,Chapter 01: Interprofessional Collaborative Practice: Where We Are Today
b b b b b b b b
Buttaro: Primary Care: A Collaborative Practice, 7th Edition
b b b b b b b b
MULTIPLECHOICE
1. Asmall,ruralhospitalispartofanAccountableCareOrganization(ACO)andisdesignatedasa
b b b b b b b b b b
Level1ACO.Whatispartofthisdesignation?
b b b b b b b
a. Bonuses basedon achievementofbenchmarks b v b
b. Carecoordination forchronicdiseases b
c. Standardsforminimumcash reserves b
d. Strictrequirementsforfinancialreporting
ANS: A b
ALevel1ACO has theleast amount of financial risk and requirements,but receivesshared
b b b v v b b
savingsbonusesbasedonachievementofbenchmarksforqualitymeasuresandexpenditures.
b b b b b b b b b b
Carecoordination and minimum cash reserves standards arepart of Level 2 ACO
b b b b b b b b b b b
requirements.Level3ACOshavestrictrequirementsforfinancialreporting.
b b b b b b b b
2. WhatwasanimportantfindingoftheAdvisoryBoardsurveyof2014aboutprimarycare
b b b b b b b b b b
preferencesofpatients?
b b b
a. Associations withareahospitals b
b. Costsofambulatorycare
c. Easeofaccesstocare b b
d. Theratio ofprovidersto patients b b
ANS: C b
NURSINGTB.COM
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access tocare,
b b b b b b b b b b b b b b b
walk-in settings and the ability to be seen within 30 minutes, and care that is close to home.
b b b b b b b b b b b b b b b b b b
Associations with hospitals, costs of care, and the ratio of providers to patients werenot part of
b b b b b b b b b b b b b b v b b
theseresults.
b
MULTIPLERESPONSE
1. Whichassessments of careproviders areperformed as partofthevalue-based purchasing b b b b b b
(VBP)initiative?(Selectallthatapply.)
b b b b b
a. AppraisingcostspercaseofcareforMedicarepatients b b b b b
b. Assessing patients’satisfaction withhospital care v b
c. Evaluating availableevidencetoguide clinical careguidelines v b b
d. Monitoringmortalityratesofall patientswithpneumonia b b b
e. Requiringadvanced ITstandardsandminimum cashreserves b b b
ANS: A,B,D b b b
Value-based purchasing looksatfivedomainareas of processes of care,including efficiencyof
v b b b b
care(costpercase),experienceofcare(patientsatisfactionmeasures),andoutcomesofcare
b b b b b b b b b b b b b
(mortalityratesforcertainconditions).Evaluationofevidencetoguideclinicalcareispartof
b b b b b b b b b b b b b b b
evidence-based practice. The requirements for IT standards and financial status arepartof
b b b b b b b b b b b
AccountableCareOrganizationstandards.
b b b b
,Chapter 02: Translating Research into Clinical Practice
b b b b b b
Buttaro: Primary Care: A Collaborative Practice, 6th Edition
b b b b b b b b
MULTIPLECHOICE
1. WhatisthepurposeofLevel IIresearch?
b b b
a. Todefinecharacteristics ofinterest ofgroupsofpatients
b b b b
b. Todemonstratetheeffectivenessofaninterventionortreatment
b b b b b
c. Todescriberelationshipsamongcharacteristicsorvariables
b b b
d. Toevaluatethenatureofrelationshipsbetweentwovariables
b b b b
ANS: C b
LevelIIresearchisconcernedwithdescribingtherelationshipsamongcharacteristicsor
b b b b b b b b b b b
variables.LevelI researchis conducted to definethecharacteristicsofgroups of patients. Level
b b b v b b b
IIresearchevaluatesthenatureoftherelationshipsbetweenvariables.LevelIV researchis
b b b b b b b b b b b b b b
conductedtodemonstratetheeffectivenessofinterventionsortreatments.
