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ATI Flashcards

1
Q

Diagnosis-related group (DRG)

A

A fixed payment system for reimbursement for health care services based on the client’s diagnosis and procedures performed

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2
Q

goal of the ACA

A

improve health care quality and increase access to services

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3
Q

hospital consumer assessment of healthcare providers and systems

A

a survey instrument and data collection method to measure clients’ perceptions of their inpatient experiences

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4
Q

name the five major social determinants of health

A

economic stability
education
social and community context
health and health care
neighborhood and built environment

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5
Q

sentinel event

A

an event that results in client death or permanent or severe temporary harm

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6
Q

role of a naturopathic doctor

A

prescribe natural and alternative treatment options such as lifestyle changes, exercise, herbs, and acupuncture

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7
Q

long-term care hospital

A

specializes in caring for clients who require hospitalization for long-term illnesses such as severe burns, trauma, or ventilation needs

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8
Q

long-term care facility

A

care for clients who do not need specific nursing skills but rather a place to live

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9
Q

skilled nursing facility

A

sometimes referred to as a nursing home or long-term care; may provide short-term rehabilitation care such as occupational and physical therapy as well as oversight for activities of daily living

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10
Q

role of the occupational therapist

A

assist clients to either recover or develop new skills to maintain daily living and return to work

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11
Q

role of physical therapist

A

provide services to clients to assist in recovery from injury or illness; work with clients to help them improve their movement and alleviate pain

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12
Q

define advanced practice registered nurse

A

also called a nurse practitioner; a registered nurse who ahs completed advanced education in a specialty and passes the associated certification eaxmination

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13
Q

role of the case manager

A

to facilitate the treatment plan and look for the most cost-effective care in the least restrictive setting while maintaining client self-determination and culturally appropriate care

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14
Q

role of the social worker

A

help to find solutions to client challenges and advocate for resources to help resolve issues. Clinical social workers can also diagnose, treat clients, and provide psychotherapy services

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15
Q

health care disparities

A

social, economic, and environmental differences that affect health status

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16
Q

hospital acquired infections

A

central line-associated bloodstream infection
surgical site infection
MRSA
catheter-associated urinary tract infection

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17
Q

accreditation

A

demonstrating how a program or organization meets published standard through a self-study and site visit

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18
Q

nurse staffing

A

the process of determining the correct number and skill mix of nurses for the number and acuity of clients needing care

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19
Q

patient protection and affordable care act

A

helps provide affordable health coverage for each person in the Unites States

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20
Q

HIPAA

A

protects insurance coverage of individuals who lost employer-sponsored health insurance because they lost of changed employment and requires that national standards be established for electronic health care transactions

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21
Q

EMTALA

A

helps prevent “patient dumping” the practice of one health care organization moving a client based on inability to pay or lack of insurance coverage

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22
Q

advanced directives

A

legal forms used to communicate and document health care decisions if an individual becomes unable to do so

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23
Q

health disparities

A

preventable differences in incidence and prevalence of disease, injury, or violence, based on race, ethnicity, gender, gender identity or LGBTQIA status, age, or socioeconomic status

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24
Q

health equity

A

the removal of obstacles such as poverty and discrimination, and subsequent lack of access to fair pay, quality education, housing, safety, and health care, so as to provide a more equitable distribution of health-related resources

