TESTBANKFOR
PrimaryCareInterprofessionalCollaborativePractice6thEdition b
|Chapter1-228|CompleteTestBank
Authors:TerryMahanButtaro,Patricia Polgar-Bailey,JoanneSandberg-Cook,JoAnn Trybulski m b m m b
Chapter 01: Interprofessional Collaborative Practice:
m m m m
Where We Are Today
m m m
Buttaro: Primary Care: A Collaborative Practice, 6th
m m m m m m
Edition
m
MULTIPLE CHOICE m
1. A small, rural hospital is part of an Accountable Care
m m m m m m m m m m
Organization (ACO) and is designated as a Level 1 ACO.
m m m m m m m m m m
What is part of this designation?
m m m m m m
a. Bonusesbasedonachievement ofbenchmarks m
b. Carecoordination forchronicdiseases b
c. Standardsforminimumcashreserves
d. Strictrequirementsforfinancialreporting b
ANS: A m m
ALevel1ACOhastheleast amount offinancialriskandrequirements,but receivessharedsavings
m m m m m m m m m m m m m
bonuses based on achievement of benchmarks forquality measures and expenditures. Care
m m m m m m m m m m m
coordinationand minimumcash reservesstandardsarepartofLevel2ACOrequirements. Level 3
m b b b m m m
ACOs have strict requirements for financial reporting.
m m m m m m m
2. Whatwasan important findingoftheAdvisoryBoardsurveyof2014aboutprimarycare preferences
m b m b b m
ofpatients?
m m
a. Associationswith area hospitals b
b. Costsofambulatorycare b
c. Ease ofaccess to care b m m
d. Theratio ofproviders to patients m m m
ANS: C m m
Aspart ofthe2014survey,theAdvisoryBoardlearnedthat patientsdesired24/7access to care,walk-
b m b b b m
min settings and the ability to be seen within 30minutes, and care that is close tohome.
m m m m m m m m m m m m m m m m
Associationswith hospitals,costsofcare,andtheratioofproviderstopatientswerenotpartof these b m b b
mresults.
, MULTIPLERESPONSE
1. Whichassessmentsofcareprovidersareperformed as partofthevalue-based purchasing(VBP) b b b b m
initiative? (Select all thatapply.)
m m m m
a. Appraisingcostspercase ofcareforMedicarepatients m
b. Assessingpatients’satisfactionwith hospital care m b
c. Evaluatingavailableevidencetoguideclinicalcareguidelines m
d. Monitoringmortalityratesofallpatients with pneumonia b
e. Requiringadvanced ITstandardsand minimum cash reserves m m m b b
ANS: A,B, D m m m m
Value-basedpurchasinglooksatfivedomainareasofprocessesofcare,including efficiencyofcare b m b m
(costpercase),experience ofcare(patient satisfaction measures),andoutcomesofcare(mortality
m m m m m m m m m m m m
rates forcertain conditions). Evaluation of evidence to guide clinical care is part of evidence- based
m m m m m m m m m m m m m m m
practice. The requirements for IT standards and financial status arepart of Accountable Care
m m m m m m m m m m m m m
Organization standards.
m m
Chapter 02: TranslatingResearch into Clinical Practice Buttaro:
m m m m m m m
PrimaryCare:ACollaborativePractice,6thEdition
m
MULTIPLECHOICE
1. What is thepurposeofLevelIIresearch?
m m m m
a. Todefinecharacteristics ofinterest ofgroupsofpatients m m b
b. Todemonstratetheeffectiveness ofan interventionortreatment m m m
c. Todescriberelationships amongcharacteristicsorvariables m
d. Toevaluatethe natureofrelationshipsbetweentwo variables m m
ANS: C m m
Level II research is concerned with describing the relationships among characteristics or variables.
m m m m m m m m m m m m
LevelIresearchisconducted todefinethecharacteristicsofgroupsofpatients.Level IIresearch
m b b b b m m
evaluates the nature of therelationships between variables. Level IV research is conducted to
m m m m m m m m m m m m m
demonstrate the effectiveness of interventions or treatments.
