https://www.stuvia.com/ https://www.stuvia.com/
Test Bank 2
Terry Buttaro, JoAnn Trybulski, Patricia Polgar-Bailey Joanne
Sandberg-Cook
TEST BANK FOR Chapter 1: The Evolving Landscape of Collaborative
Practice
Test Bank
PRIMARY CARE, A Multiple Choice
COLLABORATIVE PRACTICE, 1. Which assessments of care providers are performed as part of the Value Based
Purchasinginitiative?
7TH EDITION BUTTARO 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 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 part of evidence-based practice. The requirements for IT standards and
financial status are part of Accountable Care Organization standards. REF: Value Based
Purchasing
,https://www.stuvia.com/ https://www.stuvia.com/
Test Bank 2
Buttaro: Primary Care, A Collaborative Practice,
2. What was an important finding of the Advisory Board survey of 2014 about
primary carepreferences of patients? b. Care coordination for chronic diseases
c. Standards for minimum cash reserves
a. Associations with area hospitals d. Strict requirements for financial reporting
b. Costs of ambulatory care
c. Ease of access to care ANS: A
d. The ratio of providers to patients A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
savings bonuses based on achievement of benchmarks for quality measures and
ANS: C expenditures. Care coordination and minimum cash reserves standards are part of Level
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access 2 ACO requirements. Level 3 ACOs have strict requirements for financial reporting. REF:
to care, walk-in settings and the ability to be seen within 30 minutes, and care that is close Accountable Care Organizations
to home. Associations with hospitals, costs of care, and the ratio of providers to patients
were not part of these results. REF: The New Look of Primary Care
3. A small, rural hospital is part of an Accountable Care Organization (ACO) and is
designatedas a Level 1 ACO. What is part of this designation?
a. Bonuses based on achievement of benchmarks
,https://www.stuvia.com/ https://www.stuvia.com/
Test Bank 2
Buttaro: Primary Care, A Collaborative Practice,
Naylor’s transitional care model provided evidence that high risk older patients who had
Chapter 2: Transitional post- hospital care coordinated by an APN had reduced rehospitalization rates. It did not
Care include clinic visits with a primary care provider, inclusion of extended family members
Test Bank in the plan of care, or telephone follow up by a pharmacist. REF: Transitional Care
Multiple Choice
3. Which approaches are among those recommended by the Agency for Healthcare
1. To reduce adverse events associated with care transitions, the Centers for Researchand Quality to improve health literacy in patients?
Medicare andMedicaid Service have implemented which policy? Select all that apply.
a. Mandates for communication among primary caregivers and hospitalists a. Empowering patients and families
b. Penalties for failure to perform medication reconciliations at time of discharge b. Giving written handouts for all teaching
c. Reduction of payments for patients readmitted within 30 days after discharge
d. Requirements for written discharge instructions for patients and caregivers
ANS: C
As a component of the Affordable Care Act, the Centers for Medicare and Medicaid Service
developed the Readmissions Reduction Program reducing payments for certain patients
readmitted within 30 days of discharge. The CMS did not mandate communication,
institute penalties for failure to perform medication reconciliations, or require written
discharge instructions. REF: Transitional Care
2. According to Naylor’s transitional care model, which intervention has resulted in
lower costsand fewer rehospitalizations in high-risk older patients?
a. Coordination of post-hospital care by advanced practice nurses
b. Frequent post-hospital clinic visits with a primary care provider
c. Inclusion of extended family members in the outpatient plan of care
d. Telephone follow up by the pharmacist to assess medication compliance
ANS: A
,https://www.stuvia.com/ https://www.stuvia.com/
Test Bank 2
Buttaro: Primary Care, A Collaborative Practice,
c. Highlighting no more than 7 key points
Chapter 3: Translating Research Into Clinical
d. Repeating the instructions
Practice
e. Supplementing teaching with visual aids
Test Bank
Multiple Choice
ANS: A, D, E
AHRQ recommends using clear, simple language, highlighting 3 to 5 key points, using
pictures or visual aids, repeating the instructions, using Teach Back, and empowering
1. Which is the most appropriate research design for a Level III research study?
patients. Written communication is not part of the recommendations. REF: Health
Literacy
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 appropriate for Level II studies. Qualitative designs are useful
for Level I studies. Randomized clinical trials are used for Level IV studies. REF: Level III
Research/Experimental Design
2. 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
interventions. Adoption of interventions and practices is part of clinical implementation.
