Healthcare Delivery System

Question 1

What integrated delivery networks?

Answer 1

a set of providers and services organized to deliver a continuum of care to a population of patients at a capitated cost in a particular setting.

Question 2

Explain the difference between health promotion and preventative care.

Answer 2

health promotion programs lower the overall costs of health care, reducing the incidence of disease, minimizing complications, and reducing the need to use more expensive health care resources. Preventive care is more disease oriented and focused on reducing and controlling risk factors for disease through activities.

Question 3

Because of ______, more services are available on nursing units, thus minimizing the need to transfer patients across multiple areas.

Answer 3

work redesign

Question 4

______ is a centralized, coordinated, multidisciplinary process that ensures that the patient has a plan for continuing care after leaving the health care agency.

Answer 4

Discharge planning

Question 5

Instructions needed before patients leave health care facilities.

Answer 5

A. safe and effective use of medications.
B. instruction and counseling the on food-drug interactions, nutrition, and modified diets
C. rehabilitation techniques
D. access to appropriate community resources
E. when and how to obtain further treatment
F. the responsibilities of the patient and the families with ongoing health care needs.

Question 6

The goal of restorative care:

Answer 6

the goal of restorative care is to help individuals regain maximal functional status and to enhance quality of life through promotion o independence and self-care.

Question 7

Examples of home care services.

Answer 7

A. monitoring of vital signs.
B. administration of parenteral or enteral nutrition and medications.
C. IV or blood therapy
D. Wound care
E. respiratory care

Question 8

____restores a person to the fullest physical, mental, social, vocational, and economic potential possible.

Answer 8

Rehabilitation

Question 9

At skilled nursing facilities, patients receive:

Answer 9

extensive supportive care until they are able to move back into the community or into a residential care facility.

Question 10

The philosophy of care of a nursing center is:

Answer 10

to provide a planned, systematic, and interdisciplinary approach to nursing care to help residents reach and maintain their highest level of function.

Question 11

Define assisted living

Answer 11

long-term care setting with greater resident autonomy.

Question 12

Define respite care

Answer 12

provides short-term relief to the family members who care for the patient.

Question 13

Define adult day care center

Answer 13

allows patients to retain more independence by living at home.

Question 14

Define hospice

Answer 14

focus of care is palliative, not curative, treatment.

Question 15

Briefly explain evidence-based practice.

Answer 15

evidence-based practice is a problem-solving approach to clinical practice that involves the conscientious use of best evidence along with clinical expertise and patient preferences and values in making decisions about patient care.

Question 16

The goal of pay for performance programs is:

Answer 16

reward excellence through financial incentives to motivate change to achieve measurable improvements.

Question 17

8 dimensions that cover most of the scope of nursing practice:

Answer 17

1. respect values, preferences, and expressed needs.
2. coordination and integration of care.
3. information, communication, and education.
4. physical comfort.
5. emotional support and relief of fear and anxiety.
6. involvement of family and friends.
7. transition and continuity.
8. access to care.

Question 18

Explain nurse-sensitive outcomes and give some examples

Answer 18

nurse-sensitive outcomes are patient outcomes and select nursing workforce characteristics that are directly related to nursing. Examples include changes in patient symptoms, functional status, safety, psychological distress, RN job satisfaction, total nursing hours per patient day, RN education, and costs.

Question 19

____ uses information and technology to communicate, manage knowledge, mitigate error, and support decision-making.

Answer 19

Nursing informatics