m m m m m m m
2. Whichisthemost appropriateresearchdesignforaLevelIIIresearchstudy? m
a. Epidemiological studies m
b. Experimentaldesign b
c. Qualitativestudies
d. Randomized clinicaltrials b
ANS: B m m
The experimental design is the most appropriate design for a Level III study. Epidemiological
m m m m m m m m m m m m m
studies are appropriate for Level II studies. Qualitative designs are useful for Level I studies.
m m m m m m m m m m m m m m m
Randomized clinical trials areused for Level IV studies.
m m m m m m m m
, 3. What isthe purposeofclinicalresearchtrials in thespectrumoftranslationalresearch?
m m b m m b
a. Adoption ofinterventions and clinicalpractices into routineclinicalcare
b m m m
b. Determinationof the basis ofdisease and various treatmentoptions b m
c. Examinationofsafetyandeffectivenessofvarious interventions m
d. Exploration offundamentalmechanisms ofbiology, disease, orbehavior b m m
ANS: C m m
Clinical research trials are concerned with determining the safety and effectiveness of interventions.
m m m m m m m m m m m m
Adoption ofinterventions and practices is part of clinical implementation. Determination of the basis
m m m m m m m m m m m m m
of disease and treatment optionsis part ofthepreclinical research phase.Explorationofthe
m m m m m m m m m
fundamentalmechanisms ofbiology,disease,orbehavioris partofthe basic research stage.
m b b m m m
Chapter03:EmpoweringPatientsasCollaborativepartners:ANewModelforPrimaryCare b b b m
Buttaro:PrimaryCare:ACollaborativePractice,6thEdition
m m
MULTIPLECHOICE
1. Whichstatementmadebyahealthcareproviderdemonstratesthemostappropriate b b b b
understanding for the goal of a performance report?
m m m m m m m m
a. ―Thisprocessallowsmetocritiquetheperformanceoftherestofthestaff.‖
b. ―Mostorganizationsrequire stafftoundergoaperformanceevaluation yearly.‖ b m b
c. ―Itishardtobepersonallycriticized but that’showwelearntochange.‖ b b b b b b
d. ―Thecommentsshould helpmeimprovemymanagementskills.‖ b b b
ANS: D m m
The goal of the performance report is to provide guidance to staff in the areas of professional development,
m m m m m m m m m m m m m m m m m
mentoring, and leadership development. A peer review is written by others who perform
m m m m m m m m m m m m m
similarskills (peers).Theremaining optionsmaybetruebutdonotprovideevidenceof understanding of the
m b m b b m m m
goal ofthisprofessional requirement.
m m m
MULTIPLERESPONSE
1. Whichassessmentquestionwouldahealthcareprovideraskwhen engagingintheprevisitstage ofthe b b m
new model forprimary care? (Select all thatapply.)
m m m m m m m
a. ―Areyoureadytodiscusssomeofthecommunityresourcesthatareavailable?‖ b b
b. ―Areyou experiencinganysideeffectsfrom your newlyprescribedmedications?‖
b b b m
c. ―Doyou anticipateanyproblems withadheringtoyourtreatmentplan?‖
b b b b
d. ―Areyou readytodiscuss theresultsofyourlaboratorytests?‖
b b b b
e. ―Doyouhaveanyquestionsabout thelabteststhathavebeen ordered foryou?‖
b b b b b b b b
ANS: B,C,E m m
, The nursing responsibilities in the previsit stage include assessing the patient’s tolerance of
m m m m m m m m m m m m
prescribedmedications,understanding ofexistingtreatment plan,and educationaboutrequiredlab
m b b b b b m
testing.Theprimarycareproviderisresponsibleforscreeninglabdataanddiscussingcommunity
m m m m m m m m m m m m m
resources during the actual visit.
m m m m m
Chapter04:CoordinatedChronicCare m
Buttaro:PrimaryCare:ACollaborativePractice,6thEdition
MULTIPLECHOICE
1. Toreduce adverse eventsassociatedwithcaretransitions,theCentersforMedicareand
b b m b
Medicaid Service have implemented which policy?