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25
culture of safety
a systems approach to safety that moves away from individual blame in the case of medical errors
26
epidemiology
the study of the distribution and determinants of health-related states and events in specified populations and the application of the results to control health problems; may be done at local, state, national, or global level
27
health promotion
the process of encouraging clients to take control and improve their overall health
28
wellness
a positive state of health
29
primary prevention
decreasing the risk of alterations in health occurring by changing behaviors or minimizing exposure
30
secondary prevention
early screening interventions to detect a disease process before it progresses to cause symptoms or complications in the client
31
tertiary prevention
efforts to control a health issue has already occurred of to show the spread and prevent further illness
32
quaternary care
prevention that focuses on protecting clients form the excessive use of medical interventions that can cause more harm than good
33
self-care
any activity that can utilize to promote their mental health and overall well-being
34
health literacy
knowledge that clients have about their own health, and the ability to act on that knowledge to make decisions about their own health
35
healthy people
a program established by the U.S. Department of Health and Human Services (HHS), with the intention of improving the overall health of Americans
36
modifiable risk factors
behaviors and exposures that can raise or lower a person's risk, and that can be changed to reduce risk
37
nonmodifiable risk factors
conditions that increase the risk of developing a disease and cannot be changed. They include genetics, ethnicity/race, age, and family health history
38
culture
a group of ideas and behaviors shared by members of a society. Cultural beliefs can change over time, but their evolution varies by society
39
culturally competent care
being sensitive to issues related to culture, race, gender, and sexual orientation while providing care to nondominant populations
40
feedback
allows the sender and receiver to know the message was understood
41
nonverbal communication
eye contact, facial expressions, and posture
42
environmental factors
examples include excessive noise or extreme temperatures
43
the phases of the nurse-client relationship
orientation, identification, exploitation, and resolution
44
techniques found within motivational interviewing
OARS: open-ended questions, affirmation, reflective listening, summarizing
45
auditory communication
what the receiver hears when the sender speaks a message
46
passive-aggressive communcation
communication that appears passive, but the individual is acting out anger in a subtle, indirect, or secretive way through sarcasm, or witty responses
47
hearing and vision loss
physiological deficits that influence communcation
48
four competencies for interprofessional collaborative practice
1) work with each other respectfully 2) utilize each other's knowledge to care for clients and promote health 3) communicate effectively as a team to promote the clients' health 4) use effective dynamics and values within the team to develop
49
Which of the following documentation scenarios is an example of falsification of health records?
- the nurse checks the client's level of pain, but doesn't document the findings - the nurse talks with the dietician about the client's request for a vegan diet, but doesn't document the communication - the nurse realizes that they missed checking the client's vital signs, so they document findings that were similar to the previous data - the nurse forgets to ambulate a client as prescribes, but documents that the client ambulated in the hall with assistance
50
the six ethical principles of the nursing profession
autonomy beneficence nonmaleficence veracity fidelity justice
51
the five professional values of nursing
altruism human dignity integrity autonomy social justice
52
the process the nurse must complete to identify, assess, and develop their own personal value system
value clarification
53
the first step of the ethical decision making process
does a ethical dilemma exist
54
what federal law protects an individual's identifying private and personal health information
HIPAA
55
the two types of unintentional torts
malpractice negligence
56
the types of intentional torts
invasion of privacy, defamation, assault, battery
57
the nurse's role when obtaining informed consent
witness the client's signature
58
the two types of advanced directive
living will durable power of attorney
59
the five rights of delegation
right task right circumstance right person right directions and communication right supervision and evaluation
60
the ANA documents that addresses the expected values and ethical principles of the nursing profession
the Code of Ethics for Nurses with Interpretive statements
61
what is the act requiring emergency departments to provide equal care for clients regardless of their insurance status
EMTALA
62
nurse fatigue
the physical and mental exhaustion that can cause the nurse to be unable to function safely
63
falsification of health records
the process of documentation that is not accurate, incomplete, or misleading
64
shared governance
a shared-decision structure that gives nurses control over their own nursing practice
65
professionalism
actions, behaviors, and attitudes that reflect the core values, ethical principles, and regulatory guidelines of nursing
66
professional identity
a person's understanding of a role along with the values, beliefs, and attributes associated with it
67
professional commitment
the belief and acceptance of the standards and values of the profession of choice
68
advocacy
the act of defending the interests, rights, and safety of those who cannot do it for themselves
69
unprofessionalism
conduct that does not adhere to the standards of practice of Code of Ethics
70
responsibility
an obligation to perform work, duties, or tasks using sounds professional judgement
71
leadership
the collaborative process of influencing and guiding others to perform in a desired way
72
chain of command
an organizational hierarchy identifying the lines of authority within an organization
73
accountability
a legal obligation with a moral and ethical commitment to do the right thing in every time in every situation

healthcare fundamentals (33 decks)

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