BORATIVEPRECTICE6THEDITIONTESTBANKB
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YTERRYMAHANBUTTARO| ALLCHAPTERS 1-
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TESTBANK
,MULTIPLE CHOICE
1. A small, rural hospital ispartofan AccountableCareOrganization (ACO) andis designated as a J J J J J J J J J J fi J J
Level 1 ACO. What is part of this designation?
J J J J J J J J
a. Bonusesbasedonachievementofbenchmarks J J J J J
b. Carecoordination for chronic diseases J J J J
c. Standards forminimum cash reserves J J fi J
d. Strictrequirements for financial reporting J J J J
ANS: A J
ALevel1 ACOhas theleastamountoffinancialriskand requirements,but receives shared sa vings
J J J J J J J J J J J J J J J fi J J
bonuses based on achievement of benchmarks for qualitymeasures and expenditures. Care
J J J J J J J J J J J J
coordination and minimumcash reserves standards arepartof Level 2 ACOrequireme nts. Level 3 J J J J J J J J J J J J J J J J
ACOs have strict requirements for financial reporting.
J J J J J J
2. Whatwas animportantfindingoftheAdvisoryBoardsurveyof2014aboutprimarycarep
J fi J J J J J J J J J J J J J
references of patients? J J
a. Associationswithareahospitals J J J
b. Costsofambulatorycare J J J
c. Easeofaccesstocare J J J J
d. Theratioofproviderstopatients J J J J J J
ANS: C J
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access toc are,
J J J J J J J J fi J J J J J J J J
walk-
in settings and the abilitytobe seen within 30 minutes, and care that is close to home. Assoc iations
J J J J J J J J J J J J J J J J J J J J
withhospitals, costsofcare,and theratioofproviderstopatientswerenotpartofthe se results.
J J J J J fi J J J J J J J J J J fi
MULTIPLE RESPONSE J
1. Whichassessmentsofcareprovidersareperformedaspartofthevalue-
J J J J J J J J J J J J
based purchasing (VBP) initiative? (Select all that apply.)
J fi J J J J J
a. AppraisingcostspercaseofcareforMedicarepatients J J J J J J J J
b. Assessing patients’ satisfaction with hospital care fi J J J J
c. Evaluating available evidence to guide clinical care guidelines fi J J J J J J
d. Monitoringmortalityratesofallpatientswithpneumonia J J J J J J J
e. Requiring advanced ITstandards andminimum cashreserves fi J J J J J J
ANS: A,B,D J J J
Value-
based purchasing looks at five domain areas of processes of care, including efficiencyof care ( cost
J J J J J J J J J J J J J J J J
per case), experience of care (patient satisfaction measures), and outcomes of care (morta lity rates
J J J J J J J J J fi J J J J J
forcertainconditions).Evaluationofevidencetoguideclinicalcareispartofeviden ce-
J J J J J J J J J J J J J J
based practice. The requirements for IT standards and financial status are part ofAccountable Care
J J J J J J J J J J J J J J J
Organization standards. fi
, TES BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
J
Chapter 02: Translating Research into Clinical Practice Butta fi
ro: Primary Care: A Collaborative Practice, 6th Edition
MULTIPLE CHOICE J
1. WhatisthepurposeofLevel II research?
J J J J J J fi
a. Todefinecharacteristicsofinterestofgroupsofpatients
J J J J J J J J
b. Todemonstrate theeffectiveness of an intervention ortreatment
J J J J J J J J
c. Todescribe relationships among characteristics or variables
J J J fi J J
d. Toevaluatethenatureof relationshipsbetweentwo variables
J J J J J J J fi
ANS: C J
Level II research is concerned with describing the relationships among characteristics or v
J J J J J J J J J J J J J
ariables. Level Iresearch is conducted to define the characteristics of groups of patients. Le vel II
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research evaluates the nature of the relationships between variables. Level IV resear ch is
J J J J J J J J J J J J J J
conducted to demonstrate the effectiveness of interventions or treatments.
