1. Aiosmall,ioruraliohospitalioisiopartioofioanioAccountableioCareioOrganizationio(ACO)ioandioisiodesi
gnatedioasioaioLevelio1ioACO.ioWhatio isiopartioofiothisiodesignation?
a. Bonusesiobasedioonioachievementioofiobenchmarks
b. Careiocoordinationioforiochroniciodiseases
c. Standardsioforiominimumiocashioreserves
d. Strictiorequirementsioforiofinancialioreporting
ANS:i o A
AioLevelio1ioACOiohasiotheioleastioamountioofiofinancialioriskioandiorequirements,iobutioreceivesi
osharediosavingsiobonusesiobasedioonioachievementioofiobenchmarksioforioqualityiomeasuresioan
dioexpenditures.ioCareiocoordinationioandiominimumiocashioreservesiostandardsioareiopartioofio
Levelio2ioACOiorequirements.ioLevelio3ioACOsiohaveiostrictiorequirementsioforiofinancialiorepo
rting.
2. WhatiowasioanioimportantiofindingioofiotheioAdvisoryioBoardiosurveyioofio2014ioaboutioprima
ryiocareiopreferencesioofiopatients?
a. Associationsiowithioareaiohospitals
b. Costsioofioambulatoryiocare
c. Easeioofioaccessiotoiocare
d. Theioratioioofioprovidersiotoiopatients
ANS:i o C NURSINGTB.COM
Asiopartioofiotheio2014iosurvey,iotheioAdvisoryioBoardiolearnediothatiopatientsiodesiredio24/7ioa
ccessiotoiocare,iowalk-
iniosettingsioandiotheioabilityiotoiobeioseeniowithinio30iominutes,ioandiocareiothatioisiocloseiotoioho
me.ioAssociationsiowithiohospitals,iocostsioofiocare,ioandiotheioratioioofioprovidersiotoiopatientsio
wereionotiopartioofiotheseioresults.
MULTIPLEioRESPONSE
1. Whichioassessmentsioofiocareioprovidersioareioperformedioasiopartioofiotheiovalue-
basediopurchasingio(VBP)ioinitiative?io(Selectioalliothatioapply.)
a. AppraisingiocostsioperiocaseioofiocareioforioMedicareiopatients
b. Assessingiopatients’iosatisfactioniowithiohospitaliocare
c. Evaluatingioavailableioevidenceiotoioguideioclinicaliocareioguidelines
d. Monitoringiomortalityioratesioofioalliopatientsiowithiopneumonia
e. RequiringioadvancedioITiostandardsioandiominimumiocashioreserves
ANS:i o A,ioB,ioD
Value-
basediopurchasingiolooksioatiofiveiodomainioareasioofioprocessesioofiocare,ioincludingioefficiencyio
ofiocareio(costioperiocase),ioexperienceioofiocareio(patientiosatisfactioniomeasures),ioandiooutcom
esioofiocareio(mortalityioratesioforiocertainioconditions).ioEvaluationioofioevidenceiotoioguideioclin
icaliocareioisiopartioofioevidence-
basediopractice.ioTheiorequirementsioforioITiostandardsioandiofinancialiostatusioareiopartioofioAcc
ountableioCareioOrganizationiostandards.
NURSINGTB.COM
, TESTioBANKioFORioPRIMARYioCAREio6THioEDITIONioBYioBUTTA
RO
Chapterio02:ioTranslatingioResearchiointoioClinicalioPracticeioB
uttaro:ioPrimaryioCare:ioAioCollaborativeioPractice,io6thioEditio
n
MULTIPLEioCHOICE
1. WhatioisiotheiopurposeioofioLevelio IIioresearch?
a. Toiodefineiocharacteristicsioofiointerestioofiogroupsioofiopatients
b. Toiodemonstrateiotheioeffectivenessioofioaniointerventioniooriotreatment
c. Toiodescribeiorelationshipsioamongiocharacteristicsiooriovariables
d. Toioevaluateiotheionatureioofiorelationshipsiobetweeniotwoiovariables
ANS:i o C
LevelioIIioresearchioisioconcernediowithiodescribingiotheiorelationshipsioamongiocharacteristi
csiooriovariables.ioLevelio Iioresearchioisioconductediotoiodefineiotheiocharacteristicsioofiogroups
ioofiopatients.ioLevelioIIioresearchioevaluatesiotheionatureioofiotheiorelationshipsiobetweeniovari
ables.ioLevelioIVioresearchioisioconductediotoiodemonstrateiotheioeffectivenessioofiointerventi
onsiooriotreatments.
