`````````````````````````````` TEST BANK
Primary Care, Interprofessional Collaborative Practice, 6th
Edition
```` `
,```````````````````````````````````MULTIPLE`CHOICE
1. A`small,`rural`hospital`is`part`of`an`Accountable`Care`Organization`(ACO)`and`is`designatedàs
`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
ANS:`A
A`Level`1`ACO`has`the`least`amount`of`financial`risk`and`requirements,`but`receives`shareds̀
avings`bonuses`based`on`achievement`of`benchmarks`for`quality`measures`and`expenditur
es.`Care`coordination`and`minimum`cash`reserves`standards`are`part`of`Level`2`ACO`require
ments.`Level`3`ACOs`have`strict`requirements`for`financial`reporting.
2. What`was`an`important`finding`of`the`Advisory`Board`survey`of`2014`about`primary`care`
preferences`of`patients?
a. Associations`with`area`hospitals
b. Costs`of`ambulatory`care
c. Ease`of`access`to` care
d. The`ratio`of`providers`to`patients
ANS:` 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`home.`Ass
ociations`with`hospitals,`costs`of`care,`and`the`ratio`of`providers`to`patients`were`not`part`o
f`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.)
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
ANS:` A,`B,`D
Value-based`purchasing`looks`at`five`domain`areas`of`processes`of`care,`including`efficiency
, TEST`BANK`FOR`PRIMARY`CARE`6TH`EDITION`BY`BUTTARO
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`p
art`of`evidence-
based`practice.`The`requirements`for`IT`standards`and`financial`status`are`part`of`Accounta
ble`Care`Organization`standards
Chapter`02:`Translating`Research`into`Clinical`Practice`Buttaro:`
Primary`Care:`A`Collaborative`Practice,`6th`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
ANS:` C
Level`II`research`is`concerned`with`describing`the`relationships`among`characteristics`or`var
iables.`Level`I`research`is`conducted`to`define`the`characteristics`of`groups`of`patients.L̀evel`
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
ANS:` B
The`experimental`design`is`the`most`appropriate`design`for`a`Level`III`study.
Epidemiological`studies` are`aNpU
prRoS
pria
I NteGfor
T BLe. ve
COl`MII`studies.` Qualitative`designs`are`useful`fo
r`Level`I`studies.`Randomized`clinical`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
ANS:` C
Clinical`research`trials`are`concerned`with`determining`the`safety`and`effectiveness`of`inter
ventions.`Adoption`of`interventions`and`practices`is`part`of`clinical`implementation.`Determ
ination`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`b
asic`research`stage.
, TEST`BANK`FOR`PRIMARY`CARE`6TH`EDITION`BY`BUTTARO
Chapter`03:`Empowering`Patients`as`Collaborative`partners:`A`New`Model`for`Prim
ary`Care
Buttaro:`Primary`Care:`A`Collaborative`Practice,`6th`Edition
MULTIPLE`CHOICE
1. Which`statement`made`by`a`health`care`provider`demonstrates`the`most`appropri
ate`understanding`for`the`goal`of`a`performance`report?
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.”
ANS:` D
The`goal`of`the`performance`report`is`to`provide`guidance`to`staff`in`the`areas`of`profession
al`development,`mentoring,`and`leadership`development.`A`peer`review`is`written`by`others
`who`perform`similar`skills`(peers).`The`remaining`options`may`be`true`but`do`not`provide`e
vidence`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
ts̀tage`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`anNyUsid
ReS`ef
I NfeGctTs Bfrom
. COyM
our`newly`prescribed`medications?”
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?”
ANS:` B,`C,`E
The`nursing`responsibilities`in`the`previsit`stage`include`assessing`the`patient’s`tolerance`of`
prescribed`medications,`understanding`of`existing`treatment`plan,`and`education`about`re
quired`lab`testing.`The`primary`care`provider`is`responsible`for`screening`lab`data`and`discu
ssing`community`resources`during`the`actual`visit.
