Test Bank Primary Care Interprofessional Collaborative Practice 6th Edition by Terry Mahan Buttaro Chapter 1-228|Complete Guide A+ With Rationals. ISBN: 9780323570152

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PrimaryCareInterprofessionalCollaborativePractice 6thEdition
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|Chapter1-228|Complete TestBank b b




Authors:TerryMahan Buttaro, Patricia Polgar-Bailey, Joanne Sandberg-Cook, JoAnnTrybulski
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Chapter 01: Interprofessional Collaborative Practice:
Where We Are Today
Buttaro: Primary Care: A Collaborative Practice, 6th
Edition

MULTIPLE CHOICE

1. A small, rural hospital is part of an Accountable Care
Organization (ACO) and is designated as a Level 1 ACO.
What is part of this designation?
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 financialreporting b b b b




ANS: A

A Level 1 ACO has the least amount of financial risk and requirements, but receives shared savings
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bonuses based on achievement of benchmarks for quality measures and expenditures. Care
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coordination and minimum cash reserves standards are part ofLevel 2 ACO requirements. Level 3
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ACOs have strict requirements for financial reporting.
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2. What was an important finding oftheAdvisoryBoard survey of2014 about primarycare preferences
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of patients?
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. The ratio of providers to patients b b b b b




ANS: C b b




As part ofthe 2014 survey, the AdvisoryBoard learned that patients desired 24/7 access to care, walk-
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in settings and the ability to be seen within 30 minutes, and care that is close to home.
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Associations with hospitals, costs ofcare, and the ratio ofprovidersto patients were not part of these
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results.
b

,MULTIPLE RESPONSE b




1. Whichassessments ofcare providers are performed as part ofthe value-based purchasing (VBP)
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initiative? (Select all that apply.)
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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




Value-based purchasing looks at fivedomain areas of processes ofcare, including efficiency of care
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(cost per case), experience of care (patient satisfaction measures), and outcomes of care (mortality
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rates for certain conditions). Evaluation of evidence to guide clinical care is part of evidence-
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based practice. The requirements for IT standards and financial status are part of Accountable
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Care Organization standards.
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Chapter 02: Translating Research into Clinical Practice Buttaro:
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PrimaryCare:ACollaborativePractice, 6thEdition
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MULTIPLE CHOICE b




1. What is the purpose ofLevel II research?
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a. To define characteristics of interest ofgroups ofpatients
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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 b b




Level II research is concerned with describing the relationships among characteristics or variables.
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Level Iresearch is conducted to define the characteristics ofgroupsofpatients. Level II research
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evaluates the nature of the relationships between variables. Level IV research is conducted to
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demonstrate the effectiveness of interventions or treatments.
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2. Whichis the most appropriate research design for a Level III research study?
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a. Epidemiological studies b




b. Experimentaldesign 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. Epidemiological
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studies are appropriate for Level II studies. Qualitative designs are useful for Level I studies.
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Randomized clinical trials are used for Level IV studies.
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, 3. What is the purposeof clinical research trials in the spectrum of translational research?
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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 interventions.
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Adoption of interventions and practices is part of clinical implementation. Determination of the
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basis of disease and treatment options is part of the preclinical research phase. Exploration ofthe
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fundamental mechanisms ofbiology, disease, orbehavior is part ofthe basic research stage.
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Chapter 03: EmpoweringPatients as Collaborative partners: A New Modelfor Primary Care
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Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE b




1. Whichstatement made by a health careprovider demonstrates the most appropriate
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understanding for the goal of a performance report?
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a. ―Thisprocess allowsmeto critiquetheperformanceoftherest ofthe staff.‖ b b b b b b b b b b b b b




b. ―Mostorganizations require staffto undergo aperformance evaluation yearly.‖ b b b b b b b b b




c. ―Itis hardtobepersonally criticized but that’showwelearntochange.‖
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d. ―Thecommentsshould helpmeimprovemymanagement 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 professional
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development, mentoring, and leadership development. A peer review is written by others who perform
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similar skills (peers). The remaining options may betruebut do not provide evidence of understanding of
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the goal of this professional requirement.
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MULTIPLE RESPONSE b




1. Whichassessment question would ahealth careprovider ask when engaging in the previsit stage of the
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new model for primary care? (Select all that apply.)
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a. ―Areyoureadytodiscusssomeofthecommunityresources that areavailable?‖
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b. ―Areyou experiencing anyside effects from your newly prescribed medications?‖
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c. ―Doyou anticipate any problems withadhering to yourtreatment plan?‖
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d. ―Areyou readyto discuss the results of your laboratorytests?‖ b b b b b b b b b b




e. ―Doyou have anyquestions about thelabteststhat have been ordered for you?‖
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ANS: B, C, E b b b b

, The nursing responsibilities in the previsit stage include assessing the patient’s tolerance of
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prescribedmedications, understanding ofexistingtreatment plan,and education aboutrequired lab
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testing. The primary care provider is responsible for screening lab data and discussing community
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resources during the actual visit.
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Chapter 04: Coordinated Chronic Care
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Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE b




1. To reduce adverse events associated with caretransitions, theCenters for Medicareand
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Medicaid Service have implemented which policy?
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a. Mandates for communication among primarycaregivers and hospitalists b b b b b b b




b. Penalties for failure to perform medication reconciliations at time ofdischarge b b b b b b b b b b




c. Reduction ofpayments for patients readmitted within 30 days after discharge b b b b b b b b b b




d. Requirements for written discharge instructions for patients and caregivers b b b b b b b b




ANS: C b b




As a component ofthe Affordable Care Act, the Centers for Medicare and Medicaid Service
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developed the Readmissions Reduction Program reducing payments for certain patients
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readmitted within 30 days ofdischarge. The CMS did not mandate communication, institute
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penalties for failure to perform medication reconciliations, or require written discharge
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instructions.
b




2. According to multipleresearch studies, which intervention has resulted in lower costs and fewer
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rehospitalizations in high-risk older patients?
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a. Coordination ofposthospital care by advanced practice health care providers b b b b b b b b b




b. Frequent posthospital clinic visits with a primary care provider b b b b b b b b




c. Inclusion ofextended family members in the outpatient plan of care b b b b b b b b b b




d. Telephone follow-up by the pharmacist to assess medication compliance b b b b b b b b




ANS: A b b




Research studies provided evidence that high-risk older patients who had posthospital care
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coordinated by an APN had reduced rehospitalization rates. It did not include clinic visits with a
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primary care provider, inclusion of extended family members in the plan of care, or telephone
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follow-up by a pharmacist.
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MULTIPLE RESPONSE b




1. Whichadvantages are provided to the chronically illpatient bypersonal electronic monitoring
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devices? (Select all that apply.)
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a. Helps provide more patient control their health and lifestyleb b b b b b b b




b. Eliminates need for regular medical and nursing follow-up visits b b b b b b b b




c. Helps the early identification of patient health-related problems
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d. Helps health care providers in keeping track of the patient’s health status
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e. Cost is often covered by Medicare b b b b b