TESTBANK
, TEST BANK FOR PRIMARY CARE 7TH EDITION BY BUTTARO
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Chapter 01: Interprofessional Collaborative Practice: Where We Are Today
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Buttaro: Primary Care: A Collaborative Practice, 7th Edition
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MULTIPLE CHOICE fq
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designat
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e das a Level 1 ACO. What is part of this designation?
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a. Bonuses based on achievement of benchmarks fq fq fq fq fq
b. Care coordination for chronic diseases fq fq fq fq
c. Standards for minimum cash reserves fq fq fq fq
d. Strict requirements for financial reporting fq fq fq fq
ANS: A fqfq
A Level 1 ACO has the least amount of financial risk and requirements, but receives shar
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e d savings bonuses based on achievement of benchmarks for quality measures and expen
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dit ures. Care coordination and minimum cash reserves standards are part of Level 2 AC
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O 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 ca
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r e preferences of patients?
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a. Associations with area hospitals fq fq fq
b. Costs of ambulatory care fq fq fq
c. Ease of access to care fq fq fq fq
d. The ratio of providers to patients fq fq fq fq fq fg
f q ANS: C f q
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access t
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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. As
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sociations with hospitals, costs of care, and the ratio of providers to patients werenot par
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t of these results.
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MULTIPLE RESPONSE fq
1. Which assessments of care providers are performed as part of the value-
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based purchasing (VBP) initiative? (Select all that apply.)
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a. Appraising costs per case of care for Medicare patients fq fq fq fq fq fq fq fq
b. Assessing patients’ satisfaction with hospital care fq fq fq fq fq
c. Evaluating available evidence to guide clinical care guidelines fq fq fq fq fq fq fq
d. Monitoring mortality rates of all patients with pneumonia fq fq fq fq fq fq fq
e. Requiring advanced IT standards and minimum cash reserves fq fq fq fq fq fq fq
ANS: A, B, D fqfq fq fq
Value-
based purchasing looks at five domain areas of processes of care, including efficiencyof ca
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r e (cost per case), experience of care (patient satisfaction measures), and outcomes of care
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( mortality rates for certain conditions). Evaluation of evidence to guide clinical care is pa
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rt of evidence-
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based practice. The requirements for IT standards and financial status are part of Accounta
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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 fq
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 fqfq
Level II research is concerned with describing the relationships among characteristics or
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variables. Level I research is conducted to define the characteristics of groups of patien
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t s.Level II research evaluates the nature of the relationships between variables. Level I
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V research is conducted to demonstrate the effectiveness of interventions or treatments.
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2. Which is the most appropriate research design for a Level III research study?
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a. Epidemiological studies fq
b. Experimental design fq
c. Qualitative studies fq
d. Randomized clinical trials fq fq
ANS: B fqfq
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 f
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or Level I studies. Randomized clinical trials are used for Level IV studies.
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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 fq fq fq fq fq fq fq fq fq
c. Examination of safety and effectiveness of various interventions fq fq fq fq fq fq fq
d. Exploration of fundamental mechanisms of biology, disease, or behavior fq fq fq fq fq fq fq fq
ANS: C fqfq
Clinical research trials are concerned with determining the safety and effectiveness of inter
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ventions. Adoption of interventions and practices is part of clinical implementation. Deter
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mination of the basis of disease and treatment options is part of the preclinical researchpha
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s
e. Exploration of the fundamental mechanisms of biology, disease, or behavior is part of th
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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 Primar
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y Care
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Buttaro: Primary Care: A Collaborative Practice, 7th Edition
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MULTIPLE CHOICE fq
1. Which statement made by a health care provider demonstrates the most appropriat
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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 fqfq
The goal of the performance report is to provide guidance to staff in the areas of professio
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nal development, mentoring, and leadership development. A peer review is writtenby othe
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r s who perform similar skills (peers). The remaining options may be true but do not provi
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d e evidence of understanding of the goal of this professional requirement.
