, TEST BANK FOR PRIMARY CARE 7TH EDITION BY BUTTARO
5 5 5 5 5 5 5 5
Chapter 01: Interprofessional Collaborative Practice: Where We Are Today B
5 5 5 5 5 5 5 5 5
uttaro: Primary Care: A Collaborative Practice, 7th Edition
5 5 5 5 5 5 5
MULTIPLE CHOICE 5
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designated as
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
a Level 1 ACO. What is part of this designation?
5 5 5 5 5 5 5 5 5
a. Bonuses based on achievement of benchmarks 5 5 5 5 5
b. Care coordination for chronic diseases5 5 5 5
c. Standards for minimum cash reserves 5 5 5 5
d. Strict requirements for financial reporting
5 5 5 5
ANS: A 5
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared savi
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
ngs bonuses based on achievement of benchmarks for quality measures and expenditures. Care
5 5 5 5 5 5 5 5 5 5 5 5
coordination and minimum cash reserves standards are part of Level 2 ACO requirements. Le
5 5 5 5 5 5 5 5 5 5 5 5 5 5
vel 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 care pr
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
eferences of patients? 5 5
a. Associations with area hospitals 5 5 5
b. Costs of ambulatory care 5 5 5
c. Ease of access to care 5 5 5 5
d. The ratio of providers to patients5 5 5 5 5 5
ANS: C 5
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to car
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
e, walk-5
in settings and the ability to be seen within 30 minutes, and care that is close to home. Associa
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
tions with hospitals, costs of care, and the ratio of providers to patients were not part of these r
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
esults.
MULTIPLE RESPONSE 5
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 5 5 5 5 5 5 5 5
b. Assessing patients’ satisfaction with hospital care 5 5 5 5 5
c. Evaluating available evidence to guide clinical care guidelines 5 5 5 5 5 5 5
d. Monitoring mortality rates of all patients with pneumonia 5 5 5 5 5 5 5
e. Requiring advanced IT standards and minimum cash reserves 5 5 5 5 5 5 5
ANS: A, B, D 5 5 5
Value-
based purchasing looks at five domain areas of processes of care, including efficiency of care (c
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
ost per case), experience of care (patient satisfaction measures), and outcomes of care (mortalit
5 5 5 5 5 5 5 5 5 5 5 5 5
y rates for certain conditions). Evaluation of evidence to guide clinical care is part of evidence-
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
based practice. The requirements for IT standards and financial status are part of Accountable
5 5 5 5 5 5 5 5 5 5 5 5 5 5
Care Organization standards.
5 5
, TEST BANK FOR PRIMARY CARE 7TH EDITION BY BUTTARO
5 5 5 5 5 5 5 5
Chapter 02: Translating Research into Clinical Practice Buttar
5 5 5 5 5 5 5
o: Primary Care: A Collaborative Practice, 7th Edition
5 5 5 5 5 5 5
MULTIPLE CHOICE 5
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 5
Level II research is concerned with describing the relationships among characteristics or varia
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bles. Level I research is conducted to define the characteristics of groups of patients. Level II re
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
search evaluates the nature of the relationships between variables. Level IV research is conduc
5 5 5 5 5 5 5 5 5 5 5 5 5
ted to demonstrate the effectiveness of interventions or treatments.
5 5 5 5 5 5 5 5
2. Which is the most appropriate research design for a Level III research study?
5 5 5 5 5 5 5 5 5 5 5 5
a. Epidemiological studies 5
b. Experimental design 5
c. Qualitative studies 5
d. Randomized clinical trials 5 5
ANS: B 5
The experimental design is the most appropriate design for a Level III study. Epidemiologic
5 5 5 5 5 5 5 5 5 5 5 5 5
al studies are aNpU
5 prR
opSrI
iaN
teGfT
orBL.eC
veOlMI I studies. Qualitative designs are useful
5 5 5 5 5 5 5 5
for Level I studies. Randomized clinical trials are used for Level IV studies.
