PRIMARY CARE INTERPROFESSIONAL COLLA
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BORATIVE PRECTICE 6TH EDITION TESTBANK B
xe xe xe xe e
x xe
Y TERRY MAHAN BUTTARO | ALL CHAPTERS 1-
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228
TEST BANK xe
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
xe xe xe xe xe xe xe xe
Chapter 01: Interprofessional Collaborative Practice: Where We Are Toda
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yButtaro: Primary Care: A Collaborative Practice, 6th Edition
e
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MULTIPLE CHOICE xe
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designat
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edas a Level 1 ACO. What is part of this designation?
e
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a. Bonuses based on achievement of benchmarks xe xe xe xe xe
b. Care coordination for chronic diseases xe xe xe xe
c. Standards for minimum cash reserves xe xe xe xe
d. Strict requirements for financial reporting xe xe xe xe
ANS: A x e
A Level 1 ACO has the least amount of financial risk and requirements, but receives shar
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edsavings bonuses based on achievement of benchmarks for quality measures and expend
e
x xe xe xe xe xe xe xe xe xe xe xe
itures. Care coordination and minimum cash reserves standards are part of Level 2 ACO
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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?
xe xe xe
a. Associations with area hospitals xe xe xe
b. Costs of ambulatory care xe xe xe
c. Ease of access to care xe xe xe xe
d. The ratio of providers to patient xe xe xe xe xe
sANS: C
e
x x e
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access
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etocare, walk-
e
x xe
in settings and the ability to be seen within 30 minutes, and care that is close to home.
xe xe xe xe xe xe xe xe xe xe xe xe xe xe xe xe xe xe
Associations with hospitals, costs of care, and the ratio of providers to patients werenot
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x xe
part of these results.
xe xe xe
MULTIPLE RESPONSE xe
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.)
xe xe xe xe xe xe xe
a. Appraising costs per case of care for Medicare patients xe xe xe xe xe xe xe xe
b. Assessing patients’ satisfaction with hospital care xe xe xe xe xe
c. Evaluating available evidence to guide clinical care guidelines xe xe xe xe xe xe xe
d. Monitoring mortality rates of all patients with pneumonia xe xe xe xe xe xe xe
e. Requiring advanced IT standards and minimum cash reserves xe xe xe xe xe xe xe
ANS: A, B, D x e xe xe
Value-
based purchasing looks at five domain areas of processes of care, including efficiencyof ca
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x xe
re (cost per case), experience of care (patient satisfaction measures), and outcomes of care
xe xe xe xe xe xe xe xe xe xe xe xe xe
(mortality rates for certain conditions). Evaluation of evidence to guide clinical care is pa
xe xe xe xe xe xe xe xe xe xe xe xe xe xe
rt of evidence-
xe xe
based practice. The requirements for IT standards and financial status are part of Account
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able Care Organization standards.
xe xe xe
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
xe xe xe xe xe xe xe xe
Chapter 02: Translating Research into Clinical Practice Butt
xe xe xe xe xe xe xe
aro: Primary Care: A Collaborative Practice, 6th Edition
xe xe xe xe xe xe xe
MULTIPLE CHOICE xe
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 e
Level II research is concerned with describing the relationships among characteristics o
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r variables. Level I research is conducted to define the characteristics of groups of patie
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nts.Level II research evaluates the nature of the relationships between variables. Level
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IV research 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?
xe xe xe xe xe xe xe xe xe xe xe xe
a. Epidemiological studies xe
b. Experimental design xe
c. Qualitative studies xe
d. Randomized clinical trials xe xe
ANS: B x e
The experimental design is the most appropriate design for a Level III study. Epidemiolo
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gical studies are aNpU
xe prRSIiaNteGfT
opr orBL.eC
veOlM
II studies. Qualitative designs are useful
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for Level I studies. Randomized clinical trials are used for Level IV studies.
xe xe xe xe xe xe xe xe xe xe xe xe
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 xe xe xe xe xe xe xe xe xe
c. Examination of safety and effectiveness of various interventions xe xe xe xe xe xe xe
d. Exploration of fundamental mechanisms of biology, disease, or behavior
xe xe xe xe xe xe xe xe
ANS: C x e
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 researchph
xe xe xe xe xe xe xe xe xe xe xe xe xe xe e
x
ase. Exploration of the fundamental mechanisms of biology, disease, or behavior is part o
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f the basic research stage.