m m m m m m
a. Mandates forcommunicationamong primarycaregiversand hospitalists
b m m
b. Penaltiesforfailuretoperformmedicationreconciliations at timeofdischarge m b b
c. Reductionofpayments forpatients readmitted within 30 daysafterdischarge
b b b m m
d. Requirements forwrittendischargeinstructionsfor patientsandcaregivers b m m
ANS: C m m
AsacomponentoftheAffordableCareAct,theCentersforMedicareandMedicaid Service
b b m b
developed the Readmissions Reduction Program reducing payments forcertain patients
m m m m m m m m m
readmittedwithin30daysofdischarge.TheCMSdidnot mandatecommunication,institute
m b b m
penalties for failure to perform medication reconciliations, or require written discharge
m m m m m m m m m m m
instructions.
m
2. Accordingtomultipleresearchstudies,whichinterventionhasresultedinlowercostsandfewer
b b b b b m
rehospitalizations in high-risk older patients?
m m m m m
a. Coordinationofposthospitalcarebyadvanced practice healthcareproviders b m m
b. Frequentposthospitalclinic visits withaprimarycareprovider m b
c. Inclusionofextended family members in theoutpatient plan ofcare m m b m b
d. Telephone follow-upbythepharmacist toassessmedicationcompliance
b m
ANS: A m m
Research studies provided evidence that high-risk older patients who had posthospital care
m m m m m m m m m m m
coordinatedbyan APNhadreduced rehospitalizationrates.It didnotincludeclinic visitswitha
m b b b b b b m
primarycareprovider,inclusionofextendedfamilymembersintheplanofcare,ortelephone
m m m m m m m m m m m m m
follow-up by a pharmacist.
m m m m
MULTIPLERESPONSE
1. Whichadvantagesareprovidedtothechronicallyillpatientbypersonalelectronicmonitoring b m
devices? (Select all that apply.)
m m m m m
a. Helpsprovidemorepatient controltheirhealth and lifestyle m b m
b. Eliminatesneed forregular medicaland nursing follow-upvisits m m b
c. Helpstheearlyidentificationofpatient health-related problems m m
d. Helpshealthcare providers in keeping track ofthe patient’s healthstatus b m b m b m m
e. Costisoftencovered by Medicare m m
PrimaryCareInterprofessionalCollaborativePractice6thEdition b
|Chapter1-228|CompleteTestBank
Authors:TerryMahanButtaro,Patricia Polgar-Bailey,JoanneSandberg-Cook,JoAnn Trybulski m b m m b
Chapter 01: Interprofessional Collaborative Practice:
m m m m
Where We Are Today
m m m
Buttaro: Primary Care: A Collaborative Practice, 6th
m m m m m m
Edition
m
MULTIPLE CHOICE m
1. A small, rural hospital is part of an Accountable Care
m m m m m m m m m m
Organization (ACO) and is designated as a Level 1 ACO.
m m m m m m m m m m
What is part of this designation?
m m m m m m
a. Bonusesbasedonachievement ofbenchmarks m
b. Carecoordination forchronicdiseases b
c. Standardsforminimumcashreserves
d. Strictrequirementsforfinancialreporting b
ANS: A m m
ALevel1ACOhastheleast amount offinancialriskandrequirements,but receivessharedsavings
m m m m m m m m m m m m m
bonuses based on achievement of benchmarks forquality measures and expenditures. Care
m m m m m m m m m m m
coordinationand minimumcash reservesstandardsarepartofLevel2ACOrequirements. Level 3
m b b b m m m
ACOs have strict requirements for financial reporting.
m m m m m m m
2. Whatwasan important findingoftheAdvisoryBoardsurveyof2014aboutprimarycare preferences
m b m b b m
ofpatients?
m m
a. Associationswith area hospitals b
b. Costsofambulatorycare b
c. Ease ofaccess to care b m m
d. Theratio ofproviders to patients m m m
ANS: C m m
Aspart ofthe2014survey,theAdvisoryBoardlearnedthat patientsdesired24/7access to care,walk-
b m b b b m
min settings and the ability to be seen within 30minutes, and care that is close tohome.
m m m m m m m m m m m m m m m m
Associationswith hospitals,costsofcare,andtheratioofproviderstopatientswerenotpartof these b m b b
mresults.
