,Chapterr01:rInterprofessionalrCollaborativerPractice:rWhererWerArerTodayr
Buttaro:rPrimaryrCare:rArCollaborativerPractice,r6thrEdition
MULTIPLErCHOICE
1. Ar small,rruralrhospitalr isr partr ofranrAccountabler CarerOrganizationr (ACO)randr is
rdesignatedasrar Levelr 1r ACO.rWhatr isrpartr ofr thisr designation?
a. Bonusesr basedr onr achievementr ofr benchmarks
b. Carer coordinationr forr chronicr diseases
c. Standardsr forr minimumr cashr reserves
d. Strictr requirementsr forr financialr reporting
ANS:r A
Ar Levelr1r ACOrhasrtherleastr amountr ofrfinancialr riskr andrrequirements,r butrreceiv
esr sharedsavingsr bonusesr basedr onr achievementr ofr benchmarksr forrqualityrme
asuresr andr expenditures.r Carercoordinationr andr minimumr cashrreservesr standa
rdsr arer partr ofr Levelr2r ACOrrequirements.r Levelr 3rACOsr haverstrictrrequirements
r forrfinancialr reporting.
2. Whatr wasr anr importantr findingr ofrther Advisoryr Boardr surveyrofr 2014rabou
trprimaryr carepreferencesr ofr patients?
a. Associationsr withr arear hospitals
b. Costsr ofr ambulatoryr care
c. Easer ofr accessr tor care
d. Ther ratior ofr providersr tor patients
ANS:r C NURSINGTB.COM
Asrpartrofrther2014rsurvey,rtherAdvisoryrBoardrlearnedrthatrpatientsrdesiredr24/7ra
ccessrtocare,rwalk-
inrsettingsrandrtherabilityrtorberseenrwithinr30rminutes,randrcarerthatrisrclosertorho
me.rAssociationsrwithrhospitals,rcostsrofrcare,randrtherratior ofr providersr torpatien
tsr werenotrpartr ofr theser results.
MULTIPLErRESPONSE
1. Whichr assessmentsr ofrcarerprovidersr arerperformedr asrpartrofrthervalue-
basedrpurchasing(VBP)rinitiative?r (Selectr allrthatrapply.)
a. Appraisingr costsr perr caser ofr carer forr Medicarer patients
b. Assessingr patients’r satisfactionr withr hospitalr care
c. Evaluatingr availabler evidencer tor guider clinicalr carer guidelines
d. Monitoringr mortalityr ratesr ofr allr patientsr withr pneumonia
e. Requiringr advancedr ITr standardsr andr minimumr cashr reserves
ANS:r A,r B,r D
Value-
basedrpurchasingr looksr atrfiverdomainr areasr ofrprocessesr ofrcare,rincludingreffici
encyofr carer (costrperr case),rexperiencerofr carer (patientrsatisfactionrmeasures),r
androutcomesr ofr carer (mortalityrratesr forrcertainr conditions).
Evaluationrofrevidencertorguiderclinicalrcarerisrpartrofrevidence-
basedrpractice.rTherrequirementsrforrITrstandardsrandrfinancialrstatusrarerpartro
frAccountablerCarer Organizationr standards.
,Chapterr02:rTranslatingrResearchrintorClinicalrPracticerButta
ro:rPrimaryrCare:rArCollaborativerPractice,r6thrEdition
MULTIPLErCHOICE
1. Whatr isr ther purposer ofr Levelr IIr research?
a. Tor definer characteristicsr ofr interestr ofr groupsr ofr patients
b. Tor demonstrater ther effectivenessr ofr anr interventionr orr treatment
c. Tor describer relationshipsr amongr characteristicsr orr variables
d. Tor evaluater ther naturer ofr relationshipsr betweenr twor variables
ANS:r C
Levelr IIr researchr isr concernedr withr describingr therrelationshipsr amongrcha
racteristicsr orr variables.r LevelrIrresearchr isr conductedr tordefinerthercharact
eristicsr ofr groupsr ofr patients.LevelrIIrresearchr evaluatesr ther naturer ofrther re
lationshipsr betweenr variables.r LevelrIVr researchrisrconductedrtordemonstrat
er ther effectivenessr ofr interventionsr orr treatments.
