l
x
,Chapter 01: Interprofessional Collaborative Practice: Where We Are Today
Buttaro: Primary Care: A Collaborative Practice, 7th Edition
MULTIPLE CHOICE xl
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designated
xl xl xl xl xl xl xl xl xl xl xl xl xl xl l
x
as a Level 1 ACO. What is part of this designation?
xl xl xl xl xl xl xl xl xl xl
a. Bonuses based on achievement of benchmarks xl xl xl xl xl
b. Care coordination for chronic diseases xl xl xl xl
c. Standards for minimum cash reserves xl xl xl xl
d. Strict requirements for financial reporting xl xl xl xl
ANS: A x l
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
xl xl xl xl xl xl xl xl xl xl xl xl xl xl xl l
x
savings bonuses based on achievement of benchmarks for quality measures and expenditur
xl xl xl xl xl xl xl xl xl xl xl
es. Care coordination and minimum cash reserves standards are part of Level 2 ACO requi
xl xl xl xl xl xl xl xl xl xl xl xl xl xl
rements. Level 3 ACOs have strict requirements for financial reporting.
xl xl xl xl xl xl xl xl xl
2. What was an important finding of the Advisory Board survey of 2014 about primary car
xl xl xl xl xl xl xl xl xl xl xl xl xl xl
epreferences of patients?
l
x xl xl
a. Associations with area hospitals xl xl xl
b. Costs of ambulatory care xl xl xl
c. Ease of access to care xl xl xl xl
d. The ratio of providers to patients xl xl xl xl xl l
x
ANS: C x l
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access t
xl xl xl xl xl xl xl xl xl xl xl xl xl xl xl
ocare, walk-
l
x xl
in settings and the ability to be seen within 30 minutes, and care that is close to home. Ass
xl xl xl xl xl xl xl xl xl xl xl xl xl xl xl xl xl xl
ociations with hospitals, costs of care, and the ratio of providers to patients werenot part o
xl xl xl xl xl xl xl xl xl xl xl xl xl l
x xl xl
f these results.
xl xl
MULTIPLE RESPONSE xl
1. Which assessments of care providers are performed as part of the value-
xl xl xl xl xl xl xl xl xl xl xl
based purchasing(VBP) initiative? (Select all that apply.)
xl xl xl xl xl xl xl
a. Appraising costs per case of care for Medicare patients xl xl xl xl xl xl xl xl
b. Assessing patients’ satisfaction with hospital care xl xl xl xl xl
c. Evaluating available evidence to guide clinical care guidelines xl xl xl xl xl xl xl
d. Monitoring mortality rates of all patients with pneumonia xl xl xl xl xl xl xl
e. Requiring advanced IT standards and minimum cash reserves xl xl xl xl xl xl xl
ANS: A, B, D x l xl xl
Value-
based purchasing looks at five domain areas of processes of care, including efficiencyof care
xl xl xl xl xl xl xl xl xl xl xl xl l
x xl
(cost per case), experience of care (patient satisfaction measures), and outcomes of care (m
xl xl xl xl xl xl xl xl xl xl xl xl xl xl
ortality rates for certain conditions). Evaluation of evidence to guide clinical care is part of
xl xl xl xl xl xl xl xl xl xl xl xl xl xl xl
evidence-
based practice. The requirements for IT standards and financial status are part of Accountab
xl xl xl xl xl xl xl xl xl xl xl xl xl
le Care Organization standards.
xl xl xl
,Chapter 02: Translating Research into Clinical Practice
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
MULTIPLE CHOICE xl
1. What is the purpose of Level II research?
xl xl xl xl xl xl xl
a. To define characteristics of interest of groups of patients
xl xl xl xl xl xl xl xl
b. To demonstrate the effectiveness of an intervention or treatment
xl xl xl xl xl xl xl xl
c. To describe relationships among characteristics or variables
xl xl xl xl xl xl
d. To evaluate the nature of relationships between two variables
xl xl xl xl xl xl xl xl
ANS: C x l
Level II research is concerned with describing the relationships among characteristics or
xl xl xl xl xl xl xl xl xl xl xl xl
variables. Level I research is conducted to define the characteristics of groups of patients.
xl xl xl xl xl xl xl xl xl xl xl xl xl l
x
Level II research evaluates the nature of the relationships between variables. Level IV re
xl xl xl xl xl xl xl xl xl xl xl xl xl
search is conducted to demonstrate the effectiveness of interventions or treatments.
