TEST BANK FOR Buttaro: Primary Care: A Collaborative Practice/ Interprofessional Collaborative Practice 6TH EDITION. All Chapters 1- 228 Questions And Answers/ All Answers Are Correct. ultimate guide graded A+

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Chapter01:InterprofessionalCollaborative Practice:Where We AreTodayBu
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ttaro:PrimaryCare:A CollaborativePractice,6th Edition
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1. A small,irural hospital is part ofanAccountableCareOrganization (ACO)iandisdesignatedasa kr kr kr kr kr kr kr



Level1ACO.Whatiis part of this designation?
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a. Bonusesbasedonachievementofbenchmarks
b. Carecoordinationforchronicdiseases
c. Standardsforminimumcashreserves
d. Strictrequirementsforfinancialreporting
ANS: A k r



A Level 1 ACO has theleastiamount offinancial risk andirequirements, butireceives sharedsavi
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ngsbonusesbasedonachievementofbenchmarksforqualitymeasuresand expenditures. Care
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coordination and minimum cash reserves standards are part of Level 2iACO requirements. Lev
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el3ACOshavestrictrequirementsforfinancialreporting.
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2. Whatiwasianimportantifindingiof theAdvisoryBoardisurvey of2014aboutprimary careipref
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erencesofpatients?
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a. Associations withiarea hospitals
b. Costsofambulatorycare
c. Easeofaccess tocare kr



d. Theratio of providersitopatients kr




ANS: C NURSINGTB.COM
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Aspart of thei2014survey,theAdvisoryBoard learned that patientsdesired24/7accessitocare,
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walk-
in settings andithe abilitytoibe seen within30iminutes,andicare that isiclosetoihome.Associati kr kr kr kr



ons with hospitals,costsiofcare,and the ratio ofiproviders to patientswereinotpart of these resul
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ts.
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MULTIPLERESPONSE

1. Whichiassessments of careiproviders areperformediaspart ofthevalue- kr



basedpurchasing(VBP)initiative?(Selectallthatapply.)
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a. Appraising costspercaseof careiforMedicareipatients kr kr kr kr



b. Assessingipatients’satisfaction withihospitalcare kr



c. Evaluatingiavailable evidenceto guide clinicalcare guidelines kr



d. Monitoringmortalityratesiofall patients withipneumonia
e. RequiringiadvancedITstandardsiand minimum cash reserves kr kr




ANS: A,B,D k r kr kr



Value-
based purchasingilooks at five domain areas of processes of care,iincludingiefficiencyof care (cos kr kr



t per case), experience of carei(patientisatisfaction measures), andioutcomes of carei(mortality rat
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esiforcertainconditions).Evaluation of evidence to guide clinical care is partiof evidence-
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based practice. The requirements for IT standards and financial status are part of AccountableiCa
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reOrganizationstandards.
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Chapter02:TranslatingResearchintoClinicalPractice Buttar
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o:PrimaryCare:A Collaborative Practice, 6thEdition
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1. Whatisthepurpose ofLevelIIiresearch?kr kr kr kr



a. To definecharacteristics ofinterest ofgroupsofpatients
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b. Todemonstratetheeffectivenessof aninterventionortreatment
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c. Todescriberelationships amongicharacteristicsior variables
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d. Toevaluatethe natureiof relationships between two variables
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ANS: C k r



Level IIresearchiis concerned withidescribing the relationships amongicharacteristics or vari
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ables. Level Iiresearch is conductedito defineitheicharacteristics of groups of patients.Level IIi
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research evaluates theinature of theirelationships betweenivariables. Level IV research is con
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ducted to demonstrate theieffectivenessof interventionsor treatments.
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2. Whichisthemostappropriateiresearch design for aLevelIIIiresearchstudy?
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a. Epidemiologicalstudies
b. Experimentaldesign
c. Qualitativestudies
d. Randomizedclinicaltrials kr




ANS: B k r



The experimentaldesign is theimost appropriate design for aLeveliIIIstudy.Epidemiological st
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udies areaNpU
prR
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prI
iaN
teGfT
orBL.eC
veOlM
i II istudies.Qualitativedesigns are useful
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forLevelIistudies.Randomized clinical trials are used forLevelIVstudies.
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3. Whatiisthe purpose of clinical researchitrials in the spectrum of translationalresearch?
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a. Adoption of interventions and clinical practices intoiroutineclinical care
b. Determinationof the basisiof diseaseand various treatment options kr



c. Examinationofsafetyandeffectivenessofvariousinterventions
d. Exploration of fundamental mechanismsiof biology,disease,or behavior kr kr




ANS: C k r



Clinical research trials areconcernedwithdeterminingthesafetyandeffectiveness ofinterventi
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ons. Adoption of interventions and practices isipartiof clinical implementation. Determination of
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theibasis of disease and treatment options isipart oftheipreclinical researchphase. Exploration of
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thefundamentalmechanismsiofbiology,disease,orbehaviorispart of theibasiciresearchstage.
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Chapter03:EmpoweringPatients asCollaborative partners:A NewModel forPri
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maryCare
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Buttaro:PrimaryCare:A Collaborative Practice,6thEdition
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1. Whichistatement made byahealth careprovider demonstrates themostiappropriateiund
erstandingifor the goal of a performance report?
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a. ―This processiallows meitocritique theperformance of the rest of thestaff.‖ kr kr



b. ―Mostiorganizationsrequirestaff to undergoiaperformance evaluationi yearly.‖ kr



c. ―Itisihardto beipersonallycriticized but that’s howwelearn to change.‖
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d. ―Theicommentsshouldihelpimeiimprovemymanagementskills.‖ kr kr




ANS: D k r



The goal of theiperformanceireportiis to provide guidanceito staff in the areas of professional dev kr



elopment, mentoring, and leadership development. A peer reviewisiwrittenbyothersiwhoiperfo
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rm similar skills (peers). The remainingoptions maybeitrueibutido not provideevidenceiof unde
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rstandingof theigoalof this professional requirement.
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MULTIPLERESPONSE

1. Whichiassessment questionwouldaihealthcareiprovider askiwhen engaging in theprevisitistag kr kr kr



eofthenewmodelforprimarycare?(Selectallthatapply.)
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a. ―Areyou readyto discuss someiof the communityresources that are available?‖
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b. ―Arei youexperiencingianNyUsiRdS
eiI
efN
feGctTsiB
fr.COyM
om ournewlyprescribed medications?‖
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c. ―Doyou anticipate anyproblemsiwith adheringitoyourtreatment plan?‖
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d. ―Areyou readyto discuss the resultsiofyour laboratorytests?‖
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e. ―Doyou haveianyquestions about theilabtests that havebeen ordered foryou?‖
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ANS: B,C,E k r kr kr



Thenursingresponsibilities in theprevisit stageincludeiassessingitheipatient’s toleranceiofipres kr



cribed medications, understandingof existing treatment plan, and educationiabout required lab
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testing. Theiprimary care provider is responsible for screeningilabidata and discussingcommun
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ityresources duringitheiactualvisit.
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