Primary Care, Interprofessional Collaborative Practice, 6th
Edition
```` `
,```````````````````````````````````MULTIPLE`CHOICE
1. A`small,`rural`hospital`is`part`of`an`Accountable`Care`Organization`(ACO)`and`is`designatedàs
`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
ANS:`A
A`Level`1`ACO`has`the`least`amount`of`financial`risk`and`requirements,`but`receives`shareds̀
avings`bonuses`based`on`achievement`of`benchmarks`for`quality`measures`and`expenditur
es.`Care`coordination`and`minimum`cash`reserves`standards`are`part`of`Level`2`ACO`require
ments.`Level`3`ACOs`have`strict`requirements`for`financial`reporting.
2. What`was`an`important`finding`of`the`Advisory`Board`survey`of`2014`about`primary`care`
preferences`of`patients?
a. Associations`with`area`hospitals
b. Costs`of`ambulatory`care
c. Ease`of`access`to` care
d. The`ratio`of`providers`to`patients
ANS:` 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`home.`Ass
ociations`with`hospitals,`costs`of`care,`and`the`ratio`of`providers`to`patients`were`not`part`o
f`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.)
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
ANS:` A,`B,`D
Value-based`purchasing`looks`at`five`domain`areas`of`processes`of`care,`including`efficiency
, TEST`BANK`FOR`PRIMARY`CARE`6TH`EDITION`BY`BUTTARO
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`p
art`of`evidence-
based`practice.`The`requirements`for`IT`standards`and`financial`status`are`part`of`Accounta
ble`Care`Organization`standards
Chapter`02:`Translating`Research`into`Clinical`Practice`Buttaro:`
Primary`Care:`A`Collaborative`Practice,`6th`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
ANS:` C
Level`II`research`is`concerned`with`describing`the`relationships`among`characteristics`or`var
iables.`Level`I`research`is`conducted`to`define`the`characteristics`of`groups`of`patients.L̀evel`
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
ANS:` B
The`experimental`design`is`the`most`appropriate`design`for`a`Level`III`study.
Epidemiological`studies` are`aNpU
prRoS
pria
I NteGfor
T BLe. ve
COl`MII`studies.` Qualitative`designs`are`useful`fo
r`Level`I`studies.`Randomized`clinical`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
ANS:` C
Clinical`research`trials`are`concerned`with`determining`the`safety`and`effectiveness`of`inter
ventions.`Adoption`of`interventions`and`practices`is`part`of`clinical`implementation.`Determ
ination`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`b
asic`research`stage.
, TEST`BANK`FOR`PRIMARY`CARE`6TH`EDITION`BY`BUTTARO
Chapter`03:`Empowering`Patients`as`Collaborative`partners:`A`New`Model`for`Prim
ary`Care
Buttaro:`Primary`Care:`A`Collaborative`Practice,`6th`Edition
MULTIPLE`CHOICE
1. Which`statement`made`by`a`health`care`provider`demonstrates`the`most`appropri
ate`understanding`for`the`goal`of`a`performance`report?
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.”
ANS:` D
The`goal`of`the`performance`report`is`to`provide`guidance`to`staff`in`the`areas`of`profession
al`development,`mentoring,`and`leadership`development.`A`peer`review`is`written`by`others
`who`perform`similar`skills`(peers).`The`remaining`options`may`be`true`but`do`not`provide`e
vidence`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
ts̀tage`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`anNyUsid
ReS`ef
I NfeGctTs Bfrom
. COyM
our`newly`prescribed`medications?”
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?”
ANS:` B,`C,`E
The`nursing`responsibilities`in`the`previsit`stage`include`assessing`the`patient’s`tolerance`of`
prescribed`medications,`understanding`of`existing`treatment`plan,`and`education`about`re
quired`lab`testing.`The`primary`care`provider`is`responsible`for`screening`lab`data`and`discu
ssing`community`resources`during`the`actual`visit.