, MULTIPLERESPONSE
1. Whichassessmentsofcareprovidersareperformed as partofthevalue-based purchasing(VBP) b b b b m
initiative? (Select all thatapply.)
m m m m
a. Appraisingcostspercase ofcareforMedicarepatients m
b. Assessingpatients’satisfactionwith hospital care m b
c. Evaluatingavailableevidencetoguideclinicalcareguidelines m
d. Monitoringmortalityratesofallpatients with pneumonia b
e. Requiringadvanced ITstandardsand minimum cash reserves m m m b b
ANS: A,B, D m m m m
Value-basedpurchasinglooksatfivedomainareasofprocessesofcare,including efficiencyofcare b m b m
(costpercase),experience ofcare(patient satisfaction measures),andoutcomesofcare(mortality
m m m m m m m m m m m m
rates forcertain conditions). Evaluation of evidence to guide clinical care is part of evidence- based
m m m m m m m m m m m m m m m
practice. The requirements for IT standards and financial status arepart of Accountable Care
m m m m m m m m m m m m m
Organization standards.
m m
Chapter 02: TranslatingResearch into Clinical Practice Buttaro:
m m m m m m m
PrimaryCare:ACollaborativePractice,6thEdition
m
MULTIPLECHOICE
1. What is thepurposeofLevelIIresearch?
m m m m
a. Todefinecharacteristics ofinterest ofgroupsofpatients m m b
b. Todemonstratetheeffectiveness ofan interventionortreatment m m m
c. Todescriberelationships amongcharacteristicsorvariables m
d. Toevaluatethe natureofrelationshipsbetweentwo variables m m
ANS: C m m
Level II research is concerned with describing the relationships among characteristics or variables.
m m m m m m m m m m m m
LevelIresearchisconducted todefinethecharacteristicsofgroupsofpatients.Level IIresearch
m b b b b m m
evaluates the nature of therelationships between variables. Level IV research is conducted to
m m m m m m m m m m m m m
demonstrate the effectiveness of interventions or treatments.
m m m m m m m
2. Whichisthemost appropriateresearchdesignforaLevelIIIresearchstudy? m
a. Epidemiological studies m
b. Experimentaldesign b
c. Qualitativestudies
d. Randomized clinicaltrials b
ANS: B m m
The experimental design is the most appropriate design for a Level III study. Epidemiological
m m m m m m m m m m m m m
studies are appropriate for Level II studies. Qualitative designs are useful for Level I studies.
m m m m m m m m m m m m m m m
Randomized clinical trials areused for Level IV studies.
m m m m m m m m
, 3. What isthe purposeofclinicalresearchtrials in thespectrumoftranslationalresearch?
m m b m m b
a. Adoption ofinterventions and clinicalpractices into routineclinicalcare
b m m m
b. Determinationof the basis ofdisease and various treatmentoptions b m
c. Examinationofsafetyandeffectivenessofvarious interventions m
d. Exploration offundamentalmechanisms ofbiology, disease, orbehavior b m m
ANS: C m m
Clinical research trials are concerned with determining the safety and effectiveness of interventions.
m m m m m m m m m m m m
Adoption ofinterventions and practices is part of clinical implementation. Determination of the basis
m m m m m m m m m m m m m
of disease and treatment optionsis part ofthepreclinical research phase.Explorationofthe
m m m m m m m m m
fundamentalmechanisms ofbiology,disease,orbehavioris partofthe basic research stage.
m b b m m m
Chapter03:EmpoweringPatientsasCollaborativepartners:ANewModelforPrimaryCare b b b m
Buttaro:PrimaryCare:ACollaborativePractice,6thEdition
m m
MULTIPLECHOICE
1. Whichstatementmadebyahealthcareproviderdemonstratesthemostappropriate b b b b
understanding for the goal of a performance report?