2. Whichr isr ther mostr appropriater researchr designr forr ar Levelr IIIr researchr study?
a. Epidemiologicalr studies
b. Experimentalr design
c. Qualitativer studies
d. Randomizedr clinicalr trials
ANS:r B
Ther experimentalr designr isr thermostr appropriater designrforr ar LevelrIIIrstudy.rEpi
demiologicalrstudiesrareraNpU prR
opSriIaN
teGfTorBLev
. CeOlrMI I rstudies.rQualitativerdesignsrarerus
eful
forr Levelr Ir studies.r Randomizedr clinicalr trialsr arer usedr forr Levelr IVr studies.
3. Whatr isr ther purposer ofr clinicalr researchr trialsr inr ther spectrumr ofr translationalr research?
a. Adoptionr ofr interventionsr andr clinicalr practicesr intor routiner clinicalr care
b. Determinationr ofr ther basisr ofr diseaser andr variousr treatmentr options
c. Examinationr ofr safetyr andr effectivenessr ofr variousr interventions
d. Explorationr ofr fundamentalr mechanismsr ofr biology,r disease,r orr behavior
ANS:r C
Clinicalr researchr trialsrarer concernedr withrdeterminingrther safetyrandreffectiven
essr ofr interventions.r Adoptionr ofr interventionsr andr practicesr isr partr ofrclinicalr i
mplementation.r Determinationr ofrtherbasisr ofrdiseaserandrtreatmentroptionsr isrpa
rtr ofrtherpreclinicalrresearchphase.r Explorationr ofr ther fundamentalrmechanismsr
ofr biology,r disease,r orr behaviorr isr partr ofr ther basicr researchr stage.
NURSINGTB.COM
, TESTrBANKrFORrPRIMARYrCAREr6THrEDITIONrBYrBUTTARO
Chapterr03:rEmpoweringrPatientsrasrCollaborativerpartners:rArNewrModelrforrPrimaryr
Care
Buttaro:r Primaryr Care:r Ar Collaborativer Practice,r 6thr Edition
MULTIPLErCHOICE
1. Whichr statementr maderbyr arhealthr carer providerr demonstratesrthermost
rappropriateunderstandingr forrthergoalr ofr arperformancer report?
a. “Thisr processr allowsr mer tor critiquer ther performancer ofr ther restr ofr ther staff.”
b. “Mostr organizationsr requirer staffr tor undergor ar performancer evaluationr yearly.”
c. “Itr isr hardr tor ber personallyr criticizedr butr that’sr howr wer learnr tor change.”
d. “Ther commentsr shouldr helpr mer improver myr managementr skills.”
ANS:r D
Ther goalr ofr ther performancer reportr isr torprovider guidancertorstaffr inr ther areasr o
frprofessionalrdevelopment,rmentoring,r andrleadershiprdevelopment.rArpeerrrevie
wrisrwrittenbyrothersrwhor performr similarr skillsr (peers).r Therremainingr optionsr
mayrber truer butr dor notr provider evidencer ofr understandingr ofr ther goalr ofr thisrpr
ofessionalr requirement.
MULTIPLErRESPONSE
1. Whichr assessmentr questionr wouldr arhealthrcarer providerraskr whenr engagingr i
nrtherprevisitstagerofr thernewrmodelr forr primaryr care?r (Selectr allrthatrapply.)
a. “Arer your readyr tor discussr somer ofr ther communityr resourcesr thatr arer available?”
b. “Arer your experiencingr anNyUsiRde
SrIefN
feGctTs B
fr.om
COyM
ourr newlyr prescribedr medications?”
c. “Dor your anticipater anyr problemsr withr adheringr tor yourr treatmentr plan?”
d. “Arer your readyr tor discussr ther resultsr ofr yourr laboratoryr tests?”
e. “Dor your haver anyr questionsr aboutr ther labr testsr thatr haver beenr orderedr forr you?”
ANS:r B,r C,r E
Thernursingrresponsibilitiesr inrtherprevisitr stagerincluderassessingrtherpatient’sr
tolerancerofprescribedrmedications,runderstandingr ofr existingr treatmentr plan,r
andr educationr aboutr requiredr labrtesting.r Ther primaryr carer providerr isrrespon
sibler forr screeningr labrdatar andr discussingr communityrresourcesr duringrther ac
tualr visit.