J J J J J J J J
2. WhichisthemostappropriateresearchdesignforaLevel IIIresearchstudy?
J J J J J J J J J J J J
a. Epidemiological studies J
b. Experimental design J
c. Qualitative studies J
d. Randomized clinical trials J J
ANS: B J
Theexperimentaldesign isthemostappropriatedesignforaLevel IIIstudy. Epidemiologic
J J J J J J J J J J J J J
al studies are aNpU
J prRoS
prI
iaN
teGfT
orBL.eC
veOlM
II studies. Qualitative designs are useful for
J J if J J J J J J J
LevelIstudies.Randomized clinicaltrialsareusedforLevelIVstudies.
J J J fi J J J J J J J
3. Whatisthepurposeofclinicalresearchtrialsinthespectrumoftranslational research?
J J J J J J J J J J J J J
a. Adoptionof interventions and clinical practices into routine clinical care J J J J J J J J J
b. Determination ofthe basis of disease and various treatment options J J J J J J J J J
c. Examinationofsafetyandeffectivenessofvariousinterventions J J J J J J J
d. Explorationoffundamentalmechanismsofbiology,disease,orbehavior J J J J J J J J
ANS: C J
Clinical research trials are concerned with determining the safety and effectiveness of interve
J J J J J J fi J J J J J J
ntions.Adoptionofinterventionsandpracticesispartofclinicalimplementation.Determinat ionof
J J J J J J J J J J J J J J
the basis ofdiseaseand treatment options ispart ofthe preclinical researchphase. Explo rationofthe
J J J J J J fi J J J J J J J J J J
fundamental mechanisms ofbiology, disease, or behavior is partofthe basicres earch stage.
J J J J J J J J J J fi J J J
, TES BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
J
Chapter03:Empowering PatientsasCollaborative partners: ANew Model forP rimary
J J J J J J J J J fi J J
Care
Buttaro:Primary Care:ACollaborativePractice,6th Edition
J J J J J J J
MULTIPLE CHOICE J
1. Whichstatementmadebyahealthcareproviderdemonstratesthemostappropriateu
J J J J J J J J J J J J
nderstanding for the goal of a performance report? fi J J J J J J
a. ―This process allows meto critiquetheperformanceoftherestofthestaff.‖ J J J J J J J J J J J J J
b. ―Most organizations requirestaff to undergo a performance evaluation yearly.‖ fi J J J J J fi J J
c. ―It is hardtobepersonallycriticized but that’showwelearn tochange.‖
J J J J J J fi J J J J J J
d. ―Thecomments should helpmeimprovemymanagementskills.‖ J J J J J J J J
ANS: D J
The goal of the performance report is to provide guidance to staff in the areas of professional
J J J J J J J J J J J J J J J J J
development, mentoring, and leadership development. A peer review is writtenby others who J J fi J J J J J J J J J
perform similar skills (peers). The remaining options may be true but do not provide evidenc e of
J J J J J J J J J J J J J J J J J
understanding of the goal of this professional requirement. J J J J J J J
MULTIPLE RESPONSE J
1. Whichassessmentquestionwouldahealthcareprovideraskwhenengaging intheprevisitst age
J J J J J J J J J J fi J J J J
of the new model for primary care? (Select all that apply.)
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a. ―Areyou readyto discuss someof thecommunityresources thatareavailable?‖
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b. ―Are you experiencing anNyUsiRdS eI
efN
feGctTs B
fr.
om our newly prescribed medications?‖
COyM J J J fi J J J
c. ―Do you anticipate anyproblems with adhering to yourtreatment plan?‖
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d. ―Areyou readyto discussthe resultsof yourlaboratorytests?‖ J J J J J fi J J J J
e. ―Doyouhaveanyquestionsaboutthelabteststhathavebeenorderedforyou?‖
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ANS: B,C,E J J J
The nursing responsibilities in the previsit stage include assessing the patient’s tolerance ofp
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rescribed medications, understanding of existing treatment plan, and education about requir ed
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lab testing. The primary care provider is responsible for screening lab data and discussin g
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community resources during the actual visit. J J J J J