TESTBANK
l
,Chapter 01: Interprofessional Collaborative Practice: Where We Are Today
l l l l l l l l
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
l l l l l l l l
MULTIPLE CHOICE l
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designated as a
l l l l l l l l l l l l l l l l
Level 1 ACO. What is part of this designation?
l l l l l l l l l
a. Bonuses based on achievement of benchmarks l l l l l
b. Care coordination for chronic diseases l l l l
c. Standards for minimum cash reserves l l l l
d. Strict requirements for financial reporting l l l l
ANS: A l l
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
l l l l l l l l l l l l l l l
savings bonuses based on achievement of benchmarks for quality measures and
l l l l l l l l l l l
expenditures. Care coordination and minimum cash reserves standards are part of Level 2
l l l l l l l l l l l l l
ACO requirements. Level 3 ACOs have strict requirements for financial reporting.
l l l l l l l l l l l
2. What was an important finding of the Advisory Board survey of 2014 about primary care
l l l l l l l l l l l l l l
preferences of patients?
l l l
a. Associations with area hospitals l l l
b. Costs of ambulatory care l l l
c. Easeof access to care l l l l
d. The ratio of providers to patients l l l l l
ANS: C l l NURSINGTB.COM
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to
l l l l l l l l l l l l l l l
care, walk-in settings and the ability to be seen within 30 minutes, and care that is close to
l l l l l l l l l l l l l l l l l l
home. Associations with hospitals, costs of care, and the ratio of providers to patients were not
l l l l l l l l l l l l l l l l
part of these results.
l l l l
MULTIPLE RESPONSE l
1. Which assessments of care providers are performed as part of the value-based purchasing
l l l l l l l l l l l l
(VBP) initiative? (Select all that apply.)
l l l l l l
a. Appraising costs per case of care for Medicare patients l l l l l l l l
b. Assessing patients’ satisfaction with hospital care l l l l l
c. Evaluating available evidence to guide clinical care guidelines l l l l l l l
d. Monitoring mortality rates of all patients with pneumonia l l l l l l l
e. Requiring advanced IT standards and minimum cash reserves l l l l l l l
ANS: A, B, D l l l l
Value-based purchasing looks at five domain areas of processes of care, including efficiency of
l l l l l l l l l l l l l
care (cost per case), experience of care (patient satisfaction measures), and outcomes of care
l l l l l l l l l l l l l l
(mortality rates for certain conditions). Evaluation of evidence to guide clinical care is part of
l l l l l l l l l l l l l l l
evidence-based practice. The requirements for IT standards and financial status are part of
l l l l l l l l l l l l l
Accountable Care Organization standards.
l l l l
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO l l l l l l l l
Chapter 02: Translating Research into Clinical Practice
l l l l l l
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
l l l l l l l l
MULTIPLE CHOICE l
1. What is the purpose of Level II research?
l l l l l l l
a. To define characteristics of interest of groups of patients
l l l l l l l l
b. Todemonstrate the effectiveness of an intervention or treatment
l l l l l l l l
c. To describe relationships among characteristics or variables
l l l l l l
d. To evaluate the nature of relationships between two variables
l l l l l l l l
ANS: C l l
Level II research is concerned with describing the relationships among characteristics or
l l l l l l l l l l l
variables. Level Iresearch is conducted to define the characteristics of groups of patients. Level
l l l l l l l l l l l l l l l
II research evaluates the nature of the relationships between variables. Level IV research is
l l l l l l l l l l l l l l
conducted to demonstrate the effectiveness of interventions or treatments.
l l l l l l l l l
2. Which is the most appropriate research design for a Level III research study?
l l l l l l l l l l l l
a. Epidemiological studies l
b. Experimental design l
c. Qualitative studies l
d. Randomized clinical trials l l
ANS: B l l
The experimental design is the most appropriate design for a Level III study.
l l l l l l l l l l l l
Epidemiological studies are aNpU
p rR
opSrI
iaN
teGfT
orBL.eC
veOlMI I studies. Qualitative designs are useful for l l l g l l l l l l l
Level I studies. Randomized clinical trials are used for Level IV studies.
l l l l l l l l l l l l
3. What is the purpose of clinical research trials in the spectrum of translational research?
l l l l l l l l l l l l l
a. Adoption of interventions and clinical practices into routine clinical care l l l l l l l l l
b. Determination of the basis of disease and various treatment options l l l l l l l l l
c. Examination of safety and effectiveness of various interventions l l l l l l l
d. Exploration of fundamental mechanisms of biology, disease, or behavior l l l l l l l l
ANS: C l l
Clinical research trials are concerned with determining the safety and effectiveness of
l l l l l l l l l l l
interventions. Adoption of interventions and practices is part of clinical implementation.
l l l l l l l l l l l
Determination of the basis of disease and treatment options is part of the preclinical research
l l l l l l l l l l l l l l l
phase. Exploration of the fundamental mechanisms of biology, disease, or behavior is part of
l l l l l l l l l l l l l l
the basic research stage.