NURSINGTB.COM
Buttaro:rPrimaryrCare:rArCollaborativerPractice,r6thrEdition
MULTIPLErCHOICE
1. Ar small,rruralrhospitalr isr partr ofranrAccountabler CarerOrganizationr (ACO)randr is
rdesignatedasrar Levelr 1r ACO.rWhatr isrpartr ofr thisr designation?
a. Bonusesr basedr onr achievementr ofr benchmarks
b. Carer coordinationr forr chronicr diseases
c. Standardsr forr minimumr cashr reserves
d. Strictr requirementsr forr financialr reporting
ANS:r A
Ar Levelr1r ACOrhasrtherleastr amountr ofrfinancialr riskr andrrequirements,r butrreceiv
esr sharedsavingsr bonusesr basedr onr achievementr ofr benchmarksr forrqualityrme
asuresr andr expenditures.r Carercoordinationr andr minimumr cashrreservesr standa
rdsr arer partr ofr Levelr2r ACOrrequirements.r Levelr 3rACOsr haverstrictrrequirements
r forrfinancialr reporting.
2. Whatr wasr anr importantr findingr ofrther Advisoryr Boardr surveyrofr 2014rabou
trprimaryr carepreferencesr ofr patients?
a. Associationsr withr arear hospitals
b. Costsr ofr ambulatoryr care
c. Easer ofr accessr tor care
d. Ther ratior ofr providersr tor patients
ANS:r C NURSINGTB.COM
Asrpartrofrther2014rsurvey,rtherAdvisoryrBoardrlearnedrthatrpatientsrdesiredr24/7ra
ccessrtocare,rwalk-
inrsettingsrandrtherabilityrtorberseenrwithinr30rminutes,randrcarerthatrisrclosertorho
me.rAssociationsrwithrhospitals,rcostsrofrcare,randrtherratior ofr providersr torpatien
tsr werenotrpartr ofr theser results.
MULTIPLErRESPONSE
1. Whichr assessmentsr ofrcarerprovidersr arerperformedr asrpartrofrthervalue-
basedrpurchasing(VBP)rinitiative?r (Selectr allrthatrapply.)
a. Appraisingr costsr perr caser ofr carer forr Medicarer patients
b. Assessingr patients’r satisfactionr withr hospitalr care
c. Evaluatingr availabler evidencer tor guider clinicalr carer guidelines
d. Monitoringr mortalityr ratesr ofr allr patientsr withr pneumonia
e. Requiringr advancedr ITr standardsr andr minimumr cashr reserves
ANS:r A,r B,r D
Value-
basedrpurchasingr looksr atrfiverdomainr areasr ofrprocessesr ofrcare,rincludingreffici
encyofr carer (costrperr case),rexperiencerofr carer (patientrsatisfactionrmeasures),r
androutcomesr ofr carer (mortalityrratesr forrcertainr conditions).
Evaluationrofrevidencertorguiderclinicalrcarerisrpartrofrevidence-
basedrpractice.rTherrequirementsrforrITrstandardsrandrfinancialrstatusrarerpartro
frAccountablerCarer Organizationr standards.
,Chapterr02:rTranslatingrResearchrintorClinicalrPracticerButta
ro:rPrimaryrCare:rArCollaborativerPractice,r6thrEdition
MULTIPLErCHOICE
1. Whatr isr ther purposer ofr Levelr IIr research?
a. Tor definer characteristicsr ofr interestr ofr groupsr ofr patients
b. Tor demonstrater ther effectivenessr ofr anr interventionr orr treatment
c. Tor describer relationshipsr amongr characteristicsr orr variables
d. Tor evaluater ther naturer ofr relationshipsr betweenr twor variables
ANS:r C
Levelr IIr researchr isr concernedr withr describingr therrelationshipsr amongrcha
racteristicsr orr variables.r LevelrIrresearchr isr conductedr tordefinerthercharact
eristicsr ofr groupsr ofr patients.LevelrIIrresearchr evaluatesr ther naturer ofrther re
lationshipsr betweenr variables.r LevelrIVr researchrisrconductedrtordemonstrat
er ther effectivenessr ofr interventionsr orr treatments.
