PRIMARY CAREINTERPROFESSIONAL COLLA
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BORATIVEPRECTICE6THEDITIONTESTBANK BY
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TERRY MAHANBUTTARO | ALL CHAPTERS1- 228
p p p p p p p
TESTBANK
, TESTpBANKpFORpPRIMARYpCAREp6THpEDITIONpBYpBUTTARO
Chapter 01: Interprofessional Collaborative Practice: Where We Are Toda
p p p p p p p p p
yButtaro: Primary Care: A Collaborative Practice, 6th Edition
p p p p p p p
MULTIPLEp CHOICE
1. Apsmall,p ruralp hospitalp isppartpofpanp AccountablepCarepOrganizationp (ACO)p andp isp designatpe
dasp ap Levelp 1p ACO.p Whatp isp partp ofp thisp designation?
ax
a. Bonusesp basedp onp achievementp ofpbenchmarks
b. Carepcoordinationp forp chronicp diseases
c. Standardspforpminimump cashp reserves
d. Strictprequirementsp forp financialpreporting
ANS:p A
Ap Levelp 1p ACOp hasp thepleastp amountp ofp financialp riskp andp requirements,p butp receivesp sharpe
dsavingsp bonusesp basedp onp achievementp ofp benchmarksp forp qualityp measuresp andp expendpit
ax
ures.p Carep coordinationp andp minimump cashp reservesp standardsp arep partp ofp Levelp 2p ACOpreq
uirements.p Levelp 3p ACOsp havep strictp requirementsp forp financialp reporting.
2. Whatp wasp anp importantp findingp ofp thep Advisoryp Boardp surveyp ofp 2014p aboutp primaryp cpa
repreferencesp ofp patients?
a. Associationsp withp areap hospitals
b. Costsp ofpambulatoryp care
c. Easepofp accessp top care
d. Thepratiopofpprovidersptop patientp
sANS:p C
Asp partp ofp thep 2014p survey,p thep Advisoryp Boardp learnedp thatp patientsp desiredp 24/7p accesspt
ocare,p walk-
ax
inp settingsp andp thep abilityp top bep seenp withinp 30p minutes,p andp carep thatp isp closep top home.pA
ssociationsp withp hospitals,p costsp ofp care,p andp thep ratiop ofp providersp top patientsp werenot ppar
a
tp ofp thesep results.
MULTIPLEp RESPONSE
1. Whichpassessmentsp ofp carepprovidersp arepperformedp asp partp ofp thep value-
pbasedp purchasing(VBP)p initiative? p (Selectp allp thatp apply.)
a. Appraisingp costsp perp casep ofp carep forpMedicarep patients
b. Assessingppatients’p satisfactionpwithp hospitalpcare
c. Evaluatingpavailablep evidencep top guidep clinicalp carepguidelines
d. Monitoringp mortalityp ratesp ofpallp patientsp withp pneumonia
e. Requiringpadvancedp ITpstandardsp andpminimump cashpreserves
ANS:p A,p B,p D
Value-
basedppurchasingplookspatpfivepdomainpareaspofpprocessespofpcare,pincludingpefficiencyofpcapre
p(costpperpcase),pexperiencepofpcarep(patientpsatisfactionpmeasures),pandpoutcomespofpcarep(mor
talityp ratesp forp certainp conditions).p Evaluationp ofp evidencep top guidep clinicalp carep isp paprtp ofp e
vidence-
basedppractice.pTheprequirementspforpITpstandardspandpfinancialpstatuspareppartpofpAccountpab
lep Carep Organizationp standards.
, TESTpBANKpFORpPRIMARYpCAREp6THpEDITIONpBYpBUTTARO
Chapter 02: Translating Research into Clinical Practice Butt
p p p p p p p p
aro: Primary Care: A Collaborative Practice, 6th Edition
p p p p p p p
MULTIPLEp CHOICE
1. Whatp isp theppurposep ofp Levelp IIpresearch?
a. Topdefinepcharacteristicsp ofp interestp ofp groupsp ofp patients
b. Topdemonstratep thepeffectivenessp ofp anp interventionp orptreatment
c. Topdescribeprelationshipsp amongp characteristicsp orp variables
d. Topevaluatepthep naturepofp relationshipsp betweenp twop variables
ANS:p C
Levelp IIp researchp isp concernedp withp describingp thep relationshipsp amongp characteristicsp opr
p variables.p Levelp Ipresearchp isp conductedp top definep thep characteristicsp ofp groupsp ofp patiepnt
s.Levelp IIp researchp evaluatesp thep naturep ofp thep relationshipsp betweenp variables.p LevelpIVp
researchp isp conductedp top demonstratep thep effectivenessp ofp interventionsp orp treatments
.
