ATI Ch 1,2,16,17 Quiz

Question 1

The following are what?
US DHHS
FDA
state and local public health agencies
state licensing boards
The Joint Commission
Professional Standards Review Organizations
Utilization review committees (appropriate diagnosis and treatment of clients)

Answer 1

Components of health care systems regulatory agencies

Question 2

2 public federally funded programs

Answer 2

medicare and medicaid

Question 3

primary care providers oversee comprehensive care for enrolled clients and focus on prevention and health promotion

Answer 3

MCOs - Managed care organizations

Question 4

Clients choose from a list of providers within a contracted organization

Answer 4

EPOs - Exclusive provider organizations

Question 5

LEVELS of health care- focuses on educating and equipping clients to reduce and control risk factors for disease. Examples include programs that promote immunization, stress management, and seat belt use.

Answer 5

preventative health care

Question 6

LEVELS of health care- emphasizes health promotion, and includes prenatal and well-baby care, nutrition counseling, and disease control. This level of care is a sustained partnership between clients and providers. Examples include office or clinic visits and scheduled school- or work-centered screenings (vision, hearing, obesity).

Answer 6

primary health care

Question 7

LEVELS of health care- includes the diagnosis and treatment of acute illness and injury. Examples include care in hospital settings (inpatient and emergency departments), diagnostic centers, and emergent care centers.

Answer 7

secondary health care

Question 8

LEVELS of health care- involves the provision of specialized and highly technical care. Examples include intensive care, oncology centers, and burn centers.

Answer 8

tertiary health care

Question 9

LEVELS of health care- involves intermediate follow-up care for restoring health. Examples include home health care, rehabilitation centers, and skilled nursing facilities.

Answer 9

restorative health care

Question 10

LEVELS of health care- addresses long-term or chronic health care needs. Examples include end-of-life care, palliative care, hospice, adult day care, and in-home respite care.

Answer 10

continuing health care

Question 11

QSEN-The minimization of risk factors that could cause injury or harm while promoting high-quality care and maintaining a secure environment for clients, self, and others.

Answer 11

safety

Question 12

QSEN-The provision of caring and compassionate, culturally sensitive care that addresses clients’ physiological, psychological, sociological, spiritual, and cultural needs, preferences, and values.

Answer 12

patient-centered care

Question 13

QSEN-The use of current knowledge from research and other credible sources on which to base clinical judgment and client care.

Answer 13

evidence based practice

Question 14

QSEN-The use of information technology as a communication and information-gathering tool that supports clinical decision making and scientifically based nursing practice.

Answer 14

informatics

Question 15

QSEN-Care-related and organizational processes that involve the development and implementation of a plan to improve health care services and better meet clients’ needs.

Answer 15

quality improvement

Question 16

QSEN-The delivery of client care in partnership with multidisciplinary members of the health care team to achieve continuity of care and positive client outcomes.

Answer 16

teamwork and collaboration

Question 17

Works with clients and families by coordinating inpatient and community resources to meet
psychosocial and environmental needs that are necessary for recovery and discharge.
◯ Example of when to refer – A client who has terminal cancer wishes to go home but is no longer able to perform many activities of daily living. The spouse needs medical equipment in the home to care for the client.

Answer 17

social worker

Question 18

genetics, gender, physiologic factors, environmental factors, lifestyle-risk behaviors, age, frequency of exams and screenings

Answer 18

risk factor assessment

Question 19

How often? routine physical exam

Answer 19

generally every 3-5 years from 20-40 and then more often

Question 20

How often? BP

Answer 20

every 2 yrs, annually if elevated

Question 21

How often? BMI

Answer 21

at each routine health care visit

Question 22

What age? How often? blood cholesterol

Answer 22

at 20, min every 5 years

Question 23

What age? How often? blood glucose

Answer 23

45, min every 3 years

Question 24

What age? How often? colorectal screening

Answer 24

50, high sensitivity fecal occult blood test every year
flexible sigmoidoscopy every 5
colonoscopy every 10

Question 25

What age?How often? cervical cancer screening

Answer 25

21-29 pap smear every 3

30-65 pap and HPV every 5

Question 26

What age? How often? breast cancer screening

Answer 26

20-40 clinical exam every 3, then annually thereafter

50-74, mammogram every 2

Question 27

How often? clinical testicular exam

Answer 27

at each routine health care visit starting at 20

Question 28

What age? prostate specific antigen test, digital rectal exam

Answer 28

50 if indicated

Question 29

Levels of prevention: addresses the needs of healthy clients to promote health and prevent disease with specific protections.
› Immunization programs
› Child car seat education
› Nutrition, fitness activities
› Health education in schools

