BORATIVEPRECTICE7THEDITIONTESTBANK
BY TERRY MAHAN BUTTARO | ALL CHAPTERS 1-
228
TESTBANK
, TEST-BANK-FOR-PRIMARY-CARE-7TH-EDITIONBY-BUTTARO
Chapter-01:-Interprofessional-Collaborative-Practice:-Where-We-Are-Toda-
y-Buttaro:-Primary-Care:-A-Collaborative-Practice,-7th-Edition
MULTIPLE- CHOICE
1. A-small,-rural-hospital-is-part-of-an-Accountable-Care-Organization-(ACO)-and-is-design-
ate- das- a- Level- 1- ACO.-What- is-part- of-this- designation?
a. Bonuses- based- on- achievement- of-benchmarks
b. Care-coordination- for- chronic- diseases
c. Standards- for- minimum- cash- reserves
d. Strict-requirements- for- financial- reporting
ANS:- - A
A-Level-1-ACO-has-the-least-amount-of-financial-risk-and-requirements,-but-receives-sh-
are-d-savings-bonuses-based-on-achievement-of-benchmarks-for-quality-measures-and-ex-
pendit-ures.-Care-coordination-and-minimum-cash-reserves-standards-are-part-of-Level-2-
ACO- re-quirements.- Level- 3- ACOs-have-strict- requirements- for-financial- reporting.
2. What-was-an-important-finding-of-the-Advisory-Board-survey-of-2014-about-primary-
car-e-preferences-of-patients?
a. Associations- with- area- hospitals
b. Costs- of- ambulatory- care
c. Ease-of- access- to- care
d. The-ratio-of-providers-to-patients-
ANS: C
As- part- of- the- 2014- survey,- the- Advisory- Board- learned- that- patients- desired- 24/7- acces-
s-t-o-care,-walk-
in- settings- and- the- ability-to- be- seen- within- 30-minutes,- and- care- that- is-close- to- home.-
As- sociations- with- hospitals,- costs- of- care,- and- the- ratio- of- providers- to- patients- wereno-
t-part-of-these-results.
MULTIPLE-RESPONSE
1. Which-assessments-of-care-providers-are-performed-as-part-of-the-valu-
e--based-purchasing-(VBP)-initiative?-(Select-all-that-apply.)
a. Appraising- costs- per- case- of- care- for- Medicare- patients
b. Assessing-patients’- satisfaction- with- hospital- care
c. Evaluating-available- evidence- to- guide- clinical- care- guidelines
d. Monitoring- mortality- rates- of- all- patients- with- pneumonia
e. Requiring-advanced- IT- standards- and- minimum- cash- reserves
ANS:- - A,- B,- D
Value-
based-purchasing-looks-at-five-domain-areas-of-processes-of-care,-including-efficiencyof-c-
ar-e-(cost-per-case),-experience-of-care-(patient-satisfaction-measures),-and-outcomes-of-c-
are- (- 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-Accoun-
ta-ble-Care-Organization-standards.
, TEST-BANK-FOR-PRIMARY-CARE-7TH-EDITIONBY-BUTTARO
Chapter-02:-Translating-Research-into-Clinical-Practice-Butt-
aro:-Primary-Care:-A-Collaborative-Practice,-7th-Edition
MULTIPLE- CHOICE
1. What- is- the- purpose- of- Level- II-research?
a. To- define-characteristics- of- interest- of- groups- of- patients
b. To-demonstrate- the- effectiveness- of- an- intervention- or-treatment
c. To-describe- relationships- among- characteristics- or- variables
d. To- evaluate- the- nature- of- relationships- between- two- variables
ANS: C
Level- II-research- is-concerned-with- describing-the-relationships- among-characteristics-
or-variables.-Level-I research-is-conducted-to-define-the-characteristics-of-groups-of-pa-
fg
tient-s.Level-II-research-evaluates-the-nature-of-the-relationships-between-variables.-Le-
vel-IV-research-is-conducted-to-demonstrate-the-effectiveness-of-interventions-or-treat-
ments.
