Unit 1 Introduction to Nursing Study Guide slides 36- 78

Question 1

Who is included in the interprofessional healthcare team?

Answer 1

MD/DO, NP, PA, RN/LPN, UAP, Pharmacist, Therapists, Technologists, spiritual care/social workers, alternative care providers

Question 2

Social Workers

Answer 2

provide psychosocial support, client services, and coordinate follow up care

Question 3

Spiritual Care providers

Answer 3

offer organized religious services, client visits, and family/staff support, with serious illness or end of life

Question 4

Alternative care providers

Answer 4

chiropractors, naturopaths, herbalists, outside of traditional healthcare system

Question 5

Importance of communication within team members

Answer 5

Allows for all people on the healthcare team to fully understand the complexity of the patient’s conditions, as well as wants or needs. It also allows for clear expectations regarding outcomes of care, and allows for collaboration.

Question 6

HMOS

Answer 6

Health maintenance organizations, pay for specific services, cheapest plan

Question 7

PPOS

Answer 7

Preferred provider organizations pay more premiums but gets more selection in the choice of providers they want

Question 8

POS

Answer 8

Point of service, limited out of network coverage, higher copay, coinsurance

Question 9

IDNs

Answer 9

Integrated delivery systems, conciliation of healthcare services that only sees IDN clients and helps promote collaboration

Question 10

CQI

Answer 10

Continuous quality improvement, focus on providing excellent, quality care through evaluation. Identifies and solves problems and implements plans to improve. Includes three types of reviews (process review, outcome, structure)

Question 11

Process Review

Answer 11

Concerns guidelines, policy, procedure w/ care

Question 12

Outcome Review

Answer 12

See if expected outcome was reached, and how certain factors impact it

Question 13

Structure reviews

Answer 13

Review adequacy, quality, and availability of staff/resources

Question 14

Holism

Answer 14

healing the whole person, body mind and spirit

Question 15

Holistic care

Answer 15

Includes care for the whole patient, physical, psychosocial, emotional, spiritual (lead to better outcomes when whole patient is treated, enhanced coping)

Question 16

Examples of holistic care

Answer 16

Therapeutic communication, honoring patients’ religious rituals and practice, empathy for pain and suffering, allows patients to feel vulnerable and respected

Question 17

Active communication

Answer 17

Send: begins convo. Encode: way message is transmitted, Message: nonverbal/verbal. Channel: How is the message sent (ftf), Receiver: Who gets message and interprets. Feedback: how person responds

Question 18

Giving report

Answer 18

Situation: what brought them in
Background: Current living conditions, arrangements, medical background
Assessment: give abnormalities and data relevant from head-to-toe assessment
Recommendation: What should happen, labs, procedures etc
Questions: From provider

Question 19

Characteristics of therapeutic Communication

Answer 19

Empathy: understand be sensitive towards feelings/beliefs, adapt
Respect: Value the patient and meeting their needs
Genuineness: Respond honestly to patient, and take evaluation
Concreteness: Express in specific terms what you mean and allow for patient to understand and explain
Confrontation: Confront patient to request important info

Question 20

What is therapeutic communication

Answer 20

Patient-centered communication directed at achieving patient goals, helps establish relationship

Question 21

Ways to enhance therapeutic communication

Answer 21

addressing the patient, conveying respect. By establishing trust, the patient feels comfortable expressing concerns. Restate/clarify makes sure to find the patient’s worries and what they want to achieve, and make sure there is no misunderstanding

Question 22

Barriers to therapeutic communication

Answer 22

Too many questions asked: make patient feel interrogated and overwhelmed. Asking why: suggest critique or defense. False reassurance: gives false hope, cause mistrust in patient

Question 23

BIll of rights

Answer 23

first 10 amendments to the US constitution, it identities and limits the governments role in peoples lifes

Question 24

HIPAA

Answer 24

Health Insurance Portability and Accountabilty Act. Passed in 1996 to protect those who don’t have insurance by losing job/changing it. Protect people with pre-existing conditions, allows them to not be discriminated against. Protects patient privacy of patient personal health information, and employees must take action in keeping it safe

Question 25

Emergency Medical Treatment and active labor Act

Answer 25

Requires healthcare facilities to provide care in emergency department regardless if they can pay, or immigration status

Question 26

HITECH Act

Answer 26

Health information technology for economical and clinical health act. required to notify of breaches to patients

Question 27

PSDA

Answer 27

Patient self-detirmination act, recognizes patients right to make decisions regarding own healthcare, based on info provided to them

Question 28

PSDA

Answer 28

Patient self-determination act recognizes patients’ right to make decisions regarding their own healthcare, based on the info provided to them

Question 29

ADA

Answer 29

Americans with disabilities act, 2008. Protects against the discrimination of those with disabilities and requires accommodations.