PRIMARY CARE INTERPROFESSIONAL COLLA
v v v
BORATIVE PRECTICE 6TH EDITION TESTBANK B
v v v v v v
Y TERRY MAHAN BUTTARO | ALL CHAPTERS 1-
v v v v v v v
228
TEST BANK v
, TESTvBANKvFORvPRIMARYvCAREv6THvEDITIONvBYvBUTTARO
Chapter 01: Interprofessional Collaborative Practice: Where We Are Today
v v v v v v v v v
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
v v v v v v v
MULTIPLEvCHOICE
1. Avsmall,vruralvhospitalvisvpartvofvanvAccountablevCarevOrganizationv(ACO)vandvisvdesignatedva
svavLevelv1vACO.vWhatvisvpartvofvthisvdesignation?
a. Bonusesvbasedvonvachievementvofvbenchmarks
b. Carevcoordinationvforvchronicvdiseases
c. Standardsvforvminimumvcashvreserves
d. Strictvrequirementsvforvfinancialvreporting
ANS:v A
AvLevelv1vACOvhasvthevleastvamountvofvfinancialvriskvandvrequirements,vbutvreceivesvsharedvs
avingsvbonusesvbasedvonvachievementvofvbenchmarksvforvqualityvmeasuresvandvexpenditures.
vCarevcoordinationvandvminimumvcashvreservesvstandardsvarevpartvofvLevelv2vACOvrequireme
nts.vLevelv3vACOsvhavevstrictvrequirementsvforvfinancialvreporting.
2. WhatvwasvanvimportantvfindingvofvthevAdvisoryvBoardvsurveyvofv2014vaboutvprimaryvcarevp
referencesvofvpatients?
a. Associationsvwithvareavhospitals
b. Costsvofvambulatoryvcare
c. Easevofvaccessvtovcare
d. Thevratiovofvprovidersvtovpatientsv
ANS:v C
Asvpartvofvthev2014vsurvey,vthevAdvisoryvBoardvlearnedvthatvpatientsvdesiredv24/7vaccessvtovc
are,vwalk-
invsettingsvandvthevabilityvtovbevseenvwithinv30vminutes,vandvcarevthatvisvclosevtovhome.vAssoc
iationsvwithvhospitals,vcostsvofvcare,vandvthevratiovofvprovidersvtovpatientsvwerevnotvpartvofvthe
sevresults.
MULTIPLEvRESPONSE
1. Whichvassessmentsvofvcarevprovidersvarevperformedvasvpartvofvthevvalue-
basedvpurchasingv(VBP)vinitiative?v(Selectvallvthatvapply.)
a. AppraisingvcostsvpervcasevofvcarevforvMedicarevpatients
b. Assessingvpatients’vsatisfactionvwithvhospitalvcare
c. Evaluatingvavailablevevidencevtovguidevclinicalvcarevguidelines
d. Monitoringvmortalityvratesvofvallvpatientsvwithvpneumonia
e. RequiringvadvancedvITvstandardsvandvminimumvcashvreserves
ANS:v A,vB,vD
Value-
basedvpurchasingvlooksvatvfivevdomainvareasvofvprocessesvofvcare,vincludingvefficiencyvofvcarev(
costvpervcase),vexperiencevofvcarev(patientvsatisfactionvmeasures),vandvoutcomesvofvcarev(mort
alityvratesvforvcertainvconditions).vEvaluationvofvevidencevtovguidevclinicalvcarevisvpartvofvevide
nce-
basedvpractice.vThevrequirementsvforvITvstandardsvandvfinancialvstatusvarevpartvofvAccountable
vCarevOrganizationvstandards.
, TESTvBANKvFORvPRIMARYvCAREv6THvEDITIONvBYvBUTTARO
Chapter 02: Translating Research into Clinical Practice Butta
v v v v v v v
ro: Primary Care: A Collaborative Practice, 6th Edition
v v v v v v v
MULTIPLEvCHOICE
1. WhatvisvthevpurposevofvLevelvIIvresearch?
a. Tovdefinevcharacteristicsvofvinterestvofvgroupsvofvpatients
b. Tovdemonstratevtheveffectivenessvofvanvinterventionvorvtreatment
c. Tovdescribevrelationshipsvamongvcharacteristicsvorvvariables
d. Tovevaluatevthevnaturevofvrelationshipsvbetweenvtwovvariables
ANS:v C
LevelvIIvresearchvisvconcernedvwithvdescribingvthevrelationshipsvamongvcharacteristicsvorvv
ariables.vLevelvIvresearchvisvconductedvtovdefinevthevcharacteristicsvofvgroupsvofvpatients.vLe
velvIIvresearchvevaluatesvthevnaturevofvthevrelationshipsvbetweenvvariables.vLevelvIVvresear
chvisvconductedvtovdemonstratevtheveffectivenessvofvinterventionsvorvtreatments.
