Health Care

Question 1

______________identification of and discrimination between physical and psychological signs and symptoms essentially to effective execution and management of the nursing regimen.

Answer 1

Diagnosis

Question 2

________ prevention consists of health promotion and illness

Answer 2

PRIMARY PREVENTION

Question 3

examples of PRIMARY PREVENTION

Answer 3

mamagram
Colonoscopy
flu clinical
education

Question 4

what PREVENTION is your primary care provider?

Answer 4

secondary

Question 5

________ prevention is diagnosis and treatment

Answer 5

SECONDARY PREVENTION

(call doctors/np/surgery/ prescription )

Question 6

____________ prevention consists of rehabilitation, health
restoration, palliative care.

Answer 6

TERTIARY PREVENTION

Question 7

NURSING ROLES (3)

Answer 7

caregiver

manager of care

member of the profession

Question 8

TCAB

Answer 8

Transforming Care at the Bedside

Focus on
safer, more reliable inpatient care
* more focused on the patient
* increase the vitality of the work environment and satisfaction of front-line
nurses
* TEAMSteps
* From Military
* “patient safety is a team sport”

Question 9

TEAMSteps

Answer 9

• From Military
• “patient safety is a team sport”
• Promotes:
• Team Leadership
• Situation monitoring
• Mutual support
• Communication

Question 10

(QSEN)

Answer 10

Quality & Safety Education for Nurses

(KSA)
Knowledge, skills & attitudes to improve quality and safety
of healthcare systems
* 6 competencies:
* Patient centered care
* Teamwork and collaboration
* Evidence-based practice
* Quality improvement
* Informatics
* Safety

Question 11

National Patient Safety Goals
2023

Answer 11

Improve accuracy of patient identification

Question 12

CONSOLIDATED OMNIBUS BUDGET RECONCILATION ACT
(COBRA)

Answer 12

gives workers and their families who lose their health benefits the right to choose to continue group health benefits provided by their group health plan for limited periods of time under certain circumstances such as voluntary or involuntary job loss.

Question 13

Health Insurance Portability and Accountability Act (HIPAA) 1996

Answer 13

Protected Health Information
* Identifies an individual
* Contains health information
* Need to know basis only
* Do I need this information to do my job?

Question 13

Part 2 of Cobra

Answer 13

Part 2 (must provide care for patient regardless if they can afford it)
* Receiving care in a hospital
* 250 yard rule
* Must provide services in emergency
* Treatment of emergencies
* Regardless of insurance or ability to pay
* Obstetric patient with contractions = emergency
* Transferring patients
* Only when stable
* If care needed not available

Question 13

Part 1 of Cobra

Answer 13

Part 1
* Change in insurance
* Right to choose to continue group health benefits

Question 14

The Health Information Technology for
Economic and Clinical Health Act
(HITECH)

Answer 14

• part of the American Recovery
  and Reinvestment Act of 2009
• Includes HIPAA compliance
  with technology
• Civil and criminal penalties

Question 15

PAYMENT SOURCES (6)

Answer 15

• MEDICARE
• MEDICAID
• SSI
• PRIVATE INSURANCE
  -CANADA
• COBRA
• MILITARY/ VA

Question 16

Government issued payments ?

Answer 16

Government-funded programs are paid for with revenue from federal, state, and local taxes on the citizenry. Programs include Medicare, Medicaid, and children’s, specialty, and categorical programs.

Question 17

Consumers

Answer 17

Aware, savy

Question 18

Advances in technology

Answer 18

Testing, early diagnosis

Question 19

Early diagnosis

Answer 19

Less costly

Question 20

COMPUTERS and digital
information

Answer 20

EHR: meaningful use

Question 21

MANAGED CARE
* HMO, POS, PPO

Answer 21

POS : can choose whether they want to use in-network or out-of-network providers. The member will pay higher costs for using out-of-network providers, except in an emergency situation

HMO: To offer all necessary medical benefits to members of the HMO while still holding costs to a minimum

PPO: managed care plan in which providers are paid by the PPO on a fee-for-fee service
- negotiated fee schedule between the PPO and the doctors
- PPO members not required to use PPO providers, but there is a financial incentive to do so
Focus of PPOs
- focus on good health care once you’re sick, not on wellness
- some annual exams not covered

Question 22

CLINICAL PATHWAYS

Answer 22

map strategy for assessing, implementing, and evaluating the cost-effectiveness of patient care. These pathways reflect relatively standardized predictions of patients’ progress for a specific diagnosis or procedure.

Question 23

Case management

Question 24

LOS –

Answer 24

Length of Stay

Question 25

DRG –

Answer 25

Diagnosis related group

Question 26

Integrative Therapies

Question 27

AIDET in practice

Answer 27

Acknowledge, introduce, duration, explanation and thank you.

