TEST BANK FOR Buttaro: Primary Care: A Collaborative Practice/ Interprofessional Collaborative Practice 6TH EDITION (All Chapters 1- 228) Questions And Answers in 260 Pages.

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TESTBANK

, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
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Chapter 01: Interprofessional Collaborative Practice: Where We Are Today
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Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE ui




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


b. Care coordination for chronic diseases ui ui ui ui


c. Standards for minimum cash reserves ui ui ui ui


d. Strict requirements for financial reporting ui ui ui ui




ANS: A u i


A Level 1 ACO has the least amount of financial risk and requirements, but receives shared sa
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vings bonuses based on achievement of benchmarks for quality measures and expenditures.
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Care coordination and minimum cash reserves standards are part of Level 2 ACO require
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ments. 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 care
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preferences of patients? ui ui


a. Associations with area hospitals ui ui ui


b. Costs of ambulatory care ui ui ui


c. Ease of access to care ui ui ui ui


d. The ratio of providers to patients ui ui ui ui ui




ANS: C u i NURSINGTB.COM
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to
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care, walk- ui


in settings and the ability to be seen within 30 minutes, and care that is close to home. Ass
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ociations with hospitals, costs of care, and the ratio of providers to patients were not part o
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f these results.
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MULTIPLE RESPONSE ui




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 ui ui ui ui ui ui ui ui


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


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


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


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




ANS: A, B, D uiui ui ui


Value-
based purchasing looks at five domain areas of processes of care, including efficiency of care
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(cost per case), experience of care (patient satisfaction measures), and outcomes of care (m
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ortality rates for certain conditions). Evaluation of evidence to guide clinical care is part of
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evidence-
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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, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
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Chapter 02: Translating Research into Clinical Practice Butt
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aro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE ui




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 u i


Level II research is concerned with describing the relationships among characteristics or va
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riables. Level I research is conducted to define the characteristics of groups of patients. Level
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II research evaluates the nature of the relationships between variables. Level IV research is
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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 ui


b. Experimental design ui


c. Qualitative studies ui


d. Randomized clinical trials ui ui




ANS: B u i


The experimental design is the most appropriate design for a Level III study. Epidemiologic
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al studies are aNppr
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II studies. Qualitative designs are useful
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for 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 ui ui ui ui ui ui ui ui ui


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


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




ANS: C u i


Clinical research trials are concerned with determining the safety and effectiveness of interv
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entions. Adoption of interventions and practices is part of clinical implementation. Determi
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nation of the basis of disease and treatment options is part of the preclinical research phase.
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Exploration of the fundamental mechanisms of biology, disease, or behavior is part of the bas
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ic research stage.
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, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
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Chapter 03: Empowering Patients as Collaborative partners: A New M odel for Primary
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Care
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Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE ui




1. Which statement made by a health care provider demonstrates the most appropriate
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understanding for the goal of a performance report? ui ui ui ui ui ui ui


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 u i


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 writtenjby others w
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ho perform similar skills (peers). The remaining options may be true but do not provide ev
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idence of understanding of the goal of this professional requirement.
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MULTIPLE RESPONSE ui




1. Which assessment question would a health care provider ask when engaging in the previsit s
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tage 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
e jI
efN
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om 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 uiui ui ui


The nursing responsibilities in the previsit stage include assessing the patient’s tolerance of pre
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scribed medications, understanding of existing treatment plan, and education about require
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d lab testing. The primary care provider is responsible for screening lab data and discussin
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g community resources during the actual visit.
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