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MULTIPLE RESPONSE fq
1. Which assessment question would a health care provider ask when engaging in the previsi
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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
fr.
om
f qour newly prescribed medications?‖
COyM f q f q fg f q f q f q
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 fqfq fq fq
The nursing responsibilities in the previsit stage include assessing the patient’s tolerance o
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fprescribed medications, understanding of existing treatment plan, and education about r
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e quired lab testing. The primary care provider is responsible for screening lab data and d
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is cussing community resources during the actual visit.
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, TEST BANK FOR PRIMARY CARE 7TH EDITION BY BUTTARO
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Chapter 01: Interprofessional Collaborative Practice: Where We Are Today
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Buttaro: Primary Care: A Collaborative Practice, 7th Edition
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MULTIPLE CHOICE fq
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designat
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e das a Level 1 ACO. What is part of this designation?
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a. Bonuses based on achievement of benchmarks fq fq fq fq fq
b. Care coordination for chronic diseases fq fq fq fq
c. Standards for minimum cash reserves fq fq fq fq
d. Strict requirements for financial reporting fq fq fq fq
ANS: A fqfq
A Level 1 ACO has the least amount of financial risk and requirements, but receives shar
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
e d savings bonuses based on achievement of benchmarks for quality measures and expen
fq fg fq fq fq fq fq fq fq fq fq fq fq
dit ures. Care coordination and minimum cash reserves standards are part of Level 2 AC
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O 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 ca
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r e preferences of patients?
fq fg fq fq
a. Associations with area hospitals fq fq fq
b. Costs of ambulatory care fq fq fq
c. Ease of access to care fq fq fq fq
d. The ratio of providers to patients fq fq fq fq fq fg
f q ANS: C f q
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access t
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
o care, walk-
fq fg fq
in settings and the ability to be seen within 30 minutes, and care that is close to home. As
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
sociations with hospitals, costs of care, and the ratio of providers to patients werenot par
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
t of these results.
fq fq fq
MULTIPLE RESPONSE fq
1. Which assessments of care providers are performed as part of the value-
fq fq fq fq fq fq fq fq fq fq fq
based purchasing (VBP) initiative? (Select all that apply.)
fq fq fg fq fq fq fq fq
a. Appraising costs per case of care for Medicare patients fq fq fq fq fq fq fq fq
b. Assessing patients’ satisfaction with hospital care fq fq fq fq fq
c. Evaluating available evidence to guide clinical care guidelines fq fq fq fq fq fq fq
d. Monitoring mortality rates of all patients with pneumonia fq fq fq fq fq fq fq
e. Requiring advanced IT standards and minimum cash reserves fq fq fq fq fq fq fq
ANS: A, B, D fqfq fq fq
Value-
based purchasing looks at five domain areas of processes of care, including efficiencyof ca
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r e (cost per case), experience of care (patient satisfaction measures), and outcomes of care
fq fq fq fq fq fq fq fq fq fq fq fq fq fq
( mortality rates for certain conditions). Evaluation of evidence to guide clinical care is pa
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
rt of evidence-
fq fq
based practice. The requirements for IT standards and financial status are part of Accounta
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ble Care Organization standards.
q fq fq fq
, TEST BANK FOR PRIMARY CARE 7TH EDITION BY BUTTARO
fq fq fq fq fq fq fq fq
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 fq
1. What is the purpose of Level II research?
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a. To define characteristics of interest of groups of patients
fq fq fq fq fq fq fq fq
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 fqfq
Level II research is concerned with describing the relationships among characteristics or
fq fq fq fq fq fq fq fq fq fq fq
variables. Level I research is conducted to define the characteristics of groups of patien
fq fq fq fg fq fq fq fq fq fq fq fq fq fq
t s.Level II research evaluates the nature of the relationships between variables. Level I
fq fq fq fq fq fq fq fq fq fq fq fq fq
V research is conducted to demonstrate the effectiveness of interventions or treatments.
