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primary care Study Guide Graded A

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primary care Study Guide Graded A+ 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? What was an important finding of the Advisory Board survey of 2014 about primary care preferences of patients? Which assessments of care providers are performed as part of the value-based purchasing (VBP) initiative? (Select all that apply.) What is the purpose of Level II research? Which is the most appropriate research design for a Level III research study? What is the purpose of clinical research trials in the spectrum of translational research? Which statement made by a health care provider demonstrates the most appropriate understanding for the goal of a performance report Which assessment question would a health care provider ask when engaging in the previsit stage of the new model for primary care? (Select all that apply.) To reduce adverse events associated with care transitions, the Centers for Medicare and Medicaid Service have implemented which policy? According to multiple research studies, which intervention has resulted in lower costs and fewer rehospitalizations in high-risk older patients? Which advantages are provided to the chronically ill patient by personal electronic monitoring devices 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? 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? A primary care provider is providing care for a postsurgical client who recently immigrated to the United States and speaks English only marginally. What intervention will provide the most effective means of communicating postdischarge information to the client? What question asked by the client newly diagnosed with congestive heart failure demonstrates the effectiveness of previous education concerning the Ask Me 3 health literacy tool? (Select all that apply.) 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? A patient asks about direct-to-consumer (DTC) genetic testing. What will the provider tell the patient? What is an important part of patient care that can minimize the risk of a formal patient complaint even when a mistake is made? What are some causes for failures or delays in diagnosing patients resulting in malpractice claims? (Select all that apply.) Which behavior is most characteristic of early adolescence? What is the initial sign of puberty in the adolescent male? 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? What is the focus of the Minority Stress Theory? What is the medical diagnostic term used to identify transgender patients? A pregnant woman who is overweight has no previous history of hypertension (HTN) or diabetes mellitus (DM). 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? The mother of a 3-day-old newborn reports that her infant health care providers every 4 hours during the day and sleeps 6 hours at night. What will the provider recommend? An infant who has just begun nursing develops hyperbilirubinemia. What will the provider tell the mother? A mother who has been breastfeeding her infant for several weeks develops a fever, breast warmth, and breast tenderness. What will the provider recommend? A pregnant woman reports not having any vaccinations as a child but requests vaccines during her pregnancy. Which vaccines may be given? (Select all that apply.) An unaccompanied teenager is being treated in the emergency department for stomach pains. Which statement would alert the health care provider to the possibility that the patient may be a victim of human trafficking

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primary care 38 CORRECTLY ANSWERED
QUESTIONS LATEST UPDATE

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?

 Ans: Bonuses based on achievement of benchmarks


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.


2). What was an important finding of the advisory board survey of 2014 about primary care
preferences of patients?

 Ans: Ease of access to care

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


3). Which assessments of care providers are performed as part of the value-based purchasing
(vbp) initiative? (select all that apply.)

 Ans: Value-based purchasing looks at five domain areas of processes of care, including
efficiency of 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 Accountable Care Organization standards.


4). What is the purpose of level ii research?

 Ans: To describe relationships among characteristics or variables


Level II research is concerned with describing the relationships among characteristics or


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, variables. Level I research is conducted to define the characteristics of groups of patients.
Level III research evaluates the nature of the relationships between variables. Level IV
research is conducted to demonstrate the effectiveness of interventions or treatments.


5). Which is the most appropriate research design for a level iii research study?

 Ans: Experimental design

Level I is Qualitative
Level II is Epidemiological
Level 4 is Qualitative


6). What is the purpose of clinical research trials in the spectrum of translational research?

 Ans: Examination of safety and effectiveness of various interventions


7). Which statement made by a health care provider demonstrates the most appropriate
understanding for the goal of a performance report

 Ans: The comments should help me improve my management skills.


8). Which assessment question would a health care provider ask when engaging in the previsit
stage of the new model for primary care? (select all that apply.)

 Ans: The nursing responsibilities in the previsit stage include assessing the patient's
tolerance of prescribed medications, understanding of existing treatment plan, and
education about
required lab testing. The primary care provider is responsible for screening lab data and
discussing community resources during the actual visit.


9). To reduce adverse events associated with care transitions, the centers for medicare and
medicaid service have implemented which policy?

 Ans: Reduction of payments for patients readmitted within 30 days after discharge


10). According to multiple research studies, which intervention has resulted in lower costs and
fewer rehospitalizations in high-risk older patients?

 Ans: Coordination of post hospital care by advanced practice health care providers


11). Which advantages are provided to the chronically ill patient by personal electronic
monitoring devices


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