5 5 5 5 5 5 5 5 5 5 5 5
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 5 5 5 5 5 5 5 5 5
c. Examination of safety and effectiveness of various interventions 5 5 5 5 5 5 5
d. Exploration of fundamental mechanisms of biology, disease, or behavior 5 5 5 5 5 5 5 5
ANS: C 5
Clinical research trials are concerned with determining the safety and effectiveness of interven
5 5 5 5 5 5 5 5 5 5 5 5
tions. Adoption of interventions and practices is part of clinical implementation. Determinatio
5 5 5 5 5 5 5 5 5 5 5
n of the basis of disease and treatment options is part of the preclinical research phase. Explorati
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
on of the fundamental mechanisms of biology, disease, or behavior is part of the basic research
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
stage.
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
5 5 5 5 5 5 5 5
Chapter 03: Empowering Patients as Collaborative partners: A New Model for Primar
5 5 5 5 5 5 5 5 5 5 5
y Care
5
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
5 5 5 5 5 5 5
MULTIPLE CHOICE 5
1. Which statement made by a health care provider demonstrates the most appropriate u
5 5 5 5 5 5 5 5 5 5 5 5
nderstanding for the goal of a performance report? 5 5 5 5 5 5 5
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.‖
5 5 5 5 5 5 5 5 5 5 5 5 5
d. ―The comments should help me improve my management skills.‖
5 5 5 5 5 5 5 5
ANS: D 5
The goal of the performance report is to provide guidance to staff in the areas of professional d
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
evelopment, mentoring, and leadership development. A peer review is written by others who p
5 5 5 5 5 5 5 5 5 5 5 5 5
erform similar skills (peers). The remaining options may be true but do not provide evidence o
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
f understanding of the goal of this professional requirement.
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MULTIPLE RESPONSE 5
1. Which assessment question would a health care provider ask when engaging in the previsit st
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age 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?‖
5 5 5 5 5 5 5 5 5 5 5 5
b. ―Are you experiencing anNyUsiRdS
eI
efN
feGctTs B
5 fr.
om our newly prescribed medications?‖
COyM 5 5 5 5 5 5
c. ―Do you anticipate any problems with adhering to your treatment plan?‖
5 5 5 5 5 5 5 5 5 5
d. ―Are you ready to discuss the results of your laboratory tests?‖
5 5 5 5 5 5 5 5 5 5
e. ―Do you have any questions about the lab tests that have been ordered for you?‖
5 5 5 5 5 5 5 5 5 5 5 5 5 5
ANS: B, C, E 5 5 5
The nursing responsibilities in the previsit stage include assessing the patient’s tolerance of pre
5 5 5 5 5 5 5 5 5 5 5 5 5
scribed medications, understanding of existing treatment plan, and education about required la
5 5 5 5 5 5 5 5 5 5 5
b testing. The primary care provider is responsible for screening lab data and discussing comm
5 5 5 5 5 5 5 5 5 5 5 5 5 5
unity resources during the actual visit.
5 5 5 5 5
5 5 5 5 5 5 5 5
Chapter 01: Interprofessional Collaborative Practice: Where We Are Today B
5 5 5 5 5 5 5 5 5
uttaro: Primary Care: A Collaborative Practice, 7th Edition
5 5 5 5 5 5 5
MULTIPLE CHOICE 5
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designated as
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
a Level 1 ACO. What is part of this designation?
5 5 5 5 5 5 5 5 5
a. Bonuses based on achievement of benchmarks 5 5 5 5 5
b. Care coordination for chronic diseases5 5 5 5
c. Standards for minimum cash reserves 5 5 5 5
d. Strict requirements for financial reporting
5 5 5 5
ANS: A 5
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared savi
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
ngs bonuses based on achievement of benchmarks for quality measures and expenditures. Care
5 5 5 5 5 5 5 5 5 5 5 5
coordination and minimum cash reserves standards are part of Level 2 ACO requirements. Le
5 5 5 5 5 5 5 5 5 5 5 5 5 5
vel 3 ACOs have strict requirements for financial reporting.
