402 Exam 4 Flashcards

1
Q

mange the health of populations served by the integrated systems

A

accountable care organizations (ACOs)

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2
Q

includes wellness and health promotion, illness prevention, acute and subacute care, chronic disease, rehabilitation, end of life care, care coordination, and community engagement

A

population management

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3
Q

measure performance

A

dashboard indicators

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4
Q

healthy people 2020 goals are to attain both quality of life and increase years of healthy life, achieve health equity and eliminate health disparities, and create social and physical environments as a ___ _____ for health care.

A

social mandate

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5
Q

care management strategies

A

utilization management
critical pathways
disease management
demand management

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6
Q

attempts to provide optimal use of services to redirect care and monitor the appropriate use of provider care/treatment services for both acute and community/ambulatory services.

A

utilization management

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7
Q

were initiated in the early 2000s.

are tools that specify activities providers may use in a timely sequence to achieve desired outcomes for care

A

critical pathways

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8
Q

constitutes systematic activities to coordinate health care interventions and communications for populations with disease conditions in which client self care efforts are significant

A

disease management

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9
Q

seeks to control use by providing clients with correct info and education strategies to make healthy choices, to use healthy and health-seeking behaviors to improve their health status and to make fewer demands on the health care system

A

demand management

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10
Q

one function of case management, is the deliberate organization of client care activities between two or more participants involved in a client’s care to facilitate the appropriate delivery of health care services

A

care coordination

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11
Q

provides accessible, continuous, coordinated, comprehensive care and is managed centrally by a physician/nurse practitioner with the active involvement of non-physician practice staff

A

Medical/Health Home or Patient/Client-Centered Medical Home model

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12
Q

bridge the gaps among diverse services, providers, and settings through the systematic application of evidence-based interventions that improve communication and transfer of information within and across services, enhancing post-acute care follow up, and decreasing gaps in care by the use of a single consistent provider

A

transitions of care

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13
Q

6 rights of case management

A
care
time
provider
setting
price/value
outcomes
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14
Q

for this type of nurse, ample opportunity exists to apply and revise critical path/map care guidance prototypes for a target population experiencing acute and chronic health problems.

A

case manager

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15
Q

is another tool used in case management.

it assesses the current and future needs of a client for catastrophic or chronic disease over a life span

A

life care planning

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16
Q

nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and _____ in the care of individuals, families, communities, and populations.

A

advocacy

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17
Q

is composed of interactions that reflect 3 subprocesses: amplifying, clarifying, and verifying.

A

information exchange process

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18
Q

occurs between the nurse and the client to assess the needs and demands that will eventually frame the client’s decision

A

amplifying

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19
Q

is a process in which the nurse and client strive to understand meanings in a common way

A

clarifying

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20
Q

is the process used by the nurse advocate to establish accuracy and reality in the informing process

A

verifying

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21
Q

involves upholding a client’s right to make a choice and to act on it

A

supporting

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22
Q

is based on an advocate’s belief that a client’s decision is consistent with the client’s values and goals

A

affirming

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23
Q

when the nurse, client, professionals, or significant others generate as many alternatives as possible, without placing a value on them

A

brainstorming

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24
Q

a way to broaden limited thinking. it involves restating the problem and expanding the problem statement so that different solutions can be generated.

