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TERRYMAHANBUTTARO|ALLCHAPTERS1-228
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Chapter01:Interprofessional Collaborative Practice: WhereWe Are To
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day B uttaro: Primary Care: ACollaborative Practice, 6th E
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dition
MULTIPLEORFWSCHOICE

1. Asmall,ORFWSruralhospitallispartofanORFWSAccountableORFWSCarelOrganization(ACO)ORFWSandisdesig
natedORFWSasORFWSaORFWSLevelORFWS1ORFWSACO.ORFWSWhatORFWSispartofthisdesignation?
a. Bonusesbasedonachievementofbenchmarks
b. Carecoordinationforchronicldiseases
c. Standardsforminimumcashlreserves
d. Strictlrequirementsforfinancialreporting
ANS:O R F W S A
ALevelORFWS1ORFWSACOhaslthelleastamountoffinancialriskandrequirements,ORFWSbutreceiveslsharedsavinORFWS
gsbonusesbasedonlachievementlofbenchmarksforqualitymeasuresandexpenditures.ORFWSCareORFWScoO R F W
S ordinationandlminimumcashreservesstandardslarepartofORFWSLevelORFWS2ORFWSACOrequirements.ORFWSLev

elORFWS3ORFWSACOslhavelstrictrequirementsforfinancialreporting.

2. WhatwasORFWSanORFWSimportantfindinglofthelAdvisoryORFWSBoardsurveyofORFWS2014laboutprimaryc
areprefORFWSerencesofpatients?
a. AssociationsORFWSwithlareahospitals
b. Costsofambulatorycare
c. EaseofaccessORFWStocare
d. TheratioofproviderstolpatientsORFWS
AORFWSNS:ORFWSC

AsORFWSpartoftheORFWS2014ORFWSsurvey,ORFWSthelAdvisoryORFWSBoardlearnedthatpatientsdesiredl24/7ORFWS
accesstocare,ORFWSwalk-
insettingsORFWSandtheabilityORFWStoORFWSbeseenwithinORFWS30lminutes,ORFWSandcarethatislclosetoho
me.ORFWSAssociatiORFWSonswithhospitals,ORFWScostsofcare,ORFWSandtheratioofproviderstolpatientsw
erelnotpartoftheseresulO R F W S ts.

MULTIPLERESPONSE

1. WhichlassessmentslofcareprovidersareperformedORFWSasORFWSpartoftheval
ue-
ORFWSbasedpurchasingORFWS(VBP)ORFWSinitiative?ORFWS(SelectORFWSallORFWSthatap

ply.)
a. AppraisingcostsORFWSpercaseORFWSofcarelforORFWSMedicarepatients
b. Assessinglpatients’ORFWSsatisfactionwithlhospitalcare
c. EvaluatinglavailableevidencetolguidelclinicalORFWScarelguidelines
d. Monitoringmortalityrates lofallpatientsORFWSwithlpneumonia
e. RequiringladvancedORFWSITORFWSstandardsandminimumORFWScashlreserves
ANS:O R F W S A,ORFWSB,ORFWSD
Value-
basedpurchasinglooksORFWSatlfiveldomainlareasORFWSofprocesseslofcare,ORFWSincludingefficiencyofcar
e(coORFWSstlperORFWScase),ORFWSexperiencelofcare(patientORFWSsatisfactionlmeasures),ORFWSandoutcomesl
ofcarel(mortalityORFWSrORFWSatesforcertainlconditions).ORFWSEvaluationlofevidencetolguidelclinicalcar
elispartofevidence-
ORFWSbasedpractice.ORFWSTherequirementsforORFWSITORFWSstandardsandfinancialstatusarepartofORFWSAcc

ountablelCaORFWSreORFWSOrganizationstandards.

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Chapter 02: Translating Research into Clinical Pra
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ctice Buttar o:PrimaryCare:ACollaborative Practice,6thEd
l ORFWS l

ition
MULTIPLEORFWSCHOICE

1. WhatlisthepurposeofORFWSLevelORFWSIIlresearch?
a. ToORFWSdefinecharacteristicsORFWSofORFWSinterestORFWSofgroupsofpatients
b. ToORFWSdemonstrateltheleffectivenessofORFWSanORFWSinterventionORFWSorORFWStreatment
c. ToORFWSdescriberelationshipslamonglcharacteristicsorvariables
d. ToORFWSevaluatethenatureofrelationships ORFWSbetweenltwovariables
ANS:O R F W S C
LevelORFWSIIORFWSresearchlisORFWSconcernedwithldescribingtherelationshipsORFWSamongcharacteristics
ORFWSorvariablORFWSes.ORFWSLevelORFWSIlresearchisconductedtodefinelthecharacteristicsofgroupsofpa

tients.ORFWSLevelORFWSIIORFWSresearORFWSchORFWSevaluatesthenatureoftherelationshipsORFWSbetweenvari
ables.ORFWSLevelORFWSIVORFWSresearchlisORFWSconductedtolO R F W S demonstratetheeffectivenessORFWSofint
erventionsORFWSortreatments.

