TEST BANK FOR PRIMARY CARE 6TH EDITION BY
p3 p3 p3 p3 p3 p3 p3
BUTTARO
p3
TEST BANK p3
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
p3 p3 p3 p3 p3 p3 p3 p3
Chapter 01: Interprofessional Collaborative Practice: Where We Are Today
p3 p3 p3 p3 p3 p3 p3 p3
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
p3 p3 p3 p3 p3 p3 p3 p3
MULTIPLE CHOICE p3
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
designated as a Level 1 ACO. What is part of this designation?
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
a. Bonuses based on achievement of benchmarks p3 p3 p3 p3 p3
b. Care coordination for chronic diseases p3 p3 p3 p3
c. Standards for minimum cash reserves p3 p3 p3 p3
d. Strict requirements for financial reporting p3 p3 p3 p3
ANS: A p 3
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
savings bonuses based on achievement of benchmarks for quality measures and
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
expenditures. Care coordination and minimum cash reserves standards are part of Level 2
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
ACO requirements. Level 3 ACOs have strict requirements for financial reporting.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
2. What was an important finding of the Advisory Board survey of 2014 about primary
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
care preferences of patients?
p3 p3 p3 p3
a. Associations with area hospitals p3 p3 p3
b. Costs of ambulatory care p3 p3 p3
c. Ease of access to care p3 p3 p3 p3
d. The ratio of providers to patientsp3 p3 p3 p3 p3
ANS: p 3 C NURSINGTB.COM
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
to care, walk-in settings and the ability to be seen within 30 minutes, and care that is
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
close to home. Associations with hospitals, costs of care, and the ratio of providers to
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
patients were not part of these results.
p3 p3 p3 p3 p3 p3 p3
MULTIPLE RESPONSE p3
1. Which assessments of care providers are performed as part of the value-based
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
purchasing (VBP) initiative? (Select all that apply.)
p3 p3 p3 p3 p3 p3 p3
a. Appraising costs per case of care for Medicare patients p3 p3 p3 p3 p3 p3 p3 p3
b. Assessing patients’ satisfaction with hospital care p3 p3 p3 p3 p3
c. Evaluating available evidence to guide clinical care guidelines p3 p3 p3 p3 p3 p3 p3
d. Monitoring mortality rates of all patients with pneumonia p3 p3 p3 p3 p3 p3 p3
e. Requiring advanced IT standards and minimum cash reserves p3 p3 p3 p3 p3 p3 p3
ANS: A, B, D p 3 p3 p3
Value-based purchasing looks at five domain areas of processes of care, including
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
efficiency of care (cost per case), experience of care (patient satisfaction measures), and
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
outcomes of care (mortality rates for certain conditions). Evaluation of evidence to guide
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
clinical care is part of evidence-based practice. The requirements for IT standards and
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
financial status are part of Accountable Care Organization standards.
p3 p3 p3 p3 p3 p3 p3 p3 p3
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
p3 p3 p3 p3 p3 p3 p3 p3
Chapter 02: Translating Research into Clinical Practice
p3 p3 p3 p3 p3 p3
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
p3 p3 p3 p3 p3 p3 p3 p3
MULTIPLE CHOICE p3
1. What is the purpose of Level II research?
p3 p3 p3 p3 p3 p3 p3
a. To define characteristics of interest of groups of patients
p3 p3 p3 p3 p3 p3 p3 p3
b. To demonstrate the effectiveness of an intervention or treatment
p3 p3 p3 p3 p3 p3 p3 p3
c. To describe relationships among characteristics or variables
p3 p3 p3 p3 p3 p3
d. To evaluate the nature of relationships between two variables
p3 p3 p3 p3 p3 p3 p3 p3
ANS: C p 3
Level II research is concerned with describing the relationships among characteristics or
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
variables. Level I research is conducted to define the characteristics of groups of patients.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
Level II research evaluates the nature of the relationships between variables. Level IV
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
research is conducted to demonstrate the effectiveness of interventions or treatments.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
2. Which is the most appropriate research design for a Level III research study?
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
a. Epidemiological studies p3
b. Experimental design p3
c. Qualitative studies p3
d. Randomized clinical trials p3 p3
ANS: B p 3
The experimental design is the most appropriate design for a Level III study.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
Epidemiological studies are aNpU
prR
opSrI
iaN
teGfT
orBL.eC
veOlMI I studies. Qualitative designs are useful
p3 p3 p3 p3 p3 p3 p3 p3 p3
for Level I studies. Randomized clinical trials are used for Level IV studies.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
3. What is the purpose of clinical research trials in the spectrum of translational research?
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
a. Adoption of interventions and clinical practices into routine clinical care
p3 p3 p3 p3 p3 p3 p3 p3 p3
b. Determination of the basis of disease and various treatment options p3 p3 p3 p3 p3 p3 p3 p3 p3
c. Examination of safety and effectiveness of various interventions p3 p3 p3 p3 p3 p3 p3
d. Exploration of fundamental mechanisms of biology, disease, or behavior p3 p3 p3 p3 p3 p3 p3 p3
ANS: C p 3
Clinical research trials are concerned with determining the safety and effectiveness of
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
interventions. Adoption of interventions and practices is part of clinical implementation.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
Determination of the basis of disease and treatment options is part of the preclinical
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
research phase. Exploration of the fundamental mechanisms of biology, disease, or
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
behavior is part of the basic research stage.
