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foundations > foundations of nursing > Flashcards

foundations of nursing Flashcards

1
Q

what does the healthcare system incorporate

A
  • interactions between health care providers and clients within the constraints of financing mechanisms and regulatory agencies
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2
Q

what does the healthcare system include

A
  • clients who participate
  • settings in which health care takes place
  • agencies that regulate healthcare
    mechanisms that provide support
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3
Q

what is the challenge of nursing today

A

retain is caring values while practicing within a cost- containment structure

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4
Q

participants

A

consumers (clients)

providers

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5
Q

licensed providers

A 
registered nurses
licensed practical nurses 
advanced practice nurses 
medical doctors 
pharmacist, dentist, dieticants, physical therapist, respiratory therapist, occupational therapist
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6
Q

unlicenses providers

A

cna
pct
hvc

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7
Q

regulatory agencies

A
  • us department of health and human services
  • fda
  • state and local agencies
  • licensing boards
  • joint commission
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8
Q

medicare

A

clients greater than 65 years of age/ permanent disabilities

part A: hospital insurance
part B: medical insurance
part C: medicare advantage plan
part D: medications

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9
Q

medicaid

A

low incomes

  • federally and state funded
  • individual states determine eligibility requirements
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10
Q

affordable care act 2010

A
  • increasing access to helth care for all individuals mandate for health insurance
  • decreasing health care costs
  • providing opportunities for uninsured to become insured at an affordable cost
  • state children health insurance program: coverage for uninsured children up to age 19
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11
Q

private plans

A

traditional insurnace reimburses for services on a free for service basis

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12
Q

private plans: managed care orgaizations

A

-primary care providers oversee comprehensive care for enrolled clients and focus on prevention and health promotion

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13
Q

private plans: preferred provider organization

A

Clients choose from a list of contracted providers and hospitals. Using non‑contracted providers increases the out‑of‑pocket costs.

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14
Q

private plans: exclusive providers organizations

A

Clients choose from a list of providers and hospitals within a contracted organization with no

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15
Q

private plans: long - term care insurance

A

Used as a supplement for long‑term care expenses. Medicare does not cover

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16
Q

preventive

A

health care focuses on educating and equipping clients to reduce and control risk factor for disease

examples:

  • immunization
  • stress management
  • occupational health programs
  • seat belt use
17
Q

primary

A

health care emphasizs health promotion and includes:

  • prenatal and well-baby care
  • family planning
  • nutrition counseling
  • disease control
18
Q

what is primary care a sustained partnership between what

A

clients and providers

examples:

  • office or clinic visits
  • community health centers
  • scheduled school- or work- centered screenings (vision, hearing, obesity)
19
Q

secondary

A

health care included the diagnosis and treatment of acute illness and injury

example:

  • care in hospital settings (inpatient and emergency departments)
  • diagnostic centers
  • emergent care centers
20
Q

tertiary

A

involves the provision of specialized and highly technical care

examples:

  • intensive care
  • oncology centers
  • burn centers
21
Q

restorative

A

health care involves intermediate follow-up care for restoring health and promoting self-care

examples:

  • home health care
  • rehabilitation centers
  • skilled nursing facilities
22
Q

continuing

A

health care addresses long-term or chronic health care needs over the period of time

examples:

  • end of life care
  • palliative care
  • hospice
  • adult daycare
  • assisted living
  • in-home respite care
23
Q

levels of care: people

A

level of care depends on the needs of the client. licensed and unlicensed health care personnel work in every level of care

24
Q

levels of care: setting

A

settings for secondary and tertiary care are usually within a hospital or specific facility. settings for other levels of care very

25
Q

levels of care: regulatory agencies

A

help ensure the quality and quantity of health care and protection of health care consumers

26
Q

levels of care: health care finance

A

influences the quality and type of care by setting parameters for cost containment and reimbursement

27
Q

registered nurse

A

the RN is the lead team member, soliciting input from all nursing team members, setting priorities, sharing information with other disciplines, and coordinating client care

28
Q

educational preparation

A

must meet the states board of nursing’s requirements for licensure

requires completion of the diploma program, an associates degree, baccalaureate degree in nursing prior to taking the licensure exam

29
Q

roles and responsibilities of nursing personnel

A
  • function legally under state nurse practice acts
  • perform assessments
  • establish nursing diagnosis goals, interventions, and conduct ongoing client evaluations
  • participate in developing interprofessional plan for client care
  • share appropriate info among team members; initiate referrals for client assistance, include health education, and identify community resources
30
Q

advanced practice nurse

A
  • great deal of autonomy
  • master degree in advanced education in pharmacology and physical assessment, and certification in a specialized area of practice
31
Q

apn role

A
  • clinical nurse specialist- typically specializes in a practice setting or a clinical field
  • nurse practitioner- collaborates with one or more providers to deliver nonemergency primary health care in a variety of setting
  • certified registered nurse anesthetist- admisters anesthesia and provides care during procedures under the supervision of an anesthesiologist
  • midwife
  • nurse educator
  • nurse administrator
  • nurse researcher
32
Q

who are assistive personnel

A

certified nursing assistants, medical assistants, non-nursing personnel: dialysis technicians, monitor technicians, phlebotomists

education:

  • meet states formal or informal training requirements
  • training and examination to attain can status
33
Q

roles and responsibilities of assistive personnel

A
  • work under rn
  • feeding clients
  • preparing nutritional supplements
  • lifting
  • basic care
  • recording vitals
34
Q

interprofessional team

A
  • each discipline uses a set of skills within the scope
  • some overlaps
  • work collaboratively for holistic care
  • nurse is usually the manager of care ad must understand the roles of other team members
35
Q

social worker

A

works w client and families by coordinating inpatient and community resources to meet psychosocial and environmental needs that are necessary for recovery and discharge

foundations (21 decks)

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