th
Buttaro: Primary Care, A Collaborative Practice, 6 Ed.
Chapter 1: The Evolving Landscape of Collaborative Practice
Test Bank NURSING
Multiple Choice
1. Which assessments of care providers are performed as part of the Value Based Purchasing
om
initiative?
Select all that apply.
a. Appraising costs per case of care for Medicare patients
.c
b. Assessing patients’ satisfaction with hospital care
c. Evaluating available evidence to guide clinical care guidelines
nk
d. Monitoring mortality rates of all patients with pneumonia
e. Requiring advanced IT standards and minimum cash reserves
ANS: A, B, D ta
Value Based Purchasing looks at five domain areas of processes of care, including efficiency of
nk
care (cost per case), experience of care (patient satisfaction measures), and outcomes of care
(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
ba
Accountable Care Organization standards. REF: Value Based Purchasing
st
2. What was an important finding of the Advisory Board survey of 2014 about primary care
preferences of patients?
.te
a. Associations with area hospitals
b. Costs of ambulatory care
w
c. Ease of access to care
d. The ratio of providers to patients
w
ANS: C
w
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to care,
walk-in settings and the ability to be seen within 30 minutes, and care that is close to home.
Associations with hospitals, costs of care, and the ratio of providers to patients were not part of
these results. REF: The New Look of Primary Care
3. 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
ANS: A
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
savings bonuses based on achievement of benchmarks for quality measures and expenditures.
Care coordination and minimum cash reserves standards are part of Level 2 ACO requirements.
Level 3 ACOs have strict requirements for financial reporting. REF: Accountable Care
Organizations
om
.c
nk
ta
nk
ba
st
.te
w
w
w
, th
Buttaro: Primary Care, A Collaborative Practice, 6 Ed.
Chapter 2: Translating Research Into Clinical Practice
Test Bank
Multiple Choice
1. Which is the most appropriate research design for a Level III research study?
om
a. Epidemiological studies
b. Experimental design
c. Qualitative studies
.c
d. Randomized clinical trials
nk
ANS: B
The experimental design is the most appropriate design for a Level III study. Epidemiological
studies are appropriate for Level II studies. Qualitative designs are useful for Level I studies.
ta
Randomized clinical trials are used for Level IV studies. REF: Level III Research/Experimental
Design
nk
2. What is the purpose of clinical research trials in the spectrum of translational research?
ba
a. Adoption of interventions and clinical practices into routine clinical care
b. Determination of the basis of disease and various treatment options
st
c. Examination of safety and effectiveness of various interventions
d. Exploration of fundamental mechanisms of biology, disease, or behavior
.te
ANS: C
Clinical research trials are concerned with determining the safety and effectiveness of
w
interventions. Adoption of interventions and practices is part of clinical implementation.
Determination of the basis of disease and treatment options is part of the pre-clinical research
w
phase. Exploration of the fundamental mechanisms of biology, disease, or behavior is part of the
basic research stage. REF: Translational Science Spectrum
w
3. 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 patients. Level
II research evaluates the nature of the relationships between variables. Level IV research is
conducted to demonstrate the effectiveness of interventions or treatments. REF: Level II
Research
om
.c
nk
ta
nk
ba
st
.te
w
w
w
Buttaro: Primary Care, A Collaborative Practice, 6 Ed.
Chapter 1: The Evolving Landscape of Collaborative Practice
Test Bank NURSING
Multiple Choice
1. Which assessments of care providers are performed as part of the Value Based Purchasing
om
initiative?
Select all that apply.
a. Appraising costs per case of care for Medicare patients
.c
b. Assessing patients’ satisfaction with hospital care
c. Evaluating available evidence to guide clinical care guidelines
nk
d. Monitoring mortality rates of all patients with pneumonia
e. Requiring advanced IT standards and minimum cash reserves
ANS: A, B, D ta
Value Based Purchasing looks at five domain areas of processes of care, including efficiency of
nk
care (cost per case), experience of care (patient satisfaction measures), and outcomes of care
(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
ba
Accountable Care Organization standards. REF: Value Based Purchasing
st
2. What was an important finding of the Advisory Board survey of 2014 about primary care
preferences of patients?
.te
a. Associations with area hospitals
b. Costs of ambulatory care
w
c. Ease of access to care
d. The ratio of providers to patients
w
ANS: C
w
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to care,
walk-in settings and the ability to be seen within 30 minutes, and care that is close to home.
Associations with hospitals, costs of care, and the ratio of providers to patients were not part of
these results. REF: The New Look of Primary Care
3. 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
ANS: A
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
savings bonuses based on achievement of benchmarks for quality measures and expenditures.
Care coordination and minimum cash reserves standards are part of Level 2 ACO requirements.
Level 3 ACOs have strict requirements for financial reporting. REF: Accountable Care
Organizations
om
.c
nk
ta
nk
ba
st
.te
w
w
w
, th
Buttaro: Primary Care, A Collaborative Practice, 6 Ed.
Chapter 2: Translating Research Into Clinical Practice
Test Bank
Multiple Choice
1. Which is the most appropriate research design for a Level III research study?
om
a. Epidemiological studies
b. Experimental design
c. Qualitative studies
.c
d. Randomized clinical trials
nk
ANS: B
The experimental design is the most appropriate design for a Level III study. Epidemiological
studies are appropriate for Level II studies. Qualitative designs are useful for Level I studies.
ta
Randomized clinical trials are used for Level IV studies. REF: Level III Research/Experimental
Design
nk
2. What is the purpose of clinical research trials in the spectrum of translational research?
ba
a. Adoption of interventions and clinical practices into routine clinical care
b. Determination of the basis of disease and various treatment options
st
c. Examination of safety and effectiveness of various interventions
d. Exploration of fundamental mechanisms of biology, disease, or behavior
.te
ANS: C
Clinical research trials are concerned with determining the safety and effectiveness of
w
interventions. Adoption of interventions and practices is part of clinical implementation.
Determination of the basis of disease and treatment options is part of the pre-clinical research
w
phase. Exploration of the fundamental mechanisms of biology, disease, or behavior is part of the
basic research stage. REF: Translational Science Spectrum
w
3. 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 patients. Level
II research evaluates the nature of the relationships between variables. Level IV research is
conducted to demonstrate the effectiveness of interventions or treatments. REF: Level II
Research
om
.c
nk
ta
nk
ba
st
.te
w
w
w