5 5 5 5 5 5 5 5
2. What was an important finding of the Advisory Board survey of 2014 about primary care pr
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
eferences of patients? 5 5
a. Associations with area hospitals 5 5 5
b. Costs of ambulatory care 5 5 5
c. Ease of access to care 5 5 5 5
d. The ratio of providers to patients5 5 5 5 5 5
ANS: C 5
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to car
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
e, walk-5
in settings and the ability to be seen within 30 minutes, and care that is close to home. Associa
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
tions with hospitals, costs of care, and the ratio of providers to patients were not part of these r
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
esults.
MULTIPLE RESPONSE 5
1. Which assessments of care providers are performed as part of the value-
5 5 5 5 5 5 5 5 5 5 5
based purchasing (VBP) initiative? (Select all that apply.)
5 5 5 5 5 5 5
a. Appraising costs per case of care for Medicare patients 5 5 5 5 5 5 5 5
b. Assessing patients’ satisfaction with hospital care 5 5 5 5 5
c. Evaluating available evidence to guide clinical care guidelines 5 5 5 5 5 5 5
d. Monitoring mortality rates of all patients with pneumonia 5 5 5 5 5 5 5
e. Requiring advanced IT standards and minimum cash reserves 5 5 5 5 5 5 5
ANS: A, B, D 5 5 5
Value-
based purchasing looks at five domain areas of processes of care, including efficiency of care (c
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
ost per case), experience of care (patient satisfaction measures), and outcomes of care (mortalit
5 5 5 5 5 5 5 5 5 5 5 5 5
y rates for certain conditions). Evaluation of evidence to guide clinical care is part of evidence-
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
based practice. The requirements for IT standards and financial status are part of Accountable
5 5 5 5 5 5 5 5 5 5 5 5 5 5
Care Organization standards.
5 5
, TEST BANK FOR PRIMARY CARE 7TH EDITION BY BUTTARO
5 5 5 5 5 5 5 5
Chapter 02: Translating Research into Clinical Practice Buttar
5 5 5 5 5 5 5
o: Primary Care: A Collaborative Practice, 7th Edition
5 5 5 5 5 5 5
MULTIPLE CHOICE 5
1. What is the purpose of Level II research?
5 5 5 5 5 5 5
a. To define characteristics of interest of groups of patients
5 5 5 5 5 5 5 5
b. To demonstrate the effectiveness of an intervention or treatment
5 5 5 5 5 5 5 5
c. To describe relationships among characteristics or variables
5 5 5 5 5 5
d. To evaluate the nature of relationships between two variables
5 5 5 5 5 5 5 5
ANS: C 5
Level II research is concerned with describing the relationships among characteristics or varia
5 5 5 5 5 5 5 5 5 5 5 5
bles. Level I research is conducted to define the characteristics of groups of patients. Level II re
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
search evaluates the nature of the relationships between variables. Level IV research is conduc
5 5 5 5 5 5 5 5 5 5 5 5 5
ted to demonstrate the effectiveness of interventions or treatments.
5 5 5 5 5 5 5 5
2. Which is the most appropriate research design for a Level III research study?
5 5 5 5 5 5 5 5 5 5 5 5
a. Epidemiological studies 5
b. Experimental design 5
c. Qualitative studies 5
d. Randomized clinical trials 5 5
ANS: B 5
The experimental design is the most appropriate design for a Level III study. Epidemiologic
5 5 5 5 5 5 5 5 5 5 5 5 5
al studies are aNpU
5 prR
opSrI
iaN
teGfT
orBL.eC
veOlMI I studies. Qualitative designs are useful
5 5 5 5 5 5 5 5
for Level I studies. Randomized clinical trials are used for Level IV studies.
