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

PRIMARY CARE INTERPROFESSIONAL COLLAB
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ORATIVE PRECTICE 6TH EDITION TESTBANK BY
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TERRY MAHAN BUTTARO | ALL CHAPTERS 1-228
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TESTBANK x

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




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


b. Care coordination for chronic diseases
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c. Standards for minimum cash reserves x x x x


d. Strict requirements for financial reporting
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ANS: A x


A Level 1 ACO has the least amount of financial risk and requirements, but receives sharedsav
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ings bonuses based on achievement of benchmarks for quality measures and expenditures. Ca
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re coordination and minimum cash reserves standards are part of Level 2 ACO requirements.
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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 carepr
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eferences of patients? x x


a. Associations with area hospitals x x x


b. Costs of ambulatory care x x x


c. Ease of access to care x x x x


d. The ratio of providers to patients
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ANS: C x




As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access tocar
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e, walk-
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in settings and the ability to be seen within 30 minutes, and care that is close to home. Associa
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tions with hospitals, costs of care, and the ratio of providers to patients werenot part of these r
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esults.

MULTIPLE RESPONSE x




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


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


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


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


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




ANS: A, B, D x x x


Value-
based purchasing looks at five domain areas of processes of care, including efficiencyof care (c
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ost per case), experience of care (patient satisfaction measures), and outcomes of care (mortalit
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y rates for certain conditions). Evaluation of evidence to guide clinical care is part of evidence-
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based practice. The requirements for IT standards and financial status are part of Accountable
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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 Buttar
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o: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE x




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 x


Level II research is concerned with describing the relationships among characteristics or va
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riables. Level I research is conducted to define the characteristics of groups of patients.Leve
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l II research evaluates the nature of the relationships between variables. Level IV research is
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xconducted to demonstrate the effectiveness of interventions or 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 x


b. Experimental design x


c. Qualitative studies x


d. Randomized clinical trials x x




ANS: B x


The experimental design is the most appropriate design for a Level III study. Epidemiological
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studies are aNpU
prR
oS
prI
iaN
teGfT
orBL.eC
veOlM
x 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 x x x x x x x x x


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


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




ANS: C x


Clinical research trials are concerned with determining the safety and effectiveness of interven
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tions. Adoption of interventions and practices is part of clinical implementation. Determinatio
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n of the basis of disease and treatment options is part of the preclinical researchphase. Explorati
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on of the fundamental mechanisms of biology, disease, or behavior is part of the basic research
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xstage.

, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
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Chapter 03: Empowering Patients as Collaborative partners: A New Model forP
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rimary Care
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Buttaro: Primary Care: A Collaborative Practice, 6th Edition
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MULTIPLE CHOICE x




1. Which statement made by a health care provider demonstrates the most appropriateu
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nderstanding for the goal of a performance report? x x x x x x x


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 x


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




1. Which assessment question would a health care provider ask when engaging in the previsitsta
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ge 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 anNyUsiRdS
eIefN
xfeGctTs B
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 x x x


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