ATI Flashcards
Diagnosis-related group (DRG)
A fixed payment system for reimbursement for health care services based on the client’s diagnosis and procedures performed
goal of the ACA
improve health care quality and increase access to services
hospital consumer assessment of healthcare providers and systems
a survey instrument and data collection method to measure clients’ perceptions of their inpatient experiences
name the five major social determinants of health
economic stability
education
social and community context
health and health care
neighborhood and built environment
sentinel event
an event that results in client death or permanent or severe temporary harm
role of a naturopathic doctor
prescribe natural and alternative treatment options such as lifestyle changes, exercise, herbs, and acupuncture
long-term care hospital
specializes in caring for clients who require hospitalization for long-term illnesses such as severe burns, trauma, or ventilation needs
long-term care facility
care for clients who do not need specific nursing skills but rather a place to live
skilled nursing facility
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
role of the occupational therapist
assist clients to either recover or develop new skills to maintain daily living and return to work
role of physical therapist
provide services to clients to assist in recovery from injury or illness; work with clients to help them improve their movement and alleviate pain
define advanced practice registered nurse
also called a nurse practitioner; a registered nurse who ahs completed advanced education in a specialty and passes the associated certification eaxmination
role of the case manager
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
role of the social worker
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
health care disparities
social, economic, and environmental differences that affect health status
hospital acquired infections
central line-associated bloodstream infection
surgical site infection
MRSA
catheter-associated urinary tract infection
accreditation
demonstrating how a program or organization meets published standard through a self-study and site visit
nurse staffing
the process of determining the correct number and skill mix of nurses for the number and acuity of clients needing care
patient protection and affordable care act
helps provide affordable health coverage for each person in the Unites States
HIPAA
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
EMTALA
helps prevent “patient dumping” the practice of one health care organization moving a client based on inability to pay or lack of insurance coverage
advanced directives
legal forms used to communicate and document health care decisions if an individual becomes unable to do so
health disparities
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
health equity
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
culture of safety
a systems approach to safety that moves away from individual blame in the case of medical errors
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
health promotion
the process of encouraging clients to take control and improve their overall health
wellness
a positive state of health
primary prevention
decreasing the risk of alterations in health occurring by changing behaviors or minimizing exposure
secondary prevention
early screening interventions to detect a disease process before it progresses to cause symptoms or complications in the client
tertiary prevention
efforts to control a health issue has already occurred of to show the spread and prevent further illness
quaternary care
prevention that focuses on protecting clients form the excessive use of medical interventions that can cause more harm than good
self-care
any activity that can utilize to promote their mental health and overall well-being
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
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
modifiable risk factors
behaviors and exposures that can raise or lower a person’s risk, and that can be changed to reduce risk
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
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
culturally competent care
being sensitive to issues related to culture, race, gender, and sexual orientation while providing care to nondominant populations
feedback
allows the sender and receiver to know the message was understood
nonverbal communication
eye contact, facial expressions, and posture
environmental factors
examples include excessive noise or extreme temperatures
the phases of the nurse-client relationship
orientation, identification, exploitation, and resolution
techniques found within motivational interviewing
OARS: open-ended questions, affirmation, reflective listening, summarizing
auditory communication
what the receiver hears when the sender speaks a message
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
hearing and vision loss
physiological deficits that influence communcation
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
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
the six ethical principles of the nursing profession
autonomy
beneficence
nonmaleficence
veracity
fidelity
justice
the five professional values of nursing
altruism
human dignity
integrity
autonomy
social justice
the process the nurse must complete to identify, assess, and develop their own personal value system
value clarification
the first step of the ethical decision making process
does a ethical dilemma exist
what federal law protects an individual’s identifying private and personal health information
HIPAA
the two types of unintentional torts
malpractice
negligence
the types of intentional torts
invasion of privacy, defamation, assault, battery
the nurse’s role when obtaining informed consent
witness the client’s signature
the two types of advanced directive
living will
durable power of attorney
the five rights of delegation
right task
right circumstance
right person
right directions and communication
right supervision and evaluation
the ANA documents that addresses the expected values and ethical principles of the nursing profession
the Code of Ethics for Nurses with Interpretive statements
what is the act requiring emergency departments to provide equal care for clients regardless of their insurance status
EMTALA
nurse fatigue
the physical and mental exhaustion that can cause the nurse to be unable to function safely
falsification of health records
the process of documentation that is not accurate, incomplete, or misleading
shared governance
a shared-decision structure that gives nurses control over their own nursing practice
professionalism
actions, behaviors, and attitudes that reflect the core values, ethical principles, and regulatory guidelines of nursing
professional identity
a person’s understanding of a role along with the values, beliefs, and attributes associated with it
professional commitment
the belief and acceptance of the standards and values of the profession of choice
advocacy
the act of defending the interests, rights, and safety of those who cannot do it for themselves
unprofessionalism
conduct that does not adhere to the standards of practice of Code of Ethics
responsibility
an obligation to perform work, duties, or tasks using sounds professional judgement
leadership
the collaborative process of influencing and guiding others to perform in a desired way
chain of command
an organizational hierarchy identifying the lines of authority within an organization
accountability
a legal obligation with a moral and ethical commitment to do the right thing in every time in every situation