2. Whichpisp thepmostp appropriatep researchp designp forp ap Levelp IIIp researchp study?
a. Epidemiologicalpstudies
b. Experimentalpdesign
c. Qualitativepstudies
d. Randomizedpclinicalp trials
ANS:p B
Thep experimentalp designp isp thep mostp appropriatep designp forp ap Levelp IIIp study.p Epidemiolo
gicalp studiesp arep aNpU
prRopSrI
iaN
teGfT
orBL.eC
veOlM
axIIp studies.p Qualitativep designsp arep usefulpfor
pLevelp Ipstudies.p Randomizedp clinicalp trialsp arep usedp forp Levelp IVp studies.
3. Whatp isp thep purposepofp clinicalp researchp trialsp inp thepspectrump ofp translationalp research?
a. Adoptionpofp interventionsp andp clinicalp practicesp intop routinepclinicalp care
b. Determinationp ofpthep basisp ofpdiseasepandp variousp treatmentp options
c. Examinationpofpsafetypandp effectivenessp ofp variousp interventions
d. Explorationpofpfundamentalp mechanismsp ofp biology,p disease,p orp behavior
ANS:p C
Clinicalpresearchptrialsparepconcernedpwithpdeterminingpthepsafetypandpeffectivenesspofpinteprv
entions.pAdoptionpofpinterventionspandppracticespisppartpofpclinicalpimplementation.pDeteprmin
ationpofpthepbasispofpdiseasepandptreatmentpoptionspisppartpofptheppreclinicalpresearchphpase.p Ex
plorationp ofp thep fundamentalp mechanismsp ofp biology,p disease,p orp behaviorp isp partp opfp thep bas
icp researchp stage.
, TESTpBANKpFORpPRIMARYpCAREp6THpEDITIONpBYpBUTTARO
Chapter 03: Empowering Patients as Collaborative partners: A New Model fo
p p p p p p p p p p p
rPrimary Carep
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
p p p p p p p
MULTIPLEp CHOICE
1. Whichpstatementp madepbyp aphealthp carepproviderp demonstratesp thepmostp appropriapt
eunderstandingp forp thep goalp ofp ap performancep report?
a. ―Thisp processp allowsp meptop critiquep thep performancep ofp thep restp ofp thep staff.‖
b. ―Mostporganizationsp requirepstaffp top undergop apperformancep evaluationp yearly.‖
c. ―Itp isp hardp top beppersonallyp criticizedp butp that’sp howp weplearnp top change.‖
d. ―Thepcommentsp shouldp helpp mepimprovepmyp managementp skills.‖
ANS:p D
Thepgoalpofpthepperformancepreportpisptopprovidepguidanceptopstaffpinpthepareaspofpprofessipona
lpdevelopment,p mentoring,p andp leadershipp development.pAp peerp reviewp isp writtenbyp othpersp
ax
whopperformpsimilarpskillsp(peers).pThepremainingpoptionspmaypbeptruepbutpdopnotppropvidepev
idencep ofp understandingp ofp thep goalp ofp thisp professionalp requirement.
MULTIPLEp RESPONSE
1. Whichpassessmentp questionp wouldp ap healthp carepproviderpaskp whenp engagingp inp thepprevips
itstagepofp thepnewp modelp forp primaryp care?p (Selectp allp thatp apply.)
ax
a. ―Arep youp readyp top discussp somepofp thep communitypresourcesp thatp arep available?‖
b. ―Arep youp experiencingp anNyUsiRdSeIefN
feGctTs B
ax fr.COyM
om ourp newlyp prescribedp medications?‖
c. ―Dop youp anticipatep anyp problemsp withp adheringptop yourptreatmentp plan?‖
d. ―Arep youp readyp top discusspthep resultsp ofp yourp laboratoryp tests?‖
e. ―Dop youp havep anypquestionsp aboutp thep labp testsp thatp havepbeenp orderedp forp you?‖
ANS:p B,p C,p E
Thepnursingpresponsibilitiespinpthepprevisitpstagepincludepassessingptheppatient’sptolerancepo
fprescribedpmedications,punderstandingpofpexistingptreatmentpplan,pandpeducationpaboutpre
quiredplabptesting.pThepprimarypcarepproviderpispresponsiblepforpscreeningplabpdatapandpdisc
ussingp communityp resourcesp duringp thep actualp visit.
