BORATIVEPRECTICE7THEDITIONTESTBANK
BY TERRY MAHAN BUTTARO | ALL CHAPTERS 1-
228
TESTBANK
, TEST BANK FOR PRIMARY CARE 7TH EDITION BY BUTTARO
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Chapter 01: Interprofessional Collaborative Practice: Where We Are Toda
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y Buttaro: Primary Care: A Collaborative Practice, 7th Edition
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MULTIPLE CHOICE 22
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is design
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ate das a Level 1 ACO. What is part of this designation?
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a. Bonuses based on achievement of benchmarks 22 22 22 22 22
b. Care coordination for chronic diseases 22 22 22 22
c. Standards for minimum cash reserves 22 22 22 22
d. Strict requirements for financial reporting 22 22 22 22
ANS: A 2222
A Level 1 ACO has the least amount of financial risk and requirements, but receives sh
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are d savings bonuses based on achievement of benchmarks for quality measures and ex
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pendit ures. Care coordination and minimum cash reserves standards are part of Level 2
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ACO re quirements. Level 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
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car e preferences of patients?
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a. Associations with area hospitals 22 22 22
b. Costs of ambulatory care 22 22 22
c. Ease of access to care 22 22 22 22
d. The ratio of providers to patients 22 22 22 22 22 f
g2 2 ANS: 2 2 C
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 acces
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s t o care, walk-
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in settings and the ability to be seen within 30 minutes, and care that is close to home.
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As sociations with hospitals, costs of care, and the ratio of providers to patients wereno
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t part of these results.
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MULTIPLE RESPONSE 22
1. Which assessments of care providers are performed as part of the valu
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e- based purchasing (VBP) initiative? (Select all that apply.)
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a. Appraising costs per case of care for Medicare patients 22 22 22 22 22 22 22 22
b. Assessing patients’ satisfaction with hospital care 22 22 22 22 22
c. Evaluating available evidence to guide clinical care guidelines 22 22 22 22 22 22 22
d. Monitoring mortality rates of all patients with pneumonia 22 22 22 22 22 22 22
e. Requiring advanced IT standards and minimum cash reserves 22 22 22 22 22 22 22
ANS: A, B, D 2222 22 22
Value-
based purchasing looks at five domain areas of processes of care, including efficiencyof c
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ar e (cost per case), experience of care (patient satisfaction measures), and outcomes of c
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are ( mortality rates for certain conditions). Evaluation of evidence to guide clinical care
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is part of evidence-
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based practice. The requirements for IT standards and financial status are part of Accoun
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ta ble Care Organization standards.
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, TEST BANK FOR PRIMARY CARE 7TH EDITION BY BUTTARO
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Chapter 02: Translating Research into Clinical Practice Butt
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aro: Primary Care: A Collaborative Practice, 7th Edition
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MULTIPLE CHOICE 22
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 2222
Level II research is concerned with describing the relationships among characteristics
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or variables. Level I research is conducted to define the characteristics of groups of pa
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tient s.Level II research evaluates the nature of the relationships between variables. Le
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vel IV research is conducted to demonstrate the effectiveness of interventions or treat
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ments.
2. Which is the most appropriate research design for a Level III research study?
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a. Epidemiological studies 22
b. Experimental design 22
c. Qualitative studies 22
d. Randomized clinical trials 22 22
ANS: B 2222
The experimental design is the most appropriate design for a Level III study. Epidemiolog
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ical studies are aNpU
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prI
iaN
teGfT
orBL.eC
veOlM
II studies. Qualitative designs are useful
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2for Level I studies. Randomized clinical trials are used for Level IV studi
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es.
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 22 22 22 22 22 22 22 22 22
c. Examination of safety and effectiveness of various interventions 22 22 22 22 22 22 22
d. Exploration of fundamental mechanisms of biology, disease, or behavior
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ANS: C 2222
Clinical research trials are concerned with determining the safety and effectiveness of int
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er ventions. Adoption of interventions and practices is part of clinical implementation. D
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eter mination of the basis of disease and treatment options is part of the preclinical resear
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chphas
e. Exploration of the fundamental mechanisms of biology, disease, or behavior is part of
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th e basic research stage.
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, TEST BANK FOR PRIMARY CARE 7TH EDITION BY BUTTARO
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Chapter 03: Empowering Patients as Collaborative partners: A New Model for Prima
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ry Care
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Buttaro: Primary Care: A Collaborative Practice, 7th Edition
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MULTIPLE CHOICE 22
1. Which statement made by a health care provider demonstrates the most appropri
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at e understanding for the goal of a performance report?
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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.‖
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d. ―The comments should help me improve my management skills.‖
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ANS: D 2222
The goal of the performance report is to provide guidance to staff in the areas of profes
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sio nal development, mentoring, and leadership development. A peer review is writtenby
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other s who perform similar skills (peers). The remaining options may be true but do n
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ot provid e evidence of understanding of the goal of this professional requirement.
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MULTIPLE RESPONSE 22
1. Which assessment question would a health care provider ask when engaging in the prev
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isi tstage 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?‖
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b. ―Are you experiencing anNyUsiRdS eI
efN
feGctTs B
2 2 fr.
om our newly prescribed medications?‖
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c. ―Do you anticipate any problems with adhering to your treatment plan?‖
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d. ―Are you ready to discuss the results of your laboratory tests?‖
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e. ―Do you have any questions about the lab tests that have been ordered for you?‖
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ANS: B, C, E 2222 22 22
The nursing responsibilities in the previsit stage include assessing the patient’s tolerance
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o fprescribed medications, understanding of existing treatment plan, and education abo
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ut re quired lab testing. The primary care provider is responsible for screening lab data
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and dis cussing community resources during the actual visit.
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