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Medical Terminology 350 > nursing exam 3 > Flashcards

nursing exam 3 Flashcards

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USMLE® Step 1 flashcards
1
Q

managed care

A

controls cost while maintaining quality but, limits choice of care-provider and requires approval for specialty care

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2
Q

gatekeeper

A

primary care provider, plans and monitors care

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3
Q

Role of nurses in hospitals, 8:

A

DAMN PRIC:

  1. Direct care providers
  2. Administrator
  3. Manager of Members of healthcare team
  4. Nurse practitioner
  5. Patient educators
  6. Researcher
  7. In-service educator
  8. Clinical nurse specialist
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4
Q

Role of nurses in physician office (primary care centers), 4:

A

P,P,P, Ass (think “P” for primary or physician)

  1. Perform health assessments
  2. Perform technical procedures
  3. Provide health education
  4. Assist the Dr.
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5
Q

Role of nurses in ambulatory (urgent) care centers, 3:

A
  1. provide technical services
  2. Determine priority of care needs
  3. Provide teaching about all aspects of care
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6
Q

home health care, 5:

A

“I CRAM at home”

  1. Increasing numbers of elderly w/chronic illness
  2. COLLABORATE W/OTHER HEALTHCARE PROVIDERS (TEST HORN)
  3. Reimbursment system of payment
  4. At home death (with dignity)
  5. Most rapidly growing area of healthcare
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7
Q

Long term care facilities, 4:

A
  1. intermediate and longterm
  2. nursing homes
  3. retirement centers
  4. residential institutions for mentally or physically disabled ANY AGE
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8
Q

specialized care centers, (school nurse), 4:

A

SCHOOL is making me MENTAL! I am going to end up HOMELESS or in REHAB!

  1. Schools, lots of teaching (test horn)
  2. Mental health centers
  3. Homeless shelters
  4. Rehabilitation centers
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9
Q

Bereavement care (end of life), 4:

A

At the end of your life all you need is a Pal, bere (beer), hoes and rest

  1. Pal=Palliative (A pal relieves pain and suffering)
  2. Bere=Bereavement (gonna need a beer “following death”)
  3. Ho(e)s=Hospice (Hoes to take care of dying person and loved ones)
  4. Rest=Respite (for the caregiver)
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10
Q

Members of Healthcare team, 6:

A
  1. Physician, PA
  2. Physical, reparatory, occupational, speech, therapist
  3. dietitian
  4. pharmacist
  5. social worker
  6. unlicensed assistive personnel
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11
Q

Rose of Physician, 5:

A

Diagnose, PIMP:

  1. diagnose illness
  2. Prescribe medicines
  3. Interpreting labs and diagnostics
  4. Medical or surgical treatment
  5. Performing procedures and surgery
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12
Q

Payment, federally funded programs

A

medicare (DRGs)

Medicaid

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13
Q

Payment, Group Plans

A

HMO (health maintenance organization)

PPO (preferred provider organizations)

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14
Q

Payment, Private Insurance

A

3ed Party Payer

TEST HORN

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15
Q

Payment, Long-term care insurance

A

…

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16
Q

Trends in nursing

A 
changing demographics
increased diversity
techo explosion
globalization
educated consumers
complexity of patient care
costs of healthcare
policy and regulation
CURRENT NURSING SHORTAGE * (HORN)
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17
Q

Role of nurse in community based care, 5:

A 
CHIMP:
1**Provide CONTINUITY of care when patient moves from one level of care to another
2. Promote HEALTH
3. Provide INTERVENTIONS
4. MANAGE acute/chronic illness
5. PROMOTE self-care
18
Q

Continuity of care

A

a process by which healthcare providers give appropriate, uninterrupted care and facilitate the patients transition between different setting and levels of care

19
Q

*3 important roses of the nurse

A

CAT

  1. Collaborator
  2. Advocate
  3. Teacher
20
Q

Info obtained on the admission sheet, 9:

TEST HORN

A

NAG DR. FOR ID:

  1. Name, add & DOB for patient
  2. Admitting physician
  3. Gender and Marital status
  4. Date & time of admission/diagnosis
  5. Religious pref
  6. Financial status
  7. Occupation / employer
  8. Relative, nearest
  9. ID #
21
Q

Preparing room for patient

A

Nurse may delegate, but is responsible for the following tasks:

  • position and open bed
  • assemble necessary equip/supplies
  • assemble special equip/supplies
  • adjust physical environment of room
22
Q

