PRIMARY CARE INTERPROFESSIONAL
b b
COLLA BORATIVE PRECTICE 6TH EDITION
b b b b b
TESTBANK B Y TERRY MAHAN BUTTARO | ALL
b b b b b b b b
CHAPTERS 1- 228
b b b
TESTBANK b
, TESTBANK FOR PRIMARY CARE 6TH EDITIONBY BUTTARO b b b b b b b b
Chapter 01: Interprofessional Collaborative Practice: Where We Are Today
b b b b b b b b
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
b b b b b b b b
MULTIPLE CHOICE b
1. A small, rural hospital is part of an Accountable CareOrganization (ACO) and is designa tedas
b b b b b b b b b b b b b b b
ba Level 1 ACO. What is part of this designation?
b b b b b b b b b
a. Bonuses based on achievement of benchmarks b b b b b
b. Care coordination for chronic diseases b b b b
c. Standards for minimum cash reserves b b b b
d. Strict requirements for financial reporting b b b b
ANS: A b b
A Level 1 ACO has the least amount of financial risk and requirements, but receives sha red
b b b b b b b b b b b b b b b b
savings bonuses based on achievement of benchmarks forquality measures and expe nditures.
b b b b b b b b b b b b b
Care coordination and minimum cash reserves standards are part of Level 2 A CO
b b b b b b b b b b b b b b
requirements. Level 3 ACOs have strict requirements for financial reporting.
b b b b b b b b b b
2. What was an important finding ofthe AdvisoryBoard survey of 2014 about primary care
b b b b b b b b b b b b b b
preferences of patients?
b b b
a. Associations with area hospitals b b b
b. Costs of ambulatory care b b b
c. Ease of access to care b b b b
d. Theratioofproviders topatient b b b b b
sANS: C
b b
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 acces s
b b b b b b b b b b b b b b b
to care, walk-
b b b
in settings and the ability to be seen within 30 minutes, and care that is close to home.
b b b b b b b b b b b b b b b b b
Associations with hospitals, costs of care, and the ratio of providers to patients were not part of
b b b b b b b b b b b b b b b b b
these results.
b b
MULTIPLE RESPONSE b
1. Which assessments ofcare providers areperformed as part ofthe value-
b b b b b b b b b b b
based purchasing (VBP) initiative? (Select all that apply.)
b b b b b b b b
a. Appraising costs per case of care for Medicare patients b b b b b b b b
b. Assessing patients’ satisfaction with hospital care b b b b b
c. Evaluating available evidence to guide clinical care guidelines b b b b b b b
d. Monitoring mortality rates of all patients with pneumonia b b b b b b b
e. Requiring advanced IT standards and minimum cash reserves b b b b b b b
ANS: A, B, D b b b b
Value-
based purchasing looks at five domain areas of processes of care, including efficiencyof c are
b b b b b b b b b b b b b b
(cost per case), experience of care (patient satisfaction measures), and outcomes of ca re
b b b b b b b b b b b b b b
(mortality rates for certain conditions). Evaluation of evidence to guide clinical care is part of
b b b b b b b b b b b b b b b
evidence-
b
based practice. The requirements for IT standards and financial status are part of Accoun table
b b b b b b b b b b b b b b
Care Organization standards.
b b b
, TESTBANK FOR PRIMARY CARE 6TH EDITIONBY BUTTARO
b b b b b b b b
Chapter 02: Translating Research into Clinical Practice
b b b b b b
Buttaro:Primary Care:ACollaborativePractice, 6thEdition
b b b b b b b b
MULTIPLE CHOICE b
1. What is the purpose of Level II research?
b b b b b b b
a. To define characteristics of interest of groups of patients
b b b b b b b b
b. To demonstrate the effectiveness of an intervention or treatment
b b b b b b b b
c. To describe relationships among characteristics or variables
b b b b b b
d. To evaluate the nature of relationships between two variables
b b b b b b b b
ANS: C b b
Level II research is concerned with describing the relationships among characteristics or
b b b b b b b b b b b
variables. Level I research is conducted to define the characteristics of groups of pa
b b b b b b b b b b b b b b
tients.Level II research evaluates the nature of the relationships between variables. Le vel
b b b b b b b b b b b b b
IV research is conducted to demonstrate the effectiveness of interventions or treat ments.
