Randomized clinical trials x x




ANS: B x


The experimental design is the most appropriate design for a Level III study.
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Epidemiological 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
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b. Determination of the basis of disease and various treatment options x x x x x x x x x


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


d. Exploration of fundamental mechanisms of biology, disease, or behavior
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ANS: C x


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
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of the basic research stage.
x x x x

, Chapter 03: Empowering Patients as Collaborative partners: A New Model for
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Primary Care
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x




MULTIPLE CHOICE x




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? x x x x x x x


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 x


The goal of the performance report is to provide guidance to staff in the areas of
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professional development, mentoring, and leadership development. A peer review is written
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by others who perform similar skills (peers). The remaining options may be true but do not
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provide evidence of understanding of the goal of this professional requirement.
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MULTIPLE RESPONSE x




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
x eI
efN
feGctTs B
fr.COyM
om our newly prescribed medications?‖
x x x x x x


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 x x x


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
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required lab testing. The primary care provider is responsible for screening lab data and
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discussing community resources during the actual visit.
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