Ch.2 Learning Objectives

Question 1

2 most important factors in health-care delivery & economics

Answer 1

medical necessity & appropriate level of care

Question 2

Medical doctor

Answer 2

responsible for diagnosing & treating disease, illness, & injury; order diets, test, medications, treatments, therapies & procedures

Question 3

Physician Assistant (PA)

Answer 3

employed by a physician or hospital to work closely with thethe physician & assist in directing patient care

Question 4

Nurse practitioner (NP)

Answer 4

masters-prepared registered nurse certified in specific area of practice and identified with advanced practice license who diagnoses illnesses & prescribes medications & treatment

Question 5

Registered Nurse (RN)

Answer 5

practice nursing within a defined scope under the direction of physician; provides direct patient care, manage departments, and supervises other nurses & assistive personnel

Question 6

Licensed Practical/Vocational Nurse (LPN/LVN)

Answer 6

practice within a defined scope under the supervision of a physician, dentist, or RN; provides direct patient care & supervises assistive personnel

Question 7

Unlicensed Assistive Personnel (UAP)

Answer 7

performs more complicated tasks than the CNA, including sterile procedures, in some states

Question 8

Certified Nursing Assistant (CNA)

Answer 8

performs patient care duties and assists nursing staff

Question 9

Respiratory Therapist (RT)

Answer 9

Evaluates, treats, and cares for patients with breathing problems due to heart and lung disease

Question 10

Respiratory Therapy Technician (RTT)

Answer 10

generally works under the supervision of an RT

Question 11

Physical Therapist (PT)

Answer 11

provides services to help improve/restore function & mobility, relieve pain, & prevent or limit permanent physical disabilities for patients suffering from injuries & disease

Question 12

Physical Therapy Assistant (PTA)

Answer 12

generally works under the supervision of a PT & carries out the PT’s orders

Question 13

Speech & Language Therapist (ST)

Answer 13

assess, diagnoses, treats & helps to prevent disorders related to speech, language, voice, swallowing, & fluency

Question 14

Occupational Therapist (OT)/Certified Occupation Therapy Assistant (COTA)

Answer 14

assists patients with disabilities to develop recover, or maintain their skills for daily activities and work

Question 15

Pathologist (MD)

Answer 15

medical doctor doctor examines tissue and blood samples to determine the origin or existence of disease

Question 16

Medical Laboratory Technologist (MLT)/Medical Tech (MT)

Answer 16

examines & analyzes body fluids & tissues, matches, blood for transfusions. & tests for blood levels of medications

Question 17

Phlebotomist

Answer 17

draws blood specimens from patients for testing

Question 18

Radiologist (MD)

Answer 18

medical doctor who specializes in procedures involving x-rays and radiation therapy, reads radiographs & others radiological films

Question 19

Radiologic Technologists (Rad Tech)

Answer 19

operates x-ray machines & other radiological equipment, such as computed tomography (CT) scanners, as well as magnetic resonance imaging (MRI) & ultrasound equipment; assists the radiologist by performing ordered tests to determine diagnoses & treat certain diseases

Question 20

Pharmacist

Answer 20

distributes prescription meds & advises patients & prescribers on selection

Question 21

Pharmacy Technician

Answer 21

assistants pharmacist by helping to prepare prescribed meds

Question 22

Registered Dietitian (RD)

Answer 22

plans regular menus & develops specials menus to meet the dietary needs of patients, works with health-care providers to meet special dietary needs, & instructs patients of special diets

Question 23

Dietary Tech

Answer 23

assists the RD by distributing & picking up selective menus & monitoring patient food intake

Question 24

Medical Social Worker/Public Health Social Worker

Answer 24

provides psychosocial support to patients, families, or vulnerable populations; advises caregivers; counsels patients; plans for patients’ needs after discharge; & arranges for needed care such as home health care

Question 25

Chaplin

Answer 25

provides spiritual care for patients in hospitals & hospice settings, meets the spiritual needs of families and patients when diagnosis is terminal or when death occurs, & provides spiritual care for hospital staff

Question 26

Acute-care hospital/medical center

Answer 26

may be only hospital in region/one of several hospitals in a medical center complex with diff. speciality hospitals grouped together & share resources
Provide emergency care, surgeries, inpatient care, diagnostic testing & usually some types of outpatient care
Staff: variety of doctors, nurses, assistants, therapists, laboratory workers, & other medical personnel

Question 27

Long-term acute care hospital

Answer 27

similar to acute but focuses on patients with serious medical problems that require intense, special treatment for a long period of time (20-30 days) - often transfer from ICU & needs ventilator/other life support medical assistance

Question 28

Skilled Nursing Facility

Answer 28

Provides less intensive level of care than that found in a traditional/long-term acute care hospital; Patients may stay in SNF for a few days or as long as 100 days; Consists of skilled nursing care & physical, occupational, speech therapy as needed
SNF level of care usually is covered by Medicare & most private insurers, but there are certain requirements, such as:
- patient must have been hospitalized for at least 3 days before admission
- must enter the nursing home within 30 days of hospitalization
- there is a 100-day stay maximum per year related to any one hospitalization & diagnosis
- must be making regular progress as documented by the medical professionals

Question 29

Rehabilitation Facility

Answer 29

is a level of care in which the patient can receive intensive physical, occupational, & speech therapy services
- patient must capable of participating in at least 3 hours of therapy a day to admitted to rehab facility
- focuses on treating patients with chemical dependency & mental health issues
- some facilities provide medical care in form of detoxification: removal of drugs & alcohol from person’s body (usually takes several days)

Question 30

Long-term care facilities (nursing home)

Answer 30

facilities are where residents often live for many years; nursing care provided around the clock for residents in these facilities (chronic illnesses/disabilities)

Question 31

Assisted Living facilities

Answer 31

provide less nursing care than long-term; offer 24 hour protective oversight; assisted with meds & personal care

Question 32

Independent Living Facilities

Answer 32

do not provide nursing care; generally have staff available around the clock for urgent situations; meals available, transportation & activities

Question 33

Hospital Outpatient Department

Answer 33

provide outpatient surgery; cardiac, pulmonary, physical, occupational, & speech therapy/rehab; laboratory radiation, & diagnostic testing
- observation stays generally last 24-72 hours & are considered outpatient services
- Patient is allowed to return home on the same day that the surgical procedure is performed

Question 34

Outpatient Mental Health Services

Answer 34

include intensive outpatient & partial-day treatment programs; intensive outpatient programs provide group counseling &
- therapy sessions for mental health & chemical dependency illness; sessions generally last 2 to 3 per day, 2-5 times per week.