b b b b b b b b b b b b b
2. Which is the most appropriate research design for a Level III research study?
b b b b b b b b b b b b
a. Epidemiological studies b
b. Experimental design b
c. Qualitative studies b
d. Randomized clinical trials b b
ANS: B b b
The experimental design is the most appropriate design for a Level III study. Epidemiol
b b b b b b b b b b b b b
ogicalstudiesareaNpU
p rR
oSp rI
iaN
teGfT
bo rBL.eC
v eOlfdM
II studies. Qualitativedesignsareuseful for
b b b b b b b b
Level I studies. Randomized clinical trials are used for Level IV studies.
b b b b b b b b b b b b
3. What is the purpose of clinical research trials in the spectrum of translational research?
b b b b b b b b b b b b b
a. Adoption of interventions and clinical practices into routine clinical care b b b b b b b b b
b. Determination of the basis of disease and various treatment options b b b b b b b b b
c. Examination of safety and effectiveness of various interventions b b b b b b b
d. Exploration of fundamental mechanisms of biology, disease, or behavior b b b b b b b b
ANS: C b b
Clinical research trials are concerned with determining the safety and effectiveness of int
b b b b b b b b b b b b
erventions. Adoption of interventions and practices is part of clinical implementation. De
b b b b b b b b b b b b
termination of the basis of disease and treatment options is part of the preclinical research
b b b b b b b b b b b b b b b
phase. Exploration of the fundamental mechanisms of biology, disease, or behavior is pa rt
b b b b b b b b b b b b b b
of the basic research stage.
b b b b b
, TESTBANK FOR PRIMARY CARE 6TH EDITIONBY BUTTARO b b b b b b b b
Chapter03:Empowering Patients as Collaborative partners: A New Model f orPrimary
b b b b b b b b b b b
Care
b
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
b b b b b b b
MULTIPLE CHOICE b
1. Whichstatement madeby ahealth careprovider demonstrates the most appropri ate
b b b b b b b b b b b b
bunderstanding for the goal of a performance report? b b b b b b b
a. ―This process allows me to critique the performance of the rest of the staff.‖
b b b b b b b b b b b b b
b. ―Most organizations requirestaff to undergo a performance evaluation yearly.‖
b b b b b b b b b
c. ―It is hard to be personally criticized but that’s how we learn to change.‖
b b b b b b b b b b b b b
d. ―The comments should help meimprove my management skills.‖ b b b b b b b b
ANS: D b b
The goal of the performance report is to provide guidance to staff in the areas of profes sional
b b b b b b b b b b b b b b b b b
development, mentoring, and leadership development. A peer review is writtenby others
b b b b b b b b b b b
who perform similar skills (peers). The remaining options may be true but do not provide
b b b b b b b b b b b b b b b
evidence of understanding of the goal of this professional requirement.
b b b b b b b b b b
MULTIPLE RESPONSE b
1. Which assessment question would a health care providerask when engaging in the prev
b b b b b b b b b b b b b
isitstage of the new model for primary care? (Select all that apply.)
b b b b b b b b b b b b
a. ―Are you ready to discuss some of the community resources that are available?‖
b b b b b b b b b b b b
b. ―Are you experiencing anNyUsiRdS
efdI
efN
feGctTsB
fr.COyM
om o ur newly prescribed medications?‖
b b b b b b b
c. ―Do you anticipate any problems with adhering to your treatment plan?‖
b b b b b b b b b b
d. ―Are you ready to discuss the results of your laboratory tests?‖
b b b b b b b b b b
e. ―Do you have any questions about the lab tests that have been ordered for you?‖
b b b b b b b b b b b b b b
ANS: B, C, E b b
The nursing responsibilities in the previsit stage include assessing the patient’s tolerance of
b b b b b b b b b b b b
prescribed medications, understanding of existing treatment plan, and education about
b b b b b b b b b b
required lab testing. The primary care provider is responsible for screening lab data an
b b b b b b b b b b b b b b
d discussing community resources during the actual visit.