Answer 29

primary prevention

Question 30

Levels of prevention: focuses on identifying illness, providing treatment, and conducting activities that help prevent a worsening health status.
› Communicable disease screening, case finding › Early detection, treatment of diabetes mellitus › Exercise programs for older adults who are frail

Answer 30

secondary prevention

Question 31

Levels of prevention: aims to prevent the long- term consequences of a chronic illness or disability and to support optimal functioning.
› Prevention of pressure ulcers after spinal cord injury
› Promoting independence after traumatic brain injury

Answer 31

tertiary prevention

Question 32

is a goal-driven interactive process

Answer 32

teaching

Question 33

is an intentional gain of new information and promotes behavioral change.

Answer 33

learning

Question 34

influences how much and how quickly a person learns.

Answer 34

motivation

Question 35

technology can enhance access to and delivery of knowledge.

Answer 35

information

Question 36

provides clients with information and skills to:
◯ Maintain and promote health and prevent illness (immunizations, lifestyle changes, prenatal care).
◯ Restore health (self-administering insulin).
◯ Adapt to permanent illness or injury (ostomy care, swallowing techniques, speech therapy).

Answer 36

client education

Question 37

Domains of learning: obtaining new information, applying the information, and evaluating the information. For example, it takes place when clients learn the signs and symptoms of hypoglycemia and then can verbalize when to notify the provider.

Answer 37

cognitive learning

Question 38

Domains of learning: involves feelings, beliefs, and ideals. For example, it takes place when clients learn about the life changes necessary to manage diabetes mellitus and then discuss their feelings about having diabetes.

Answer 38

affective learning

Question 39

Domains of learning: gaining skills that require mental and physical activity. For example, it takes place when clients practice preparing insulin injections.

Answer 39

psychomotor learning

Question 40

The following are considered what?
Perceived benefit
› Cognitive and physical ability
› Health and cultural beliefs
› Active participation
› Age/educational level-appropriate methods

Answer 40

factors that enhance learning

Question 41

The following are considered what?
› Fear, anxiety, depression
› Physical discomfort, pain, fatigue › Environmental distractions
› Health and cultural beliefs
› Sensory and perceptual deficits
› Psychomotor deficits

Answer 41

barriers to learning

Question 42

● Assess/monitor learning needs.
● Evaluate the learning environment.
● Assess/monitor learning style (auditory, visual, kinesthetic).
● Identify areas of concern (low literacy levels, pain, distractions).
● Assess/monitor available resources (financial, social, community).
● Identify developmental stage.
● Determine physical and cognitive ability.
● Identify special needs (visual impairment, decreased manual dexterity, learning challenges).
● Determine motivation and readiness to learn.
Are part of which step in client education?

Answer 42

Assessment and data collection

Question 43

● Identify mutually agreeable outcomes.
● Prioritize the learning objectives with clients’ needs in mind.
● Use methods that emphasize the learning style.
● Select age-appropriate teaching methods/material.
● Provide electronic educational resources (CDs, DVDs, software programs, mobile applications).
● Use reliable Internet sources to access information and support services.
● Organize learning activities to move from simple to more complex tasks, and known to unknown concepts.
● Incorporate active participation in the learning process.
● Schedule teaching sessions at optimal times for learning (teaching ostomy care when replacing the bag).
Are part of which step in client education?

Answer 43

planning

Question 44

● Create an environment conducive to learning (minimize distractions and interruptions, provide privacy).
● Use therapeutic communication (active listening, empathy) to develop trust and promote sharing of concerns.
● Review previous knowledge and experiences.
● Explain the therapeutic regimen or procedure.
● Present steps that build toward more complex tasks.
● Demonstrate psychomotor skills.
● Allow time for return demonstrations.
● Provide positive reinforcement.
Are part of which step in client education?

Answer 44

implementation

Question 45

● Ask clients to explain the information in their own words.
● Observe return demonstrations (psychomotor learning).
● Use written tools to measure the accuracy of information.
● Ask clients to evaluate their own progress.
● Observe nonverbal communication.
● Reevaluate learning during follow-up telephone calls or contacts, such as home health visits or
appointments with the provider.
● Revise the care plan accordingly.
Are part of which step in client education?

Answer 45

evaluation

Question 46

Factors influencing client education needs include:

Answer 46

health status, educational level, socioeconomic status, cultural and family influences, emotional status, spiritual factors, perception of functioning, willingness to participate, and developmental stage.