2. WhichvisvthevmostvappropriatevresearchvdesignvforvavLevelv IIIvresearchvstudy?
a. Epidemiologicalvstudies
b. Experimentalvdesign
c. Qualitativevstudies
d. Randomizedvclinicalvtrials
ANS:v B
ThevexperimentalvdesignvisvthevmostvappropriatevdesignvforvavLevelvIIIvstudy.vEpidemiologic
alvstudiesvarevaNpU
prR
opSrI
iaN
teGfT
orBL.eC
veOlvM
IIvstudies.vQualitativevdesignsvarevuseful
forvLevelvIvstudies.vRandomizedvclinicalvtrialsvarevusedvforvLevelvIVvstudies.
3. Whatvisvthevpurposevofvclinicalvresearchvtrialsvinvthevspectrumvofvtranslationalvresearch?
a. Adoptionvofvinterventionsvandvclinicalvpracticesvintovroutinevclinicalvcare
b. Determinationvofvthevbasisvofvdiseasevandvvariousvtreatmentvoptions
c. Examinationvofvsafetyvandveffectivenessvofvvariousvinterventions
d. Explorationvofvfundamentalvmechanismsvofvbiology,vdisease,vorvbehavior
ANS:v C
Clinicalvresearchvtrialsvarevconcernedvwithvdeterminingvthevsafetyvandveffectivenessvofvinterve
ntions.vAdoptionvofvinterventionsvandvpracticesvisvpartvofvclinicalvimplementation.vDeterminat
ionvofvthevbasisvofvdiseasevandvtreatmentvoptionsvisvpartvofvthevpreclinicalvresearchvphase.vExplo
rationvofvthevfundamentalvmechanismsvofvbiology,vdisease,vorvbehaviorvisvpartvofvthevbasicvres
earchvstage.
, TESTvBANKvFORvPRIMARYvCAREv6THvEDITIONvBYvBUTTARO
Chapter 03: Empowering Patients as Collaborative partners: A New Model forP
v v v v v v v v v v v
rimary Care
v
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
v v v v v v v
MULTIPLEvCHOICE
1. Whichvstatementvmadevbyvavhealthvcarevprovidervdemonstratesvthevmostvappropriatevu
nderstandingvforvthevgoalvofvavperformancevreport?
a. “Thisvprocessvallowsvmevtovcritiquevthevperformancevofvthevrestvofvthevstaff.”
b. “Mostvorganizationsvrequirevstaffvtovundergovavperformancevevaluationvyearly.”
c. “Itvisvhardvtovbevpersonallyvcriticizedvbutvthat’svhowvwevlearnvtovchange.”
d. “Thevcommentsvshouldvhelpvmevimprovevmyvmanagementvskills.”
ANS:v D
Thevgoalvofvthevperformancevreportvisvtovprovidevguidancevtovstaffvinvthevareasvofvprofessional
vdevelopment,vmentoring, vandvleadershipvdevelopment.vAvpeervreviewvisvwrittenvbyvothersvwh
ovperformvsimilarvskillsv(peers).vThevremainingvoptionsvmayvbevtruevbutvdovnotvprovidevevide
ncevofvunderstandingvofvthevgoalvofvthisvprofessionalvrequirement.
MULTIPLEvRESPONSE
1. Whichvassessmentvquestionvwouldvavhealthvcarevprovidervaskvwhenvengagingvinvthevprevisitvs
tagevofvthevnewvmodelvforvprimaryvcare?v(Selectvallvthatvapply.)
a. “Arevyouvreadyvtovdiscussvsomevofvthevcommunityvresourcesvthatvarevavailable?”
b. “ArevyouvexperiencingvanNyUsiRdS
evI
efN
feGctTs B
fr.COyM
om ourv newlyvprescribedvmedications?”
c. “Dovyouvanticipatevanyvproblemsvwithvadheringvtovyourvtreatmentvplan?”
d. “Arevyouvreadyvtovdiscussvthevresultsvofvyourvlaboratoryvtests?”
e. “Dovyouvhavevanyvquestionsvaboutvthevlabvtestsvthatvhavevbeenvorderedvforvyou?”
