TEST BANK FOR
Primary Care Interprofessional Collaborative Practice 6th Edition
|Chapter 1-228|Complete TestBank A+
Authors: Terry Mahan Buttaro, Patricia Polgar-Bailey, Joanne Sandberg-Cook, JoAnn Trybulski
Chapter 01: Interprofessional Collaborative Practice:
Where We Are Today
Buttaro: Primary Care: A Collaborative Practice, 6th
Edition
MULTIPLE CHOICE
1. A small, rural hospital is part of an Accountable Care
Organization (ACO) and is designated as 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 shared
savings bonuses based on achievement of benchmarks for quality measures and expenditures.
Care coordination and minimum cash reserves standards are part of Level 2 ACO requirements.
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.
Associations with hospitals, costs of care, and the ratio of providers to patients were not part of
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 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.
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
variables. Level I research is conducted to define the characteristics of groups of patients. Level
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 appropriate for Level II studies. Qualitative designs are useful for 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
interventions. Adoption of interventions and practices is part of clinical implementation.
Determination 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
basic research stage.
Chapter 03: Empowering Patients as Collaborative partners: A New Model for Primary
Care
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
MULTIPLE CHOICE
1. Which statement made by a health care provider demonstrates the most appropriate
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 professional
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 evidence 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 previsit stage
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 any side effects from your 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 snursing sresponsibilities sin sthe sprevisit sstage sinclude sassessing sthe spatient’s stolerance sof
sprescribed smedications, sunderstanding sof sexisting streatment splan, sand seducation sabout srequired
slab stesting. sThe sprimary scare sprovider sis sresponsible sfor sscreening slab sdata sand sdiscussing
scommunity sresources sduring sthe sactual svisit.
Chapter 04: Coordinated Chronic Care
s s s s
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
s s s s s s s
MULTIPLE CHOICE
s
1. To sreduce sadverse sevents sassociated swith scare stransitions, sthe sCenters sfor sMedicare sand
sMedicaid sService shave simplemented swhich spolicy?
a. Mandates sfor scommunication samong sprimary scaregivers sand shospitalists
b. Penalties sfor sfailure sto sperform smedication sreconciliations sat stime sof sdischarge
c. Reduction sof spayments sfor spatients sreadmitted swithin s30 sdays safter sdischarge
d. Requirements sfor swritten sdischarge sinstructions sfor spatients sand scaregivers
ANS: s C
As sa scomponent sof sthe sAffordable sCare sAct, sthe sCenters sfor sMedicare sand sMedicaid sService
sdeveloped sthe sReadmissions sReduction sProgram sreducing spayments sfor scertain spatients
sreadmitted swithin s30 sdays sof sdischarge. sThe sCMS sdid snot smandate scommunication, sinstitute
spenalties sfor sfailure sto sperform smedication sreconciliations, sor srequire swritten sdischarge
sinstructions.
2. According sto smultiple sresearch sstudies, swhich sintervention shas sresulted sin slower scosts sand sfewer
srehospitalizations sin shigh-risk solder spatients?
a. Coordination sof sposthospital scare sby sadvanced spractice shealth scare sproviders
b. Frequent sposthospital sclinic svisits swith sa sprimaryscare sprovider
c. Inclusion sof sextended sfamily smembers sin sthe soutpatient splan sof scare
d. Telephone sfollow-up sby sthe spharmacist sto sassess smedication scompliance
ANS: s A
Research sstudies sprovided sevidence sthat shigh-risk solder spatients swho shad sposthospital scare
scoordinated sby san sAPN shad sreduced srehospitalization srates. sIt sdid snot sinclude sclinic svisits swith
sa sprimary scare sprovider, sinclusion sof sextended sfamily smembers sin sthe splan sof scare, sor
stelephone sfollow-up sby sa spharmacist.