p3 p3 p3 p3 p3 p3 p3 p3
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
p3 p3 p3 p3 p3 p3 p3 p3
Chapter 03: Empowering Patients as Collaborative partners: A New Model for
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
Primary Care
p3 p3
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
p3 p3 p3 p3 p3 p3 p3
MULTIPLE CHOICE p3
1. Which statement made by a health care provider demonstrates the most
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
appropriate understanding for the goal of a performance report?
p3 p3 p3 p3 p3 p3 p3 p3 p3
a. ―This process allows me to critique the performance of the rest of the staff.‖
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
b. ―Most organizations require staff to undergo a performance evaluation yearly.‖
p3 p3 p3 p3 p3 p3 p3 p3 p3
c. ―It is hard to be personally criticized but that’s how we learn to change.‖
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
d. ―The comments should help me improve my management skills.‖
p3 p3 p3 p3 p3 p3 p3 p3
ANS: D p 3
The goal of the performance report is to provide guidance to staff in the areas of
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
professional development, mentoring, and leadership development. A peer review is written
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
by others who perform similar skills (peers). The remaining options may be true but do
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
not provide evidence of understanding of the goal of this professional requirement.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
MULTIPLE RESPONSE p3
1. Which assessment question would a health care provider ask when engaging in the
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
previsit stage of the new model for primary care? (Select all that apply.)
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
a. ―Are you ready to discuss some of the community resources that are available?‖
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
b. ―Are you experiencing anNyUsiRdS
eI
efN
feGctTs B
p3 fr.
om our newly prescribed medications?‖
COyM p3 p3 p3 p3 p3 p3
c. ―Do you anticipate any problems with adhering to your treatment plan?‖
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
d. ―Are you ready to discuss the results of your laboratory tests?‖
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
e. ―Do you have any questions about the lab tests that have been ordered for you?‖
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
ANS: B, C, E p 3 p3 p3
The nursing responsibilities in the previsit stage include assessing the patient’s tolerance of
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
prescribed medications, understanding of existing treatment plan, and education about
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
required lab testing. The primary care provider is responsible for screening lab data and
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
discussing community resources during the actual visit.
p3 p3 p3 p3 p3 p3 p3
p3 p3 p3 p3 p3 p3 p3
BUTTARO
p3
TEST BANK p3
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
p3 p3 p3 p3 p3 p3 p3 p3
Chapter 01: Interprofessional Collaborative Practice: Where We Are Today
p3 p3 p3 p3 p3 p3 p3 p3
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
p3 p3 p3 p3 p3 p3 p3 p3
MULTIPLE CHOICE p3
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
designated as a Level 1 ACO. What is part of this designation?
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
a. Bonuses based on achievement of benchmarks p3 p3 p3 p3 p3
b. Care coordination for chronic diseases p3 p3 p3 p3
c. Standards for minimum cash reserves p3 p3 p3 p3
d. Strict requirements for financial reporting p3 p3 p3 p3
ANS: A p 3
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
savings bonuses based on achievement of benchmarks for quality measures and
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
expenditures. Care coordination and minimum cash reserves standards are part of Level 2
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
ACO requirements. Level 3 ACOs have strict requirements for financial reporting.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
2. What was an important finding of the Advisory Board survey of 2014 about primary
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
care preferences of patients?
p3 p3 p3 p3
a. Associations with area hospitals p3 p3 p3
b. Costs of ambulatory care p3 p3 p3
c. Ease of access to care p3 p3 p3 p3
d. The ratio of providers to patientsp3 p3 p3 p3 p3
ANS: p 3 C NURSINGTB.COM
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
to care, walk-in settings and the ability to be seen within 30 minutes, and care that is
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
close to home. Associations with hospitals, costs of care, and the ratio of providers to
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
patients were not part of these results.
p3 p3 p3 p3 p3 p3 p3
MULTIPLE RESPONSE p3
1. Which assessments of care providers are performed as part of the value-based
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
purchasing (VBP) initiative? (Select all that apply.)
p3 p3 p3 p3 p3 p3 p3
a. Appraising costs per case of care for Medicare patients p3 p3 p3 p3 p3 p3 p3 p3
b. Assessing patients’ satisfaction with hospital care p3 p3 p3 p3 p3
c. Evaluating available evidence to guide clinical care guidelines p3 p3 p3 p3 p3 p3 p3
d. Monitoring mortality rates of all patients with pneumonia p3 p3 p3 p3 p3 p3 p3
e. Requiring advanced IT standards and minimum cash reserves p3 p3 p3 p3 p3 p3 p3
ANS: A, B, D p 3 p3 p3
Value-based purchasing looks at five domain areas of processes of care, including
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
efficiency of care (cost per case), experience of care (patient satisfaction measures), and
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
outcomes of care (mortality rates for certain conditions). Evaluation of evidence to guide
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
clinical care is part of evidence-based practice. The requirements for IT standards and
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
financial status are part of Accountable Care Organization standards.
