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PRIMARY CARE: INTERPERSONAL COLLABORATIVE PRACTICE 7TH EDITION BUTTARO’S TESTBANK/ULTIMATE GUIDE
PRIMARY CARE: INTERPERSONAL COLLABORATIVE PRACTICE 7TH EDITION BUTTARO’S TESTBANK/ULTIMATE GUIDE
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PRIMARY CARE: INTERPERSONAL COLLABORATIVE PRACTICE 7TEDITION BUTTARO’S TESTBANK/ULTIMATE GUIDE 2024-2025
,CH: 01: Interprofessional Collaborative Practice: Where We Are
Today Buttaro: Primary Care: A Collaborative Practice, 6th Edition
MULTIPLE CHOICE
1. A small, rural hospital is part of an Accountable Care Organization(ACO)
and is designatedas a Level 1 ACO. What is part of this designation?
a. Bonuses based on achievement of benchmarks
b. Care coordination for chronic diseases
c. Standards for minimum cash reserves
d. Strict requirements for financial reporting
RIGHT CHOICE:-A
RATIONALE :->>>A Level 1 ACO has the least amount of financial risk and
requirements,but receives sharedsavings bonuses based on achievement of
benchmarks for quality measures and expenditures. Care coordination and
minimum cash reserves standards are part of Level 2 ACO requirements.
Level 3 ACOs have strict requirements for financial reporting.
2. What was an important finding of the Advisory Board survey of2014
about primary carepreferences of clients?
a. Associations with area hospitals
b. Costs of ambulatory care
c. Ease of access to care
d. The ratio of providers to clients
RIGHT CHOICE:-C
RATIONALE :->>>As part of the 2014 survey, the Advisory Board learned
that clients desired 24/7 access tocare, walk-in settings and the ability to be
seen within 30 minutes, and care that is close to home. Associations with
hospitals, costs of care, and the ratio of providers to clients werenot part of
these results.
MULTIPLE RESPONSE
1. Which assessments of care providers are performed as part of thevalue-
based purchasing(VBP) initiative? (Select all that apply.)
a. Appraising costs per case of care for Medicare clients
b. Assessing clients’ satisfaction with hospital care
c. Evaluating available evidence to guide clinical care guidelines
d. Monitoring mortality rates of all clients with pneumonia
e. Requiring advanced IT standards and minimum cash reserves
RIGHT CHOICE:-A, B, D
RATIONALE :->>>Value-based purchasing looks at five domain areas of
processes of care, including efficiencyof care (cost per case), experience of care
(client satisfaction measures), and outcomes of care (mortality ratesfor certain
conditions).
Evaluation of evidence to guide clinical care is part of evidence-basedpractice.
The requirements for IT standards and financial status are
,CH: 02: Translating Research into Clinical Practice
Buttaro: Primary Care: A Collaborative Practice, 6th
part of Accountable Care Organization standards.
MULTIPLE CHOICE
1. What is the purpose of Level II research?
a. To define characteristics of interest of groups of clients
b. To demonstrate the effectiveness of an intervention or treatment
c. To describe relationships among characteristics or variables
d. To evaluate the nature of relationships between two variables
RIGHT CHOICE:-C
RATIONALE :->>>Level II research is concerned with describing the
relationships among characteristics or variables. Level I research is
conducted to define the characteristics of groups of clients.Level II research
evaluates the nature of the relationships between variables. LevelIV
research is conducted to demonstrate the effectiveness of interventions or
treatments.
2. Which is the most appropriate research design for a Level III research study?
a. Epidemiological studies
b. Experimental design
c. Qualitative studies
d. Randomized clinical trials
ANS: B
RATIONALE :->>>The experimental design is the most appropriate design
for a Level IIIstudy. Epidemiological studies are
aNpUprRopSriIaNteGfTorBL.evCeOl MI I studies. Qualitative designs are useful
for Level I studies. Randomized clinical trials are used for Level IV studies.
3. What is the purpose of clinical research trials in the spectrum of translationalresearch?
a. Adoption of interventions and clinical practices into routine clinical care
b. Determination of the basis of disease and various treatment options
c. Examination of safety and effectiveness of various interventions
d. Exploration of fundamental mechanisms of biology, disease, or behavior
RIGHT CHOICE:-C
RATIONALE :->>>Clinical research trials are concerned with determining
the safety andeffectiveness of interventions. Adoption of interventions and
practicesis part of clinical implementation. Determination of the basis of disease
and treatment options is part of the preclinical researchphase.Exploration of the
fundamental mechanisms of biology, disease, or behavior is part of the basic
research stage.
, CH: 03: Empowering Clients as Collaborative partners: A New Model forPrimary Care
Buttaro: Primary Care: A Collaborative Practice, 7th Edition
MULTIPLE CHOICE
1. Which statement made by a health care provider demonstrates the
most appropriateunderstanding for the goalof a performance report?
a. “This process allows me to critique the performance of the rest of the staff.”
b. “Most organizations require staff to undergo a performance evaluationyearly.”
c. “It is hard to be personally criticized but that’s how we learn to change.”
d. “The comments should help me improve my management skills.”
ANS: D
RATIONALE :->>>The goal of the performance report is to provide
guidance to staff inthe areas of professional development, mentoring, and
leadership development. A peer review is writtenby others who perform similar
skills (peers). The remaining options may be true but do not provideevidence
of understanding of the goal of this professional requirement.
MULTIPLE RESPONSE
1. Which assessment question would a primary care provider ask when
engaging in the previsitstage of the new model for primary care? (Select
all that apply.)
a. “Are you ready to discuss some of the community resources that are
available?”
b. “Are you experiencing anNyUsiRdeS IefNfeGctTsBfr.omCOyMour newly
prescribed medications?”
c. “Do you anticipate any problems with adhering to your treatment plan?”
d. “Are you ready to discuss the results of your laboratory tests?”
e. “Do you have any questions about the lab tests that have been ordered foryou?”
RIGHT CHOICE:-B, C, E
RATIONALE :->>>The nursing responsibilities in the previsit stage include
assessing theclient’s tolerance ofprescribed medications, understanding of
existing treatment plan, and education about required lab testing.
The primary care practitioneris responsible for screening lab data anddiscussing
community resources during the actual visit.
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