2. Whichr isr ther mostr appropriater researchr designr forr ar Levelr IIIr researchr study?
a. Epidemiologicalr studies
b. Experimentalr design
c. Qualitativer studies
d. Randomizedr clinicalr trials
ANS:r B
Ther experimentalr designr isr thermostr appropriater designrforr ar LevelrIIIrstudy.rEpi
demiologicalrstudiesrareraNpU prR
opSriIaN
teGfTorBLev
. CeOlrMI I rstudies.rQualitativerdesignsrarerus
eful
forr Levelr Ir studies.r Randomizedr clinicalr trialsr arer usedr forr Levelr IVr studies.
3. Whatr isr ther purposer ofr clinicalr researchr trialsr inr ther spectrumr ofr translationalr research?
a. Adoptionr ofr interventionsr andr clinicalr practicesr intor routiner clinicalr care
b. Determinationr ofr ther basisr ofr diseaser andr variousr treatmentr options
c. Examinationr ofr safetyr andr effectivenessr ofr variousr interventions
d. Explorationr ofr fundamentalr mechanismsr ofr biology,r disease,r orr behavior
ANS:r C
Clinicalr researchr trialsrarer concernedr withrdeterminingrther safetyrandreffectiven
essr ofr interventions.r Adoptionr ofr interventionsr andr practicesr isr partr ofrclinicalr i
mplementation.r Determinationr ofrtherbasisr ofrdiseaserandrtreatmentroptionsr isrpa
rtr ofrtherpreclinicalrresearchphase.r Explorationr ofr ther fundamentalrmechanismsr
ofr biology,r disease,r orr behaviorr isr partr ofr ther basicr researchr stage.
NURSINGTB.COM
, TESTrBANKrFORrPRIMARYrCAREr6THrEDITIONrBYrBUTTARO
Chapterr03:rEmpoweringrPatientsrasrCollaborativerpartners:rArNewrModelrforrPrimaryr
Care
Buttaro:r Primaryr Care:r Ar Collaborativer Practice,r 6thr Edition
MULTIPLErCHOICE
1. Whichr statementr maderbyr arhealthr carer providerr demonstratesrthermost
rappropriateunderstandingr forrthergoalr ofr arperformancer report?
a. “Thisr processr allowsr mer tor critiquer ther performancer ofr ther restr ofr ther staff.”
b. “Mostr organizationsr requirer staffr tor undergor ar performancer evaluationr yearly.”
c. “Itr isr hardr tor ber personallyr criticizedr butr that’sr howr wer learnr tor change.”
d. “Ther commentsr shouldr helpr mer improver myr managementr skills.”
ANS:r D
Ther goalr ofr ther performancer reportr isr torprovider guidancertorstaffr inr ther areasr o
frprofessionalrdevelopment,rmentoring,r andrleadershiprdevelopment.rArpeerrrevie
wrisrwrittenbyrothersrwhor performr similarr skillsr (peers).r Therremainingr optionsr
mayrber truer butr dor notr provider evidencer ofr understandingr ofr ther goalr ofr thisrpr
ofessionalr requirement.
MULTIPLErRESPONSE
1. Whichr assessmentr questionr wouldr arhealthrcarer providerraskr whenr engagingr i
nrtherprevisitstagerofr thernewrmodelr forr primaryr care?r (Selectr allrthatrapply.)
a. “Arer your readyr tor discussr somer ofr ther communityr resourcesr thatr arer available?”
b. “Arer your experiencingr anNyUsiRde
SrIefN
feGctTs B
fr.om
COyM
ourr newlyr prescribedr medications?”
c. “Dor your anticipater anyr problemsr withr adheringr tor yourr treatmentr plan?”
d. “Arer your readyr tor discussr ther resultsr ofr yourr laboratoryr tests?”
e. “Dor your haver anyr questionsr aboutr ther labr testsr thatr haver beenr orderedr forr you?”
ANS:r B,r C,r E
Thernursingrresponsibilitiesr inrtherprevisitr stagerincluderassessingrtherpatient’sr
tolerancerofprescribedrmedications,runderstandingr ofr existingr treatmentr plan,r
andr educationr aboutr requiredr labrtesting.r Ther primaryr carer providerr isrrespon
sibler forr screeningr labrdatar andr discussingr communityrresourcesr duringrther ac
tualr visit.
NURSINGTB.COM
