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Professional Nursing II (Kirk) > Exam 1: Module 4 > Flashcards

Exam 1: Module 4 Flashcards

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1
Q

Factors affecting delivery of health care
- What are the changing demographics of healthcare
- Are ther more young adults or old?
- life expectancy?
- What is rising and increasing?

A

Inc. proportion of older adults
- life expectancy increasing
- Rising BMI resulting in increased rates of chronic disease

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2
Q

Social determinants of health
- what are the 5 key areas for SDOH?

A
  • ecomonic stability
  • Education access and quality
  • Social and community context
  • Healthcare access and quality
  • Neighborhood and build environment
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3
Q

adverse childhood experiences and resiliency
- what are determinants of health for a child?

A
  • childhood trauma
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4
Q

advances in technology
- how does this effect delivery of health care

A
  • information managment systems improved
  • advances in surpical techniques
  • use of telemedicine has extended patient access
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5
Q

Delivery models study
- staffing issues
- staff qualifiation
- patient-nurse ratio

What does this all relate to?

A

Factors affecting delivery of health care

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6
Q

__% have basic or below basic levels of health literacy?

A

36%

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7
Q

What is important for health literacy?

A

Process, understand basic health information and services to make appropriate health decisions

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8
Q

What are the 3 common models of healthcare?
-Can the framworks overlap?

A

managed care
case managmenet
patient-focused care

  • yes, they can overlap
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9
Q

Describe managed care?
- is it cost effective, high-quality or is it expensive and low quality?
- what is it designed to do?
- what is the goal of healthcare reform?

A

it is cost-effective and high-quality
- designed to improve outcomes for groups of patients
- goal is to focus on cost-containment with improved access and quality of services for everyone

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10
Q

What are the 2 primary managed care models?

A

HMO and PPO

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11
Q

case managment is the __________ process with ______________ teams led by case manager

A

collaborative; multidisciplinary

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12
Q

case management is a _________ for health care that helps to control ____ of care and maintaining _______ of care

A

framework;cost;quality

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13
Q

case mnagement is led by the _______

A

nurse

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14
Q

case management ________ the patient to experience ___________ of care regardless of the location where care. is provided

A

enables; continuity

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15
Q

What is patient-focused care

A

healthcare organize around expressed physical, emotional needs of the patient
- Patients and families integral to decisions about helathcare delivery

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16
Q

for patient-focused care, is it gnerally understoof that patients and families are integrated in the decision process regarding healthcare delivery?

A

Yes

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17
Q

Patient focused care still allows ________ of the patient

A

autonomy

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18
Q

once again, what are the 5 social determinants of health

(every exam shows health needs)

A

Economic Stability
Education Access and Quality
Social and Community Context
Healthcare Access and Quality
Neighborhood and Built Environment

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19
Q

people who are unemployed, self-employed, small company employers face challenges accessing healthcare resulting in

A

poorer health outcomes

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20
Q

can failure to recieve immunizations result in comunity outbreaks?

A

yes

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21
Q

the ACA signed by Obama was designed to…

A

remedy some disparities in access to health insurance coverage and other related problems

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22
Q

Current data shows that sizable disparities continue to provide _________ to equitable healthcare to all americans

A

obstacle

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23
Q

lack of usual source of care results in what 3 things

A
  • results in fragmented care
  • Poorer health outcomes
  • Increased Cost
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24
Q

what is the value-based purchasing-medicare program?

A

It pays incentives to hospitals that demonstrate quality care

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25
Q

Medicare uses a prospective ________ _____ based on diagnosis-relates groups

A

payment plan

26
Q

What is the nurses rolw in the setting of:
- Clinics; primary care practices?

A
  • provide and imrpove patient care through clinic management,
  • participation in care during visits
  • an care management for patients with complex or chonic health conditions

take note: primary care that a community health nurse would implement - outreach to community members to update immunizations

27
Q

What is the nurses role in the setting of:
- Home health care

A
  • assess patients
  • develop treatment plans
  • provide care
  • collaborate
  • monitor health changed and progress
28
Q

What is the nurses rolw in the setting of:
- long-term care facilities; nursing homes; silled care

(same as home health)

A
  • assess patients
  • develop Tx plans
  • provide care,
  • collaborate
  • monitor health changes and progress
29
Q

What is the nurses rolw in the setting of:
Telehealth

How about worksite wellness programs?