2. Which-is- the- most- appropriate- research- design- for- a- Level- III- research- study?
a. Epidemiological-studies
b. Experimental- design
c. Qualitative-studies
d. Randomized-clinical- trials
ANS: B
The- experimental- design- is- the- most- appropriate- design- for- a- Level- III- study.- Epidemiolog
ical-studies-are-aNpU
p rR
oS
prI
iaN
teGfT
orBL.eC
veOlM
fg II- studies.-Qualitative-designs-are-useful-
for-Level-I-studies.-Randomized-clinical-trials-are-used-for-Level-IV-studi-es.
3. What- is- the- purpose- of- clinical- research- trials- in- the-spectrum- of- translational- research?
a. Adoption-of- interventions- and- clinical- practices- into- routine- clinical- care
b. Determination- of-the- basis- of- disease- and- various- treatment- options
c. Examination-of-safety- and- effectiveness- of- various- interventions
d. Exploration-of- fundamental- mechanisms- of- biology,- disease,- or- behavior
ANS: C
Clinical-research-trials-are-concerned-with-determining-the-safety-and-effectiveness-of-int-
er-ventions.-Adoption-of-interventions-and-practices-is-part-of-clinical-implementation.-D-
eter-mination-of-the-basis-of-disease-and-treatment-options-is-part-of-the-preclinical-resear-
chphas
e. Exploration-of-the-fundamental-mechanisms-of-biology,-disease,-or-behavior-is-part-of-
th-e-basic-research-stage.
, TEST-BANK-FOR-PRIMARY-CARE-7TH-EDITIONBY-BUTTARO
Chapter-03:-Empowering-Patients-as-Collaborative-partners:-A-New-Model-for-Prima-
ry-Care
Buttaro:-Primary-Care:-A-Collaborative-Practice, 7th Editionfg fg
MULTIPLE- CHOICE
1. Which-statement-made-by-a-health-care-provider-demonstrates-the-most-appropri-
at-e-understanding-for-the-goal-of-a-performance-report?
a. ―This-process- allows-me-to-critique-the-performance-of-the-rest-of-the-staff.‖
b. ―Most-organizations-require-staff-to-undergo-a-performance-evaluation-yearly.‖
c. ―It-is-hard-to-be-personally-criticized-but-that’s-how-we-learn-to-change.‖
d. ―The-comments-should-help-me-improve-my-management- skills.‖
ANS: D
The-goal-of-the-performance-report-is-to-provide-guidance-to-staff-in-the-areas-of-profes- sio-
nal-development,-mentoring,-and-leadership-development.-A-peer-review-is-writtenby-
other- s- who- perform- similar- skills- (peers).- The- remaining- options- may- be- true- but- do- n-
ot- provid- e- evidence- of- understanding- of- the- goal- of- this- professional- requirement.
MULTIPLE-RESPONSE
1. Which-assessment-question-would-a-health-care-provider-ask-when-engaging-in-the-prev-
isi- tstage- of- the- new- model- for- primary-care?- (Select- all- that- apply.)
a. ―Are-you-ready-to-discuss-some-of-the-community-resources-that-are-available?‖
b. ―Are- you- experiencing- anNyUsiRdS eI
efN
fg feGctTs-B
fr. our newly- prescribed- medications?‖
COyM
om
c. ―Do-you-anticipate-any-problems-with-adhering-to- your-treatment-plan?‖
d. ―Are-you-ready-to-discuss-the-results-of- your-laboratory-tests?‖
e. ―Do-you- have- any-questions- about- the-lab-tests-that- have-been- ordered- for- you?‖
ANS:- - B,- C,- E
The-nursing-responsibilities-in-the-previsit-stage-include-assessing-the-patient’s-tolerance-
o-fprescribed-medications,-understanding-of-existing-treatment-plan,-and-education-abo-
ut-re-quired-lab-testing.-The-primary-care-provider-is-responsible-for-screening-lab-data-
and-dis-cussing-community-resources-during-the-actual-visit.