p p p p
BORATIVEPRECTICE6THEDITIONTESTBANK BY
p p p p p p p
TERRY MAHANBUTTARO | ALL CHAPTERS1- 228
p p p p p p p
TESTBANK
, TESTpBANKpFORpPRIMARYpCAREp6THpEDITIONpBYpBUTTARO
Chapter 01: Interprofessional Collaborative Practice: Where We Are Toda
p p p p p p p p p
yButtaro: Primary Care: A Collaborative Practice, 6th Edition
p p p p p p p
MULTIPLEp CHOICE
1. Apsmall,p ruralp hospitalp isppartpofpanp AccountablepCarepOrganizationp (ACO)p andp isp designatpe
dasp ap Levelp 1p ACO.p Whatp isp partp ofp thisp designation?
ax
a. Bonusesp basedp onp achievementp ofpbenchmarks
b. Carepcoordinationp forp chronicp diseases
c. Standardspforpminimump cashp reserves
d. Strictprequirementsp forp financialpreporting
ANS:p A
Ap Levelp 1p ACOp hasp thepleastp amountp ofp financialp riskp andp requirements,p butp receivesp sharpe
dsavingsp bonusesp basedp onp achievementp ofp benchmarksp forp qualityp measuresp andp expendpit
ax
ures.p Carep coordinationp andp minimump cashp reservesp standardsp arep partp ofp Levelp 2p ACOpreq
uirements.p Levelp 3p ACOsp havep strictp requirementsp forp financialp reporting.
2. Whatp wasp anp importantp findingp ofp thep Advisoryp Boardp surveyp ofp 2014p aboutp primaryp cpa
repreferencesp ofp patients?
a. Associationsp withp areap hospitals
b. Costsp ofpambulatoryp care
c. Easepofp accessp top care
d. Thepratiopofpprovidersptop patientp
sANS:p C
Asp partp ofp thep 2014p survey,p thep Advisoryp Boardp learnedp thatp patientsp desiredp 24/7p accesspt
ocare,p walk-
ax
inp settingsp andp thep abilityp top bep seenp withinp 30p minutes,p andp carep thatp isp closep top home.pA
ssociationsp withp hospitals,p costsp ofp care,p andp thep ratiop ofp providersp top patientsp werenot ppar
a
tp ofp thesep results.
MULTIPLEp RESPONSE
1. Whichpassessmentsp ofp carepprovidersp arepperformedp asp partp ofp thep value-
pbasedp purchasing(VBP)p initiative? p (Selectp allp thatp apply.)
a. Appraisingp costsp perp casep ofp carep forpMedicarep patients
b. Assessingppatients’p satisfactionpwithp hospitalpcare
c. Evaluatingpavailablep evidencep top guidep clinicalp carepguidelines
d. Monitoringp mortalityp ratesp ofpallp patientsp withp pneumonia
e. Requiringpadvancedp ITpstandardsp andpminimump cashpreserves
ANS:p A,p B,p D
Value-
basedppurchasingplookspatpfivepdomainpareaspofpprocessespofpcare,pincludingpefficiencyofpcapre
p(costpperpcase),pexperiencepofpcarep(patientpsatisfactionpmeasures),pandpoutcomespofpcarep(mor
talityp ratesp forp certainp conditions).p Evaluationp ofp evidencep top guidep clinicalp carep isp paprtp ofp e
vidence-
basedppractice.pTheprequirementspforpITpstandardspandpfinancialpstatuspareppartpofpAccountpab
lep Carep Organizationp standards.
, TESTpBANKpFORpPRIMARYpCAREp6THpEDITIONpBYpBUTTARO
Chapter 02: Translating Research into Clinical Practice Butt
p p p p p p p p
aro: Primary Care: A Collaborative Practice, 6th Edition
p p p p p p p
MULTIPLEp CHOICE
1. Whatp isp theppurposep ofp Levelp IIpresearch?
a. Topdefinepcharacteristicsp ofp interestp ofp groupsp ofp patients
b. Topdemonstratep thepeffectivenessp ofp anp interventionp orptreatment
c. Topdescribeprelationshipsp amongp characteristicsp orp variables
d. Topevaluatepthep naturepofp relationshipsp betweenp twop variables
ANS:p C
Levelp IIp researchp isp concernedp withp describingp thep relationshipsp amongp characteristicsp opr
p variables.p Levelp Ipresearchp isp conductedp top definep thep characteristicsp ofp groupsp ofp patiepnt
s.Levelp IIp researchp evaluatesp thep naturep ofp thep relationshipsp betweenp variables.p LevelpIVp
researchp isp conductedp top demonstratep thep effectivenessp ofp interventionsp orp treatments
.
