Test Bank - Primary Care, Interprofessional Collaborative Practice, 6th Edition (Buttaro, 2021) Chapter 1-228 | All Chapters

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BORATIVE PRECTICE 6TH EDITION TEST BANK B
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Y TERRY MAHAN BUTTARO | ALL CHAPTERS 1-
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228




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Chapter 01: Interprofessional Collaborative Practice: Where We Are Toda
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y Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE pc




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


b. Care coordination for chronic diseases pc pc pc pc


c. Standards for minimum cash reserves pc pc pc pc


d. Strict requirements for financial reporting pc pc pc pc




ANS: A p c


A Level 1 ACO has the least amount of financial risk and requirements, but receives share
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d savings bonuses based on achievement of benchmarks for quality measures and expendi
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tures. 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 ca
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re preferences of patients?
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a. Associations with area hospitals pc pc pc


b. Costs of ambulatory care pc pc pc


c. Ease of access to care pc pc pc pc


d. The ratio of providers to patients pc pc pc pc pc




pc ANS: C p c




As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access
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to care, 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 were not
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part of these results.
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MULTIPLE RESPONSE pc




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 pc pc pc pc pc pc pc pc


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


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


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


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




ANS: A, B, D p c pc pc


Value-
based purchasing looks at five domain areas of processes of care, including efficiency of ca
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re (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 pa
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rt 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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Chapter 02: Translating Research into Clinical Practice But
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taro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE pc




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 p c


Level II research is concerned with describing the relationships among characteristics or v
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ariables. Level I research is conducted to define the characteristics of groups of patients. Le
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vel II research evaluates the nature of the relationships between variables. Level IV resear
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ch 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 pc


b. Experimental design pc


c. Qualitative studies pc


d. Randomized clinical trials pc pc




ANS: B p c


The experimental design is the most appropriate design for a Level III study. Epidemio
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logical studies are aNpU
prR
opSrI
pciaN
teGfT
orBL.eC
veOlMI I 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 pc pc pc pc pc pc pc pc pc


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


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




ANS: C p c


Clinical research trials are concerned with determining the safety and effectiveness of inte
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rventions. Adoption of interventions and practices is part of clinical implementation. Dete
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rmination of the basis of disease and treatment options is part of the preclinical research ph
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ase. Exploration of the fundamental mechanisms of biology, disease, or behavior is part o
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f the basic research stage.
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Chapter 03: Empowering Patients as Collaborative partners: A New Model for Pri
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mary Care
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Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE pc




1. Which statement made by a health care provider demonstrates the most appropriat
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e understanding 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 p c


The goal of the performance report is to provide guidance to staff in the areas of professi
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onal development, mentoring, and leadership development. A peer review is written by oth
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ers who perform similar skills (peers). The remaining options may be true but do not pro
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vide evidence of understanding of the goal of this professional requirement.
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MULTIPLE RESPONSE pc




1. Which assessment question would a health care provider ask when engaging in the previs
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it stage 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
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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 p c pc pc


The nursing responsibilities in the previsit stage include assessing the patient’s tolerance of
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prescribed medications, understanding of existing treatment plan, and education about req
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uired lab testing. The primary care provider is responsible for screening lab data and disc
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ussing community resources during the actual visit.
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