l l l l
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
l l l l l l l l
Chapter03:EmpoweringPatientsasCollaborative partners: ANew Modelfor
l l l l l l l l l l
Primary Care
l l
Buttaro:Primary Care: ACollaborative Practice,6th Edition
l l l l l l l
MULTIPLE CHOICE l
1. Which statement made by a health care provider demonstrates the most appropriate
l l l l l l l l l l l
understanding for the goal of a performance report?
l l l l l l l l
a. “This process allows me to critique the performance of the rest of the staff.”
l l l l l l l l l l l l l
b. “Most organizations require staff to undergo a performance evaluation yearly.”
l l l l l l l l l
c. “It is hard to be personally criticized but that’s how we learn to change.”
l l l l l l l l l l l l l
d. “The comments should help me improve my management skills.”
l l l l l l l l
ANS: D l l
The goal of the performance report is to provide guidance to staff in the areas of professional
l l l l l l l l l l l l l l l l
development, mentoring, and leadership development. A peer reviewis written by others who
l l l l l l l l l l l l l
perform similar skills (peers). The remaining options may be true but do not provide evidence
l l l l l l l l l l l l l l l
of understanding of the goal of this professional requirement.
l l l l l l l l l
MULTIPLE RESPONSE l
1. Which assessment question would a health care provider ask when engaging in the previsit
l l l l l l l l l l l l l
stage of the new model for primary care? (Select all that apply.)
l l l l l l l l l l l l
a. “Are you ready to discuss some of the community resources that are available?”
l l l l l l l l l l l l
b. “Are you experiencing anNyUsiRdS
eI
efN
feGctTs B
fr.
om
COyM
our newlyprescribed medications?”
l l l g l l l
c. “Do you anticipate any problems with adhering to your treatment plan?”
l l l l l l l l l l
d. “Are you readyto discuss the results of your laboratory tests?”
l l l l l l l l l l
e. “Do you have any questions about the lab tests that have been ordered for you?”
l l l l l l l l l l l l l l
ANS: B, C, E l l l l
Thenursing responsibilities in the previsit stage include assessing the patient’s tolerance of
l l l l l l l l l l l l
prescribed medications, understanding of existing treatment plan, and education about
l l l l l l l l l l
required lab testing. The primary care provider is responsible for screening lab data and
l l l l l l l l l l l l l l
discussing community resources during the actual visit.
l l l l l l l
l
,Chapter 01: Interprofessional Collaborative Practice: Where We Are Today
l l l l l l l l
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
l l l l l l l l
MULTIPLE CHOICE l
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designated as a
l l l l l l l l l l l l l l l l
Level 1 ACO. What is part of this designation?
l l l l l l l l l
a. Bonuses based on achievement of benchmarks l l l l l
b. Care coordination for chronic diseases l l l l
c. Standards for minimum cash reserves l l l l
d. Strict requirements for financial reporting l l l l
ANS: A l l
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
l l l l l l l l l l l l l l l
savings bonuses based on achievement of benchmarks for quality measures and
l l l l l l l l l l l
expenditures. Care coordination and minimum cash reserves standards are part of Level 2
l l l l l l l l l l l l l
ACO requirements. Level 3 ACOs have strict requirements for financial reporting.
l l l l l l l l l l l
2. What was an important finding of the Advisory Board survey of 2014 about primary care
l l l l l l l l l l l l l l
preferences of patients?
l l l
a. Associations with area hospitals l l l
b. Costs of ambulatory care l l l
c. Easeof access to care l l l l
d. The ratio of providers to patients l l l l l
ANS: C l l NURSINGTB.COM
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to
l l l l l l l l l l l l l l l
care, walk-in settings and the ability to be seen within 30 minutes, and care that is close to
l l l l l l l l l l l l l l l l l l
home. Associations with hospitals, costs of care, and the ratio of providers to patients were not
l l l l l l l l l l l l l l l l
part of these results.
l l l l
MULTIPLE RESPONSE l
1. Which assessments of care providers are performed as part of the value-based purchasing
l l l l l l l l l l l l
(VBP) initiative? (Select all that apply.)
l l l l l l
a. Appraising costs per case of care for Medicare patients l l l l l l l l
b. Assessing patients’ satisfaction with hospital care l l l l l
c. Evaluating available evidence to guide clinical care guidelines l l l l l l l
d. Monitoring mortality rates of all patients with pneumonia l l l l l l l
e. Requiring advanced IT standards and minimum cash reserves l l l l l l l
ANS: A, B, D l l l l
Value-based purchasing looks at five domain areas of processes of care, including efficiency of
l l l l l l l l l l l l l
care (cost per case), experience of care (patient satisfaction measures), and outcomes of care
l l l l l l l l l l l l l l
(mortality rates for certain conditions). Evaluation of evidence to guide clinical care is part of
l l l l l l l l l l l l l l l
evidence-based practice. The requirements for IT standards and financial status are part of
l l l l l l l l l l l l l
Accountable Care Organization standards.
