Buttaro: Primary Care: A Collaborative Practice, 7th Edition@*(&#@)(&$!@!@!##@!@)($@)($@)(*@)($@*##@*
Test Bank
Primary Care: Interprofessional Collaborative Practice (7th Edition) by Terry Mahan Buttaro.
Includes all chapters 1–228
CHAPTER 01: INTERPROFESSIONAL COLLABORATIVE PRACTICE : WHERE WE ARE TODAY
Buttaro: Primary Care: A Collaborative Practice, 7th Edition
MULTIPLE CHOICE
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designate
das a Level 1 ACO. What is part of this designation?
a. Bonuses based on achievement of benchmarks
b. Care coordination for chronic diseases
c. Standards for minimum cash reserves
d. Strict requirements for financial reporting
CORRECT_ANSWER: A
A Level 1 ACO has the least amount of financial risk and requirements, but receives share
d savings bonuses based on achievement of benchmarks for quality measures and expendit
fg
ures. Care coordination and minimum cash reserves standards are part of Level 2 ACO
requirements. Level 3 ACOs have strict requirements for financial reporting.
2. What was an important finding of the Advisory Board survey of 2014 about primary car
e preferences of patients?
fg
a. Associations with area hospitals
b. Costs of ambulatory care
c. Ease of access to care
d. The ratio of providers to patients
fg
CORRECT_ANSWER: C
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to
care, walk- in settings and the ability to be seen within 30 minutes, and care that is close to
f
home. As sociations with hospitals, costs of care, and the ratio of providers to patients
werenot part of these results.
MULTIPLE RESPONSE
1. Which assessments of care providers are performed as part of the value-
based purchasing (VBP) initiative? (Select all that apply.)
fg
a. Appraising costs per case of care for Medicare patients
b. Assessing patients’ satisfaction with hospital care
c. Evaluating available evidence to guide clinical care guidelines
d. Monitoring mortality rates of all patients with pneumonia
e. Requiring advanced IT standards and minimum cash reserves
CORRECT_ANSWER: A, B, D
Value- based purchasing looks at five domain areas of processes of care, including efficiency of care
(cost per case), experience of care (patient satisfaction measures), and outcomes of care ( mortality
rates for certain conditions). Evaluation of evidence to guide clinical care is part of evidence- based
practice. The requirements for IT standards and financial status are part of Accountable Care
Organization standards.
,Buttaro: Primary Care: A Collaborative Practice, 7th Edition@*(&#@)(&$!@!@!##@!@)($@)($@)(*@)($@*##@*
Chapter 02: Translating Research into Clinical Practice Butt
aro: Primary Care: A Collaborative Practice, 7th Edition
MULTIPLE CHOICE
1. What is the purpose of Level II research?
a. To define characteristics of interest of groups of patients
b. To demonstrate the effectiveness of an intervention or treatment
c. To describe relationships among characteristics or variables
d. To evaluate the nature of relationships between two variables
CORRECT_ANSWER: C
Level II research is concerned with describing the relationships among characteristics or
variables. Level I research is conducted to define the characteristics of groups of
fg
patients.Level II research evaluates the nature of the relationships between variables.
Level IV research is conducted to demonstrate the effectiveness of interventions or
treatments.
2. Which is the most appropriate research design for a Level III research study?
a. Epidemiological studies
b. Experimental design
c. Qualitative studies
d. Randomized clinical trials
CORRECT_ANSWER: B
The experimental design is the most appropriate design for a Level III study. Epidemiological studies
are aNpU
prRoS
prI
iaN
teGfT
orBL.eC
veOlM
fg II studies. Qualitative designs are useful for Level I studies. Randomized clinic
trials are used for Level IV studies.
3. What is the purpose of clinical research trials in the spectrum of translational research?
a. Adoption of interventions and clinical practices into routine clinical care
b. Determination of the basis of disease and various treatment options
c. Examination of safety and effectiveness of various interventions
d. Exploration of fundamental mechanisms of biology, disease, or behavior
CORRECT_ANSWER: C
Clinical research trials are concerned with determining the safety and effectiveness of
interventions. Adoption of interventions and practices is part of clinical implementation.