b b b b b b b b
b b
COLLA BORATIVE PRECTICE 6TH EDITION
b b b b b
TESTBANK B Y TERRY MAHAN BUTTARO | ALL
b b b b b b b b
CHAPTERS 1- 228
b b b
TESTBANK b
, TESTBANK FOR PRIMARY CARE 6TH EDITIONBY BUTTARO b b b b b b b b
Chapter 01: Interprofessional Collaborative Practice: Where We Are Today
b b b b b b b b
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
b b b b b b b b
MULTIPLE CHOICE b
1. A small, rural hospital is part of an Accountable CareOrganization (ACO) and is designa tedas
b b b b b b b b b b b b b b b
ba Level 1 ACO. What is part of this designation?
b b b b b b b b b
a. Bonuses based on achievement of benchmarks b b b b b
b. Care coordination for chronic diseases b b b b
c. Standards for minimum cash reserves b b b b
d. Strict requirements for financial reporting b b b b
ANS: A b b
A Level 1 ACO has the least amount of financial risk and requirements, but receives sha red
b b b b b b b b b b b b b b b b
savings bonuses based on achievement of benchmarks forquality measures and expe nditures.
b b b b b b b b b b b b b
Care coordination and minimum cash reserves standards are part of Level 2 A CO
b b b b b b b b b b b b b b
requirements. Level 3 ACOs have strict requirements for financial reporting.
b b b b b b b b b b
2. What was an important finding ofthe AdvisoryBoard survey of 2014 about primary care
b b b b b b b b b b b b b b
preferences of patients?
b b b
a. Associations with area hospitals b b b
b. Costs of ambulatory care b b b
c. Ease of access to care b b b b
d. Theratioofproviders topatient b b b b b
sANS: C
b b
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 acces s
b b b b b b b b b b b b b b b
to care, walk-
b b b
in settings and the ability to be seen within 30 minutes, and care that is close to home.
b b b b b b b b b b b b b b b b b
Associations with hospitals, costs of care, and the ratio of providers to patients were not part of
b b b b b b b b b b b b b b b b b
these results.
b b
MULTIPLE RESPONSE b
1. Which assessments ofcare providers areperformed as part ofthe value-
b b b b b b b b b b b
based purchasing (VBP) initiative? (Select all that apply.)
b b b b b b b b
a. Appraising costs per case of care for Medicare patients b b b b b b b b
b. Assessing patients’ satisfaction with hospital care b b b b b
c. Evaluating available evidence to guide clinical care guidelines b b b b b b b
d. Monitoring mortality rates of all patients with pneumonia b b b b b b b
e. Requiring advanced IT standards and minimum cash reserves b b b b b b b
ANS: A, B, D b b b b
Value-
based purchasing looks at five domain areas of processes of care, including efficiencyof c are
b b b b b b b b b b b b b b
(cost per case), experience of care (patient satisfaction measures), and outcomes of ca re
b b b b b b b b b b b b b b
(mortality rates for certain conditions). Evaluation of evidence to guide clinical care is part of
b b b b b b b b b b b b b b b
evidence-
b
based practice. The requirements for IT standards and financial status are part of Accoun table
b b b b b b b b b b b b b b
Care Organization standards.
b b b
, TESTBANK FOR PRIMARY CARE 6TH EDITIONBY BUTTARO
b b b b b b b b
Chapter 02: Translating Research into Clinical Practice
b b b b b b
Buttaro:Primary Care:ACollaborativePractice, 6thEdition
b b b b b b b b
MULTIPLE CHOICE b
1. What is the purpose of Level II research?
b b b b b b b
a. To define characteristics of interest of groups of patients
b b b b b b b b
b. To demonstrate the effectiveness of an intervention or treatment
b b b b b b b b
c. To describe relationships among characteristics or variables
b b b b b b
d. To evaluate the nature of relationships between two variables
b b b b b b b b
ANS: C b b
Level II research is concerned with describing the relationships among characteristics or
b b b b b b b b b b b
variables. Level I research is conducted to define the characteristics of groups of pa
b b b b b b b b b b b b b b
tients.Level II research evaluates the nature of the relationships between variables. Le vel
b b b b b b b b b b b b b
IV research is conducted to demonstrate the effectiveness of interventions or treat ments.
