Testbank for Primary Care A Collaborative Practice 7th Edition Terry M. Buttaro.
Interprofessional Collaborative Practice
Question 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. Care coordination for chronic diseases
C. Standards for minimum cash reserves
D. Strict requirements for financial reporting
Answer: A. Bonuses based on achievement of benchmarks
,Rationale: A Level 1 ACO carries the lowest level of financial risk. It qualifies for
shared savings bonuses by meeting specific benchmarks for quality measures and
cost efficiency. Higher-level ACOs (Levels 2 and 3) involve greater risk and
requirements like care coordination and strict financial reporting .
Question 2
A nurse practitioner is implementing an interprofessional collaborative practice
model. Which action best demonstrates the "Roles and Responsibilities"
competency?
A. Scheduling weekly team meetings
B. Respecting a physical therapist's scope of practice and referring appropriately
C. Ensuring all team members have access to the electronic health record
D. Advocating for a patient’s preference for alternative therapy
Answer: B. Respecting a physical therapist's scope of practice and referring
appropriately
,Rationale: The "Roles and Responsibilities" competency involves understanding
one's own professional role and those of other professions to assess and address
patient needs effectively. Option B directly demonstrates this by utilizing another
provider's expertise correctly .
Question 3
A 58-year-old patient has blood pressure readings of 136/88 mmHg and 138/86
mmHg on two separate visits. According to the ACC/AHA 2017 guidelines, how is
this classified?
A. Normal
B. Elevated
C. Stage 1 Hypertension
D. Stage 2 Hypertension
Answer: C. Stage 1 Hypertension
, Rationale: The 2017 ACC/AHA guidelines define Stage 1 Hypertension as Systolic
BP of 130-139 mmHg OR Diastolic BP of 80-89 mmHg. This patient’s readings fall
into this range. Normal is <120/<80, Elevated is 120-129/<80, and Stage 2 is
>140/>90 .
Question 4
A patient asks why her primary care provider is part of a Value-Based Purchasing
(VBP) initiative. How should the NP explain the focus of VBP?
A. Rewarding providers based on the volume of patients seen
B. Reimbursing based on patient satisfaction and clinical outcomes
C. Mandating the use of specific electronic health record software
D. Requiring board certification for all providers
Answer: B. Reimbursing based on patient satisfaction and clinical outcomes
Interprofessional Collaborative Practice
Question 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. Care coordination for chronic diseases
C. Standards for minimum cash reserves
D. Strict requirements for financial reporting
Answer: A. Bonuses based on achievement of benchmarks
,Rationale: A Level 1 ACO carries the lowest level of financial risk. It qualifies for
shared savings bonuses by meeting specific benchmarks for quality measures and
cost efficiency. Higher-level ACOs (Levels 2 and 3) involve greater risk and
requirements like care coordination and strict financial reporting .
Question 2
A nurse practitioner is implementing an interprofessional collaborative practice
model. Which action best demonstrates the "Roles and Responsibilities"
competency?
A. Scheduling weekly team meetings
B. Respecting a physical therapist's scope of practice and referring appropriately
C. Ensuring all team members have access to the electronic health record
D. Advocating for a patient’s preference for alternative therapy
Answer: B. Respecting a physical therapist's scope of practice and referring
appropriately
,Rationale: The "Roles and Responsibilities" competency involves understanding
one's own professional role and those of other professions to assess and address
patient needs effectively. Option B directly demonstrates this by utilizing another
provider's expertise correctly .
Question 3
A 58-year-old patient has blood pressure readings of 136/88 mmHg and 138/86
mmHg on two separate visits. According to the ACC/AHA 2017 guidelines, how is
this classified?
A. Normal
B. Elevated
C. Stage 1 Hypertension
D. Stage 2 Hypertension
Answer: C. Stage 1 Hypertension
, Rationale: The 2017 ACC/AHA guidelines define Stage 1 Hypertension as Systolic
BP of 130-139 mmHg OR Diastolic BP of 80-89 mmHg. This patient’s readings fall
into this range. Normal is <120/<80, Elevated is 120-129/<80, and Stage 2 is
>140/>90 .
Question 4
A patient asks why her primary care provider is part of a Value-Based Purchasing
(VBP) initiative. How should the NP explain the focus of VBP?
A. Rewarding providers based on the volume of patients seen
B. Reimbursing based on patient satisfaction and clinical outcomes
C. Mandating the use of specific electronic health record software
D. Requiring board certification for all providers
Answer: B. Reimbursing based on patient satisfaction and clinical outcomes