2. Whichlisthemostappropriateresearchdesign ORFWSforaORFWSLevelORFWSIIIORFWSresearchstudy?
a. Epidemiologicalstudies
b. Experimentaldesign
c. Qualitativestudies
d. Randomizedclinicalltrials
ANS:O R F W S B
TheexperimentaldesignisthelmostappropriatedesignforaORFWSLevellIIIORFWSstudy.ORFWSEpidemiologicallO R F W
S studies are l aN
pUp rRopSrI
i aNt eGf T
o rBL.eC
v eOl lMI ORFWSIORFWSstudies.Qualitativedesignsareluseful
forLevellIlstudies.ORFWSRandomizedclinicaltrialsORFWSareusedforORFWSLevelORFWSIVORFWSstudies.

3. WhatisthepurposeofclinicalresearchtrialslinthespectrumloftranslationalO R F W S O R F W S research?
a. Adoptionofinterventionsandclinicalpracticesintoroutineclinicalcare
b. DeterminationO R FW S ofthebasisofldiseaselandvariousltreatmentO R F W S options
c. Examinationofsafetyandeffectivenessofvariousinterventions
d. Explorationoffundamentalmechanismsofbiology, ORFWSdisease,ORFWSorbehavior
ANS:O R F W S C
ClinicalORFWSresearchORFWStrialsORFWSareconcernedwithdeterminingORFWSthesafetyandeffectivenessO
RFWSofinterventiORFWSons.ORFWSAdoptionofinterventionsandpracticesislpartlofclinicalimplementati

on.ORFWSDeterminationoORFWSfthebasisofdiseaselandtreatmentoptionsispartofthepreclinicalresea
rchORFWSphase.ORFWSExplorationoORFWSfthelfundamentalORFWSmechanismsofbiology,ORFWSdisease,ORFWS
orORFWSbehaviorispartlofthebasicresearchstage.

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Chapter03:Empowering PatientsasCollaborativepartners: ANew Modelfor
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Buttaro:PrimaryCare: ACollaborative Practice,6th Edition
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MULTIPLEORFWSCHOICE

1. WhichlstatementlmadebyalhealthcareproviderdemonstratesthemostappropriateundO R F
W S O R F W S erstandinglforthegoalofaperformancereport?

a. “ThisORFWSprocessORFWSallowsmeORFWStoORFWScritiquetheperformanceloflthelrestoflthelstaff.”
b. “MostorganizationsORFWSrequirelstafftolundergoaperformancelevaluationyearly.”
c. “ItishardtobelpersonallycriticizedlbutORFWSthat’sORFWShowORFWSweORFWSlearnltochange.”
d. “ThelcommentsORFWSshouldlhelplmelimprovelmymanagementskills.”
ANS:O R F W S D
ThegoaloftheperformancelreportlistoprovideguidanceltostaffintheareasofprofessionaldevORFWSel
opment,ORFWSmentoring,ORFWSandleadershipdevelopment.ORFWSApeerreviewiswrittenbyotherswh
operfoORFWSrmORFWSsimilarskillsORFWS(peers).ORFWSTheremainingoptionsmaybeltruelbutdonotprovid
elevidencelofundeORFWSrstandingofthelgoalORFWSofthisprofessionalrequirement.

MULTIPLERESPONSE

1. WhichassessmentquestionwouldahealthcareprovideraskwhenengagingintheprevisitstagO R

F W S O R F W S eofthenewmodelforprimarycare?(Selectallthatapply.)

a. “AreyouO R F W S readytodiscusslsomeofthecommunityresourceslthatareavailable?”
b. “AreyoulexperiencingORFWSanNyUsiRdS
elI
efN
feGctTs B
fr. ourORFWSnewlyprescribedmedications?”
COyM
om
c. “Dolyoulanticipateanyproblemswithadheringltoyourtreatmentplan?”
d. “AreO R F W S youreadytodiscussthelresultsofyourlaboratorytests?”
e. “Dolyouhavelanyquestionsaboutthelabteststhathavebeenorderedfor ORFWSyou?”
ANS:O R F W S B,ORFWSC,ORFWSE
Thenursingresponsibilitiesinthelprevisitstageincludelassessingthepatient’sltolerancelofORFWSpres
cORFWSribedmedications,ORFWSunderstandingofexistingtreatmentlplan,ORFWSandleducationaboutlreq
uiredlabteORFWSsting.ORFWSTheprimarycarelproviderisresponsibleforscreeninglabdataanddiscussi
ngORFWScommunityORFWSresourcesduringlthelactualORFWSvisit.