Question 28

Acute care is defined

Answer 28

“treat active sudden, often unexpected, urgent or emergent episodes of injury and illness that can lead to death or disability without rapid intervention.”

Question 29

Examples of acute care are

six

Answer 29

(1)trauma care and acute care surgery,
(2) emergency care,
(3) urgent care,
(4) short-term stabilization,
(5) prehospital care,
(6) critical care.

Question 30

Long-term support services (LTSS) encompass

Answer 30

“human assistance, assistive technologies and devices, environmental modifications, care and service coordination” on a regular or intermittent basis (Nguyen, 2017). LTSS are provided in a variety of nonhospital settings, such as extended care facilities, ambulatory care centers, and home healthcare agencies.

Question 31

Inpatient

Answer 31

refers to a client who has been admitted to a healthcare facility. The length of stay is limited to the amount of time that the client requires 24-hour care.

Question 32

OUTpatient

Answer 32

refers to a client who receives treatment at a healthcare facility but does not stay overnight

Question 33

Extended care facilities

Answer 33

provide long-term care and support that can range from a few months to a lifetime.
As the length of stay in hospitals has declined, extended care facilities can deliver services that were previously provided in hospitals.

Question 34

Community health centers

Answer 34

Community-based centers that provide care for the community at large. Community health nurses provide services to at-risk populations and devise strategies to improve the health status of the surrounding community (e.g., school-based pregnancy reduction programs, healthcare for the homeless). Community care is provided to client groups at various sites, such as churches, schools, shelters, workplaces, and public clinics.

Question 35

Primary care

Answer 35

is the first level of care that patients receive, and is focused on patient wellness and the prevention of severe health conditions. Primary care providers are typically patients’ first point of contact when they have medical concerns or needs.

Question 36

Secondary services

Answer 36

are directed toward early diagnosis and treatment of illness, disease, and injury. Increasingly these services are being performed in surgery centers, offices, and outpatient centers. The trend away from the hospital is related to containing costs, increasing specialization of hospitals, and growing evidence that hospitals often harbor medication-resistant infections.

Question 37

Tertiary services

Answer 37

refer to long-term rehabilitation services and care for the dying.

Question 38

Physicians :

Nurse Practitioners :

Physician Assistants (PAs):

Registered Nurses (RNs)

Licensed Practical Nurses (LPNs)

Unlicensed Assistive Personnel (UAP)

Answer 38

are licensed as medical doctors (MDs) or doctors of osteopathy (DOs). Their primary role is to diagnose and treat disease and illness through medical and surgical services. A physician may work independently, as part of a medical group, as an employee of a health facility, or as hospitalists, who lead the medical team to coordinate care for inpatients.

(NPs) are independent practitioners with advanced education and training and are licensed to provide a broad range of medical and nursing care based on their specialty area. NPs engage in activities ranging from health promotion to caring for clients with acute or chronic healthcare problems. They can practice independently or in collaboration with a provider.

practice under the supervision of a physician to diagnose and prescribe treatments and medications to treat certain diseases and injuries. As an extension of the physician, nurses are permitted to follow a PA’s prescriptions, unless prohibited by your state’s nurse practice act or policies and procedures.

assess clients, administer treatments and medications, provide education, and modify nursing care plans based on client responses to treatment. They have the most direct contact with clients and provide holistic, continuous, and comprehensive nursing care.
(CANT ASSESS/monitor blood tranfusion)work under the supervision of the RN to provide noncomplex care, administer certain medications, and communicate client responses.

is a broad term that covers nursing assistants, aides, and technicians. UAPs provide custodial care under the direction of nurses and providers in a variety of settings

Question 39

MediCARE

Answer 39

This act was designed to provide insurance for persons aged 65 years and older. It was later expanded to include younger people with permanent disabilities, such as end-stage renal disease, but provides only limited coverage for long-term care. Medicare is financed from a payroll tax levied on employers and employees and from premiums paid by Medicare subscribers (clients

Question 40

Medicaid =

Answer 40

Provide access to healthcare services for individuals with low incomes and minimal resources. Medicaid is a joint federal and state program; therefore, the eligibility criteria for Medicaid and the range of medical services offered vary from state to state. Medicaid offers a fairly comprehensive set of benefits, including prescription drugs, skilled care, and long-term care.

Question 41

Continuous quality improvement (CQI) programs

Answer 41

seeing how we did

used interchangeably with total quality management (TQM), focus on quality (excellent) care as an ongoing goal through an evaluation process that identifies problems, develops solutions, implements corrective plans, and evaluates its effectiveness. While CQI is a system approach, different methods are used at the unit level to promote quality improvement.