l l l l
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO l l l l l l l l
Chapter 02: Translating Research into Clinical Practice
l l l l l l
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
l l l l l l l l
MULTIPLE CHOICE l
1. What is the purpose of Level II research?
l l l l l l l
a. To define characteristics of interest of groups of patients
l l l l l l l l
b. Todemonstrate the effectiveness of an intervention or treatment
l l l l l l l l
c. To describe relationships among characteristics or variables
l l l l l l
d. To evaluate the nature of relationships between two variables
l l l l l l l l
ANS: C l l
Level II research is concerned with describing the relationships among characteristics or
l l l l l l l l l l l
variables. Level Iresearch is conducted to define the characteristics of groups of patients. Level
l l l l l l l l l l l l l l l
II research evaluates the nature of the relationships between variables. Level IV research is
l l l l l l l l l l l l l l
conducted to demonstrate the effectiveness of interventions or treatments.
l l l l l l l l l
2. Which is the most appropriate research design for a Level III research study?
l l l l l l l l l l l l
a. Epidemiological studies l
b. Experimental design l
c. Qualitative studies l
d. Randomized clinical trials l l
ANS: B l l
The experimental design is the most appropriate design for a Level III study.
l l l l l l l l l l l l
Epidemiological studies are aNpU
p rR
opSrI
iaN
teGfT
orBL.eC
veOlMI I studies. Qualitative designs are useful for l l l g l l l l l l l
Level I studies. Randomized clinical trials are used for Level IV studies.
l l l l l l l l l l l l
3. What is the purpose of clinical research trials in the spectrum of translational research?
l l l l l l l l l l l l l
a. Adoption of interventions and clinical practices into routine clinical care l l l l l l l l l
b. Determination of the basis of disease and various treatment options l l l l l l l l l
c. Examination of safety and effectiveness of various interventions l l l l l l l
d. Exploration of fundamental mechanisms of biology, disease, or behavior l l l l l l l l
ANS: C l l
Clinical research trials are concerned with determining the safety and effectiveness of
l l l l l l l l l l l
interventions. Adoption of interventions and practices is part of clinical implementation.
l l l l l l l l l l l
Determination of the basis of disease and treatment options is part of the preclinical research
l l l l l l l l l l l l l l l
phase. Exploration of the fundamental mechanisms of biology, disease, or behavior is part of
l l l l l l l l l l l l l l
the basic research stage.
l l l l
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
l l l l l l l l
Chapter03:EmpoweringPatientsasCollaborative partners: ANew Modelfor
l l l l l l l l l l
Primary Care
l l
Buttaro:Primary Care: ACollaborative Practice,6th Edition
l l l l l l l
MULTIPLE CHOICE l
1. Which statement made by a health care provider demonstrates the most appropriate
l l l l l l l l l l l
understanding for the goal of a performance report?
l l l l l l l l
a. “This process allows me to critique the performance of the rest of the staff.”
l l l l l l l l l l l l l
b. “Most organizations require staff to undergo a performance evaluation yearly.”
l l l l l l l l l
c. “It is hard to be personally criticized but that’s how we learn to change.”
l l l l l l l l l l l l l
d. “The comments should help me improve my management skills.”
l l l l l l l l
ANS: D l l
The goal of the performance report is to provide guidance to staff in the areas of professional
l l l l l l l l l l l l l l l l
development, mentoring, and leadership development. A peer reviewis written by others who
l l l l l l l l l l l l l
perform similar skills (peers). The remaining options may be true but do not provide evidence
l l l l l l l l l l l l l l l
of understanding of the goal of this professional requirement.
l l l l l l l l l
MULTIPLE RESPONSE l
1. Which assessment question would a health care provider ask when engaging in the previsit
l l l l l l l l l l l l l
stage of the new model for primary care? (Select all that apply.)
l l l l l l l l l l l l
a. “Are you ready to discuss some of the community resources that are available?”
l l l l l l l l l l l l
b. “Are you experiencing anNyUsiRdS
eI
efN
feGctTs B
fr.
om
COyM
our newlyprescribed medications?”
l l l g l l l
c. “Do you anticipate any problems with adhering to your treatment plan?”
l l l l l l l l l l
d. “Are you readyto discuss the results of your laboratory tests?”
l l l l l l l l l l
e. “Do you have any questions about the lab tests that have been ordered for you?”
l l l l l l l l l l l l l l
ANS: B, C, E l l l l
Thenursing responsibilities in the previsit stage include assessing the patient’s tolerance of
l l l l l l l l l l l l
prescribed medications, understanding of existing treatment plan, and education about
l l l l l l l l l l
required lab testing. The primary care provider is responsible for screening lab data and
l l l l l l l l l l l l l l
discussing community resources during the actual visit.
l l l l l l l