A

problem-purpose-expansion method

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25
is a staple of marker competition. nurses perform these roles when they triage clients or perform the gatekeeping and rationing functions
allocation
26
is a strategic process used to move conflicting parties toward an outcome.
negotiating
27
the outcome in which one party gains benefit at the other's expense
distributive outcome
28
an outcome in which mutual advantages override individual gains
integrative outcomes.
29
is the ability to present one's own needs
assertiveness
30
is the ability to understand and meet the needs of others
cooperation
31
is achieved through a developmental process. is a dynamic, highly interactive, and interdependent process in which people work together, sharing resources and even a vision for a goal
collaboration
32
individual's right to choose a provider, if a particular provider is not approved by the case management system
autonomy
33
doing good
beneficence
34
is defined as faithfulness to the obligation of duty
fidelity
35
an ethical principle for case managers considers equal distribution of health care with reasonable quality
justice
36
doing no harm
non-maleficence
37
truth telling
veracity
38
is a broad concept and approach to services. it includes a focus on primary, secondary, and tertiary prevention
home health care
39
a specialty area of nursing practice that promotes optimal health and well-being for patients, their families, and caregivers within their homes and communities.
home health nursing
40
means patient and family-centered care that optimizes quality of life by anticipating, preventing, and treating suffering
palliative care
41
provides sensitive end-of-life care and involve clients in choices, and emphasis on the quality of life.
hospice care
42
a set of actions designed to ensure the coordination and continuity of health care as clients transfer between different locations and different levels of care in the same location
transitional care
43
is the medicare term that describes the duties of the registered nurse, and refers to the requirement of nursing judgement
skilled nursing services
44
was initially developed to operationalize the nursing process and provide a practical, easily understood, computer-comparable guide for daily use in diverse community settings
omaha system
45
are longitudinal collections of clinical and demographic client-specific data that are stored in a computer-readable format
electronic health records (EHRs)
46
is a comprehensive, orderly, nonexhaustive, mutually exclusive taxonomy designed to identify diverse clients' health-related concerns.
omaha system problem classification scheme
47
is an important standard of nursing practice in providing interventions
omaha system intervention scheme
48
the goal of this is to demonstrate improved, cost effective client outcomes as a result of home health services for agency reports and for public reporting
outcome and assessment information set (OASIS)
49
an analysis process that has been used by many businesses but is relatively new to health care
benchmarking
50
the exchange of coded data and ability to use those data
interoperability
51
a specialized practice of professional nursing that advances the wellbeing, academic success and lifelong achievement and health of students
school nursing
52
was an important step in helping all children enjoy a normal educational experience
section 504 of the rehabilitation Act of 973
53
which required all children with disabilities have services provided for them in the schools
education for all handicapped children act
54
required that more children be allowed to attend schools.
individuals with disabilities education act (IDEA)
55
requires healthy environment in the schools, which also affects children who have health problems
no child left behind
56
this act designated that each local education agency (LEA) participating in federal school meal programs, such as the national school lunch or breakfast program, must establish a local school wellness policy
child nutrition and WIC reauthorization act
57
authorizes funding and sets policy for the national school lunch program, the school breakfast program, the summer food service program, and other child and adult food programs.
The Healthy, Hunger-Free Kids Act
58
this association provides the general guidelines and support for all school nurses
National Association of School Nurses (NASN)
59
is the traditional role of the school nurse
direct caregiver.
60
school nurse roles
``` direct caregiver health educator case manager consultant counselor community outreach researcher ```
61
as a _____, the school nurse can provide professional information about proposed changes in the school environment and their impact on the health of children
consultant
62
this study found that 12.5% of districts had at least one school-based health center that offered both health services and mental health or social services to students.
school health policies and practices study
63
the school nurse can provide educational programs reminding children to use their seat belts or bicycle helmets to prevent injury.
safe kids campaign
64
requires that all health information be private
HIPAA
65
are prepared to help everyone respond quickly to the crisis, to ensure the safety of the school, and to follow up on the effects of the crisis on the members of the school
crisis teams
66
is the speciality practice that focuses on the promotion, prevention, and restoration of health within the context of a safe and healthy environment
occupation and environmental health nursing
67
any susceptible human being
host
68
factors associated with illness and injury
agents
69
are living organisms whose excretions or parts are capable of causing human disease, usually by an infectious process
biological agensts
70
are those that can potentially cause injury or illness in the workplace
enviromechanical agents
71
are those that produce adverse health effects through the transfer of physical energy
physical agents
72
are conditions that create a threat to the psychological and/or social well-being of individuals and groups
psyschosocial agents
73
is a survey used to become knowledgeable about the work processes and the materials, the requirements of various jobs, the presence of actual or potential hazards, and the work practices of employees
worksite walk-through
74
was established by the Occupational Safety and Health act of 1970 and is part of the CDC
National institute for occupational safety and health (NIOSH)
75
a framework to guide occupational safety and health research into the following decade
National Occupational Research Agenda (NORA)
76
this standard is based on the premise that while working to reduce and eliminate potentially toxic agents in the work environment, an unimportant line of defense is to provide the work community with information about hazardous chemicals in order to minimize exposures
hazard communication standard
77
are important state laws that govern financial compensation to employees who suffer work related health problems
workers' compensation acts
78
means pertaining to the law
forensic
79
synthesizes the biopsychosocial and spiritual aspects of nursing care with an expert understanding of forensic science and the criminal justice process
forensic nursing
80
investigator
forensic nurse examiner
81
provide expert consultation regarding health care to attorneys in either civil or criminal court but do not render direct client care in that setting
legal nurse consultant
82
refers to a judicial decision or sentence
adjudication
83
is the concept of moral rightness based on ethics, rationality law, natural law, fairness, and equity
justice
84
an element of intuitiveness, and is one tool the forensic nurse uses to investigate injury
perceptivity
85
occurs when individuals or groups are exploited or treated unfairly, generally when there is an imbalance of power
victimization