ANS:v B,vC,vE
Thevnursingvresponsibilitiesvinvthevprevisitvstagevincludevassessingvthevpatient’svtolerancevofvp
rescribedvmedications,vunderstandingvofvexistingvtreatmentvplan,vandveducationvaboutvrequir
edvlabvtesting.vThevprimaryvcarevprovidervisvresponsiblevforvscreeningvlabvdatavandvdiscussin
gvcommunityvresourcesvduringvthevactualvvisit.
v v v
BORATIVE PRECTICE 6TH EDITION TESTBANK B
v v v v v v
Y TERRY MAHAN BUTTARO | ALL CHAPTERS 1-
v v v v v v v
228
TEST BANK v
, TESTvBANKvFORvPRIMARYvCAREv6THvEDITIONvBYvBUTTARO
Chapter 01: Interprofessional Collaborative Practice: Where We Are Today
v v v v v v v v v
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
v v v v v v v
MULTIPLEvCHOICE
1. Avsmall,vruralvhospitalvisvpartvofvanvAccountablevCarevOrganizationv(ACO)vandvisvdesignatedva
svavLevelv1vACO.vWhatvisvpartvofvthisvdesignation?
a. Bonusesvbasedvonvachievementvofvbenchmarks
b. Carevcoordinationvforvchronicvdiseases
c. Standardsvforvminimumvcashvreserves
d. Strictvrequirementsvforvfinancialvreporting
ANS:v A
AvLevelv1vACOvhasvthevleastvamountvofvfinancialvriskvandvrequirements,vbutvreceivesvsharedvs
avingsvbonusesvbasedvonvachievementvofvbenchmarksvforvqualityvmeasuresvandvexpenditures.
vCarevcoordinationvandvminimumvcashvreservesvstandardsvarevpartvofvLevelv2vACOvrequireme
nts.vLevelv3vACOsvhavevstrictvrequirementsvforvfinancialvreporting.
2. WhatvwasvanvimportantvfindingvofvthevAdvisoryvBoardvsurveyvofv2014vaboutvprimaryvcarevp
referencesvofvpatients?
a. Associationsvwithvareavhospitals
b. Costsvofvambulatoryvcare
c. Easevofvaccessvtovcare
d. Thevratiovofvprovidersvtovpatientsv
ANS:v C
Asvpartvofvthev2014vsurvey,vthevAdvisoryvBoardvlearnedvthatvpatientsvdesiredv24/7vaccessvtovc
are,vwalk-
invsettingsvandvthevabilityvtovbevseenvwithinv30vminutes,vandvcarevthatvisvclosevtovhome.vAssoc
iationsvwithvhospitals,vcostsvofvcare,vandvthevratiovofvprovidersvtovpatientsvwerevnotvpartvofvthe
sevresults.
MULTIPLEvRESPONSE
1. Whichvassessmentsvofvcarevprovidersvarevperformedvasvpartvofvthevvalue-
basedvpurchasingv(VBP)vinitiative?v(Selectvallvthatvapply.)
a. AppraisingvcostsvpervcasevofvcarevforvMedicarevpatients
b. Assessingvpatients’vsatisfactionvwithvhospitalvcare
c. Evaluatingvavailablevevidencevtovguidevclinicalvcarevguidelines
d. Monitoringvmortalityvratesvofvallvpatientsvwithvpneumonia
e. RequiringvadvancedvITvstandardsvandvminimumvcashvreserves
ANS:v A,vB,vD
Value-
basedvpurchasingvlooksvatvfivevdomainvareasvofvprocessesvofvcare,vincludingvefficiencyvofvcarev(
costvpervcase),vexperiencevofvcarev(patientvsatisfactionvmeasures),vandvoutcomesvofvcarev(mort
alityvratesvforvcertainvconditions).vEvaluationvofvevidencevtovguidevclinicalvcarevisvpartvofvevide
nce-
basedvpractice.vThevrequirementsvforvITvstandardsvandvfinancialvstatusvarevpartvofvAccountable
vCarevOrganizationvstandards.
, TESTvBANKvFORvPRIMARYvCAREv6THvEDITIONvBYvBUTTARO
Chapter 02: Translating Research into Clinical Practice Butta
v v v v v v v
ro: Primary Care: A Collaborative Practice, 6th Edition
v v v v v v v
MULTIPLEvCHOICE
1. WhatvisvthevpurposevofvLevelvIIvresearch?
a. Tovdefinevcharacteristicsvofvinterestvofvgroupsvofvpatients
b. Tovdemonstratevtheveffectivenessvofvanvinterventionvorvtreatment
c. Tovdescribevrelationshipsvamongvcharacteristicsvorvvariables
d. Tovevaluatevthevnaturevofvrelationshipsvbetweenvtwovvariables
ANS:v C
LevelvIIvresearchvisvconcernedvwithvdescribingvthevrelationshipsvamongvcharacteristicsvorvv
ariables.vLevelvIvresearchvisvconductedvtovdefinevthevcharacteristicsvofvgroupsvofvpatients.vLe
velvIIvresearchvevaluatesvthevnaturevofvthevrelationshipsvbetweenvvariables.vLevelvIVvresear
chvisvconductedvtovdemonstratevtheveffectivenessvofvinterventionsvorvtreatments.