Info in verbal report (holistic assessment), 8:

A

SCAN PLAN:

  1. Surgical procedure (if applicable)
  2. Current condition
  3. Allergies
  4. Nursing care priorities
  5. Physician and admitting diagnosis
  6. Lab/equipment data
  7. Advanced directives
  8. Name and age of patient
23
Q

Essential components of Discharge Planning, 4:

A

IM ACE:

  1. IMplement plan of care
  2. Assess strength and limits of patient, family, support person & assess environment
  3. Consider individual, family and community resources
  4. Evaluate effectiveness of care
24
Q

Guidelines for discharge planning, 6:

A

HE FAST (at discharge planning)

  1. Home healthcare referals (provide) (4)
  2. Evaluate discharge planning effectivness (5)
  3. Focused assessment guide (pg 166) (6)
  4. Assess and ID healthcare needs (1)
  5. Set goals w/patient (2)
  6. Teach patient and fan (3)
25
Q

Leaving AMA, 6:

A
  1. patient is leagally free to leave
  2. choice carries risk
  3. must sign release
  4. patient informed of risks prior to signing
  5. signature witnessed
  6. form is part of medical record
26
Q

Transfer to long term facility, 3:

A
  1. copy of chart sent w/patient; original remains at hospital
  2. detailed assessment and care plan is sent
  3. nurse provides verbal report to new nurse
27
Q

5 parts of communication process

A
  1. stimulus/referent (reason)
  2. sender/ source of message (teacher)
  3. the message
  4. medium/channel of communication (like audio, visual, etc…)
  5. the receiver (who the message is aimed at)
28
Q

Non-verbal communication

TEST HORN

A

90% …expresses more of the message than verbal

touch, eye contact, facial expressions, etc…

29
Q

Four levels of communication

TEST HORN

A
  1. intrapersonal - self-talk
  2. Interpersonal- 2 or more
  3. small group - support group
  4. organizational - grouped to achieve common goal
30
Q

Factors Influencing communication, 4:

A
  1. gender
  2. socioculture
  3. space and territoriality (test horn)
  4. physical, mental, and emotional state
31
Q

The helping relationship, 3:

A
  1. does not occur spontaneously
  2. characterized by an unequal sharing of info
  3. Always built on patients needs!!
32
Q

Characteristics of the helping relationship, 3:

A
  1. dynamic
  2. purposeful and time limited
  3. person providing assistance in professionally accountable for the outcomes
33
Q

Phases of Helping relationship, 3:

A
  1. orientation
  2. working
  3. termination
34
Q

Goals of the orientation phase, 4:

A
  1. establish tone and guidelines for relationship
  2. ID ea. other by name
  3. clarify roles of both people
  4. establish an agreement about the relationship
35
Q

Goals of the working phase, 3:

A
  1. work together to meet the patients needs
  2. provide whatever assistance is needed to achieve ea. goal
  3. provide teaching and counseling (test horn)
36
Q

Goals of termination phase, 3:

A
  1. examine goals of helping relationships for attainment
  2. make suggestions for future efforts if necessary
  3. encourage patient to express his or her emotions about the termination
37
Q

The difference between “dispositional traits” and “rapport builders”

A

dispositional=characteristics or customary way of behaving: friendliness, respect, empathy, honesty, caring…
Rapport=a feeling of mutual trust which facilitates open communication: environment, privacy, confidentiality, optimal pacing, etc…

38
Q

SBAR communication (test horn)

A

S-situation (objective data what is the major problem?)
B- background (objective, history?)
A- assessment (subjective, what you have assessed the problem is)
R - recommendations (suggestions to improve care)

39
Q

Developing conversation skills

A

control tone of voice, be knowledgable about topic, be clear and concise, truthful, open minded…take advantage of available opportunities to converse while proving care

40
Q

Develop listening skills

A

sit with a patient, eye to eye, be alert and relaxed, use appropriate facial expressions, think before responding, don’t pretend to listen, listen for themes, use silence, therapeutic touch and humor appropriately

41
Q

Interviewing techniques

A

OPEN ENDED QUESTIONS (allows for more info)
closed questions (yes, no)=inedffective
validating questions or comments, clarifying,
reflective (puts the focus back on the patient)

42
Q

Blocks to communication (test horn), 5:

A
  1. advice
  2. judgmental
  3. changing the subject
  4. false assurance
  5. gossip, rumors

Medical Terminology 350 (2 decks)

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