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healthcare fundamentals > ATI Flashcards > Flashcards

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
Q

culture of safety

A

a systems approach to safety that moves away from individual blame in the case of medical errors

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26
Q

epidemiology

A

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

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27
Q

health promotion

A

the process of encouraging clients to take control and improve their overall health

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28
Q

wellness

A

a positive state of health

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29
Q

primary prevention

A

decreasing the risk of alterations in health occurring by changing behaviors or minimizing exposure

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30
Q

secondary prevention

A

early screening interventions to detect a disease process before it progresses to cause symptoms or complications in the client

31
Q

tertiary prevention

A

efforts to control a health issue has already occurred of to show the spread and prevent further illness

32
Q

quaternary care

A

prevention that focuses on protecting clients form the excessive use of medical interventions that can cause more harm than good

33
Q

self-care

A

any activity that can utilize to promote their mental health and overall well-being

34
Q

health literacy

A

knowledge that clients have about their own health, and the ability to act on that knowledge to make decisions about their own health

35
Q

healthy people

A

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
Q

modifiable risk factors

A

behaviors and exposures that can raise or lower a person’s risk, and that can be changed to reduce risk

37
Q

nonmodifiable risk factors

A

conditions that increase the risk of developing a disease and cannot be changed. They include genetics, ethnicity/race, age, and family health history

38
Q

culture

A

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
Q

culturally competent care

A

being sensitive to issues related to culture, race, gender, and sexual orientation while providing care to nondominant populations

40
Q

feedback

A

allows the sender and receiver to know the message was understood

41
Q

nonverbal communication

A

eye contact, facial expressions, and posture

42
Q

environmental factors

A

examples include excessive noise or extreme temperatures

43
Q

the phases of the nurse-client relationship

A

orientation, identification, exploitation, and resolution

44
Q

techniques found within motivational interviewing

A

OARS: open-ended questions, affirmation, reflective listening, summarizing

45
Q

auditory communication

A

what the receiver hears when the sender speaks a message

46
Q

passive-aggressive communcation

A

communication that appears passive, but the individual is acting out anger in a subtle, indirect, or secretive way through sarcasm, or witty responses

47
Q

hearing and vision loss

A

physiological deficits that influence communcation

48
Q

four competencies for interprofessional collaborative practice

A

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
Q

Which of the following documentation scenarios is an example of falsification of health records?

A
  • 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
Q

the six ethical principles of the nursing profession

A

autonomy
beneficence
nonmaleficence
veracity
fidelity
justice

51
Q

the five professional values of nursing

A

altruism
human dignity
integrity
autonomy
social justice

52
Q

the process the nurse must complete to identify, assess, and develop their own personal value system

A

value clarification

53
Q

the first step of the ethical decision making process

A

does a ethical dilemma exist

54
Q

what federal law protects an individual’s identifying private and personal health information

A

HIPAA

55
Q

the two types of unintentional torts

A

malpractice
negligence

56
Q

the types of intentional torts

A

invasion of privacy, defamation, assault, battery

57
Q

the nurse’s role when obtaining informed consent

A

witness the client’s signature

58
Q

the two types of advanced directive

A

living will
durable power of attorney

59
Q

the five rights of delegation

A

right task
right circumstance
right person
right directions and communication
right supervision and evaluation

60
Q

the ANA documents that addresses the expected values and ethical principles of the nursing profession

A

the Code of Ethics for Nurses with Interpretive statements

61
Q

what is the act requiring emergency departments to provide equal care for clients regardless of their insurance status

A

EMTALA

62
Q

nurse fatigue

A

the physical and mental exhaustion that can cause the nurse to be unable to function safely

63
Q

falsification of health records

A

the process of documentation that is not accurate, incomplete, or misleading

64
Q

shared governance

A

a shared-decision structure that gives nurses control over their own nursing practice

65
Q

professionalism

A

actions, behaviors, and attitudes that reflect the core values, ethical principles, and regulatory guidelines of nursing

66
Q

professional identity

A

a person’s understanding of a role along with the values, beliefs, and attributes associated with it

67
Q

professional commitment

A

the belief and acceptance of the standards and values of the profession of choice

68
Q

advocacy

A

the act of defending the interests, rights, and safety of those who cannot do it for themselves

69
Q

unprofessionalism

A

conduct that does not adhere to the standards of practice of Code of Ethics

70
Q

responsibility

A

an obligation to perform work, duties, or tasks using sounds professional judgement

71
Q

leadership

A

the collaborative process of influencing and guiding others to perform in a desired way

72
Q

chain of command

A

an organizational hierarchy identifying the lines of authority within an organization

73
Q

accountability

A

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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