2. WhichvisvthevmostvappropriatevresearchvdesignvforvavLevelv IIIvresearchvstudy?
a. Epidemiologicalvstudies
b. Experimentalvdesign
c. Qualitativevstudies
d. Randomizedvclinicalvtrials
ANS:v B
ThevexperimentalvdesignvisvthevmostvappropriatevdesignvforvavLevelvIIIvstudy.vEpidemiologic
alvstudiesvarevaNpU
prR
opSrI
iaN
teGfT
orBL.eC
veOlvM
IIvstudies.vQualitativevdesignsvarevuseful
forvLevelvIvstudies.vRandomizedvclinicalvtrialsvarevusedvforvLevelvIVvstudies.
3. Whatvisvthevpurposevofvclinicalvresearchvtrialsvinvthevspectrumvofvtranslationalvresearch?
a. Adoptionvofvinterventionsvandvclinicalvpracticesvintovroutinevclinicalvcare
b. Determinationvofvthevbasisvofvdiseasevandvvariousvtreatmentvoptions
c. Examinationvofvsafetyvandveffectivenessvofvvariousvinterventions
d. Explorationvofvfundamentalvmechanismsvofvbiology,vdisease,vorvbehavior
ANS:v C
Clinicalvresearchvtrialsvarevconcernedvwithvdeterminingvthevsafetyvandveffectivenessvofvinterve
ntions.vAdoptionvofvinterventionsvandvpracticesvisvpartvofvclinicalvimplementation.vDeterminat
ionvofvthevbasisvofvdiseasevandvtreatmentvoptionsvisvpartvofvthevpreclinicalvresearchvphase.vExplo
rationvofvthevfundamentalvmechanismsvofvbiology,vdisease,vorvbehaviorvisvpartvofvthevbasicvres
earchvstage.
, TESTvBANKvFORvPRIMARYvCAREv6THvEDITIONvBYvBUTTARO
Chapter 03: Empowering Patients as Collaborative partners: A New Model forP
v v v v v v v v v v v
rimary Care
v
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
v v v v v v v
MULTIPLEvCHOICE
1. Whichvstatementvmadevbyvavhealthvcarevprovidervdemonstratesvthevmostvappropriatevu
nderstandingvforvthevgoalvofvavperformancevreport?
a. “Thisvprocessvallowsvmevtovcritiquevthevperformancevofvthevrestvofvthevstaff.”
b. “Mostvorganizationsvrequirevstaffvtovundergovavperformancevevaluationvyearly.”
c. “Itvisvhardvtovbevpersonallyvcriticizedvbutvthat’svhowvwevlearnvtovchange.”
d. “Thevcommentsvshouldvhelpvmevimprovevmyvmanagementvskills.”
ANS:v D
Thevgoalvofvthevperformancevreportvisvtovprovidevguidancevtovstaffvinvthevareasvofvprofessional
vdevelopment,vmentoring, vandvleadershipvdevelopment.vAvpeervreviewvisvwrittenvbyvothersvwh
ovperformvsimilarvskillsv(peers).vThevremainingvoptionsvmayvbevtruevbutvdovnotvprovidevevide
ncevofvunderstandingvofvthevgoalvofvthisvprofessionalvrequirement.
MULTIPLEvRESPONSE
1. Whichvassessmentvquestionvwouldvavhealthvcarevprovidervaskvwhenvengagingvinvthevprevisitvs
tagevofvthevnewvmodelvforvprimaryvcare?v(Selectvallvthatvapply.)
a. “Arevyouvreadyvtovdiscussvsomevofvthevcommunityvresourcesvthatvarevavailable?”
b. “ArevyouvexperiencingvanNyUsiRdS
evI
efN
feGctTs B
fr.COyM
om ourv newlyvprescribedvmedications?”
c. “Dovyouvanticipatevanyvproblemsvwithvadheringvtovyourvtreatmentvplan?”
d. “Arevyouvreadyvtovdiscussvthevresultsvofvyourvlaboratoryvtests?”
e. “Dovyouvhavevanyvquestionsvaboutvthevlabvtestsvthatvhavevbeenvorderedvforvyou?”
ANS:v B,vC,vE
Thevnursingvresponsibilitiesvinvthevprevisitvstagevincludevassessingvthevpatient’svtolerancevofvp
rescribedvmedications,vunderstandingvofvexistingvtreatmentvplan,vandveducationvaboutvrequir
edvlabvtesting.vThevprimaryvcarevprovidervisvresponsiblevforvscreeningvlabvdatavandvdiscussin
gvcommunityvresourcesvduringvthevactualvvisit.
