HEALTHCARE DELIVERY SYSTEM Flashcards
What is a Healthcare Delivery System?
IS A COMPLEX COLLECTION OF CLIENTS, PROVIDERS, FACILITIES, VENDORS/RULES. Also the system a nation uses to
deliver and pay for health care for its inhabitants
Which circumstances would qualify a client for a move into an independent living center? Select all that apply.
A. CLIENT MUST BE 55 OR OLDER
B. MUST BE AUTONMOUS OF ADLS
C. MUST HAVE A DESIRE TO LIVE AMONGST OTHER SENIOR CITIZENS.
D. CLIENT NEEDS ASSISTANCE WITH MEDS/TREATMENTS
E. CLIENT NEEDS CONT. PHYSICAL/OCCUPATIONAL THERAPIES.
A, B, C.
55+, AUTONMOUS, LIVE AMONGST SENIORS.
A nurse is providing care for several clients in a large medical center. When delivering medications, the nurse scans the bar code on the medication package and the client’s identification band comparing the information to the electronic health record. The computer has a pop-up message that there is a drug interaction. The nurse contacts the hospital pharmacy. Which of the Institute of Medicine’s competencies are addressed with this event? Select all that apply.
A- PROVIDE PT-CENTERED CARE
B- WORK IN INTERPROF. TEAMS
C- EMPLOY EVBP (EVID. BASED)
D- APPLY QUALITY IMPROVEMENT
E- UTILIZE INFORMATICS.
B,C,D,E
The nurse is explaining that she works with homebound clients who cannot get to ambulatory care for treatment. Which healthcare setting is the nurse working in?
Ambulatory care
Extended care
Community health
Home care
D.
Which roles are commonly used by nurses during a given shift?
- Leader
- Case manager
- Educator
- Advocate
- Organizer
A Leader
B Case manager
C Educator
D Advocate
A nurse who is able to identify and achieve objectives is demonstrating which aspect of Benner’s model?
EXPERT
Madge graduated from a hospital-based diploma nursing program in 1947. During her 3-year education, she lived in a dorm next to the hospital where she cared for patients in the wards. She proudly wore her starched white uniform and nursing cap on the day of her pinning ceremony.
Madge’s daughter, Kathy, graduated from a 2-year associate degree nursing (ADN) program at the local community college in 1974. She worked as a “new grad” nurse in the hospital for 4 months after graduation, awaiting the results of her NCLEX-RN® examination.
Bryan, Kathy’s son, graduated with his bachelor of science in nursing (BSN) degree from the state university in 2011 after a 4-week preceptorship at the end of his program.
As a new grad on the acute-care floor, Madge worked diligently to obtain patient information and supplies in preparation for the doctor’s rounds. She cared for each of her patients and knew them well. Which of the 2010 American Nurses Association (ANA) characteristics of the registered nurse (RN) were met by Madge’s actions? Select all that apply.
A- CARING IS CENTRAL TO PRACTICE
B- NURSING PRACTICE IS INDIVIDUALIZED
C- NURSES COORDINATE CARE BY ESTABLISHING PARTNERSHIPS
D- REGISTERED NURSES USE THE NURSING PROCESS
E- THE PROFESSIONAL WORK ENVIRONMENT IS LINKED TO THE ACHIEVEMENT OF OUTCOMES
A- CARING IS CENTRAL TO PRACTICE
B- NURSING PRACTICE IS INDIVIDUALIZED
When comparing the roles of Madge and Bryan as new nursing grads, which roles and functions would they have in common? Select all that apply.
Direct care provider
Communicator
Client/family educator
Counselor
Leader
ALL
At the time of Bryan’s graduation with his BSN degree, Kathy decides to enroll in an RN to BSN program to obtain her degree. What opportunities will be available for Kathy with this additional education? Select all that apply.
Applying for graduate school
Providing direct client care
Becoming a charge nurse
Working as a nurse practitioner
Applying research findings
A
B
E
Bryan finds himself feeling unprepared and frustrated in his new grad role. He tells his mom, “I do fine when I’ve done something before, but every day there seems to be a new skill that I haven’t performed yet.” His mom reassures him that things will get easier as he becomes exposed to more experiences. Which stage of Benner’s model is Bryan demonstrating?
Novice
Advanced beginner
Competence
Proficient
Expert
Bryan is an advanced beginner, an individual who improves performance with multiple exposures to new experiences.
Over dinner one evening, Bryan asks his grandmother whether she was ever a member of the ANA. She responds by saying, “I’m not sure what that is.” What is Bryan’s best response?
A- “The ANA represents nurses around the world to ensure quality nursing care for all.”
B - “The ANA is the national honor society for nursing.”
C- “The ANA supports nursing specialties such as emergency room nursing.”
D- “The ANA focuses on the political process as a way of improving healthcare legislation.”
E -“The ANA maintains nursing educational standards.”
D- “The ANA focuses on the political process as a way of improving healthcare legislation.”
After a year as a medical–surgical nurse in an acute care facility, Bryan tells his mom that he’s more passionate about preventive care than he is about health restoration. He is interested in working with at-risk populations. To which care location should Kathy direct him?
Ambulatory care
Home care
Community health
Extended care facility
Hospitals
C- COMMUNITY HEALTH
Bryan decides to advance his practice and begins applying to nurse practitioner education programs. During an interview, he is asked which factors are most influential in changing the face of healthcare. Which answer is correct?
“When the economy is poor, the healthcare industry thrives.”
“The population growth rate for older adults is decreasing, requiring fewer healthcare services.”
“Consumers are becoming more educated and demanding more choices.”
“Men are migrating away from nursing because the salary is not stable.”
“Collective bargaining is creating lower wages for the bedside nurse.
B- CONSUMERS ARE BECOMING MORE EDUCATED AND DEMANDING MORE CHOICES
GOAL OF ACUTE CARE? HOW MANY DOMAINS OF ACUTE CARE? WHAT ARE THEY?
SETTINGS?
GOAL: to prevent deterioration and restore health
SIX (6)
1.Trauma & acute care surgery,
2. emergency care,
3. urgent care,
4. short-
term stabilization
5. prehospital care, 6. critical care
