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

PRIMARY CARE INTERPROFESSIONAL COLLA
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BORATIVE PRECTICE 6TH EDITION TESTBANK B
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Y TERRY MAHAN BUTTARO | ALL CHAPTERS 1-
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228




TEST BANK xe

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




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


b. Care coordination for chronic diseases xe xe xe xe


c. Standards for minimum cash reserves xe xe xe xe


d. Strict requirements for financial reporting xe xe xe xe




ANS: A x e


A Level 1 ACO has the least amount of financial risk and requirements, but receives shar
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edsavings bonuses based on achievement of benchmarks for quality measures and expend
e
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itures. Care coordination and minimum cash reserves standards are part of Level 2 ACO
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requirements. 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 c
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arepreferences of patients?
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a. Associations with area hospitals xe xe xe


b. Costs of ambulatory care xe xe xe


c. Ease of access to care xe xe xe xe


d. The ratio of providers to patient xe xe xe xe xe




sANS: C
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As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access
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etocare, 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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Associations with hospitals, costs of care, and the ratio of providers to patients werenot
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part of these results.
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MULTIPLE RESPONSE xe




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 xe xe xe xe xe xe xe xe


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


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


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


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




ANS: A, B, D x e xe xe


Value-
based purchasing looks at five domain areas of processes of care, including efficiencyof ca
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re (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 Account
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able 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 xe




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 x e


Level II research is concerned with describing the relationships among characteristics o
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r variables. Level I research is conducted to define the characteristics of groups of patie
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nts.Level II research evaluates the nature of the relationships between variables. Level
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IV 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 xe


b. Experimental design xe


c. Qualitative studies xe


d. Randomized clinical trials xe xe




ANS: B x e


The experimental design is the most appropriate design for a Level III study. Epidemiolo
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gical studies are aNpU
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opr orBL.eC
veOlM
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 xe xe xe xe xe xe xe xe xe


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


d. Exploration of fundamental mechanisms of biology, disease, or behavior
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ANS: C x e


Clinical research trials are concerned with determining the safety and effectiveness of inte
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rventions. Adoption of interventions and practices is part of clinical implementation. Dete
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rmination of the basis of disease and treatment options is part of the preclinical researchph
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x


ase. Exploration of the fundamental mechanisms of biology, disease, or behavior is part o
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f the basic 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 Model fo
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rPrimary Care
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Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE xe




1. Which statement made by a health care provider demonstrates the most appropria
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teunderstanding 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 x e


The goal of the performance report is to provide guidance to staff in the areas of professi
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onal development, mentoring, and leadership development. A peer review is writtenby oth
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ers who perform similar skills (peers). The remaining options may be true but do not pro
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vide evidence of understanding of the goal of this professional requirement.
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MULTIPLE RESPONSE xe




1. Which assessment question would a health care provider ask when engaging in the previ
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sitstage 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
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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 x e xe xe


The nursing responsibilities in the previsit stage include assessing the patient’s tolerance
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ofprescribed 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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discussing community resources during the actual visit.
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