TEST BANK — Primary Care: Interprofessional Collaborative Practice, 7th Edition — Terry Mahan Buttaro — ISBN 9780323935845

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, TEST BANK FOR PRIMARY CARE 7TH 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, 7th Edition
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MULTIPLE CHOICE fg




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


b. Care coordination for chronic diseases
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c. Standards for minimum cash reserves fg fg fg fg


d. Strict requirements for financial reporting
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ANS: A f g


A Level 1 ACO has the least amount of financial risk and requirements, but receives share
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dsavings bonuses based on achievement of benchmarks for quality measures and expendit
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ures. Care coordination and minimum cash reserves standards are part of Level 2 ACO re
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quirements. 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 car
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epreferences of patients?
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a. Associations with area hospitals fg fg fg


b. Costs of ambulatory care
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c. Ease of access to care fg fg fg fg


d. The ratio of providers to patients
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ANS: C f g
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As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access t
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ocare, walk-
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in settings and the ability to be seen within 30 minutes, and care that is close to home. As
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sociations with hospitals, costs of care, and the ratio of providers to patients werenot part
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of these results.
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MULTIPLE RESPONSE fg




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 fg fg fg fg fg fg fg fg


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


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


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


e. Requiring advanced IT standards and minimum cash reserves fg fg fg fg fg fg fg
D?
ANS: A, B, D f g fg fg


Value-
based purchasing looks at five domain areas of processes of care, including efficiencyof car
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e (cost per case), experience of care (patient satisfaction measures), and outcomes of care (
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mortality rates for certain conditions). Evaluation of evidence to guide clinical care is part
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of evidence-
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based practice. The requirements for IT standards and financial status are part of Accounta
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ble Care Organization standards.
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, TEST BANK FOR PRIMARY CARE 7TH EDITION BY BUTTARO
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Chapter 02: Translating Research into Clinical Practice Butt
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aro: Primary Care: A Collaborative Practice, 7th Edition
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MULTIPLE CHOICE fg




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
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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 patient
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s.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 fg


b. Experimental design fg


c. Qualitative studies fg


d. Randomized clinical trials
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ANS: B f g


The experimental design is the most appropriate design for a Level III study. Epidemiolog
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ical studies are aNpU
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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 fg fg fg fg fg fg fg fg fg


c. Examination of safety and effectiveness of various interventions fg fg fg fg fg fg fg
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d. Exploration of fundamental mechanisms of biology, disease, or behavior fg fg fg fg fg fg fg fg




ANS: C f g


Clinical research trials are concerned with determining the safety and effectiveness of inter
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ventions. Adoption of interventions and practices is part of clinical implementation. Deter
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mination of the basis of disease and treatment options is part of the preclinical researchphas
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e. Exploration of the fundamental mechanisms of biology, disease, or behavior is part of th
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e basic research stage.
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, TEST BANK FOR PRIMARY CARE 7TH EDITION BY BUTTARO
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Chapter 03: Empowering Patients as Collaborative partners: A New Model for
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Primary Carefg


Buttaro: Primary Care: A Collaborative Practice, 7th Edition
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MULTIPLE CHOICE fg




1. Which statement made by a health care provider demonstrates the most appropriat
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eunderstanding 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.‖
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ANS: D f g


The goal of the performance report is to provide guidance to staff in the areas of professio
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nal development, mentoring, and leadership development. A peer review is writtenby other
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s who perform similar skills (peers). The remaining options may be true but do not provid
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e evidence of understanding of the goal of this professional requirement.
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MULTIPLE RESPONSE fg
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1. Which assessment question would a health care provider ask when engaging in the previsi
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tstage 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
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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 g fg fg


The nursing responsibilities in the previsit stage include assessing the patient’s tolerance o
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fprescribed medications, understanding of existing treatment plan, and education about re
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quired lab testing. The primary care provider is responsible for screening lab data and dis
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cussing community resources during the actual visit.
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