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

, TEST BANK FOR PRIMARY CARE 7th EDITION BY BUTTARO
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Chapter 01: Interprofessional Collaborative Practice: Where We Are Toda
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yButtaro: Primary Care: A Collaborative Practice, 7th Edition
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MULTIPLE CHOICE Xt




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


b. Care coordination for chronic diseasesXt Xt Xt Xt


c. Standards for minimum cash reserves Xt Xt Xt Xt


d. Strict requirements for financial reporting
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ANS: A X t


A Level 1 ACO has the least amount of financial risk and requirements, but receives sha
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redsavings bonuses based on achievement of benchmarks for quality measures and expe
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nditures. Care coordination and minimum cash reserves standards are part of Level 2 A
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CO 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 c
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arepreferences of patients?
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a. Associations with area hospitals Xt Xt Xt


b. Costs of ambulatory care Xt Xt Xt


c. Ease of access to care Xt Xt Xt Xt


d. The ratio of providers to patientXt Xt Xt Xt Xt




sANS: C
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As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 acces
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s tocare, walk-
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in settings and the ability to be seen within 30 minutes, and care that is close to home.
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Associations with hospitals, costs of care, and the ratio of providers to patients werenot
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part of these results.
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MULTIPLE RESPONSE Xt




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 Xt Xt Xt Xt Xt Xt Xt Xt


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


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


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


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




ANS: A, B, D X t Xt Xt


Value-
based purchasing looks at five domain areas of processes of care, including efficiencyof c
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are (cost per case), experience of care (patient satisfaction measures), and outcomes of ca
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re (mortality rates for certain conditions). Evaluation of evidence to guide clinical care is
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part of evidence-
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based practice. The requirements for IT standards and financial status are part of Account
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able 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 But
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taro: Primary Care: A Collaborative Practice, 7th Edition
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MULTIPLE CHOICE Xt




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 t


Level II research is concerned with describing the relationships among characteristics
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or variables. Level I research is conducted to define the characteristics of groups of pat
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ients.Level II research evaluates the nature of the relationships between variables. Lev
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el IV research is conducted to demonstrate the effectiveness of interventions or treatm
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ents.

2. Which is the most appropriate research design for a Level III research study?
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a. Epidemiological studies Xt


b. Experimental design Xt


c. Qualitative studies Xt


d. Randomized clinical trials Xt Xt




ANS: B X t


The experimental design is the most appropriate design for a Level III study. Epidemiol
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ogical studies are aNpU
prR
oS
prI
iaN
teGfT
XtorBL.eC
veOl M
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 Xt Xt Xt Xt Xt Xt Xt Xt Xt


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


d. Exploration of fundamental mechanisms of biology, disease, or behavior Xt Xt Xt Xt Xt Xt Xt Xt




ANS: C X t


Clinical research trials are concerned with determining the safety and effectiveness of int
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erventions. Adoption of interventions and practices is part of clinical implementation. Det
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ermination of the basis of disease and treatment options is part of the preclinical researchp
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hase. Exploration of the fundamental mechanisms of biology, disease, or behavior is part
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of the 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 f
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orPrimary Care
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Buttaro: Primary Care: A Collaborative Practice, 7th Edition
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MULTIPLE CHOICE Xt




1. Which statement made by a health care provider demonstrates the most appropri
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ateunderstanding 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 X t


The goal of the performance report is to provide guidance to staff in the areas of profess
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ional development, mentoring, and leadership development. A peer review is writtenby ot
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hers who perform similar skills (peers). The remaining options may be true but do not pr
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ovide evidence of understanding of the goal of this professional requirement.
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MULTIPLE RESPONSE Xt




1. Which assessment question would a health care provider ask when engaging in the previ
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sitstage 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
eIefN
feGctTs B
Xt fr.COyM
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 X t Xt Xt


The nursing responsibilities in the previsit stage include assessing the patient’s tolerance
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ofprescribed 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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