Healthcare Delivery Systems

Question 1

Aims of nursing practice

Answer 1

promote health
prevent illness
restore health
facilitate coping with disability or death

Question 2

health

Answer 2

a state of complete physical, mental, and social well-being, not merely the absence of disease or infirmity

Question 3

Six Human Dimensions

Answer 3

physical, emotional, sociocultural, spiritual, intellectual, environmental

Question 4

illness

Answer 4

the response to a disease.

Question 5

disease

Answer 5

pathological changes in structure or function of the body or mind.

Question 6

morbidity

Answer 6

how frequently a disease occurs.

Question 7

mortality

Answer 7

the number of deaths resulting from a disease.

Question 8

co-morbidity

Answer 8

disease exist simultaneously with and worsens a primary disease.

Question 9

health disparity

Answer 9

difference in health status between 2 or more groups of people due to socioeconomic

Question 10

health literacy

Answer 10

ability to understand causes, prevention, and treatment of disease.

Question 11

remission

Answer 11

the disease is present but no symptoms.

Question 12

exacerbation

Answer 12

the symptoms of disease reappear.

Question 13

acute illness

Answer 13

rapid onset of symptoms and lasts a short period of time.

Question 14

chronic illness

Answer 14

a broad term that encompasses a number of different physical and mental alterations in health.

Question 15

Holistic care

Answer 15

takes into account the whole person.
compares emotional state with physical state.
focuses on the absence of all disease processes.
prevents global morbidity and mortality

Question 16

levels of preventive care

Answer 16

primary, secondary, and tertiary

Question 17

primary prevention

Answer 17

health promotion and preventing the development of disease processes or injury.

Question 18

secondary prevention

Answer 18

identify an illness, reverse or reduce its severity and return person to maximum health asap.

focus on screening for early detection of disease.

illness has already occurred.

Question 19

tertiary prevention

Answer 19

begins after an illness is diagnosed and treated, with the goal of reducing disability and rehabilitate patients with maximum level of functioning.

Question 20

examples of primary

Answer 20

immunization clinics, family planning services, providing poison control information, accident prevention education

Question 21

examples of secondary

Answer 21

pap smears, mammograms, screenings (blood pressure, cholesterol, glaucoma, HIV, skin cancer), dressing change, administering medications

Question 22

examples of tertiary

Answer 22

patient attending physical therapy, a hospice nurse visits a client in the hospice house, rehabilitation, surgical treatment, therapies

Question 23

preventive care

Answer 23

stress management, use of seat belts, smoking cessation, etc

Question 24

knowledgable and engaged customers

Answer 24

including clients in their plans of care, providing clients access to their health records, etc.

Question 25

mobile health

Answer 25

delivering services to the community,
i.e., health screenings, mammograms, etc.

Question 26

medicare

Answer 26

insurance funded by government that is for adults 65 years of age and older.

Question 27

medicaid

Answer 27

a federally funded public assistance program for people of any age who have low incomes, are blind, older adults, and disabled people.

Question 28

children’s health insurance program

Answer 28

insurance to help low income children who are ineligible for medicaid but cannot afford private insurance.

Question 29

Continuity of care

Answer 29

the process by which the nurse provides uninterrupted care and facilitates the patient’s transition between different levels of care.

Question 30

risk factor

Answer 30

something that increases a person’s chance for illness or injury.

Question 31

case manager’s role

Answer 31

coordinate a person’s healthcare for the purpose of maximizing positive outcomes and containing cost.

Question 32

long term care

Answer 32

facilities that provide healthcare and assist with ADL for people who are physically or mentally unable to care for themselves.

Question 33

pharmacist

Answer 33

a healthcare team member who is licensed to formulate and dispense medication.

Question 34

respite care

Answer 34

a type of care provided for the caregivers of homebound ill, disabled, or older patients.

Question 35

trends in healthcare

Answer 35

rising costs, more educated consumers, increasing diversity in clients, focus is on preventative care.

Question 36

goals of health care reform

Answer 36

contain cost, improve access, increase quality of services for all US citizens.

Question 37

medicare no longer reimburses hospitals for preventable error such as

Answer 37

pressure ulcers, injuries caused by falls, infections associated with indwelling urinary catheters, instruments left in patients after surgery