b b b b b
2. Whichisthemostappropriate researchdesignforaLevel IIIresearch study? b b b b b
a. Epidemiologicalstudies
b. Experimentaldesign
c. Qualitativestudies
d. Randomizedclinicaltrials
ANS: B b
TheexperimentaldesignisthemostappropriatedesignforaLevelIIIstudy. b b b b b b b b
EpidemiologicalstudiesareaNpU
p rR
opSrI
i aN
teGfT
o rBL.eC
v eOlMII studies.Qualitativedesignsareusefulfor
b b b vbb b b b b b
LevelI studies.Randomizedclinicaltrials areusedforLevelIVstudies.
b b v b b b b b b b
3. What isthepurposeofclinical research trials inthespectrum oftranslational research?
b b b b b b
a. Adoptionofinterventionsand clinicalpracticesintoroutineclinical care b b
b. Determination ofthebasisofdiseaseandvarious treatmentoptions b b
c. Examinationofsafetyandeffectivenessofvarious interventions b
d. Explorationoffundamentalmechanisms ofbiology, disease,orbehavior b b b
ANS: C b
Clinical research trials are concerned with determining the safety and effectiveness of
b b b b b b b b b b b
interventions. Adoption of interventions and practices is part of clinical implementation.
b b b b b b b b b b b
Determinationofthebasis ofdiseaseandtreatment optionsispartofthepreclinical research
b b b b
phase.Explorationofthefundamentalmechanismsofbiology,disease,orbehaviorispartof
b b b b b b b b b b b b b b
thebasicresearchstage.
b b b
, TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
b b b b b b b b
Chapter03: Empowering Patientsas Collaborative partners: ANew Modelfor
b b b b b b
PrimaryCare
b b
Buttaro: Primary Care: ACollaborative Practice, 6th Edition
b b b b b b
MULTIPLECHOICE
1. Whichstatement madebyahealth careprovider demonstrates themost appropriate b b b b b
understanding forthegoalofa performancereport?
b b b b b v b
a. “Thisprocess allowsmetocritiquetheperformanceoftherestofthestaff.”
b b b b b b b
b. “Mostorganizationsrequirestafftoundergoaperformance evaluation yearly.”
b b b
c. “Itishard to bepersonallycriticizedbutthat’s howwelearnto change.”
b b v b b b b
d. “Thecomments shouldhelpmeimprovemymanagement skills.” b b
ANS: D b
Thegoaloftheperformancereportistoprovideguidancetostaffintheareasofprofessional
b b b b b b b b b b b b b b b b
development,mentoring,and leadership development.A peerreviewis writtenbyotherswho
b b b v b b b
performsimilarskills(peers).Theremainingoptionsmaybetruebutdonotprovideevidenceof
b b b b b b b b b b b b b b
understandingofthegoalofthisprofessionalrequirement.
b b b b
MULTIPLERESPONSE
1. Which assessmentquestionwould a health careprovideraskwhenengaging in theprevisit b b v b b
stageofthenewmodelforprimarycare?(Selectallthatapply.)
b b b b b b b
a. “Are you readytodiscusssomeofthecommunityresourcesthatareavailable?”
b b
b. “AreyouexperiencinganNyUsiRdS
eI
efN
feGctTs B
b fr.COyM
om ournewlyprescribedmedications?”
b b v b b
c. “Doyouanticipateanyproblems withadheringto yourtreatment plan?”
b b b b b
d. “Areyou readytodiscusstheresultsof yourlaboratorytests?”
b b b b b
e. “Doyouhaveanyquestionsaboutthelab teststhat havebeenorderedforyou?”
b b b b b b v b b b
ANS: B,C,E b b b
Thenursingresponsibilitiesintheprevisitstageincludeassessingthepatient’stoleranceof
prescribed medications, understanding of existing treatment plan, and education about
b b b b b b b b b b
requiredlabtesting.Theprimarycareproviderisresponsibleforscreeninglabdataand
b b b b b b b b b b b b b b
discussingcommunityresourcesduringtheactualvisit.
b b b b
NURSINGTB.COM
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