MULTIPLE RESPONSE
s
1. Which sadvantages sare sprovided sto sthe schronically sill spatient sbyspersonal selectronic smonitoring
sdevices? s(Select sall sthat sapply.)
a. Helps sprovide smore spatient scontrol stheir shealth sand slifestyle
b. Eliminates sneed sfor sregular smedical sand snursing sfollow-up svisits
c. Helps sthe searly sidentification sof spatient shealth-related sproblems
d. Helps shealth scare sproviders sin skeeping strack sof sthe spatient’s shealth sstatus
e. Cost sis soften scovered sby sMedicare
Primary Care Interprofessional Collaborative Practice 6th Edition
|Chapter 1-228|Complete TestBank A+
Authors: Terry Mahan Buttaro, Patricia Polgar-Bailey, Joanne Sandberg-Cook, JoAnn Trybulski
Chapter 01: Interprofessional Collaborative Practice:
Where We Are Today
Buttaro: Primary Care: A Collaborative Practice, 6th
Edition
MULTIPLE CHOICE
1. A small, rural hospital is part of an Accountable Care
Organization (ACO) and is designated as 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 shared
savings bonuses based on achievement of benchmarks for quality measures and expenditures.
Care coordination and minimum cash reserves standards are part of Level 2 ACO requirements.
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.
Associations with hospitals, costs of care, and the ratio of providers to patients were not part of
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 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.
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
variables. Level I research is conducted to define the characteristics of groups of patients. Level
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 appropriate for Level II studies. Qualitative designs are useful for 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
interventions. Adoption of interventions and practices is part of clinical implementation.
Determination 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
basic research stage.
Chapter 03: Empowering Patients as Collaborative partners: A New Model for Primary
Care
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
MULTIPLE CHOICE
1. Which statement made by a health care provider demonstrates the most appropriate
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 professional
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 evidence 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 previsit stage
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 any side effects from your 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 snursing sresponsibilities sin sthe sprevisit sstage sinclude sassessing sthe spatient’s stolerance sof
sprescribed smedications, sunderstanding sof sexisting streatment splan, sand seducation sabout srequired
slab stesting. sThe sprimary scare sprovider sis sresponsible sfor sscreening slab sdata sand sdiscussing
scommunity sresources sduring sthe sactual svisit.
Chapter 04: Coordinated Chronic Care
s s s s
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
s s s s s s s
MULTIPLE CHOICE
s
1. To sreduce sadverse sevents sassociated swith scare stransitions, sthe sCenters sfor sMedicare sand
sMedicaid sService shave simplemented swhich spolicy?
a. Mandates sfor scommunication samong sprimary scaregivers sand shospitalists
b. Penalties sfor sfailure sto sperform smedication sreconciliations sat stime sof sdischarge
c. Reduction sof spayments sfor spatients sreadmitted swithin s30 sdays safter sdischarge
d. Requirements sfor swritten sdischarge sinstructions sfor spatients sand scaregivers
ANS: s C
As sa scomponent sof sthe sAffordable sCare sAct, sthe sCenters sfor sMedicare sand sMedicaid sService
sdeveloped sthe sReadmissions sReduction sProgram sreducing spayments sfor scertain spatients
sreadmitted swithin s30 sdays sof sdischarge. sThe sCMS sdid snot smandate scommunication, sinstitute
spenalties sfor sfailure sto sperform smedication sreconciliations, sor srequire swritten sdischarge
sinstructions.
2. According sto smultiple sresearch sstudies, swhich sintervention shas sresulted sin slower scosts sand sfewer
srehospitalizations sin shigh-risk solder spatients?
a. Coordination sof sposthospital scare sby sadvanced spractice shealth scare sproviders
b. Frequent sposthospital sclinic svisits swith sa sprimaryscare sprovider
c. Inclusion sof sextended sfamily smembers sin sthe soutpatient splan sof scare
d. Telephone sfollow-up sby sthe spharmacist sto sassess smedication scompliance
ANS: s A
Research sstudies sprovided sevidence sthat shigh-risk solder spatients swho shad sposthospital scare
scoordinated sby san sAPN shad sreduced srehospitalization srates. sIt sdid snot sinclude sclinic svisits swith
sa sprimary scare sprovider, sinclusion sof sextended sfamily smembers sin sthe splan sof scare, sor
stelephone sfollow-up sby sa spharmacist.
MULTIPLE RESPONSE
s
1. Which sadvantages sare sprovided sto sthe schronically sill spatient sbyspersonal selectronic smonitoring
sdevices? s(Select sall sthat sapply.)
a. Helps sprovide smore spatient scontrol stheir shealth sand slifestyle
b. Eliminates sneed sfor sregular smedical sand snursing sfollow-up svisits
c. Helps sthe searly sidentification sof spatient shealth-related sproblems
d. Helps shealth scare sproviders sin skeeping strack sof sthe spatient’s shealth sstatus
e. Cost sis soften scovered sby sMedicare
