Primary care interprofessional collaborative practice 6th edition test bank answers & questions

TEST BANK FOR o o



Primary Care Interprofessional Collaborative Practice 6th Edition
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|Chapter 1-228|Complete TestBank A+
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Authors: Terry Mahan Buttaro, Patricia Polgar-Bailey, Joanne Sandberg-Cook, JoAnn Trybulski
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Chapter 01: Interprofessional Collaborative Practice:
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Where We Are Today
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Buttaro: Primary Care: A Collaborative Practice, 6th
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Edition


MULTIPLEoCHOICE

1.oAosmall,oruralohospitaloisopartoofoanoAccountableoCareoOrga
nizationo(ACO)oandoisodesignatedoasoaoLevelo1oACO.oWhato
isopartoofothisodesignation?
a. Bonusesobasedoonoachievementoofobenchmarks
b. Careocoordinationoforochronicodiseases
c. Standardsoforominimumocashoreserves
d. Strictorequirementsoforofinancialoreporting
ANS:o o A

AoLevelo1oACOohasotheoleastoamountoofofinancialoriskoandorequirements,obutoreceivesosharedosaving
sobonusesobasedoonoachievementoofobenchmarksoforoqualityomeasuresoandoexpenditures.oCareocoord
inationoandominimumocashoreservesostandardsoareopartoofoLevelo2oACOorequirements.oLevelo3oACOs
ohaveostrictorequirementsoforofinancialoreporting.




2.o WhatowasoanoimportantofindingoofotheoAdvisoryoBoardosurveyoofo2014oaboutoprimaryocareopreference
soofopatients?
a. Associationsowithoareaohospitals
b. Costsoofoambulatoryocare
c. Easeoofoaccessotoocare
d. Theoratiooofoprovidersotoopatients
ANS:o C
Asopartoofotheo2014osurvey,otheoAdvisoryoBoardolearnedothatopatientsodesiredo24/7oaccessotoocare,o
walk-inosettingsoandotheoabilityotoobeoseenowithino30ominutes,oandocareothatoisocloseotoohome.
Associationsowithohospitals,ocostsoofocare,oandotheoratiooofoprovidersotoopatientsowereonotopartoofothes
eoresults.

,MULTIPLE RESPONSEo




1. Whichoassessmentsoofocareoprovidersoareoperformedoasopartoofotheovalue-
basedopurchasingo(VBP)oinitiative?o(Selectoallothatoapply.)
a. AppraisingocostsoperocaseoofocareoforoMedicareopatients
b. Assessingopatients’osatisfactionowithohospitalocare
c. Evaluatingoavailableoevidenceotooguideoclinicalocareoguidelines
d. Monitoringomortalityoratesoofoallopatientsowithopneumonia
e. RequiringoadvancedoITostandardsoandominimumocashoreserves
ANS:o A,oB,oD
Value-
basedopurchasingolooksoatofiveodomainoareasoofoprocessesoofocare,oincludingoefficiencyoofocareo(co
stoperocase),oexperienceoofocareo(patientosatisfactionomeasures),oandooutcomesoofocareo(mortalityor
atesoforocertainoconditions).oEvaluationoofoevidenceotooguideoclinicalocareoisopartoofoevidence-
basedopractice.oTheorequirementsoforoITostandardsoandofinancialostatusoareopartoofoAccountableoC
areoOrganizationostandards.

Chapter 02: Translating Research into Clinical Practice Buttaro:
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Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE o




1. WhatoisotheopurposeoofoLeveloIIoresearch?
a. Toodefineocharacteristicsoofointerestoofogroupsoofopatients
b. Toodemonstrateotheoeffectivenessoofoanointerventionoorotreatment
c. Toodescribeorelationshipsoamongocharacteristicsoorovariables
d. Tooevaluateotheonatureooforelationshipsobetweenotwoovariables
ANS:o C
LeveloIIoresearchoisoconcernedowithodescribingotheorelationshipsoamongocharacteristicsoorovariable
s.oLeveloIoresearchoisoconductedotoodefineotheocharacteristicsoofogroupsoofopatients.oLeveloIIoresearc
hoevaluatesotheonatureoofotheorelationshipsobetweenovariables.oLeveloIVoresearchoisoconductedotood
emonstrateotheoeffectivenessoofointerventionsoorotreatments.

2. WhichoisotheomostoappropriateoresearchodesignoforoaoLeveloIIIoresearchostudy?
a. Epidemiologicalo studies
b. Experimentalodesign
c. Qualitativeostudies
d. Randomizedoclinicalotrials
ANS:o B
TheoexperimentalodesignoisotheomostoappropriateodesignoforoaoLeveloIIIostudy.oEpidemiologicalostudi
esoareoappropriateoforoLeveloIIostudies.oQualitativeodesignsoareousefuloforoLeveloIostudies.oRandomiz
edoclinicalotrialsoareousedoforoLeveloIVostudies.

, 3. Whatoisotheopurposeoofoclinicaloresearchotrialsoinotheospectrumoofotranslationaloresearch?
a. Adoptionoofointerventionsoandoclinicalopracticesointooroutineoclinicalocare
b. Determinationoofotheobasisoofodiseaseoandovariousotreatmentooptions
c. Examinationoofosafetyoandoeffectivenessoofovariousointerventions
d. Explorationoofofundamentalomechanismsoofobiology,odisease,oorobehavior
ANS:o C
Clinicaloresearchotrialsoareoconcernedowithodeterminingotheosafetyoandoeffectivenessoofointervention
s.oAdoptionoofointerventionsoandopracticesoisopartoofoclinicaloimplementation.oDeterminationoofotheo
basisoofodiseaseoandotreatmentooptionsoisopartoofotheopreclinicaloresearchophase.oExplorationoofotheofu
ndamentalomechanismsoofobiology,odisease,oorobehavioroisopartoofotheobasicoresearchostage.

