TEST BANK FOR Buttaro: Primary Care: A Collaborative Practice/ Interprofessional Collaborative Practice 6TH EDITION (All Chapters 1- 228) Questions And Answers in 260 Pages.

TEST BANK FOR PRIMARY CARE 6TH EDITION
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BYBUTTARO
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TEST BANK v

, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
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Chapter 01: Interprofessional Collaborative Practice: Where We Are
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TodayButtaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE v




1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is
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designatedas a Level 1 ACO. What is part of this designation?
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a. Bonuses based on achievement of benchmarks v v v v v


b. Care coordination for chronic diseases v v v v


c. Standards for minimum cash reserves v v v v


d. Strict requirements for financial reporting v v v v




ANS: A v


A Level 1 ACO has the least amount of financial risk and requirements, but receives
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sharedsavings bonuses based on achievement of benchmarks for quality measures and
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expenditures. Care coordination and minimum cash reserves standards are part of Level 2
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ACO requirements. Level 3 ACOs have strict requirements for financial reporting.
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2. What was an important finding of the Advisory Board survey of 2014 about primary
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carepreferences of patients?
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a. Associations with area hospitals v v v


b. Costs of ambulatory care v v v


c. Ease of access to care v v v v


d. The ratio of providers to patients v v v v v




ANS: C NURSINGTB.COM
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As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access
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tocare, walk-in settings and the ability to be seen within 30 minutes, and care that is close
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to home. Associations with hospitals, costs of care, and the ratio of providers to patients
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werenot part of these results.
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MULTIPLE RESPONSE v




1. Which assessments of care providers are performed as part of the value-based
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purchasing(VBP) initiative? (Select all that apply.)
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a. Appraising costs per case of care for Medicare patients v v v v v v v v


b. Assessing patients’ satisfaction with hospital care v v v v v


c. Evaluating available evidence to guide clinical care guidelines v v v v v v v


d. Monitoring mortality rates of all patients with pneumonia v v v v v v v


e. Requiring advanced IT standards and minimum cash reserves v v v v v v v




ANS: A, B, D v v v


Value-based purchasing looks at five domain areas of processes of care, including
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efficiencyof care (cost per case), experience of care (patient satisfaction measures), and
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outcomes of care (mortality rates for certain conditions). Evaluation of evidence to guide
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clinical care is part of evidence-based practice. The requirements for IT standards and
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financial status are part of Accountable Care Organization standards.
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, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
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Chapter 02: Translating Research into Clinical Practice
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Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE v




1. What is the purpose of Level II research?
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a. To define characteristics of interest of groups of patients
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b. To demonstrate the effectiveness of an intervention or treatment
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c. To describe relationships among characteristics or variables
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d. To evaluate the nature of relationships between two variables
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ANS: C v


Level II research is concerned with describing the relationships among characteristics or
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variables. Level I research is conducted to define the characteristics of groups of
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patients.Level II research evaluates the nature of the relationships between variables.
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Level IV research is conducted to demonstrate the effectiveness of interventions or
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treatments.
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2. Which is the most appropriate research design for a Level III research study?
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a. Epidemiological studies v


b. Experimental design v


c. Qualitative studies v


d. Randomized clinical trials v v




ANS: B v


The experimental design is the most appropriate design for a Level III study.
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Epidemiological studies are aNpU
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opSrI
iaN
teGfT
orBL.eC
veOlM
II studies. Qualitative designs are useful
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for Level I studies. Randomized clinical trials are used for Level IV studies.
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3. What is the purpose of clinical research trials in the spectrum of translational research?
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a. Adoption of interventions and clinical practices into routine clinical care
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b. Determination of the basis of disease and various treatment options v v v v v v v v v


c. Examination of safety and effectiveness of various interventions v v v v v v v


d. Exploration of fundamental mechanisms of biology, disease, or behavior v v v v v v v v




ANS: C v


Clinical research trials are concerned with determining the safety and effectiveness of
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interventions. Adoption of interventions and practices is part of clinical implementation.
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Determination of the basis of disease and treatment options is part of the preclinical
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researchphase. Exploration of the fundamental mechanisms of biology, disease, or
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behavior is part of the basic research stage.
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, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
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Chapter 03: Empowering Patients as Collaborative partners: A New Model
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forPrimary Care
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Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE v




1. Which statement made by a health care provider demonstrates the most
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appropriateunderstanding for the goal of a performance report?
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a. “This process allows me to critique the performance of the rest of the staff.”
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b. “Most organizations require staff to undergo a performance evaluation yearly.”
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c. “It is hard to be personally criticized but that’s how we learn to change.”
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d. “The comments should help me improve my management skills.”
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ANS: D v


The goal of the performance report is to provide guidance to staff in the areas of
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professional development, mentoring, and leadership development. A peer review is
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writtenby others who perform similar skills (peers). The remaining options may be true but
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do not provide evidence of understanding of the goal of this professional requirement.
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MULTIPLE RESPONSE v




1. Which assessment question would a health care provider ask when engaging in the
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previsitstage of the new model for primary care? (Select all that apply.)
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a. “Are you ready to discuss some of the community resources that are available?”
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b. “Are you experiencing anNyUsid
RSeI
efN
v feGctTsB
fr.COyM
om our newly prescribed medications?”
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c. “Do you anticipate any problems with adhering to your treatment plan?”
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d. “Are you ready to discuss the results of your laboratory tests?”
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e. “Do you have any questions about the lab tests that have been ordered for you?”
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ANS: B, C, E v v v


The nursing responsibilities in the previsit stage include assessing the patient’s tolerance
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ofprescribed medications, understanding of existing treatment plan, and education about
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required lab testing. The primary care provider is responsible for screening lab data and
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discussing community resources during the actual visit.
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