m m m m m m m m
a. ―Thisprocessallowsmetocritiquetheperformanceoftherestofthestaff.‖
b. ―Mostorganizationsrequire stafftoundergoaperformanceevaluation yearly.‖ b m b
c. ―Itishardtobepersonallycriticized but that’showwelearntochange.‖ b b b b b b
d. ―Thecommentsshould helpmeimprovemymanagementskills.‖ b b b
ANS: D m m
The goal of the performance report is to provide guidance to staff in the areas of professional development,
m m m m m m m m m m m m m m m m m
mentoring, and leadership development. A peer review is written by others who perform
m m m m m m m m m m m m m
similarskills (peers).Theremaining optionsmaybetruebutdonotprovideevidenceof understanding of the
m b m b b m m m
goal ofthisprofessional requirement.
m m m
MULTIPLERESPONSE
1. Whichassessmentquestionwouldahealthcareprovideraskwhen engagingintheprevisitstage ofthe b b m
new model forprimary care? (Select all thatapply.)
m m m m m m m
a. ―Areyoureadytodiscusssomeofthecommunityresourcesthatareavailable?‖ b b
b. ―Areyou experiencinganysideeffectsfrom your newlyprescribedmedications?‖
b b b m
c. ―Doyou anticipateanyproblems withadheringtoyourtreatmentplan?‖
b b b b
d. ―Areyou readytodiscuss theresultsofyourlaboratorytests?‖
b b b b
e. ―Doyouhaveanyquestionsabout thelabteststhathavebeen ordered foryou?‖
b b b b b b b b
ANS: B,C,E m m
, The nursing responsibilities in the previsit stage include assessing the patient’s tolerance of
m m m m m m m m m m m m
prescribedmedications,understanding ofexistingtreatment plan,and educationaboutrequiredlab
m b b b b b m
testing.Theprimarycareproviderisresponsibleforscreeninglabdataanddiscussingcommunity
m m m m m m m m m m m m m
resources during the actual visit.
m m m m m
Chapter04:CoordinatedChronicCare m
Buttaro:PrimaryCare:ACollaborativePractice,6thEdition
MULTIPLECHOICE
1. Toreduce adverse eventsassociatedwithcaretransitions,theCentersforMedicareand
b b m b
Medicaid Service have implemented which policy?
m m m m m m
a. Mandates forcommunicationamong primarycaregiversand hospitalists
b m m
b. Penaltiesforfailuretoperformmedicationreconciliations at timeofdischarge m b b
c. Reductionofpayments forpatients readmitted within 30 daysafterdischarge
b b b m m
d. Requirements forwrittendischargeinstructionsfor patientsandcaregivers b m m
ANS: C m m
AsacomponentoftheAffordableCareAct,theCentersforMedicareandMedicaid Service
b b m b
developed the Readmissions Reduction Program reducing payments forcertain patients
m m m m m m m m m
readmittedwithin30daysofdischarge.TheCMSdidnot mandatecommunication,institute
m b b m
penalties for failure to perform medication reconciliations, or require written discharge
m m m m m m m m m m m
instructions.
m
2. Accordingtomultipleresearchstudies,whichinterventionhasresultedinlowercostsandfewer
b b b b b m
rehospitalizations in high-risk older patients?
m m m m m
a. Coordinationofposthospitalcarebyadvanced practice healthcareproviders b m m
b. Frequentposthospitalclinic visits withaprimarycareprovider m b
c. Inclusionofextended family members in theoutpatient plan ofcare m m b m b
d. Telephone follow-upbythepharmacist toassessmedicationcompliance
b m
ANS: A m m
Research studies provided evidence that high-risk older patients who had posthospital care
m m m m m m m m m m m
coordinatedbyan APNhadreduced rehospitalizationrates.It didnotincludeclinic visitswitha
m b b b b b b m
primarycareprovider,inclusionofextendedfamilymembersintheplanofcare,ortelephone
m m m m m m m m m m m m m
follow-up by a pharmacist.
m m m m
MULTIPLERESPONSE
1. Whichadvantagesareprovidedtothechronicallyillpatientbypersonalelectronicmonitoring b m
devices? (Select all that apply.)
m m m m m
a. Helpsprovidemorepatient controltheirhealth and lifestyle m b m
b. Eliminatesneed forregular medicaland nursing follow-upvisits m m b
c. Helpstheearlyidentificationofpatient health-related problems m m
d. Helpshealthcare providers in keeping track ofthe patient’s healthstatus b m b m b m m
e. Costisoftencovered by Medicare m m
