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, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
Chapter01:InterprofessionalCollaborativePractice:WhereWe Are Today Buttaro: Primary
Care: A Collaborative Practice, 6th Edition
MULTIPLE CHOICE
1. A small,rural hospitalis partof an AccountableCare Organization(ACO) and is designated as a Level 1
ACO. What is part of this designation?
a. Bonusesbasedon achievementof benchmarks
b. Care coordination forchronic diseases
c. Standardsfor minimum cashreserves
d. Strict requirementsfor financialreporting
ANS: A
A Level 1 ACO has theleastamountof financialrisk and requirements,but receivesshared savings bonuses
based on achievement of benchmarks for quality measures and expenditures. Care coordination and
minimum cash reserves standards are part of Level 2 ACO requirements. Level 3 ACOs have strict
requirements for financial reporting.
2. What wasan importantfinding of theAdvisory Boardsurveyof 2014aboutprimarycare preferences of
patients?
a. Associationswith areahospitals
b. Costs of ambulatorycare
c. Easeof access tocare
d. The ratioof providersto patients ANS:
C
As part of the 2014 survey,the Advisory Board learnedthat patientsdesired24/7 accessto care, walk-in
settings and the ability tobe seen within 30 minutes, and carethat is close to home.Associationswith
hospitals,costsof care,and theratioof providersto patientswere not part of these results.
MULTIPLE RESPONSE
1. Which assessmentsof careprovidersareperformedas partof thevalue-basedpurchasing (VBP)
initiative? (Select all that apply.
)
a. Appraising costs percase ofcarefor Medicarepatients
b. Assessingpatients’satisfactionwith hospitalcare
c. Evaluatingavailable evidenceto guideclinical careguidelines
d. Monitoringmortalityratesof all patients withpneumonia
e. RequiringadvancedIT standardsand minimum cashreserves
ANS: A, B, D
Value-basedpurchasinglooks at five domainareasof processesof care,including efficiency of care (cost per
case), experience of care (patient satisfaction measures), and outcomes of care (mortality rates for certain
conditions). Evaluation of evidence to guide clinical care is part of evidence
-based practice. The
requirements for IT standards and financial status are part of Accountable Care Organization standards.
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
Chapter 02: Translating Research into Clinical Practice
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
MULTIPLE CHOICE
1. What is thepurposeof Level II research?
a. To definecharacteristicsof interest ofgroupsof patients
b. To demonstratetheeffectivenessof an interventionor treatment
c. To describerelationshipsamongcharacteristicsor variables
d. To evaluatethenatureof relationships between twovariables
ANS: C
Level II research is concerned with describing the relationships among characteristics or variables.
Level I
researchis conductedto definethecharacteristicsof groupsof patients. Level II research evaluates the nature
of the relationships between variables. Level IV research is conducted to demonstrate the effectiveness of
interventions or treatments.
2. Which is themost appropriateresearchdesignfor aLevel III researchstudy?
a. Epidemiologicalstudies
b. Experimentaldesign
c. Qualitativestudies
d. Randomizedclinical trials
ANS: B
The experimental design is the most appropriate design for a Level III study.
Epidemiologicalstudiesare
aNpU
prR
opriate for L
e
SI NGT B.COM vel I I studies.
Qualitative
designsareuseful
for Level I studies. Randomizedclinical trials areusedfor Level IV studies.
3. What is thepurposeof clinical researchtrials inthespectrumof translationalresearch?
a. Adoptionof interventionsand clinical practicesinto routineclinical care
b. Determinationof thebasisof diseaseand varioustreatmentoptions
c. Examinationof safetyand effectivenessof variousinterventions
d. Explorationof fundamentalmechanisms ofbiology,disease,or behavior
ANS: C
Clinical research trials are concerned with determining the safety and effectiveness of interventions.
Adoption of interventions and practices is part of clinical implementation. Determination
of thebasisof
diseaseand treatmentoptionsis partof thepreclinicalresearch phase. Exploration of the fundamental
mechanisms of biology, disease, or behavior is part of the basic research stage.
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
Chapter03:EmpoweringPatientsas Collaborativepartners:A New Modelfor Primary Care
Buttaro:Primary Care:A CollaborativePractice,6th Edition
MULTIPLE CHOICE
1. Which statementmadeby a healthcareproviderdemonstratesthemostappropriate
understanding for the goal of a performance report?
a. “This processallowsme to critiquetheperformanceof therestof thestaff.”
b. “Mostorganizations requirestaffto undergoa performance evaluation yearly.”
c. “It is hard to bepersonallycriticizedbut that’show welearnto change.”
d. “The comments should help me improvemy managementskills.”
ANS: D
The goal of the performance report is to provide guidance to staff in the areas of professional
development,
mentoring,and leadershipdevelopment.A peerreviewis written by others who perform similar skills
(peers). The remaining options may be true but do not provide evidence of understanding of the goal of this
professional requirement.
MULTIPLE RESPONSE
1. Which assessmentquestionwoulda healthcareproviderask whenengagingin theprevisit stage of the
new model for primary care?Select
( all that apply .)
a. “Are you readyto discusssomeof thecommunityresourcesthatareavailable?”
b. “Are you experiencinganNyUsiRdSeef
INfeGctTs B
from
. COyM
our newlyprescribedmedications?”
c. “Do you anticipateany problems with adhering to your treatmentplan?”
d. “Are you readyto discusstheresultsof your laboratorytests?”
e. “Do you haveany questionsaboutthelab teststhathavebeenorderedfor you?”
ANS: B, C, E
The nursingresponsibilitiesin theprevisitstageincludeassessingthepatient’stoleranceof prescribed
medications, understanding of existing treatment plan, and education about required lab testing. The
primary care provider is responsible for screening lab data and discussing community resources during the
actual visit.