Chapter 2 Flashcards
A nurse is following the PDSA cycle for quality improvement. Which action will the nurse take for the letter “A”?
Act
A nurse provides immunization to children and adults through the public health department. Which type of health care is the nurse providing?
Preventive care
The nurse is applying for a position with a home care organization that specializes in spinal cord injury. In which type of health care facility does the nurse want to work?
restorative care
A nurse is caring for a patient in the hospital. When should the nurse begin discharge planning?
upon admission
An older adult patient has extensive wound care needs after discharge from the hospital. Which facility should the nurse discuss with the patient?
skilled nursing
system of family-centered care that allows patients to live with comfort, independence, and dignity while easing the pains of terminal illness.
hospice
A nurse working in a community hospital’s emergency department provides care to a patient having chest pain. Which level of care is the nurse providing?
Tertiary care
a service that provides short-term relief or “time off” for people providing home care to an individual who is ill, disabled, or frail.
Respite care
offers an attractive long-term care setting with an environment more like home and greater resident autonomy.
Assisted living
A nurse is providing home care to a home-bound patient treated with intravenous (IV) therapy and enteral nutrition. What is the home health nurse’s primary objective?
a. Screening
b. Education
c. Dependence
d. Counseling
B. Education
A nurse is completing a minimum data set. Which area is the nurse working?
a. Nursing center
b. Psychiatric facility
c. Rehabilitation center
d. Adult day care center
A. nursing center
available within institutional settings (e.g., nursing centers or nursing homes, group homes, and retirement communities), communities (e.g., adult day care and senior centers), or the home (e.g., home care, home-delivered meals, and hospice).
continuing care
more disease oriented and focused on reducing and controlling risk factors for disease through activities such as immunization and occupational health programs.
preventive care
a national and interdisciplinary group of health care leaders, recommended 21 competencies for health care professionals in the twenty-first century.
Pew Health Professions Commission
standardized survey developed to measure patient perceptions of their hospital experience.
The Hospital Consumer of Assessment of Healthcare Providers and Systems (HCAHPS)
program that recognizes health care organizations that achieve excellence in nursing practice.
The Magnet Recognition Program
What is PDSA
plan, do, study, act
A nurse is teaching a family about health care plans. Which information from the nurse indicates a correct understanding of the Affordable Care Act?
a. A family can choose whether to have health insurance with no consequences.
b. Primary care physician payments from Medicaid services can equal Medicare.
c. Adult children up to age 26 are allowed coverage on the parent’s plan.
d. Private insurance companies can deny coverage for any reason.
C.
Adult children up to the age of 26, regardless of student status, are allowed to be covered under their parents’ health insurance plan
providers receive a fixed amount per patient or enrollee of a health care plan.
capitation
The nurse is caring for a patient whose insurance coverage is Medicare. The nurse should consider which information when planning care for this patient?
a. Capitation provides the hospital with a means of recovering variable charges.
b. The hospital will be paid for the full cost of the patient’s hospitalization.
c. Diagnosis-related groups (DRGs) provide a fixed reimbursement of cost.
d. Medicare will pay the national average for the patient’s condition.
C
This type of care involves emergency care, acute medical-surgical care, and radiological procedures.
secondary acute care
This type of care involves assisted living, psychiatric care, and older-adult day care.
continuing care
This type of care includes intensive care and subacute care.
tertiary care
This type of care includes cardiovascular and pulmonary rehabilitation, sports medicine, spinal cord injury programs, and home care.
restorative care