b b b b b b b b b b b b b
2. Which is the most appropriate research design for a Level III research study?
b b b b b b b b b b b b
a. Epidemiological studies b
b. Experimental design b
c. Qualitative studies b
d. Randomized clinical trials b b
ANS: B b b
The experimental design is the most appropriate design for a Level III study. Epidemiol
b b b b b b b b b b b b b
ogicalstudiesareaNpU
p rR
oSp rI
iaN
teGfT
bo rBL.eC
v eOlfdM
II studies. Qualitativedesignsareuseful for
b b b b b b b b
Level I studies. Randomized clinical trials are used for Level IV studies.
b b b b b b b b b b b b
3. What is the purpose of clinical research trials in the spectrum of translational research?
b b b b b b b b b b b b b
a. Adoption of interventions and clinical practices into routine clinical care b b b b b b b b b
b. Determination of the basis of disease and various treatment options b b b b b b b b b
c. Examination of safety and effectiveness of various interventions b b b b b b b
d. Exploration of fundamental mechanisms of biology, disease, or behavior b b b b b b b b
ANS: C b b
Clinical research trials are concerned with determining the safety and effectiveness of int
b b b b b b b b b b b b
erventions. Adoption of interventions and practices is part of clinical implementation. De
b b b b b b b b b b b b
termination of the basis of disease and treatment options is part of the preclinical research
b b b b b b b b b b b b b b b
phase. Exploration of the fundamental mechanisms of biology, disease, or behavior is pa rt
b b b b b b b b b b b b b b
of the basic research stage.
b b b b b
, TESTBANK FOR PRIMARY CARE 6TH EDITIONBY BUTTARO b b b b b b b b
Chapter03:Empowering Patients as Collaborative partners: A New Model f orPrimary
b b b b b b b b b b b
Care
b
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
b b b b b b b
MULTIPLE CHOICE b
1. Whichstatement madeby ahealth careprovider demonstrates the most appropri ate
b b b b b b b b b b b b
bunderstanding for the goal of a performance report? b b b b b b b
a. ―This process allows me to critique the performance of the rest of the staff.‖
b b b b b b b b b b b b b
b. ―Most organizations requirestaff to undergo a performance evaluation yearly.‖
b b b b b b b b b
c. ―It is hard to be personally criticized but that’s how we learn to change.‖
b b b b b b b b b b b b b
d. ―The comments should help meimprove my management skills.‖ b b b b b b b b
ANS: D b b
The goal of the performance report is to provide guidance to staff in the areas of profes sional
b b b b b b b b b b b b b b b b b
development, mentoring, and leadership development. A peer review is writtenby others
b b b b b b b b b b b
who perform similar skills (peers). The remaining options may be true but do not provide
b b b b b b b b b b b b b b b
evidence of understanding of the goal of this professional requirement.
b b b b b b b b b b
MULTIPLE RESPONSE b
1. Which assessment question would a health care providerask when engaging in the prev
b b b b b b b b b b b b b
isitstage of the new model for primary care? (Select all that apply.)
b b b b b b b b b b b b
a. ―Are you ready to discuss some of the community resources that are available?‖
b b b b b b b b b b b b
b. ―Are you experiencing anNyUsiRdS
efdI
efN
feGctTsB
fr.COyM
om o ur newly prescribed medications?‖
b b b b b b b
c. ―Do you anticipate any problems with adhering to your treatment plan?‖
b b b b b b b b b b
d. ―Are you ready to discuss the results of your laboratory tests?‖
b b b b b b b b b b
e. ―Do you have any questions about the lab tests that have been ordered for you?‖
b b b b b b b b b b b b b b
ANS: B, C, E b b
The nursing responsibilities in the previsit stage include assessing the patient’s tolerance of
b b b b b b b b b b b b
prescribed medications, understanding of existing treatment plan, and education about
b b b b b b b b b b
required lab testing. The primary care provider is responsible for screening lab data an
b b b b b b b b b b b b b b
d discussing community resources during the actual visit.
b b b b b b b b
