Test Bank for Primary Care 5th Edition Sample items Chapter 1-100
Chapter 001
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? Bonuses based on achievement of
benchmarks
2. What was an important finding of the Advisory Board survey of 2014 about primary care
preferences of patients? Ease of access to care.
3. Which assessments of care providers are performed as part of the Value Based Purchasing
initiative? (Select all that apply.)
Appraising costs per case of care for Medicare
patients Assessing patients’ satisfaction with hospital
care Monitoring mortality rates of all patients with
pneumonia
Chapter 002
1. To reduce adverse events associated with care transitions, the Centers for
Medicare and Medicaid Service have implemented which policy?
Reduction of payments for patients readmitted within 30 days after discharge
2. According to Naylor’s transitional care model, which intervention has resulted in lower
costs and fewer re-hospitalizations in high-risk older patients?
Coordination of post-hospital care by advanced practice nurses
3. Which approaches are among those recommended by the Agency for Healthcare
Research and Quality to improve health literacy in patients? (Select all that apply.)
Empowering patients and families Correct
Repeating the instructions Correct
Supplementing teaching with visual aids
Correct
Chapter 003
1. What is the purpose of Level II research?
, To describe relationships among characteristics or variables
2. Which is the most appropriate research design for a Level III research
study? Experimental design
3.What is the purpose of clinical research trials in the spectrum of translational
research? Examination of safety and effectiveness of various interventions
Chapter 004
1. The provider learns that a patient is taking herbal supplements for a variety of reasons.
What is an important point to discuss with this patient about taking such supplements?
Many supplements lack clear clinical evidence of efficacy Correct
2. A patient takes glucosamine chondroitin to help control osteoarthritis pain. Which
medications, taken in conjunction with this medication, are of concern?
Blood-thinning agents Correct
3. Which dietary supplements have shown some effectiveness in reducing blood
pressure in patients with hypertension? (Select all that apply.)
CoQ10 Correct
Garlic extract
Correct L-arginine
Correct
Test Bank - Chapter 005
1. The chronic care model (CCM) was developed to manage patients with complicated
chronic conditions because the traditional acute care model could not provide efficient and
cost-effective chronic care.
did not meet longitudinal health care needs for this population. Correct
2. What are functions of patient registries in the chronic care model? (Select all that
apply.) Alerting providers to medication interactions Correct
Recommending routine screenings Correct
Reminding providers about immunizations
Correct Transmitting clinical data about
patients Correct
3. Which are key components of the Patient-Centered Medical Home? (Select all that
apply.) Access to care Correct
Comprehensive care Correct Coordination of care Correct
, Test Bank - Chapter 006
1. A primary care provider administers the “Newest Vital Sign” health literacy test to
a patient newly diagnosed with a chronic disease. What information is gained by
administering this test? Ability to calculate data, along with general knowledge about
health Correct
2. What is the main reason for using the REALM-SF instrument to evaluate health
literacy? It evaluates medical word recognition. Correct
3. A female patient who is from the Middle East schedules an appointment in a primary
care office. To provide culturally responsive care, what will the clinic personnel do when
meeting this patient for the first time?
Inquire about the patient’s beliefs about health and treatment
Correct
Test Bank - Chapter 007
1. A patient expresses concern that she is at risk for breast cancer. To best assess the risk
for this patient, what is the best initial action?
Gather and record a three-generation pedigree Correct
2. A patient asks about direct-to-consumer (DTC) genetic testing. What will the
provider tell the patient?
Much of the information does not predict disease
risk.
Test Bank - Chapter 008
1. What is an important part of patient care that can minimize the risk of a formal
patient complaint even when a mistake is made?
Maintaining effective patient communication Correct
2. What are some causes for failures or delays in diagnosing patients resulting in
malpractice claims? (Select all that apply.)
Failing to request appropriate
consultations Not acting on diagnostic test
results
Test Bank - Chapter 009
1. Which behavior is most characteristic of early
adolescence? Arguing with parents and teachers
2. What is the initial sign of puberty in the adolescent
, male? Testicular enlargement
3. A parent reports that an adolescent child does well in school but seems to consistently
make poor decisions about activities with friends. What will the practitioner recommend as
an approach to help the adolescent make better decisions?
Listening without making suggestions about
choices
Test Bank - Chapter 010
1. Which is the most important factor limiting access to health care for sexual and
gender minorities?
Laws prohibiting full marriage equality
2. What is the medical diagnostic term used to identify transgender
patients? Gender dysphoria Correct
Test Bank - Chapter 011
1. A woman who is currently pregnant reports that she has had three previous
pregnancies: twins delivered at 35 weeks gestation (both living), one at 38 weeks gestation
(living), and one miscarriage at 16 weeks gestation. How will this be recorded as her G/TPAL
in her electronic medical record? G4P:1113
2. A pregnant woman who is overweight has no previous history of hypertension or
diabetes. Her initial screening exam reveals a blood pressure of 140/90 and a fasting blood
glucose of 128 mg/dL. What will the practitioner do?
Monitor blood pressure and fasting blood glucose closely
3. A pregnant woman reports not having had any vaccinations as a child but requests
vaccines during her pregnancy. Which vaccines may be given? (Select all that apply.)
HPV Correct
Inactivated influenza
Correct Tdap Correct
Test Bank - Chapter 012
1. The mother of a 3-day-old newborn reports that her infant nurses every 4 hours during
the day and sleeps 6 hours at night. What will the provider recommend?
Awakening the baby every 3 hours to nurse
2. An infant who has just begun nursing develops hyperbilirubinemia. What will the
provider tell the mother?