p3 p3 p3 p3 p3 p3 p3 p3 p3
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
p3 p3 p3 p3 p3 p3 p3 p3
Chapter 02: Translating Research into Clinical Practice
p3 p3 p3 p3 p3 p3
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
p3 p3 p3 p3 p3 p3 p3 p3
MULTIPLE CHOICE p3
1. What is the purpose of Level II research?
p3 p3 p3 p3 p3 p3 p3
a. To define characteristics of interest of groups of patients
p3 p3 p3 p3 p3 p3 p3 p3
b. To demonstrate the effectiveness of an intervention or treatment
p3 p3 p3 p3 p3 p3 p3 p3
c. To describe relationships among characteristics or variables
p3 p3 p3 p3 p3 p3
d. To evaluate the nature of relationships between two variables
p3 p3 p3 p3 p3 p3 p3 p3
ANS: C p 3
Level II research is concerned with describing the relationships among characteristics or
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
variables. Level I research is conducted to define the characteristics of groups of patients.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
Level II research evaluates the nature of the relationships between variables. Level IV
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
research is conducted to demonstrate the effectiveness of interventions or treatments.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
2. Which is the most appropriate research design for a Level III research study?
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
a. Epidemiological studies p3
b. Experimental design p3
c. Qualitative studies p3
d. Randomized clinical trials p3 p3
ANS: B p 3
The experimental design is the most appropriate design for a Level III study.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
Epidemiological studies are aNpU
prR
opSrI
iaN
teGfT
orBL.eC
veOlMI I studies. Qualitative designs are useful
p3 p3 p3 p3 p3 p3 p3 p3 p3
for Level I studies. Randomized clinical trials are used for Level IV studies.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
3. What is the purpose of clinical research trials in the spectrum of translational research?
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
a. Adoption of interventions and clinical practices into routine clinical care
p3 p3 p3 p3 p3 p3 p3 p3 p3
b. Determination of the basis of disease and various treatment options p3 p3 p3 p3 p3 p3 p3 p3 p3
c. Examination of safety and effectiveness of various interventions p3 p3 p3 p3 p3 p3 p3
d. Exploration of fundamental mechanisms of biology, disease, or behavior p3 p3 p3 p3 p3 p3 p3 p3
ANS: C p 3
Clinical research trials are concerned with determining the safety and effectiveness of
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
interventions. Adoption of interventions and practices is part of clinical implementation.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
Determination of the basis of disease and treatment options is part of the preclinical
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
research phase. Exploration of the fundamental mechanisms of biology, disease, or
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
behavior is part of the basic research stage.
p3 p3 p3 p3 p3 p3 p3 p3
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
p3 p3 p3 p3 p3 p3 p3 p3
Chapter 03: Empowering Patients as Collaborative partners: A New Model for
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
Primary Care
p3 p3
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
p3 p3 p3 p3 p3 p3 p3
MULTIPLE CHOICE p3
1. Which statement made by a health care provider demonstrates the most
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
appropriate understanding for the goal of a performance report?
p3 p3 p3 p3 p3 p3 p3 p3 p3
a. ―This process allows me to critique the performance of the rest of the staff.‖
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
b. ―Most organizations require staff to undergo a performance evaluation yearly.‖
p3 p3 p3 p3 p3 p3 p3 p3 p3
c. ―It is hard to be personally criticized but that’s how we learn to change.‖
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
d. ―The comments should help me improve my management skills.‖
p3 p3 p3 p3 p3 p3 p3 p3
ANS: D p 3
The goal of the performance report is to provide guidance to staff in the areas of
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
professional development, mentoring, and leadership development. A peer review is written
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
by others who perform similar skills (peers). The remaining options may be true but do
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
not provide evidence of understanding of the goal of this professional requirement.
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
MULTIPLE RESPONSE p3
1. Which assessment question would a health care provider ask when engaging in the
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
previsit stage of the new model for primary care? (Select all that apply.)
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
a. ―Are you ready to discuss some of the community resources that are available?‖
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
b. ―Are you experiencing anNyUsiRdS
eI
efN
feGctTs B
p3 fr.
om our newly prescribed medications?‖
COyM p3 p3 p3 p3 p3 p3
c. ―Do you anticipate any problems with adhering to your treatment plan?‖
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
d. ―Are you ready to discuss the results of your laboratory tests?‖
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
e. ―Do you have any questions about the lab tests that have been ordered for you?‖
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
ANS: B, C, E p 3 p3 p3
The nursing responsibilities in the previsit stage include assessing the patient’s tolerance of
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
prescribed medications, understanding of existing treatment plan, and education about
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
required lab testing. The primary care provider is responsible for screening lab data and
p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3 p3
discussing community resources during the actual visit.
p3 p3 p3 p3 p3 p3 p3