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2. Which is the most appropriate research design for a Level III research study?
fq fq fq fq fq fq fq fq fq fq fq fq
a. Epidemiological studies fq
b. Experimental design fq
c. Qualitative studies fq
d. Randomized clinical trials fq fq
ANS: B fqfq
The experimental design is the most appropriate design for a Level III study. Epidemiolog
fq fq fq fq fq fq fq fq fq fq fq fq fq
ical studies are aNpU
fq prRoS
prI
iaN
teGfT
orBL.eC
veOlM
II studies. Qualitative designs are useful f
fq fq fg fq fq fq fq fq f q
or Level I studies. Randomized clinical trials are used for Level IV studies.
fq fq fq fq fq fq fq fq fq fq fq fq
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 fq fq fq fq fq fq fq fq fq
c. Examination of safety and effectiveness of various interventions fq fq fq fq fq fq fq
d. Exploration of fundamental mechanisms of biology, disease, or behavior fq fq fq fq fq fq fq fq
ANS: C fqfq
Clinical research trials are concerned with determining the safety and effectiveness of inter
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ventions. Adoption of interventions and practices is part of clinical implementation. Deter
fq fq fq fq fq fq fq fq fq fq fq fq f
mination of the basis of disease and treatment options is part of the preclinical researchpha
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s
e. Exploration of the fundamental mechanisms of biology, disease, or behavior is part of th
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e basic research stage.
q fq fq fq
, TEST BANK FOR PRIMARY CARE 7TH EDITION BY BUTTARO
fq fq fq fq fq fq fq fq
Chapter 03: Empowering Patients as Collaborative partners: A New Model for Primar
fq fq fq fq fq fq fq fq fq fq fq
y Care
fq
Buttaro: Primary Care: A Collaborative Practice, 7th Edition
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MULTIPLE CHOICE fq
1. Which statement made by a health care provider demonstrates the most appropriat
fq fq fq fq fq fq fq fq fq fq fq
e understanding for the goal of a performance report?
fq fg fq fq fq fq fq fq fq
a. ―This process allows me to critique the performance of the rest of the staff.‖
fq fq fq fq fq fq fq fq fq fq fq fq fq
b. ―Most organizations require staff to undergo a performance evaluation yearly.‖
fq fq fq fq fq fq fq fq fq
c. ―It is hard to be personally criticized but that’s how we learn to change.‖
fq fq fq fq fq fq fq fq fq fq fq fq fq
d. ―The comments should help me improve my management skills.‖
fq fq fq fq fq fq fq ff q
ANS: D fqfq
The goal of the performance report is to provide guidance to staff in the areas of professio
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
nal development, mentoring, and leadership development. A peer review is writtenby othe
fq fq fq fq fq fq fq fq fq fq fq fq
r s who perform similar skills (peers). The remaining options may be true but do not provi
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
d e evidence of understanding of the goal of this professional requirement.
f q fq fq fq fq fq fq fq fq fq fq
MULTIPLE RESPONSE fq
1. Which assessment question would a health care provider ask when engaging in the previsi
fq fq fq fq fq fq fq fq fq fq fq fq fq
tstage of the new model for primary care? (Select all that apply.)
fq fq fq fq fq fq fq fq fq fq fq fq
a. ―Are you ready to discuss some of the community resources that are available?‖
fq fq fq fq fq fq fq fq fq fq fq fq
b. ―Are you experiencing anNyUsiRdS eI
efN
feGctTs B
fr.
om
f qour newly prescribed medications?‖
COyM f q f q fg f q f q f q
c. ―Do you anticipate any problems with adhering to your treatment plan?‖
fq fq fq fq fq fq fq fq fq fq
d. ―Are you ready to discuss the results of your laboratory tests?‖
fq fq fq fq fq fq fq fq fq fq
e. ―Do you have any questions about the lab tests that have been ordered for you?‖
fq fq fq fq fq fq fq fq fq fq fq fq fq fq
ANS: B, C, E fqfq fq fq
The nursing responsibilities in the previsit stage include assessing the patient’s tolerance o
fq fq fq fq fq fq fq fq fq fq fq fq
fprescribed medications, understanding of existing treatment plan, and education about r
fq fq fq fq fq fq fq fq fq fq fq
e quired lab testing. The primary care provider is responsible for screening lab data and d
fq fq fq fq fq fq fq fq fq fq fq fq fq fq fq
is cussing community resources during the actual visit.
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