Complete Test Bank for Primary Care Interprofessional Collaborative Practice, 7th Edition (Terry Mahan Buttaro)

PRIMARYCAREINTERPROFESSIONALCOLLA
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TESTBANK

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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 b-g




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




b. Care coordination for chronic diseases b-g b-g b-g b-g




c. Standards for minimum cash reserves b-g b-g b-g b-g




d. Strict requirements for financial reporting b-g b-g b-g b-g




ANS: A b - g b - g




A Level 1 ACO has the least amount of financial risk and requirements, but receives
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share d savings bonuses based on achievement of benchmarks for quality measures and
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expendit ures. Care coordination and minimum cash reserves standards are part of Level
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2 ACO 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
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car e preferences of patients?
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a. Associations with area hospitals b- g b-g b-g




b. Costs of ambulatory care b-g b-g b-g




c. Ease of access to care b-g b-g b-g b-g




d. The ratio of providers to patients b-g b-g b-g b-g b-g fgb -




g ANS: b - g C

As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access
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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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As sociations with hospitals, costs of care, and the ratio of providers to patients were not
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part of these results.
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MULTIPLE RESPONSE b-g




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 b-g b-g b-g b-g b-g b-g b-g b-g




b. Assessing patients’ satisfaction with hospital care b-g b-g b-g b-g b-g




c. Evaluating available evidence to guide clinical care guidelines b-g b-g b-g b-g b-g b-g b-g




d. Monitoring mortality rates of all patients with pneumonia b-g b-g b-g b-g b-g b- g b- g




e. Requiring advanced IT standards and minimum cash reserves b-g b-g b-g b-g b-g b-g b-g




ANS: A, B, D b - g b - g b-g b-g




Value-
based purchasing looks at five domain areas of processes of care, including efficiencyof
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car e (cost per case), experience of care (patient satisfaction measures), and outcomes of
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care ( mortality rates for certain conditions). Evaluation of evidence to guide clinical care
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is part of evidence-
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based practice. The requirements for IT standards and financial status are part of
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Accounta ble Care Organization standards.
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, TESTBANKFORPRIMARYCARE7THEDITIONBYBUTTARO
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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 b-g




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 b - g b - g




Level II research is concerned with describing the relationships among characteristics
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or variables. Level I research is conducted to define the characteristics of groups of
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patient s.Level II research evaluates the nature of the relationships between variables.
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Level IV research is conducted to demonstrate the effectiveness of interventions or
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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 b-g




b. Experimental design b-g




c. Qualitative studies b-g




d. Randomized clinical trials b-g b-g




ANS: B b - g b - g




The experimental design is the most appropriate design for a Level III study. Epidemiological
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studies are aNpU
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prI
iaN
teGfT
orBL.eC
veOlM
b-gII studies. Qualitative designs are useful for Level I studies. Randomized
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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 b-g b-g b-g b-g b-g b-g b-g b-g b-g




b. Determination of the basis of disease and various treatment options b- g b-g b-g b-g b-g b-g b-g b-g b-g




c. Examination of safety and effectiveness of various interventions b-g b-g b-g b-g b- g b- g b-g




d. Exploration of fundamental mechanisms of biology, disease, or behavior b-g b-g b-g b-g b-g b-g b-g b-g




ANS: C b - g b - g




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




1. Which statement made by a health care provider demonstrates the most
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appropriat 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 b - g b - g




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




1. Which assessment question would a health care provider ask when engaging in the
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previsi 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 eIefN
feGctTs B
fr. our 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 b - g b - g b-g b-g




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