Determination of the basis of disease and treatment options is part of the preclinical
research phase Exploration of the fundamental mechanisms of biology, disease, or behavior
is part of the basic research stage.
,Buttaro: Primary Care: A Collaborative Practice, 7th Edition@*(&#@)(&$!@!@!##@!@)($@)($@)(*@)($@*##@*
Chapter 03: Empowering Patients as Collaborative partners: A New Model for
Primary Care
Buttaro: Primary Care: A Collaborative Practice, 7th Edition
fg fg
MULTIPLE CHOICE
1. Which statement made by a health care provider demonstrates the most appropriat
e understanding for the goal of a performance report?
fg
a. ―This process allows me to critique the performance of the rest of the staff.‖
b. ―Most organizations require staff to undergo a performance evaluation yearly.‖
c. ―It is hard to be personally criticized but that’s how we learn to change.‖
d. ―The comments should help me improve my management skills.‖ f
CORRECT_ANSWER: D
The goal of the performance report is to provide guidance to staff in the areas of professio
nal development, mentoring, and leadership development. A peer review is writtenby other
s who perform similar skills (peers). The remaining options may be true but do not provid
e evidence of understanding of the goal of this professional requirement.
MULTIPLE RESPONSE
1. Which assessment question would a health care provider ask when engaging in the previsi
tstage of the new model for primary care? (Select all that apply.)
a. ―Are you ready to discuss some of the community resources that are available?‖
b. ―Are you experiencing anNyUsiRdS
eIefN
feGctTs B
fg fr. our newly prescribed medications?‖
COyM
om
c. ―Do you anticipate any problems with adhering to your treatment plan?‖
d. ―Are you ready to discuss the results of your laboratory tests?‖
e. ―Do you have any questions about the lab tests that have been ordered for you?‖
CORRECT_ANSWER: B, C, E
The nursing responsibilities in the previsit stage include assessing the patient’s tolerance o
fprescribed medications, understanding of existing treatment plan, and education about re
quired lab testing. The primary care provider is responsible for screening lab data and dis
cussing community resources during the actual visit.
, Chapter 04: Coordinated Chronic Care
Buttaro: Primary Care: A Collaborative Practice, 7th Edition
MULTIPLE CHOICE
1. To reduce adverse events associated with care transitions, the Centers for Medicare an
d Medicaid Service have implemented which policy?
fg
a. Mandates for communication among primary caregivers and hospitalists
b. Penalties for failure to perform medication reconciliations at time of discharge
c. Reduction of payments for patients readmitted within 30 days after discharge
d. Requirements for written discharge instructions for patients and caregivers
CORRECT_ANSWER: C
As a component of the Affordable Care Act, the Centers for Medicare and Medicaid Servic
e developed the Readmissions Reduction Program reducing payments for certain patients re
fg
admitted within 30 days of discharge. The CMS did not mandate communication, institute p fg
enalties for failure to perform medication reconciliations, or require written discharge instr
uctions.
2. According to multiple research studies, which intervention has resulted in lower costs an
d fewer rehospitalizations in high-risk older patients?
fg
a. Coordination of posthospital care by advanced practice health care providers
b. Frequent posthospital clinic visits with a primary care provider
c. Inclusion of extended family members in the outpatient plan of care
d. Telephone follow-up by the pharmacist to assess medication compliance
7/E
CORRECT_ANSWER: A
Research studies provided evidence that high-
risk older patients who had posthospital carecoordinated by an APN had reduced rehospit
alization rates. It did not include clinic visits with a primary care provider, inclusion of e
xtended family members in the plan of care, ortelephone follow-up by a pharmacist.
MULTIPLE RESPONSE
1. Which advantages are provided to the chronically ill patient by personal electroni
c monitoring devices? (Select all that apply.)
fg
a. Helps provide more patient control their health and lifestyle
fg
b. Eliminates need for regular medical and nursing follow-up visits
c. Helps the early identification of patient health-related problems
d. Helps health care providers in keeping track of the patient’s health status
e. Cost is often covered by Medicare
CORRECT_ANSWER: A, C, D, E
Test Bank
Primary Care: Interprofessional Collaborative Practice (7th Edition) by Terry Mahan Buttaro.
