est Bank for Primary Care Interprofessional Collaborative Practice 7th Edition by Terry Mahan Buttaro, Patricia Polgar-Bailey, Joanne Sandberg-Cook, Karen L. Dick, and Justin B. Montgomery isbn-9780323935845 Questions and Verified Answers

TEST BANK FOR PRIMARY CARE:
INTERPROFESSIONAL COLLABORATIVE PRACTICE
7TH EDITION BY BUTTARO, POLGAR-BAILEY,
SANDBERG-COOK, AND DICK

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Chapter 01: Interprofessional Collaborative Practice: Where We Are Today
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Buttaro: Primary Care: A Collaborative Practice, 7th Edition
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MULTIPLE CHOICE WQ




1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designat
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e das a Level 1 ACO. What is part of this designation?
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a. Bonuses based on achievement of benchmarks WQ WQ WQ WQ WQ




b. Care coordination for chronic diseases WQ WQ WQ WQ




c. Standards for minimum cash reserves WQ WQ WQ WQ




d. Strict requirements for financial reporting WQ WQ WQ WQ




ANS: A W Q W Q




A Level 1 ACO has the least amount of financial risk and requirements, but receives shar
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e d savings bonuses based on achievement of benchmarks for quality measures and expen
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dit ures. Care coordination and minimum cash reserves standards are part of Level 2 AC
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O re quirements. Level 3 ACOs have strict requirements for financial reporting.
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2. What was an important finding of the Advisory Board survey of 2014 about primary ca
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r e preferences of patients?
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a. Associations with area hospitals WQ WQ WQ




b. Costs of ambulatory care WQ WQ WQ




c. Ease of access to care WQ WQ WQ WQ




d. The ratio of providers to patients WQ WQ WQ WQ WQ fg




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As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access t
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o care, walk-
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in settings and the ability to be seen within 30 minutes, and care that is close to home. As
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sociations with hospitals, costs of care, and the ratio of providers to patients werenot par
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t of these results.
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MULTIPLE RESPONSE WQ




1. Which assessments of care providers are performed as part of the value-
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based purchasing (VBP) initiative? (Select all that apply.)
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a. Appraising costs per case of care for Medicare patients WQ WQ WQ WQ WQ WQ WQ WQ




b. Assessing patients’ satisfaction with hospital care WQ WQ WQ WQ WQ




c. Evaluating available evidence to guide clinical care guidelines WQ WQ WQ WQ WQ WQ WQ




d. Monitoring mortality rates of all patients with pneumonia WQ WQ WQ WQ WQ WQ WQ




e. Requiring advanced IT standards and minimum cash reserves WQ WQ WQ WQ WQ WQ WQ




ANS: A, B, D W Q W Q WQ WQ




Value-
based purchasing looks at five domain areas of processes of care, including efficiencyof ca
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r e (cost per case), experience of care (patient satisfaction measures), and outcomes of care
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( mortality rates for certain conditions). Evaluation of evidence to guide clinical care is pa
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rt of evidence-
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based practice. The requirements for IT standards and financial status are part of Accounta
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ble Care Organization standards.
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Chapter 02: Translating Research into Clinical Practice Butt
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aro: Primary Care: A Collaborative Practice, 7th Edition
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MULTIPLE CHOICE WQ




1. What is the purpose of Level II research?
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a. To define characteristics of interest of groups of patients
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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 W Q W Q




Level II research is concerned with describing the relationships among characteristics or
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variables. Level I research is conducted to define the characteristics of groups of patien
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t s.Level II research evaluates the nature of the relationships between variables. Level I
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V research is conducted to demonstrate the effectiveness of interventions or treatments.
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2. Which is the most appropriate research design for a Level III research study?
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a. Epidemiological studies WQ




b. Experimental design WQ




c. Qualitative studies WQ




d. Randomized clinical trials WQ WQ




ANS: B W Q W Q




The experimental design is the most appropriate design for a Level III study. Epidemiolog
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ical studies are aNpU
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II studies. Qualitative designs are useful f
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or Level I studies. Randomized clinical trials are used for Level IV studies.
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3. What is the purpose of clinical research trials in the spectrum of translational research?
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a. Adoption of interventions and clinical practices into routine clinical care
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b. Determination of the basis of disease and various treatment options WQ WQ WQ WQ WQ WQ WQ WQ WQ




c. Examination of safety and effectiveness of various interventions WQ WQ WQ WQ WQ WQ WQ




d. Exploration of fundamental mechanisms of biology, disease, or behavior WQ WQ WQ WQ WQ WQ WQ WQ




ANS: C W Q W Q




Clinical research trials are concerned with determining the safety and effectiveness of inter
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ventions. Adoption of interventions and practices is part of clinical implementation. Deter
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mination of the basis of disease and treatment options is part of the preclinical researchpha
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s
e. Exploration of the fundamental mechanisms of biology, disease, or behavior is part of th
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e basic research stage.
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Chapter 03: Empowering Patients as Collaborative partners: A New Model for Primar
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y Care
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Buttaro: Primary Care: A Collaborative Practice, 7th Edition
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MULTIPLE CHOICE WQ




1. Which statement made by a health care provider demonstrates the most appropriat
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e understanding for the goal of a performance report?
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a. ―This process allows me to critique the performance of the rest of the staff.‖
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b. ―Most organizations require staff to undergo a performance evaluation yearly.‖
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c. ―It is hard to be personally criticized but that’s how we learn to change.‖
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d. ―The comments should help me improve my management skills.‖
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ANS: D W Q W Q




The goal of the performance report is to provide guidance to staff in the areas of professio
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nal development, mentoring, and leadership development. A peer review is writtenby othe
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r s who perform similar skills (peers). The remaining options may be true but do not provi
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d e evidence of understanding of the goal of this professional requirement.
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MULTIPLE RESPONSE WQ




1. Which assessment question would a health care provider ask when engaging in the previsi
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tstage of the new model for primary care? (Select all that apply.)
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a. ―Are you ready to discuss some of the community resources that are available?‖
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b. ―Are you experiencing anNyUsiRdS eI
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Wfr.
om
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Qour newly prescribed medications?‖
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c. ―Do you anticipate any problems with adhering to your treatment plan?‖
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d. ―Are you ready to discuss the results of your laboratory tests?‖
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e. ―Do you have any questions about the lab tests that have been ordered for you?‖
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ANS: B, C, E W Q W Q WQ WQ




The nursing responsibilities in the previsit stage include assessing the patient’s tolerance o
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fprescribed medications, understanding of existing treatment plan, and education about r
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e quired lab testing. The primary care provider is responsible for screening lab data and d
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is cussing community resources during the actual visit.
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