Chapter 03: Empowering Patients as Collaborative partners: A New Model for Primary Car
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e
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE
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1. Whichostatementomadeobyoaohealthocareoproviderodemonstratesotheomostoappropriateo
understandingoforotheogoaloofoaoperformanceoreport?
a. ―Thisoprocessoallowsomeotoocritiqueotheoperformanceoofotheorestoofotheostaff.‖
b. ―Mostoorganizationsorequireostaffotooundergooaoperformanceoevaluationoyearly.‖
c. ―Itoisohardotoobeopersonallyocriticizedobutothat’sohowoweolearnotoochange.‖
d. ―Theocommentsoshouldohelpomeoimproveomyomanagementoskills.‖
ANS:o D
Theogoaloofotheoperformanceoreportoisotooprovideoguidanceotoostaffoinotheoareasoofoprofessionalodevel
opment,omentoring,oandoleadershipodevelopment.oAopeeroreviewoisowrittenobyoothersowhooperformos
imilaroskillso(peers).oTheoremainingooptionsomayobeotrueobutodoonotoprovideoevidenceoofounderstandi
ngoofotheogoaloofothisoprofessionalorequirement.


MULTIPLE RESPONS
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E
1. Whichoassessmentoquestionowouldoaohealthocareoprovideroaskowhenoengagingoinotheoprevisitostageoo
fotheonewomodeloforoprimaryocare?o(Selectoallothatoapply.)
a. ―Areoyouoreadyotoodiscussosomeoofotheocommunityoresourcesothatoareoavailable?‖
b. ―Areoyouoexperiencingoanyosideoeffectsofromoyouronewlyoprescribedomedications?‖
c. ―Dooyouoanticipateoanyoproblemsowithoadheringotooyourotreatmentoplan?‖
d. ―Areoyouoreadyotoodiscussotheoresultsoofoyourolaboratoryotests?‖
e. ―Dooyouohaveoanyoquestionsoaboutotheolabotestsothatohaveobeenoorderedoforoyou?‖
ANS:o B,oC,oE

, Theonursingoresponsibilitiesoinotheoprevisitostageoincludeoassessingotheopatient’sotoleranceoofopresc
ribedomedications,ounderstandingoofoexistingotreatmentoplan,oandoeducationoaboutorequiredolabotest
ing.oTheoprimaryocareoprovideroisoresponsibleoforoscreeningolabodataoandodiscussingocommunityore
sourcesoduringotheoactualovisit.

Chapter 04: Coordinated Chronic Care
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Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE
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1. Tooreduceoadverseoeventsoassociatedowithocareotransitions,otheoCentersoforoMedicareoando
MedicaidoServiceohaveoimplementedowhichopolicy?
a. Mandatesoforocommunicationoamongoprimaryocaregiversoandohospitalists
b. Penaltiesoforofailureotooperformomedicationoreconciliationsoatotimeoofodischarge
c. Reductionoofopaymentsoforopatientsoreadmittedowithino30odaysoafterodischarge
d. Requirementsoforowrittenodischargeoinstructionsoforopatientsoandocaregivers
ANS:o C
AsoaocomponentoofotheoAffordableoCareoAct,otheoCentersoforoMedicareoandoMedicaidoServiceodevelo
pedotheoReadmissionsoReductionoProgramoreducingopaymentsoforocertainopatientsoreadmittedowithi
no30odaysoofodischarge.oTheoCMSodidonotomandateocommunication,oinstituteopenaltiesoforofailureotoo
performomedicationoreconciliations,oororequireowrittenodischargeoinstructions.

2. Accordingotoomultipleoresearchostudies,owhichointerventionohasoresultedoinolowerocostsoandofeweror
ehospitalizationsoinohigh-riskoolderopatients?
a. Coordinationoofoposthospitalocareobyoadvancedopracticeohealthocareoproviders
b. Frequentoposthospitaloclinicovisitsowithoaoprimaryocareoprovider
c. Inclusionoofoextendedofamilyomembersoinotheooutpatientoplanoofocare
d. Telephoneofollow-upobyotheopharmacistotooassessomedicationocompliance
ANS:o A
Researchostudiesoprovidedoevidenceothatohigh-
riskoolderopatientsowhoohadoposthospitalocareocoordinatedobyoanoAPNohadoreducedorehospitalizatio
norates.oItodidonotoincludeoclinicovisitsowithoaoprimaryocareoprovider,oinclusionoofoextendedofamilyo
membersoinotheoplanoofocare,oorotelephoneofollow-upobyoaopharmacist.


MULTIPLE RESPONSE
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1. Whichoadvantagesoareoprovidedotootheochronicallyoillopatientobyopersonaloelectronicomonitoringo
devices?o(Selectoallothatoapply.)
a. Helpsoprovideomoreopatientocontrolotheirohealthoandolifestyle
b. Eliminatesoneedofororegularomedicaloandonursingofollow-upovisits
c. Helpsotheoearlyoidentificationoofopatientohealth-relatedoproblems
d. Helpsohealthocareoprovidersoinokeepingotrackoofotheopatient’sohealthostatus
e. CostoisooftenocoveredobyoMedicare