Includes all chapters 1–228
CHAPTER 01: INTERPROFESSIONAL COLLABORATIVE PRACTICE : WHERE WE ARE TODAY
Buttaro: Primary Care: A Collaborative Practice, 7th Edition
MULTIPLE CHOICE
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designate
das a Level 1 ACO. What is part of this designation?
a. Bonuses based on achievement of benchmarks
b. Care coordination for chronic diseases
c. Standards for minimum cash reserves
d. Strict requirements for financial reporting
CORRECT_ANSWER: A
A Level 1 ACO has the least amount of financial risk and requirements, but receives share
d savings bonuses based on achievement of benchmarks for quality measures and expendit
fg
ures. Care coordination and minimum cash reserves standards are part of Level 2 ACO
requirements. Level 3 ACOs have strict requirements for financial reporting.
2. What was an important finding of the Advisory Board survey of 2014 about primary car
e preferences of patients?
fg
a. Associations with area hospitals
b. Costs of ambulatory care
c. Ease of access to care
d. The ratio of providers to patients
fg
CORRECT_ANSWER: C
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to
care, walk- in settings and the ability to be seen within 30 minutes, and care that is close to
f
home. As sociations with hospitals, costs of care, and the ratio of providers to patients
werenot part of these results.
MULTIPLE RESPONSE
1. Which assessments of care providers are performed as part of the value-
based purchasing (VBP) initiative? (Select all that apply.)
fg
a. Appraising costs per case of care for Medicare patients
b. Assessing patients’ satisfaction with hospital care
c. Evaluating available evidence to guide clinical care guidelines
d. Monitoring mortality rates of all patients with pneumonia
e. Requiring advanced IT standards and minimum cash reserves
CORRECT_ANSWER: A, B, D
Value- based purchasing looks at five domain areas of processes of care, including efficiency of care
(cost per case), experience of care (patient satisfaction measures), and outcomes of care ( mortality
rates for certain conditions). Evaluation of evidence to guide clinical care is part of evidence- based
practice. The requirements for IT standards and financial status are part of Accountable Care
Organization standards.
,Buttaro: Primary Care: A Collaborative Practice, 7th Edition@*(&#@)(&$!@!@!##@!@)($@)($@)(*@)($@*##@*
Chapter 02: Translating Research into Clinical Practice Butt
aro: Primary Care: A Collaborative Practice, 7th Edition
MULTIPLE CHOICE
1. What is the purpose of Level II research?
a. To define characteristics of interest of groups of patients
b. To demonstrate the effectiveness of an intervention or treatment
c. To describe relationships among characteristics or variables
d. To evaluate the nature of relationships between two variables
CORRECT_ANSWER: C
Level II research is concerned with describing the relationships among characteristics or
variables. Level I research is conducted to define the characteristics of groups of
fg
patients.Level II research evaluates the nature of the relationships between variables.
Level IV research is conducted to demonstrate the effectiveness of interventions or
treatments.
2. Which is the most appropriate research design for a Level III research study?
a. Epidemiological studies
b. Experimental design
c. Qualitative studies
d. Randomized clinical trials
CORRECT_ANSWER: B
The experimental design is the most appropriate design for a Level III study. Epidemiological studies
are aNpU
prRoS
prI
iaN
teGfT
orBL.eC
veOlM
fg II studies. Qualitative designs are useful for Level I studies. Randomized clinic
trials are used for Level IV studies.
3. What is the purpose of clinical research trials in the spectrum of translational research?
a. Adoption of interventions and clinical practices into routine clinical care
b. Determination of the basis of disease and various treatment options
c. Examination of safety and effectiveness of various interventions
d. Exploration of fundamental mechanisms of biology, disease, or behavior
CORRECT_ANSWER: C
Clinical research trials are concerned with determining the safety and effectiveness of
interventions. Adoption of interventions and practices is part of clinical implementation.
