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final nur 170 exam' > health, infomatics, patient care and quality > Flashcards

health, infomatics, patient care and quality Flashcards

1
Q

Primary Preventions

A

Preventing something from happening.

Methods designed to focus on health promotion and illness prevention

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2
Q

Secondary prevention

A

Methods that focus on the diagnosis and treatment of disease. Early detection of disease. Can be done as a outpatient basis.

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3
Q

Tertiary Prevention

A

Methods that focus on the restoration of health following an illness or accident and include rehabilitation and palliative services
Trying to get a person back to functional state

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4
Q

Decisions by government bodies and professional organizations aimed at directing and influencing actions and decisions of organizations and individuals within the health care systems

A

Health Policy

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5
Q

is defined as the degree to which individuals can obtain, act on, and understand the basic health information and services needed to make appropriate healthcare decisions

A

Health Literacy

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6
Q

is a method of delivering cost-effective and high-quality care

A

Managed care

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7
Q

“a collaborative process of assessment, planing, facilitation and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality, cost-effective outcomes.”

A

Case management

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8
Q

is a delivery model that organizes health care around the expressed physical and emotional needs of the client

A

Client-focused care

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9
Q

is a task-oriented approach to care delivery

A

Functional Nursing

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10
Q

Unlicensed assistive personnel (UAP)

A

are a critical component of functional nursing

Assist clients with ADLS and provide other types of basic care

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11
Q

Primary nursing

A

One nurse has 24/7 authority and responsibility for the care of an assigned group of clients. the Primary nurse cares for the client during shift from time of admission through discharge. Assessing clients, developing care plans and providing direct care.

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12
Q

team nursing

A

The delivery of individualized nursing care to a group of clients by a team led by a professional nurse

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13
Q

Uninsured

A

Individuals are those without any type of healthcare coverage.

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14
Q

Underinsured

A

individuals have healthcare coverage that is insufficient to meet their needs

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15
Q

Types of Healthcare Settings

A

Primary care, Secondary Care, and Tertiary Care

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16
Q

Physician’s offices, Hospital-based clinics, Community health centers, and Public health service organizations

A

Primary care Setting

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17
Q

Secondary Care Setting

A

Hospital, Outpatient surgical center, and Specialist’s office

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18
Q

Hospital, Acute care facility, Rehabilitation center, and Extended care facility

A

Tertiary Care Settings

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19
Q

Factors Affecting Delivery of Health care

A 
Changing demographics
Advances in technology
Health literacy
Lower health literacy
Lower socioeconomic status
Lower education attainment
20
Q

Lack of health insurance
lack of a usual source of care
Perception of need
Uneven distribution of resources

A

Barriers to Access

21
Q

Informatics

A

Communicate, manage knowledge, mitigate error, and support decision making using information technology.

22
Q

EHR

A

A health record system that is designed so that multiple clinicians from multiple disciplines can all have simultaneous access to the client’s health information

23
Q

EMR

A

A system focused on diagnosis and treatment. EMRs track information over time (weight, blood pressure, cholesterol reading) and identify when clients are due for routine preventive health maintenance such as vaccines and mammograms

24
Q

A software-based system that allows multiple disciplines to simultaneously access the client’s chart and record data that can be viewed and analyzed by a number of healthcare providers in real time. These systems are designed to provide the most accurate and current information about the client so that the best decisions concerning the care of that client can be made

A

Clinical information system

25
Q

Telehealth

A

A system that employs the use of telecommunications technologies to allow clients access to care that they might not otherwise be able to obtain.

26
Q

A smaller version of the Internet that is meant to be used by a smaller group of people, such as employees within a company or members or an organization

A

Intranet

27
Q

Nursing Informatics

A

A specialty that integrates nursing science , computers science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice

28
Q

Point of care

A

refers to interventions or testing that takes place using transportable, portable, or hand head devices near the client.

29
Q

Benefits of EHR

A 
Improves data integrity
increased productivity
improved quality of care
increased satisfaction for providers
Universal data access shared with other healthcare professionals
improves documentation
30
Q

Eliminates repetition
Provides propts
Facilitates automation of critical pathways
Improved reimbursement
Enhances compliance
Supports ay for performance bonuses
Early warming of changes in clients status

A

EHR Nursing Benifits

31
Q

Recognizes the patients or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient’s preferences, values and needs

A

Patient Centered Care

32
Q

Protecting by expressing and defending the cause of another

A

Advocacy

33
Q

Client advocacy

A

acts to protect the client and defend the client from harm.

34
Q

Navigate complex health care system
Penetrate bureaucracy, access resources protect clients rights
Educate clients about their rights, health care options
provide information
support client in making informed decisions
work with clients who lack decision-making capacity

A

Advocate’s Role

35
Q

Four Dimensions of advocacy

A

Being client advocate
Following through or following up
Providing resources
Going above and beyond

36
Q

Vulnerable populations include

A

Poor, Disability or mental illness, Any client unable to advocate for self, Ensures needs and rights not overlooked

37
Q

Systematic processes to measure client outcomes, identify hazards and errors, and develop changes to improve client care

A

Quality Improvement

38
Q

The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.

A

Quality

39
Q 
Evidence-based care
Reorganization of practices
Systematic attention
Ready access
Supportive Information systems
A

Quality improvements Recommended changes

40
Q

National Initiatives

A

National Database of Nursing Quality Indicators
Patient Safety and quality: An Evidence Based Handbook for Nurses
National Patient Safety Goals
Institue of Healthcare Improvements

41
Q

“unexpected occurrence involving death or serious physical or psychologival injury, or the risk thereof” Specigically loss of limb or function

A

Sentinel Events

42
Q

Identifies factors that led to sentinel event
Focus on systems, processes
Goal Determine which organizational improvements are needed to decrease likelihood of such evensts reoccurring

A

Root Cause Analysis

43
Q

All nurses must be involved in quality improvement
Nursing students
-Commitment never to perform an act if student uncertain how to perform
-Show accountability for actions
-Admit to errors if they occur

A

Nurse Practice

44
Q

Reporting

A

Change of shift report
given to all nurses on next shift
written or oral
Face to face

45
Q

Follow particular order
Basic identifying information
New client information reason for admission,medical diagnosis, surgery tests

A

Key elements Reporting

46
Q

Present significant changes in client’s condition in order of nursing process
Provide exact information
Report client’s need for emotional support
Include current orders
Provide summary of newly admitted clients
Report on clients transferred, discharged
clearly state priorities of care

A

Change of shift report

47
Q

Allows two or more nurses to report

  • obtain information that will help plan care
  • provide clients opportunity to discuss care
  • evaluate nursing care clients has received
  • facilitate client participation
  • use terms client can understand
A

Nursing Rounds

final nur 170 exam' (3 decks)

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