xe xe xe xe
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
xe xe xe xe xe xe xe xe
Chapter 03: Empowering Patients as Collaborative partners: A New Model fo
xe xe xe xe xe xe xe xe xe xe
rPrimary Care
e
x xe
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
xe xe xe xe xe xe xe
MULTIPLE CHOICE xe
1. Which statement made by a health care provider demonstrates the most appropria
xe xe xe xe xe xe xe xe xe xe xe
teunderstanding for the goal of a performance report?
e
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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.”
xe xe xe xe xe xe xe xe
ANS: D x e
The goal of the performance report is to provide guidance to staff in the areas of professi
xe xe xe xe xe xe xe xe xe xe xe xe xe xe xe xe
onal development, mentoring, and leadership development. A peer review is writtenby oth
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x xe
ers who perform similar skills (peers). The remaining options may be true but do not pro
xe xe xe xe xe xe xe xe xe xe xe xe xe xe xe
vide evidence of understanding of the goal of this professional requirement.
xe xe xe xe xe xe xe xe xe xe
MULTIPLE RESPONSE xe
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.)
e
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a. “Are you ready to discuss some of the community resources that are available?”
xe xe xe xe xe xe xe xe xe xe xe xe
b. “Are you experiencing anNyUsiRdS
eIefN
feGctTs B
xe fr.COyM
om our newly prescribed medications?”
xe xe xe xe xe xe
c. “Do you anticipate any problems with adhering to your treatment plan?”
xe xe xe xe xe xe xe xe xe xe
d. “Are you ready to discuss the results of your laboratory tests?”
xe xe xe xe xe xe xe xe xe xe
e. “Do you have any questions about the lab tests that have been ordered for you?”
xe xe xe xe xe xe xe xe xe xe xe xe xe xe
ANS: B, C, E x e xe xe
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
e
x xe xe xe xe xe xe xe xe xe xe
required lab testing. The primary care provider is responsible for screening lab data and
xe xe xe xe xe xe xe xe xe xe xe xe xe xe
discussing community resources during the actual visit.
xe xe xe xe xe xe
xe xe xe
BORATIVE PRECTICE 6TH EDITION TESTBANK B
xe xe xe xe e
x xe
Y TERRY MAHAN BUTTARO | ALL CHAPTERS 1-
xe xe xe xe xe xe xe
228
TEST BANK xe
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
xe xe xe xe xe xe xe xe
Chapter 01: Interprofessional Collaborative Practice: Where We Are Toda
xe xe xe xe xe xe xe xe
yButtaro: Primary Care: A Collaborative Practice, 6th Edition
e
x xe xe xe xe xe xe xe
MULTIPLE CHOICE xe
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designat
xe xe xe xe xe xe xe xe xe xe xe xe xe xe
edas a Level 1 ACO. What is part of this designation?
e
x xe xe xe xe xe xe xe xe xe xe
a. Bonuses based on achievement of benchmarks xe xe xe xe xe
b. Care coordination for chronic diseases xe xe xe xe
c. Standards for minimum cash reserves xe xe xe xe
d. Strict requirements for financial reporting xe xe xe xe
ANS: A x e
A Level 1 ACO has the least amount of financial risk and requirements, but receives shar
xe xe xe xe xe xe xe xe xe xe xe xe xe xe xe
edsavings bonuses based on achievement of benchmarks for quality measures and expend
e
x xe xe xe xe xe xe xe xe xe xe xe
itures. Care coordination and minimum cash reserves standards are part of Level 2 ACO
xe xe xe xe xe xe xe xe xe xe xe xe xe xe
requirements. Level 3 ACOs have strict requirements for financial reporting.
xe xe xe xe xe xe xe xe xe
2. What was an important finding of the Advisory Board survey of 2014 about primary c
xe xe xe xe xe xe xe xe xe xe xe xe xe xe
arepreferences of patients?