Determination of the basis of disease and treatment options is part of the preclinical
research phase Exploration of the fundamental mechanisms of biology, disease, or behavior
is part of the basic research stage.
,Buttaro: Primary Care: A Collaborative Practice, 7th Edition@*(&#@)(&$!@!@!##@!@)($@)($@)(*@)($@*##@*
Chapter 03: Empowering Patients as Collaborative partners: A New Model for
Primary Care
Buttaro: Primary Care: A Collaborative Practice, 7th Edition
fg fg
MULTIPLE CHOICE
1. Which statement made by a health care provider demonstrates the most appropriat
e understanding for the goal of a performance report?
fg
a. ―This process allows me to critique the performance of the rest of the staff.‖
b. ―Most organizations require staff to undergo a performance evaluation yearly.‖
c. ―It is hard to be personally criticized but that’s how we learn to change.‖
d. ―The comments should help me improve my management skills.‖ f
CORRECT_ANSWER: D
The goal of the performance report is to provide guidance to staff in the areas of professio
nal development, mentoring, and leadership development. A peer review is writtenby other
s who perform similar skills (peers). The remaining options may be true but do not provid
e evidence of understanding of the goal of this professional requirement.
MULTIPLE RESPONSE
1. Which assessment question would a health care provider ask when engaging in the previsi
tstage of the new model for primary care? (Select all that apply.)
a. ―Are you ready to discuss some of the community resources that are available?‖
b. ―Are you experiencing anNyUsiRdS
eIefN
feGctTs B
fg fr. our newly prescribed medications?‖
COyM
om
c. ―Do you anticipate any problems with adhering to your treatment plan?‖
d. ―Are you ready to discuss the results of your laboratory tests?‖
e. ―Do you have any questions about the lab tests that have been ordered for you?‖
CORRECT_ANSWER: B, C, E
The nursing responsibilities in the previsit stage include assessing the patient’s tolerance o
fprescribed medications, understanding of existing treatment plan, and education about re
quired lab testing. The primary care provider is responsible for screening lab data and dis
cussing community resources during the actual visit.
, Chapter 04: Coordinated Chronic Care
Buttaro: Primary Care: A Collaborative Practice, 7th Edition
MULTIPLE CHOICE
1. To reduce adverse events associated with care transitions, the Centers for Medicare an
d Medicaid Service have implemented which policy?
fg
a. Mandates for communication among primary caregivers and hospitalists
b. Penalties for failure to perform medication reconciliations at time of discharge
c. Reduction of payments for patients readmitted within 30 days after discharge
d. Requirements for written discharge instructions for patients and caregivers
CORRECT_ANSWER: C
As a component of the Affordable Care Act, the Centers for Medicare and Medicaid Servic
e developed the Readmissions Reduction Program reducing payments for certain patients re
fg
admitted within 30 days of discharge. The CMS did not mandate communication, institute p fg
enalties for failure to perform medication reconciliations, or require written discharge instr
uctions.
2. According to multiple research studies, which intervention has resulted in lower costs an
d fewer rehospitalizations in high-risk older patients?
fg
a. Coordination of posthospital care by advanced practice health care providers
b. Frequent posthospital clinic visits with a primary care provider
c. Inclusion of extended family members in the outpatient plan of care
d. Telephone follow-up by the pharmacist to assess medication compliance
7/E
CORRECT_ANSWER: A
Research studies provided evidence that high-
risk older patients who had posthospital carecoordinated by an APN had reduced rehospit
alization rates. It did not include clinic visits with a primary care provider, inclusion of e
xtended family members in the plan of care, ortelephone follow-up by a pharmacist.
MULTIPLE RESPONSE
1. Which advantages are provided to the chronically ill patient by personal electroni
c monitoring devices? (Select all that apply.)
fg
a. Helps provide more patient control their health and lifestyle
fg
b. Eliminates need for regular medical and nursing follow-up visits
c. Helps the early identification of patient health-related problems
d. Helps health care providers in keeping track of the patient’s health status
e. Cost is often covered by Medicare
CORRECT_ANSWER: A, C, D, E
