PrimaryCare:ACollaborativePractice,7thEdition
xx x x x
MULTIPLECHOICE
1. Asmall,ruralhospitalispartofanAccountableCareOrganization(ACO)andisdesignatedasa b x x
Level1ACO.Whatispartofthisdesignation?
x x
a. Bonuses basedonachievementofbenchmarks b d
b. Carecoordinationforchronicdiseases
c. Standardsforminimumcashreserves
d. Strictrequirementsforfinancialreporting
ANS: A x x
ALevel1ACOhastheleastamountoffinancialriskandrequirements,butreceivesshared
x x x
savingsbonusesbasedonachievementofbenchmarksforqualitymeasuresandexpenditures.
xx b b x x
x CarecoordinationandminimumcashreservesstandardsarepartofLevel2ACO
x d d
requirements.Level3ACOshavestrictrequirementsforfinancialreporting.
xx b
2. WhatwasanimportantfindingoftheAdvisoryBoardsurveyof2014aboutprimarycare
b x x
xpreferencesofpatients?
x
a. Associationswithareahospitals
b. Costsofambulatorycare
c. Easeofaccesstocare
d. Theratioofproviderstopatients
ANS: C NURSINGTB.COM
As partofthe2014survey,theAdvisoryBoardlearned that patientsdesired24/7access tocare,walk-
d d d d d
insettingsandtheabilitytobeseenwithin30minutes,and carethatisclose tohome.
xx Associations d d xx
withhospitals,costsofcare,and the ratio ofproviderstopatientswerenotpartoftheseresults.
xx d d d x
MULTIPLERESPONSE
1. Whichassessmentsofcareprovidersareperformedaspartofthevalue-basedpurchasing b x x
(VBP)initiative?(Selectallthatapply.)
x x
a. AppraisingcostspercaseofcareforMedicarepatients
b. Assessingpatients’satisfactionwithhospitalcare d
c. Evaluatingavailableevidencetoguideclinicalcareguidelines
d. Monitoringmortalityratesofallpatientswithpneumonia
e. RequiringadvancedITstandardsandminimumcashreserves
ANS: A,B,D x x
Value-basedpurchasinglooksatfivedomainareasofprocessesofcare,includingefficiencyof b
care(costpercase),experienceofcare(patientsatisfactionmeasures),andoutcomesofcare
x x
(mortalityratesforcertainconditions).Evaluationofevidencetoguideclinicalcareispartof
xx b b b x x
evidence-basedpractice.TherequirementsforITstandardsandfinancialstatusarepartof
x x d d
AccountableCareOrganizationstandards.
x x
,Chapter02:TranslatingResearchintoClinicalPractice
Buttaro:PrimaryCare:ACollaborativePractice,6thEdition
xx d b
MULTIPLECHOICE
1. WhatisthepurposeofLevelIIresearch?
a. Todefinecharacteristicsofinterestofgroupsofpatients b
b. Todemonstratetheeffectivenessofaninterventionortreatment
c. Todescriberelationshipsamongcharacteristicsorvariables
d. Toevaluatethenatureofrelationshipsbetweentwovariables
ANS: C x x
LevelIIresearchisconcernedwithdescribingtherelationshipsamongcharacteristicsor
b b
variables.LevelIresearchis conductedtodefinethecharacteristicsof groupsofpatients. Level
xx v xx xx x x
IIresearchevaluatesthenatureoftherelationshipsbetweenvariables.LevelIVresearchis
xx b b
conductedtodemonstratetheeffectivenessofinterventionsortreatments.
xx
2. WhichisthemostappropriateresearchdesignforaLevelIIIresearchstudy?
a. Epidemiologicalstudies
b. Experimentaldesign
c. Qualitativestudies
d. Randomizedclinicaltrials
ANS: B x x
TheexperimentaldesignisthemostappropriatedesignforaLevelIIIstudy. b
EpidemiologicalstudiesareaNp U
prRopSrI
ia Nt eGf To rBL.e Cv eOl M IIstudies.Qualitativedesignsareusefulfor
x x x x x x b xx b
LevelIstudies.Randomizedclinicaltrials are usedforLevelIVstudies.
x v b b
3. Whatisthepurposeofclinicalresearchtrialsinthespectrumoftranslational research?
b x x
a. Adoptionofinterventionsand clinicalpracticesintoroutineclinical care
x x x x
b. Determinationofthebasisofdiseaseandvarioustreatmentoptions
c. Examinationofsafetyandeffectivenessofvariousinterventions x
d. Explorationoffundamentalmechanismsofbiology,disease,orbehavior
ANS: C x x
Clinicalresearchtrialsareconcernedwithdeterminingthesafetyandeffectivenessof
x interventions.Adoptionofinterventions andpractices ispartofclinicalimplementation.
x d d d d d d
Determinationofthebasisofdiseaseandtreatmentoptionsispartofthepreclinicalresearch
xx d
xphase.Explorationofthefundamentalmechanismsofbiology,disease,orbehaviorispartof
x
thebasicresearchstage.
xx
, TESTBANKFORPRIMARYCARE6THEDITIONBYBUTTARO
x x x x x x x x
Chapter03:EmpoweringPatientsasCollaborative partners:ANew Modelfor xx x xx
PrimaryCare
xx
Buttaro:Primary Care:ACollaborative Practice,6th Edition
x x x x x x x x
MULTIPLECHOICE
1. Whichstatement madebyahealthcareproviderdemonstratesthemostappropriate
b x
understandingforthegoalofaperformancereport?
xx
a. “Thisprocessallowsmetocritiquetheperformanceoftherestofthestaff.”
b. “Mostorganizationsrequirestafftoundergoaperformanceevaluation yearly.” x x
c. “Itishardtobepersonallycriticizedbutthat’showwelearntochange.”
d x b
d. “Thecomments shouldhelpmeimprovemymanagementskills.” d
ANS: D x x
Thegoaloftheperformancereportistoprovideguidancetostaffintheareasofprofessional
b b
development,mentoring,andleadershipdevelopment.Apeerreviewiswrittenbyotherswho
xx
performsimilarskills(peers).Theremainingoptionsmaybetruebutdonotprovideevidenceof
xx
understandingofthegoalofthisprofessionalrequirement.
xx
MULTIPLERESPONSE
1. Whichassessmentquestionwould ahealth careprovideraskwhenengaging in theprevisit xx xx b xx xx
stageofthenewmodelforprimarycare?(Selectallthatapply.)
x x
a. “Are you readytodiscusssomeofthecommunityresourcesthatareavailable?”
x x x x
b. “AreyouexperiencinganNyUsiRdSeI
efNfeGctTs Bfr.
omCOyM
ournewlyprescribedmedications?” v
c. “Doyouanticipateanyproblemswithadheringtoyourtreatmentplan?”
d. “Areyoureadytodiscusstheresultsofyourlaboratorytests?”
e. “Doyou haveanyquestionsaboutthelabteststhathavebeenorderedforyou?”
b x
ANS: B,C,E x x
Thenursingresponsibilitiesintheprevisitstageincludeassessingthepatient’stoleranceof
prescribedmedications,understandingofexistingtreatmentplan,andeducationabout
xx d
requiredlabtesting.Theprimarycareproviderisresponsibleforscreeninglabdataand
x x b b
discussingcommunityresourcesduringtheactualvisit.
xx
NURSINGTB.COM