2. WhichioisiotheiomostioappropriateioresearchiodesignioforioaioLevelio IIIioresearchiostudy?
a. Epidemiologicaliostudies
b. Experimentaliodesign
c. Qualitativeiostudies
d. Randomizedioclinicaliotrials
ANS:i o B
TheioexperimentaliodesignioisiotheiomostioappropriateiodesignioforioaioLevelioIIIiostudy.ioEpide
miologicaliostudiesioareioaNpU
prR
oS
prI
iaN
teGfT
orBL.eC
veOlioM
IIiostudies.ioQualitativeiodesignsioareiouseful
forioLevelioIiostudies.ioRandomizedioclinicaliotrialsioareiousedioforioLevelioIViostudies.
3. Whatioisiotheiopurposeioofioclinicalioresearchiotrialsioiniotheiospectrumioofiotranslationalioresearch?
a. Adoptionioofiointerventionsioandioclinicaliopracticesiointoioroutineioclinicaliocare
b. Determinationioofiotheiobasisioofiodiseaseioandiovariousiotreatmentiooptions
c. Examinationioofiosafetyioandioeffectivenessioofiovariousiointerventions
d. Explorationioofiofundamentaliomechanismsioofiobiology,iodisease,iooriobehavior
ANS:i o C
Clinicalioresearchiotrialsioareioconcernediowithiodeterminingiotheiosafetyioandioeffectivenessioofi
ointerventions.ioAdoptionioofiointerventionsioandiopracticesioisiopartioofioclinicalioimplementatio
n.ioDeterminationioofiotheiobasisioofiodiseaseioandiotreatmentiooptionsioisiopartioofiotheiopreclinica
lioresearchiophase.ioExplorationioofiotheiofundamentaliomechanismsioofiobiology,iodisease,iooriob
ehaviorioisiopartioofiotheiobasicioresearchiostage.
1. Whichiostatementiomadeiobyioaiohealthiocareioprovideriodemonstratesiotheiomostioappro
priateiounderstandingioforiotheiogoalioofioaioperformanceioreport?
a. “Thisioprocessioallowsiomeiotoiocritiqueiotheioperformanceioofiotheiorestioofiotheiostaff.”
b. “Mostioorganizationsiorequireiostaffiotoioundergoioaioperformanceioevaluationioyearly.”
c. “Itioisiohardiotoiobeiopersonallyiocriticizediobutiothat’siohowioweiolearniotoiochange.”
d. “Theiocommentsioshouldiohelpiomeioimproveiomyiomanagementioskills.”
ANS:i o D
Theiogoalioofiotheioperformanceioreportioisiotoioprovideioguidanceiotoiostaffioiniotheioareasioofiopr
ofessionaliodevelopment,iomentoring,ioandioleadershipiodevelopment.ioAiopeerioreviewioisiowrit
teniobyioothersiowhoioperformiosimilarioskillsio(peers).ioTheioremainingiooptionsiomayiobeiotrueio
butiodoionotioprovideioevidenceioofiounderstandingioofiotheiogoalioofiothisioprofessionaliorequire
ment.
MULTIPLEioRESPONS
E
1. Whichioassessmentioquestioniowouldioaiohealthiocareioproviderioaskiowhenioengagingioiniotheiop
revisitiostageioofiotheionewiomodelioforioprimaryiocare?io(Selectioalliothatioapply.)
a. “Areioyouioreadyiotoiodiscussiosomeioofiotheiocommunityioresourcesiothatioareioavailable?”
b. “AreioyouioexperiencingioanNyUsiRdS eioI
efN
feGctTs B
fr.COyM
om ourionewlyioprescribediomedications?”
c. “Doioyouioanticipateioanyioproblemsiowithioadheringiotoioyouriotreatmentioplan?”
d. “Areioyouioreadyiotoiodiscussiotheioresultsioofioyouriolaboratoryiotests?”
e. “Doioyouiohaveioanyioquestionsioaboutiotheiolabiotestsiothatiohaveiobeenioorderedioforio you?”
ANS:i o B,ioC,ioE
Theionursingioresponsibilitiesioiniotheioprevisitiostageioincludeioassessingiotheiopatient’siotolera
nceioofioprescribediomedications,iounderstandingioofioexistingiotreatmentioplan,ioandioeducation
ioaboutiorequirediolabiotesting.ioTheioprimaryiocareioproviderioisioresponsibleioforioscreeningiola
biodataioandiodiscussingiocommunityioresourcesioduringiotheioactualiovisit.
NURSINGTB.COM
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