xe xe xe
a. Associations with area hospitals xe xe xe
b. Costs of ambulatory care xe xe xe
c. Ease of access to care xe xe xe xe
d. The ratio of providers to patient xe xe xe xe xe
sANS: C
e
x x e
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access
xe xe xe xe xe xe xe xe xe xe xe xe xe xe x
etocare, walk-
e
x xe
in settings and the ability to be seen within 30 minutes, and care that is close to home.
xe xe xe xe xe xe xe xe xe xe xe xe xe xe xe xe xe xe
Associations with hospitals, costs of care, and the ratio of providers to patients werenot
xe xe xe xe xe xe xe xe xe xe xe xe xe e
x xe
part of these results.
xe xe xe
MULTIPLE RESPONSE xe
1. Which assessments of care providers are performed as part of the value-
xe xe xe xe xe xe xe xe xe xe xe
based purchasing(VBP) initiative? (Select all that apply.)
xe xe xe xe xe xe xe
a. Appraising costs per case of care for Medicare patients xe xe xe xe xe xe xe xe
b. Assessing patients’ satisfaction with hospital care xe xe xe xe xe
c. Evaluating available evidence to guide clinical care guidelines xe xe xe xe xe xe xe
d. Monitoring mortality rates of all patients with pneumonia xe xe xe xe xe xe xe
e. Requiring advanced IT standards and minimum cash reserves xe xe xe xe xe xe xe
ANS: A, B, D x e xe xe
Value-
based purchasing looks at five domain areas of processes of care, including efficiencyof ca
xe xe xe xe xe xe xe xe xe xe xe xe e
x xe
re (cost per case), experience of care (patient satisfaction measures), and outcomes of care
xe xe xe xe xe xe xe xe xe xe xe xe xe
(mortality rates for certain conditions). Evaluation of evidence to guide clinical care is pa
xe xe xe xe xe xe xe xe xe xe xe xe xe xe
rt of evidence-
xe xe
based practice. The requirements for IT standards and financial status are part of Account
xe xe xe xe xe xe xe xe xe xe xe xe xe
able Care Organization standards.
xe xe xe
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
xe xe xe xe xe xe xe xe
Chapter 02: Translating Research into Clinical Practice Butt
xe xe xe xe xe xe xe
aro: Primary Care: A Collaborative Practice, 6th Edition
xe xe xe xe xe xe xe
MULTIPLE CHOICE xe
1. What is the purpose of Level II research?
xe xe xe xe xe xe xe
a. To define characteristics of interest of groups of patients
xe xe xe xe xe xe xe xe
b. To demonstrate the effectiveness of an intervention or treatment
xe xe xe xe xe xe xe xe
c. To describe relationships among characteristics or variables
xe xe xe xe xe xe
d. To evaluate the nature of relationships between two variables
xe xe xe xe xe xe xe xe
ANS: C x e
Level II research is concerned with describing the relationships among characteristics o
xe xe xe xe xe xe xe xe xe xe xe
r variables. Level I research is conducted to define the characteristics of groups of patie
xe xe xe xe xe xe xe xe xe xe xe xe xe xe
nts.Level II research evaluates the nature of the relationships between variables. Level
xe xe xe xe xe xe xe xe xe xe xe xe xe
IV research is conducted to demonstrate the effectiveness of interventions or treatments
xe xe xe xe xe xe xe xe xe xe xe
.
2. Which is the most appropriate research design for a Level III research study?
xe xe xe xe xe xe xe xe xe xe xe xe
a. Epidemiological studies xe
b. Experimental design xe
c. Qualitative studies xe
d. Randomized clinical trials xe xe
ANS: B x e
The experimental design is the most appropriate design for a Level III study. Epidemiolo
xe xe xe xe xe xe xe xe xe xe xe xe xe
gical studies are aNpU
xe prRSIiaNteGfT
opr orBL.eC
veOlM
II studies. Qualitative designs are useful
xe xe xe xe xe xe xe xe
for Level I studies. Randomized clinical trials are used for Level IV studies.