xl xl xl xl xl xl xl xl xl xl
2. Which is the most appropriate research design for a Level III research study?
xl xl xl xl xl xl xl xl xl xl xl xl
a. Epidemiological studies xl
b. Experimental design xl
c. Qualitative studies xl
d. Randomized clinical trials xl xl
ANS: B x l
The experimental design is the most appropriate design for a Level III study. Epidemiologi
xl xl xl xl xl xl xl xl xl xl xl xl xl
cal studies are aNpU
xl prR
oS
prI
iaN
teGfT
orBL.eC
veOlM
II studies. Qualitative designs are useful
xl xl l
x xl xl xl xl xl
for Level I studies. Randomized clinical trials are used for Level IV studies.
xl xl xl xl xl xl xl xl xl xl xl xl
3. What is the purpose of clinical research trials in the spectrum of translational research?
xl xl xl xl xl xl xl xl xl xl xl xl xl
a. Adoption of interventions and clinical practices into routine clinical care
xl xl xl xl xl xl xl xl xl
b. Determination of the basis of disease and various treatment options xl xl xl xl xl xl xl xl xl
c. Examination of safety and effectiveness of various interventions xl xl xl xl xl xl xl
d. Exploration of fundamental mechanisms of biology, disease, or behavior
xl xl xl xl xl xl xl xl
ANS: C x l
Clinical research trials are concerned with determining the safety and effectiveness of inter
xl xl xl xl xl xl xl xl xl xl xl xl
ventions. Adoption of interventions and practices is part of clinical implementation. Determ
xl xl xl xl xl xl xl xl xl xl xl
ination of the basis of disease and treatment options is part of the preclinical researchphase.
xl xl xl xl xl xl xl xl xl xl xl xl xl xl l
x xl
Exploration of the fundamental mechanisms of biology, disease, or behavior is part of the b
xl xl xl xl xl xl xl xl xl xl xl xl xl xl
asic research stage.
xl xl
, Chapter 03: Empowering Patients as Collaborative partners: A New Model for
xl xl xl xl xl xl xl xl xl xl l
x
Primary Care
xl
xl
MULTIPLE CHOICE xl
1. Which statement made by a health care provider demonstrates the most appropriate
xl xl xl xl xl xl xl xl xl xl xl xl
understanding for the goal of a performance report? xl xl xl xl xl xl xl
a. ―This process allows me to critique the performance of the rest of the staff.‖
xl xl xl xl xl xl xl xl xl xl xl xl xl
b. ―Most organizations require staff to undergo a performance evaluation yearly.‖
xl xl xl xl xl xl xl xl xl
c. ―It is hard to be personally criticized but that’s how we learn to change.‖
xl xl xl xl xl xl xl xl xl xl xl xl xl
d. ―The comments should help me improve my management skills.‖
xl xl xl xl xl xl xl xl
ANS: D x l
The goal of the performance report is to provide guidance to staff in the areas of profession
xl xl xl xl xl xl xl xl xl xl xl xl xl xl xl xl
al development, mentoring, and leadership development. A peer review is writtenby others
xl xl xl xl xl xl xl xl xl xl l
x xl xl
who perform similar skills (peers). The remaining options may be true but do not provide e
xl xl xl xl xl xl xl xl xl xl xl xl xl xl xl
vidence of understanding of the goal of this professional requirement.
xl xl xl xl xl xl xl xl xl
MULTIPLE RESPONSE xl
1. Which assessment question would a health care provider ask when engaging in the previsit
xl xl xl xl xl xl xl xl xl xl xl xl xl l
x
stage of the new model for primary care? (Select all that apply.)
xl xl xl xl xl xl xl xl xl xl xl
a. ―Are you ready to discuss some of the community resources that are available?‖
xl xl xl xl xl xl xl xl xl xl xl xl
b. ―Are you experiencing anNyUsiRdS
eI
efN
xl feGctTs B
fr.COyM
om our newly prescribed medications?‖
xl xl xl xl xl xl
c. ―Do you anticipate any problems with adhering to your treatment plan?‖
xl xl xl xl xl xl xl xl xl xl
d. ―Are you ready to discuss the results of your laboratory tests?‖
xl xl xl xl xl xl xl xl xl xl
e. ―Do you have any questions about the lab tests that have been ordered for you?‖
xl xl xl xl xl xl xl xl xl xl xl xl xl xl
ANS: B, C, E x l xl xl
The nursing responsibilities in the previsit stage include assessing the patient’s tolerance of
xl xl xl xl xl xl xl xl xl xl xl xl l
x
prescribed medications, understanding of existing treatment plan, and education about req
xl xl xl xl xl xl xl xl xl xl
uired lab testing. The primary care provider is responsible for screening lab data and discu
xl xl xl xl xl xl xl xl xl xl xl xl xl xl
ssing community resources during the actual visit.