5 5 5 5 5 5 5 5 5 5 5 5
3. What is the purpose of clinical research trials in the spectrum of translational research?
5 5 5 5 5 5 5 5 5 5 5 5 5
a. Adoption of interventions and clinical practices into routine clinical care
5 5 5 5 5 5 5 5 5
b. Determination of the basis of disease and various treatment options 5 5 5 5 5 5 5 5 5
c. Examination of safety and effectiveness of various interventions 5 5 5 5 5 5 5
d. Exploration of fundamental mechanisms of biology, disease, or behavior 5 5 5 5 5 5 5 5
ANS: C 5
Clinical research trials are concerned with determining the safety and effectiveness of interven
5 5 5 5 5 5 5 5 5 5 5 5
tions. Adoption of interventions and practices is part of clinical implementation. Determinatio
5 5 5 5 5 5 5 5 5 5 5
n of the basis of disease and treatment options is part of the preclinical research phase. Explorati
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
on of the fundamental mechanisms of biology, disease, or behavior is part of the basic research
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
stage.
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
5 5 5 5 5 5 5 5
Chapter 03: Empowering Patients as Collaborative partners: A New Model for Primar
5 5 5 5 5 5 5 5 5 5 5
y Care
5
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
5 5 5 5 5 5 5
MULTIPLE CHOICE 5
1. Which statement made by a health care provider demonstrates the most appropriate u
5 5 5 5 5 5 5 5 5 5 5 5
nderstanding for the goal of a performance report? 5 5 5 5 5 5 5
a. ―This process allows me to critique the performance of the rest of the staff.‖
5 5 5 5 5 5 5 5 5 5 5 5 5
b. ―Most organizations require staff to undergo a performance evaluation yearly.‖
5 5 5 5 5 5 5 5 5
c. ―It is hard to be personally criticized but that’s how we learn to change.‖
5 5 5 5 5 5 5 5 5 5 5 5 5
d. ―The comments should help me improve my management skills.‖
5 5 5 5 5 5 5 5
ANS: D 5
The goal of the performance report is to provide guidance to staff in the areas of professional d
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
evelopment, mentoring, and leadership development. A peer review is written by others who p
5 5 5 5 5 5 5 5 5 5 5 5 5
erform similar skills (peers). The remaining options may be true but do not provide evidence o
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
f understanding of the goal of this professional requirement.
5 5 5 5 5 5 5 5
MULTIPLE RESPONSE 5
1. Which assessment question would a health care provider ask when engaging in the previsit st
5 5 5 5 5 5 5 5 5 5 5 5 5 5
age of the new model for primary care? (Select all that apply.)
5 5 5 5 5 5 5 5 5 5 5
a. ―Are you ready to discuss some of the community resources that are available?‖
5 5 5 5 5 5 5 5 5 5 5 5
b. ―Are you experiencing anNyUsiRdS
eI
efN
feGctTs B
5 fr.
om our newly prescribed medications?‖
COyM 5 5 5 5 5 5
c. ―Do you anticipate any problems with adhering to your treatment plan?‖
5 5 5 5 5 5 5 5 5 5
d. ―Are you ready to discuss the results of your laboratory tests?‖
5 5 5 5 5 5 5 5 5 5
e. ―Do you have any questions about the lab tests that have been ordered for you?‖
5 5 5 5 5 5 5 5 5 5 5 5 5 5
ANS: B, C, E 5 5 5
The nursing responsibilities in the previsit stage include assessing the patient’s tolerance of pre
5 5 5 5 5 5 5 5 5 5 5 5 5
scribed medications, understanding of existing treatment plan, and education about required la
5 5 5 5 5 5 5 5 5 5 5
b testing. The primary care provider is responsible for screening lab data and discussing comm
5 5 5 5 5 5 5 5 5 5 5 5 5 5
unity resources during the actual visit.
5 5 5 5 5