A
  • Assess pateints from a distance
  • monitor health status
  • Interact to provide healthcare needs
  • provide health education
  • group wellness coaching sessions
  • wellness programs
30
Q

What is the nurses rolw in the setting of:
Alcohol and addiction rehab facilities

A

Assess stage of recovery and level of readiness for change; provide skilled care during detox

31
Q

What is the nurses rolw in the setting of:
Outpaient clinics; community mental health centers

A

Provide Care management for patients with complex or chronic mental health conditions

32
Q

What is the nurses rolw in the setting of:
Residential mental health and/or addiction tretment centers

A

Assess patients
- provide care including therapeuti communication
- monitor and discuss progress

33
Q

What is a factor that has influenced the increased diversity in practice settings for nurses?

A

The shift of health care delivery into the community

34
Q

What is the focus of community-based nursing practice?

A

Promoting and maintaining population health, preventing and minimizing disease progress

35
Q

Example: A home health nurse visits a client who is discharged from the hospital with a diagnosis of CHF: The nurse will check the client’s vital signs, weight, medication/ diet adherence, do health assessment, draw blood etc.

What is this example called?

A

Community-Based Nursing

36
Q

What type of nursing does planning and implementing immunizations services for communities?

A

Community health nursing

37
Q

What typoe of nurse has teh intent to assist patients as they schedule follow up care, consults, and provide them with resources they require to ensure coordination of care?

A

Nurse Navigator

38
Q

type of healthcare that reduces cost while maintaining high quality?

A

Managed Care

39
Q

A collaboration of services to meet comprehensive health care needs

A

Case management

40
Q

Delivery model that organizes healthcare around the expressed phyical and emotional needs of the patient

A

Patient-Focused

41
Q

difference between emergency and disaster

A

emergency: sudden often unexpected event that threatens health or safety

Disaster: when public emergency escalates requiring assistance from agencies outside of the affected community

42
Q

an infection that spreads rapidly in one or more specific locations

A

epidemic

43
Q

Spreads rapidly around the world

A

Pandemic

44
Q

community’s ability to rapidly meet increased demand for qualified personnel and resources, including healthcare resources, in event of disaster

A

Surge capacity

45
Q
A
46
Q

What is:
- occurs both before, after emergency occurs
- identifying otential hazards
- taking action to reduce likelihood ofoccurence
- minimizing effets of those that cannot be prevented

A

mitigation

47
Q

occurs before emergency occurs
- risk assessed, plans developed to address risks
- these plans are developed at what 4 levels

A

Preparedness
- federal, regional, state, an local

48
Q

what 3 agencies have preparedness for an emergency response?

A

federal emergency management agency
- department of homeland security
- CDC

49
Q

What do public health nurses do for preparedness

A
  • plan ahead of time in communities
  • conduct training drills
  • evaluate operational plans
  • work with local stakeholders
50
Q

For preparedness:
- should nurses be aware of their employers response plans?
- Should nurses have a sense of how their state, local communities will operate in an emergency?
- With what agency should nurses choose to become a disaster volunteer?

A
  • Yes
  • Yes
  • American red cross
51
Q

the implementation of emergency preparedness plans

A

emergency response

52
Q

what phase of emergency includes:
- Nurses wel qualified to participate in risk assessment and planning after disaster
- Nurses can also educate pateints, communities about disaster preparedness
- Public health nurses:
- conduct rapid ongoing needs asessments after natural disaster
- work with community stakeholders to plan for long-term health concerns
- Participate in reconstruction of critical services
- Evuate long-term impact of disaster on community

A

Recovery

53
Q

What agency is called upon to act and coordinate recovery efforts after major events.

A

Federal Emergency Management Agency (FEMA)

54
Q

homeland security has developed federal guidelines called

A

Nstional incident management system (NIMS)

55
Q

what are the 5 components of NIMS

A
  • Planning
  • Operations
  • Logistics
  • Administration and Finance
  • Incident command system
56
Q

Prioritizing patients for treatment based on severity of illness or injury and in light of supplies and resources available

A

Triage

57
Q

Do nurses perform triage every day in emergency departments

A

Yes

58
Q

most policies specified the triage team’s composition by profession
__% required a physician
__% required a nurse
__% called for the inclusion of an ethicist

A

89%
70%
33% (1/3)

59
Q

What does SALT stand for (Triage)

A

Sort
Assess
Lifesaving Interventions
- Treatment/transport

60
Q

order of triage categories

A

priority/color
1-red
2-yellow
3-green
4-black

61
Q

What should we talk to children about (mitigation)

A

talk about the virus and community responses related to covid-19

62
Q

Nurses role in disasters will vary based on:
- Type and location of…
- number of…
- available…

A

type and location of disaster
- # of victims
- Available personnel and supplies

Professional Nursing II (Kirk) (4 decks)

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