xl xl xl xl xl xl
x
,Chapter 01: Interprofessional Collaborative Practice: Where We Are Today
Buttaro: Primary Care: A Collaborative Practice, 7th Edition
MULTIPLE CHOICE xl
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designated
xl xl xl xl xl xl xl xl xl xl xl xl xl xl l
x
as a Level 1 ACO. What is part of this designation?
xl xl xl xl xl xl xl xl xl xl
a. Bonuses based on achievement of benchmarks xl xl xl xl xl
b. Care coordination for chronic diseases xl xl xl xl
c. Standards for minimum cash reserves xl xl xl xl
d. Strict requirements for financial reporting xl xl xl xl
ANS: A x l
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
xl xl xl xl xl xl xl xl xl xl xl xl xl xl xl l
x
savings bonuses based on achievement of benchmarks for quality measures and expenditur
xl xl xl xl xl xl xl xl xl xl xl
es. Care coordination and minimum cash reserves standards are part of Level 2 ACO requi
xl xl xl xl xl xl xl xl xl xl xl xl xl xl
rements. Level 3 ACOs have strict requirements for financial reporting.
xl xl xl xl xl xl xl xl xl
2. What was an important finding of the Advisory Board survey of 2014 about primary car
xl xl xl xl xl xl xl xl xl xl xl xl xl xl
epreferences of patients?
l
x xl xl
a. Associations with area hospitals xl xl xl
b. Costs of ambulatory care xl xl xl
c. Ease of access to care xl xl xl xl
d. The ratio of providers to patients xl xl xl xl xl l
x
ANS: C x l
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access t
xl xl xl xl xl xl xl xl xl xl xl xl xl xl xl
ocare, walk-
l
x xl
in settings and the ability to be seen within 30 minutes, and care that is close to home. Ass
xl xl xl xl xl xl xl xl xl xl xl xl xl xl xl xl xl xl
ociations with hospitals, costs of care, and the ratio of providers to patients werenot part o
xl xl xl xl xl xl xl xl xl xl xl xl xl l
x xl xl
f these results.
xl xl
MULTIPLE RESPONSE xl
1. Which assessments of care providers are performed as part of the value-
xl xl xl xl xl xl xl xl xl xl xl
based purchasing(VBP) initiative? (Select all that apply.)
xl xl xl xl xl xl xl
a. Appraising costs per case of care for Medicare patients xl xl xl xl xl xl xl xl
b. Assessing patients’ satisfaction with hospital care xl xl xl xl xl
c. Evaluating available evidence to guide clinical care guidelines xl xl xl xl xl xl xl
d. Monitoring mortality rates of all patients with pneumonia xl xl xl xl xl xl xl
e. Requiring advanced IT standards and minimum cash reserves xl xl xl xl xl xl xl
ANS: A, B, D x l xl xl
Value-
based purchasing looks at five domain areas of processes of care, including efficiencyof care
xl xl xl xl xl xl xl xl xl xl xl xl l
x xl
(cost per case), experience of care (patient satisfaction measures), and outcomes of care (m
xl xl xl xl xl xl xl xl xl xl xl xl xl xl
ortality rates for certain conditions). Evaluation of evidence to guide clinical care is part of
xl xl xl xl xl xl xl xl xl xl xl xl xl xl xl
evidence-
based practice. The requirements for IT standards and financial status are part of Accountab
xl xl xl xl xl xl xl xl xl xl xl xl xl
le Care Organization standards.
xl xl xl
,Chapter 02: Translating Research into Clinical Practice
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
MULTIPLE CHOICE xl
1. What is the purpose of Level II research?
xl xl xl xl xl xl xl
a. To define characteristics of interest of groups of patients
xl xl xl xl xl xl xl xl
b. To demonstrate the effectiveness of an intervention or treatment
xl xl xl xl xl xl xl xl
c. To describe relationships among characteristics or variables
xl xl xl xl xl xl
d. To evaluate the nature of relationships between two variables
xl xl xl xl xl xl xl xl
ANS: C x l
Level II research is concerned with describing the relationships among characteristics or
xl xl xl xl xl xl xl xl xl xl xl xl
variables. Level I research is conducted to define the characteristics of groups of patients.
xl xl xl xl xl xl xl xl xl xl xl xl xl l
x
Level II research evaluates the nature of the relationships between variables. Level IV re
xl xl xl xl xl xl xl xl xl xl xl xl xl
search is conducted to demonstrate the effectiveness of interventions or treatments.