2. Whichpisp thepmostp appropriatep researchp designp forp ap Levelp IIIp researchp study?
a. Epidemiologicalpstudies
b. Experimentalpdesign
c. Qualitativepstudies
d. Randomizedpclinicalp trials
ANS:p B
Thep experimentalp designp isp thep mostp appropriatep designp forp ap Levelp IIIp study.p Epidemiolo
gicalp studiesp arep aNpU
prRopSrI
iaN
teGfT
orBL.eC
veOlM
axIIp studies.p Qualitativep designsp arep usefulpfor
pLevelp Ipstudies.p Randomizedp clinicalp trialsp arep usedp forp Levelp IVp studies.
3. Whatp isp thep purposepofp clinicalp researchp trialsp inp thepspectrump ofp translationalp research?
a. Adoptionpofp interventionsp andp clinicalp practicesp intop routinepclinicalp care
b. Determinationp ofpthep basisp ofpdiseasepandp variousp treatmentp options
c. Examinationpofpsafetypandp effectivenessp ofp variousp interventions
d. Explorationpofpfundamentalp mechanismsp ofp biology,p disease,p orp behavior
ANS:p C
Clinicalpresearchptrialsparepconcernedpwithpdeterminingpthepsafetypandpeffectivenesspofpinteprv
entions.pAdoptionpofpinterventionspandppracticespisppartpofpclinicalpimplementation.pDeteprmin
ationpofpthepbasispofpdiseasepandptreatmentpoptionspisppartpofptheppreclinicalpresearchphpase.p Ex
plorationp ofp thep fundamentalp mechanismsp ofp biology,p disease,p orp behaviorp isp partp opfp thep bas
icp researchp stage.
, TESTpBANKpFORpPRIMARYpCAREp6THpEDITIONpBYpBUTTARO
Chapter 03: Empowering Patients as Collaborative partners: A New Model fo
p p p p p p p p p p p
rPrimary Carep
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
p p p p p p p
MULTIPLEp CHOICE
1. Whichpstatementp madepbyp aphealthp carepproviderp demonstratesp thepmostp appropriapt
eunderstandingp forp thep goalp ofp ap performancep report?
a. ―Thisp processp allowsp meptop critiquep thep performancep ofp thep restp ofp thep staff.‖
b. ―Mostporganizationsp requirepstaffp top undergop apperformancep evaluationp yearly.‖
c. ―Itp isp hardp top beppersonallyp criticizedp butp that’sp howp weplearnp top change.‖
d. ―Thepcommentsp shouldp helpp mepimprovepmyp managementp skills.‖
ANS:p D
Thepgoalpofpthepperformancepreportpisptopprovidepguidanceptopstaffpinpthepareaspofpprofessipona
lpdevelopment,p mentoring,p andp leadershipp development.pAp peerp reviewp isp writtenbyp othpersp
ax
whopperformpsimilarpskillsp(peers).pThepremainingpoptionspmaypbeptruepbutpdopnotppropvidepev
idencep ofp understandingp ofp thep goalp ofp thisp professionalp requirement.
MULTIPLEp RESPONSE
1. Whichpassessmentp questionp wouldp ap healthp carepproviderpaskp whenp engagingp inp thepprevips
itstagepofp thepnewp modelp forp primaryp care?p (Selectp allp thatp apply.)
ax
a. ―Arep youp readyp top discussp somepofp thep communitypresourcesp thatp arep available?‖
b. ―Arep youp experiencingp anNyUsiRdSeIefN
feGctTs B
ax fr.COyM
om ourp newlyp prescribedp medications?‖
c. ―Dop youp anticipatep anyp problemsp withp adheringptop yourptreatmentp plan?‖
d. ―Arep youp readyp top discusspthep resultsp ofp yourp laboratoryp tests?‖
e. ―Dop youp havep anypquestionsp aboutp thep labp testsp thatp havepbeenp orderedp forp you?‖
ANS:p B,p C,p E
Thepnursingpresponsibilitiespinpthepprevisitpstagepincludepassessingptheppatient’sptolerancepo
fprescribedpmedications,punderstandingpofpexistingptreatmentpplan,pandpeducationpaboutpre
quiredplabptesting.pThepprimarypcarepproviderpispresponsiblepforpscreeningplabpdatapandpdisc
ussingp communityp resourcesp duringp thep actualp visit.