xe xe xe xe xe xe xe xe xe xe xe xe
3. What is the purpose of clinical research trials in the spectrum of translational research?
xe xe xe xe xe xe xe xe xe xe xe xe xe
a. Adoption of interventions and clinical practices into routine clinical care
xe xe xe xe xe xe xe xe xe
b. Determination of the basis of disease and various treatment options xe xe xe xe xe xe xe xe xe
c. Examination of safety and effectiveness of various interventions xe xe xe xe xe xe xe
d. Exploration of fundamental mechanisms of biology, disease, or behavior
xe xe xe xe xe xe xe xe
ANS: C x e
Clinical research trials are concerned with determining the safety and effectiveness of inte
xe xe xe xe xe xe xe xe xe xe xe xe
rventions. Adoption of interventions and practices is part of clinical implementation. Dete
xe xe xe xe xe xe xe xe xe xe xe
rmination of the basis of disease and treatment options is part of the preclinical researchph
xe xe xe xe xe xe xe xe xe xe xe xe xe xe e
x
ase. Exploration of the fundamental mechanisms of biology, disease, or behavior is part o
xe xe xe xe xe xe xe xe xe xe xe xe xe
f the basic research stage.
xe xe xe xe
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
xe xe xe xe xe xe xe xe
Chapter 03: Empowering Patients as Collaborative partners: A New Model fo
xe xe xe xe xe xe xe xe xe xe
rPrimary Care
e
x xe
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
xe xe xe xe xe xe xe
MULTIPLE CHOICE xe
1. Which statement made by a health care provider demonstrates the most appropria
xe xe xe xe xe xe xe xe xe xe xe
teunderstanding for the goal of a performance report?
e
x xe xe xe xe xe xe xe
a. “This process allows me to critique the performance of the rest of the staff.”
xe xe xe xe xe xe xe xe xe xe xe xe xe
b. “Most organizations require staff to undergo a performance evaluation yearly.”
xe xe xe xe xe xe xe xe xe
c. “It is hard to be personally criticized but that’s how we learn to change.”
xe xe xe xe xe xe xe xe xe xe xe xe xe
d. “The comments should help me improve my management skills.”
xe xe xe xe xe xe xe xe
ANS: D x e
The goal of the performance report is to provide guidance to staff in the areas of professi
xe xe xe xe xe xe xe xe xe xe xe xe xe xe xe xe
onal development, mentoring, and leadership development. A peer review is writtenby oth
xe xe xe xe xe xe xe xe xe xe e
x xe
ers who perform similar skills (peers). The remaining options may be true but do not pro
xe xe xe xe xe xe xe xe xe xe xe xe xe xe xe
vide evidence of understanding of the goal of this professional requirement.
xe xe xe xe xe xe xe xe xe xe
MULTIPLE RESPONSE xe
1. Which assessment question would a health care provider ask when engaging in the previ
xe xe xe xe xe xe xe xe xe xe xe xe xe
sitstage of the new model for primary care? (Select all that apply.)
e
x xe xe xe xe xe xe xe xe xe xe xe
a. “Are you ready to discuss some of the community resources that are available?”
xe xe xe xe xe xe xe xe xe xe xe xe
b. “Are you experiencing anNyUsiRdS
eIefN
feGctTs B
xe fr.COyM
om our newly prescribed medications?”
xe xe xe xe xe xe
c. “Do you anticipate any problems with adhering to your treatment plan?”
xe xe xe xe xe xe xe xe xe xe
d. “Are you ready to discuss the results of your laboratory tests?”
xe xe xe xe xe xe xe xe xe xe
e. “Do you have any questions about the lab tests that have been ordered for you?”
xe xe xe xe xe xe xe xe xe xe xe xe xe xe
ANS: B, C, E x e xe xe
The nursing responsibilities in the previsit stage include assessing the patient’s tolerance
xe xe xe xe xe xe xe xe xe xe xe xe
ofprescribed medications, understanding of existing treatment plan, and education about
e
x xe xe xe xe xe xe xe xe xe xe
required lab testing. The primary care provider is responsible for screening lab data and
xe xe xe xe xe xe xe xe xe xe xe xe xe xe
discussing community resources during the actual visit.
xe xe xe xe xe xe