xl xl xl xl xl xl xl xl xl xl
2. Which is the most appropriate research design for a Level III research study?
xl xl xl xl xl xl xl xl xl xl xl xl
a. Epidemiological studies xl
b. Experimental design xl
c. Qualitative studies xl
d. Randomized clinical trials xl xl
ANS: B x l
The experimental design is the most appropriate design for a Level III study. Epidemiologi
xl xl xl xl xl xl xl xl xl xl xl xl xl
cal studies are aNpU
xl prR
oS
prI
iaN
teGfT
orBL.eC
veOlM
II studies. Qualitative designs are useful
xl xl l
x xl xl xl xl xl
for Level I studies. Randomized clinical trials are used for Level IV studies.
xl xl xl xl xl xl xl xl xl xl xl xl
3. What is the purpose of clinical research trials in the spectrum of translational research?
xl xl xl xl xl xl xl xl xl xl xl xl xl
a. Adoption of interventions and clinical practices into routine clinical care
xl xl xl xl xl xl xl xl xl
b. Determination of the basis of disease and various treatment options xl xl xl xl xl xl xl xl xl
c. Examination of safety and effectiveness of various interventions xl xl xl xl xl xl xl
d. Exploration of fundamental mechanisms of biology, disease, or behavior
xl xl xl xl xl xl xl xl
ANS: C x l
Clinical research trials are concerned with determining the safety and effectiveness of inter
xl xl xl xl xl xl xl xl xl xl xl xl
ventions. Adoption of interventions and practices is part of clinical implementation. Determ
xl xl xl xl xl xl xl xl xl xl xl
ination of the basis of disease and treatment options is part of the preclinical researchphase.
xl xl xl xl xl xl xl xl xl xl xl xl xl xl l
x xl
Exploration of the fundamental mechanisms of biology, disease, or behavior is part of the b
xl xl xl xl xl xl xl xl xl xl xl xl xl xl
asic research stage.
xl xl
, Chapter 03: Empowering Patients as Collaborative partners: A New Model for
xl xl xl xl xl xl xl xl xl xl l
x
Primary Care
xl
xl
MULTIPLE CHOICE xl
1. Which statement made by a health care provider demonstrates the most appropriate
xl xl xl xl xl xl xl xl xl xl xl xl
understanding for the goal of a performance report? xl xl xl xl xl xl xl
a. ―This process allows me to critique the performance of the rest of the staff.‖
xl xl xl xl xl xl xl xl xl xl xl xl xl
b. ―Most organizations require staff to undergo a performance evaluation yearly.‖
xl xl xl xl xl xl xl xl xl
c. ―It is hard to be personally criticized but that’s how we learn to change.‖
xl xl xl xl xl xl xl xl xl xl xl xl xl
d. ―The comments should help me improve my management skills.‖
xl xl xl xl xl xl xl xl
ANS: D x l
The goal of the performance report is to provide guidance to staff in the areas of profession
xl xl xl xl xl xl xl xl xl xl xl xl xl xl xl xl
al development, mentoring, and leadership development. A peer review is writtenby others
xl xl xl xl xl xl xl xl xl xl l
x xl xl
who perform similar skills (peers). The remaining options may be true but do not provide e
xl xl xl xl xl xl xl xl xl xl xl xl xl xl xl
vidence of understanding of the goal of this professional requirement.
xl xl xl xl xl xl xl xl xl
MULTIPLE RESPONSE xl
1. Which assessment question would a health care provider ask when engaging in the previsit
xl xl xl xl xl xl xl xl xl xl xl xl xl l
x
stage of the new model for primary care? (Select all that apply.)
xl xl xl xl xl xl xl xl xl xl xl
a. ―Are you ready to discuss some of the community resources that are available?‖
xl xl xl xl xl xl xl xl xl xl xl xl
b. ―Are you experiencing anNyUsiRdS
eI
efN
xl feGctTs B
fr.COyM
om our newly prescribed medications?‖
xl xl xl xl xl xl
c. ―Do you anticipate any problems with adhering to your treatment plan?‖
xl xl xl xl xl xl xl xl xl xl
d. ―Are you ready to discuss the results of your laboratory tests?‖
xl xl xl xl xl xl xl xl xl xl
e. ―Do you have any questions about the lab tests that have been ordered for you?‖
xl xl xl xl xl xl xl xl xl xl xl xl xl xl
ANS: B, C, E x l xl xl
The nursing responsibilities in the previsit stage include assessing the patient’s tolerance of
xl xl xl xl xl xl xl xl xl xl xl xl l
x
prescribed medications, understanding of existing treatment plan, and education about req
xl xl xl xl xl xl xl xl xl xl
uired lab testing. The primary care provider is responsible for screening lab data and discu
xl xl xl xl xl xl xl xl xl xl xl xl xl xl
ssing community resources during the actual visit.
xl xl xl xl xl xl