To use a breast pump to increase her milk supply
Chapter 001
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? Bonuses based on achievement of
benchmarks
2. What was an important finding of the Advisory Board survey of 2014 about primary care
preferences of patients? Ease of access to care.
3. Which assessments of care providers are performed as part of the Value Based Purchasing
initiative? (Select all that apply.)
Appraising costs per case of care for Medicare
patients Assessing patients’ satisfaction with hospital
care Monitoring mortality rates of all patients with
pneumonia
Chapter 002
1. To reduce adverse events associated with care transitions, the Centers for
Medicare and Medicaid Service have implemented which policy?
Reduction of payments for patients readmitted within 30 days after discharge
2. According to Naylor’s transitional care model, which intervention has resulted in lower
costs and fewer re-hospitalizations in high-risk older patients?
Coordination of post-hospital care by advanced practice nurses
3. Which approaches are among those recommended by the Agency for Healthcare
Research and Quality to improve health literacy in patients? (Select all that apply.)
Empowering patients and families Correct
Repeating the instructions Correct
Supplementing teaching with visual aids
Correct
Chapter 003
1. What is the purpose of Level II research?
, To describe relationships among characteristics or variables
2. Which is the most appropriate research design for a Level III research
study? Experimental design
3.What is the purpose of clinical research trials in the spectrum of translational
research? Examination of safety and effectiveness of various interventions
Chapter 004
1. The provider learns that a patient is taking herbal supplements for a variety of reasons.
What is an important point to discuss with this patient about taking such supplements?
Many supplements lack clear clinical evidence of efficacy Correct
2. A patient takes glucosamine chondroitin to help control osteoarthritis pain. Which
medications, taken in conjunction with this medication, are of concern?
Blood-thinning agents Correct
3. Which dietary supplements have shown some effectiveness in reducing blood
pressure in patients with hypertension? (Select all that apply.)
CoQ10 Correct
Garlic extract
Correct L-arginine
Correct
Test Bank - Chapter 005
1. The chronic care model (CCM) was developed to manage patients with complicated
chronic conditions because the traditional acute care model could not provide efficient and
cost-effective chronic care.
did not meet longitudinal health care needs for this population. Correct
2. What are functions of patient registries in the chronic care model? (Select all that
apply.) Alerting providers to medication interactions Correct
Recommending routine screenings Correct
Reminding providers about immunizations
Correct Transmitting clinical data about
patients Correct
3. Which are key components of the Patient-Centered Medical Home? (Select all that
apply.) Access to care Correct
Comprehensive care Correct Coordination of care Correct
, Test Bank - Chapter 006
1. A primary care provider administers the “Newest Vital Sign” health literacy test to
a patient newly diagnosed with a chronic disease. What information is gained by
administering this test? Ability to calculate data, along with general knowledge about
health Correct
2. What is the main reason for using the REALM-SF instrument to evaluate health
literacy? It evaluates medical word recognition. Correct
3. A female patient who is from the Middle East schedules an appointment in a primary
care office. To provide culturally responsive care, what will the clinic personnel do when
meeting this patient for the first time?
Inquire about the patient’s beliefs about health and treatment
Correct
Test Bank - Chapter 007
1. A patient expresses concern that she is at risk for breast cancer. To best assess the risk
for this patient, what is the best initial action?
Gather and record a three-generation pedigree Correct
2. A patient asks about direct-to-consumer (DTC) genetic testing. What will the
provider tell the patient?
Much of the information does not predict disease
risk.
Test Bank - Chapter 008
1. What is an important part of patient care that can minimize the risk of a formal
patient complaint even when a mistake is made?
Maintaining effective patient communication Correct
2. What are some causes for failures or delays in diagnosing patients resulting in
malpractice claims? (Select all that apply.)
Failing to request appropriate
consultations Not acting on diagnostic test
results
Test Bank - Chapter 009
1. Which behavior is most characteristic of early
adolescence? Arguing with parents and teachers
2. What is the initial sign of puberty in the adolescent
, male? Testicular enlargement
3. A parent reports that an adolescent child does well in school but seems to consistently
make poor decisions about activities with friends. What will the practitioner recommend as
an approach to help the adolescent make better decisions?
Listening without making suggestions about
choices
Test Bank - Chapter 010
1. Which is the most important factor limiting access to health care for sexual and
gender minorities?
Laws prohibiting full marriage equality
2. What is the medical diagnostic term used to identify transgender
patients? Gender dysphoria Correct
Test Bank - Chapter 011
1. A woman who is currently pregnant reports that she has had three previous
pregnancies: twins delivered at 35 weeks gestation (both living), one at 38 weeks gestation
(living), and one miscarriage at 16 weeks gestation. How will this be recorded as her G/TPAL
in her electronic medical record? G4P:1113
2. A pregnant woman who is overweight has no previous history of hypertension or
diabetes. Her initial screening exam reveals a blood pressure of 140/90 and a fasting blood
glucose of 128 mg/dL. What will the practitioner do?
Monitor blood pressure and fasting blood glucose closely
3. A pregnant woman reports not having had any vaccinations as a child but requests
vaccines during her pregnancy. Which vaccines may be given? (Select all that apply.)
HPV Correct
Inactivated influenza
Correct Tdap Correct
Test Bank - Chapter 012
1. The mother of a 3-day-old newborn reports that her infant nurses every 4 hours during
the day and sleeps 6 hours at night. What will the provider recommend?
Awakening the baby every 3 hours to nurse
2. An infant who has just begun nursing develops hyperbilirubinemia. What will the
provider tell the mother?
To use a breast pump to increase her milk supply