Determination of the basis of disease and treatment options is part of the pre-clinical
Test Bank 2
Terry Buttaro, JoAnn Trybulski, Patricia Polgar-Bailey Joanne
Sandberg-Cook
TEST BANK FOR Chapter 1: The Evolving Landscape of Collaborative
Practice
Test Bank
PRIMARY CARE, A Multiple Choice
COLLABORATIVE PRACTICE, 1. Which assessments of care providers are performed as part of the Value Based
Purchasinginitiative?
7TH EDITION BUTTARO 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 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 part of evidence-based practice. The requirements for IT standards and
financial status are part of Accountable Care Organization standards. REF: Value Based
Purchasing
,https://www.stuvia.com/ https://www.stuvia.com/
Test Bank 2
Buttaro: Primary Care, A Collaborative Practice,
2. What was an important finding of the Advisory Board survey of 2014 about
primary carepreferences of patients? b. Care coordination for chronic diseases
c. Standards for minimum cash reserves
a. Associations with area hospitals d. Strict requirements for financial reporting
b. Costs of ambulatory care
c. Ease of access to care ANS: A
d. The ratio of providers to patients A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
savings bonuses based on achievement of benchmarks for quality measures and
ANS: C expenditures. Care coordination and minimum cash reserves standards are part of Level
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access 2 ACO requirements. Level 3 ACOs have strict requirements for financial reporting. REF:
to care, walk-in settings and the ability to be seen within 30 minutes, and care that is close Accountable Care Organizations
to home. Associations with hospitals, costs of care, and the ratio of providers to patients
were not part of these results. REF: The New Look of Primary Care
3. A small, rural hospital is part of an Accountable Care Organization (ACO) and is
designatedas a Level 1 ACO. What is part of this designation?
a. Bonuses based on achievement of benchmarks
,https://www.stuvia.com/ https://www.stuvia.com/
Test Bank 2
Buttaro: Primary Care, A Collaborative Practice,
Naylor’s transitional care model provided evidence that high risk older patients who had
Chapter 2: Transitional post- hospital care coordinated by an APN had reduced rehospitalization rates. It did not
Care include clinic visits with a primary care provider, inclusion of extended family members
Test Bank in the plan of care, or telephone follow up by a pharmacist. REF: Transitional Care
Multiple Choice
3. Which approaches are among those recommended by the Agency for Healthcare
1. To reduce adverse events associated with care transitions, the Centers for Researchand Quality to improve health literacy in patients?
Medicare andMedicaid Service have implemented which policy? Select all that apply.
a. Mandates for communication among primary caregivers and hospitalists a. Empowering patients and families
b. Penalties for failure to perform medication reconciliations at time of discharge b. Giving written handouts for all teaching
c. Reduction of payments for patients readmitted within 30 days after discharge
d. Requirements for written discharge instructions for patients and caregivers
ANS: C
As a component of the Affordable Care Act, the Centers for Medicare and Medicaid Service
developed the Readmissions Reduction Program reducing payments for certain patients
readmitted within 30 days of discharge. The CMS did not mandate communication,
institute penalties for failure to perform medication reconciliations, or require written
discharge instructions. REF: Transitional Care
2. According to Naylor’s transitional care model, which intervention has resulted in
lower costsand fewer rehospitalizations in high-risk older patients?
a. Coordination of post-hospital care by advanced practice nurses
b. Frequent post-hospital clinic visits with a primary care provider
c. Inclusion of extended family members in the outpatient plan of care
d. Telephone follow up by the pharmacist to assess medication compliance
ANS: A
,https://www.stuvia.com/ https://www.stuvia.com/
Test Bank 2
Buttaro: Primary Care, A Collaborative Practice,
c. Highlighting no more than 7 key points
Chapter 3: Translating Research Into Clinical
d. Repeating the instructions
Practice
e. Supplementing teaching with visual aids
Test Bank
Multiple Choice
ANS: A, D, E
AHRQ recommends using clear, simple language, highlighting 3 to 5 key points, using
pictures or visual aids, repeating the instructions, using Teach Back, and empowering
1. Which is the most appropriate research design for a Level III research study?
patients. Written communication is not part of the recommendations. REF: Health
Literacy
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 appropriate for Level II studies. Qualitative designs are useful
for Level I studies. Randomized clinical trials are used for Level IV studies. REF: Level III
Research/Experimental Design
2. 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
interventions. Adoption of interventions and practices is part of clinical implementation.
Determination of the basis of disease and treatment options is part of the pre-clinical
