CNA Chapter 1-Introduction to Health Care Agencies Questions and Answers

CNA Chapter 1-Introduction to Health Care Agencies Questions and Answers is a nursing care pattern where the RN is responsible for the person's total care primary nursing a person who performs delegated nursing tasks under the supervision of an RN or LPN/LVN is a nursing assistant an illness or injury from which the person will not likely recover is a terminal illness a nurse who has completed a practical nursing program and has passed a licensing test is a licensed practical nurse (LPN) the BLANK are those who provide nursing care - RNs, LPNs/LVNs, and nursing assistants nursing team a sudden illness from which the person is expected to recover is an acute illness when a nursing care pattern focuses on tasks and jobs, and each nursing team member has certain tasks and jobs to do, it is called functional nursing an BLANK provides housing, personal care, support services, health care, and social activities in a home-like setting to persons needing help with daily activities assisted living residence (ALR) when an illness or injury is on-going, is slow or gradual in onset, and has no known cure, it is a chronic illness is a health care agency or program for persons who are dying hospice LPNs are sometimes called licensed vocational nurse (LVN) is a nursing care pattern in which a case manager (an RN) coordinates a person's care from admission through discharge and into the home setting case management a BLANK is a nurse who has completed a 2-,3-, or 4-year nursing program and has passed a licensing test registered nurse (RN) the many health care workers whose skills and knowledge focus on the person's total care are called the health team is a nursing care pattern in which a team of nursing staff is lead by an RN who decides the amount and kind of care each person needs team nursing when services are moved from departments to the bedside, this is a nursing care pattern called patient-focused care a person who collects information by observing and asking questions is a surveyor when health care agencies offer services, the focus of care is always the person health promotion includes learning about healthy living diagnostic tests, physical exams, surgery, emergency care, and drugs are used in detection and treatment of disease the goal of rehabilitation and restorative care is returning persons to their highest possible level of physical and psychological functioning a person with an acute illness will probably be treated in a hospital sub-acute care is needed when the person needs care that falls between hospital care and long-term care persons in a long-term care center may be older with chronic diseases, poor nutrition, or poor health skilled nursing facilities provide more complex care than do nursing centers a person may have an apartment and receive help with personal care when living in an assisted living facility persons who have problems dealing with life events may be treated in a mental health center home care agencies provide physical therapy, rehabilitation, and food services hospices provide care to persons who no longer respond to treatments aimed at cures health care systems are agencies that join together as 1 provider of care all of these are members of the health team except janitor the following are members of the health care team *** * occupational therapist * social work * cleric the person responsible for nursing service is an RN with a bachelor's or master's degree (DON) nursing education staff may teach all of these except basic nursing skills needed to begin employment as a nurse nursing education staff may teach all of these *** * how to use new equipment * new employee orientation programs * new and changing information for the nursing team a registered nurse who completes a university program will be in school for 4 years an RN assesses, making nursing diagnoses, plans, implements, and evaluates nursing care an LPN/LVN assists RNs in caring for acutely ill persons and with complex procedures when a team leader delegates the care of certain persons to other nurses, the nursing care pattern is called team nursing an example of functional nursing is one nurse gives all treatments when the number of people caring for each person is reduced, this nursing care pattern is patient-focused care Medicare is a federal health insurance program for person 65 years and older the Patient Protection and Affordable Care Act requires everyone to have health insurance in a prospective payment system (PPS) the amount paid for services is determined before giving care when a health care agency is accredited it is voluntary and signals quality and excellence if a deficiency is found during a survey of a health care agency, the agency usually is given 60 days to correct it when you are asked questions by a surveyor, you should answer the questions honestly and completely serves people who are dying hospice provides complex care while the person recovers from illness or surgery before returning home skilled nursing facility provides services to persons who do not need hospital care but cannot care for themselves at home long-term care center serves people of all ages for acute, chronic, or terminal illness hospital treats people who may have difficulty dealing with events in life mental health center provides housing, personal care, and other services in a home-like setting assisted living residence serves people who do not need hospital care but need complex equipment and care measures rehabilitation agency provides care to persons at home home care agency DON director of nursing LPN licensed practical nurse LVN licensed vocational nurse RN registered nurse SNF skilled nursing facility Registered Nurse (RN) supervises LPNs/LVNs and assistive personnel Physician (doctor) diagnoses and treats diseases and injuries Medical or Clinical Laboratory Technician collects samples and performs laboratory tests on blood, urine, and other body fluids and secretions Radiographer takes x-rays and processes film for viewing Respiratory therapist (RT) gives respiratory treatments and therapies Dietitian and nutritionist assesses and plans for nutritional needs Physical Therapist (PT) assists persons with movement and pain management Occupational Therapist Registered (OTR) assists persons to learn or retain skills needed to perform activities of daily living Speech-language pathologist/speech therapist treats persons with speech, voice, hearing, communication, and swallowing disorders Cleric (clergyman; clergywoman) assists persons with their spiritual needs Social Worker helps patients and families with social, emotional, and environmental issues affecting illness and recovery Audiologist tests hearing and prescribes hearing aids PRIDE: P personal and professional responsibility PRIDE: R rights and respect PRIDE: I independence and social interaction PRIDE: D delegation and teamwork PRIDE: E ethics and laws when you work in health care, your work affects the person's quality of care When you carefully plan career choices, it shows respect for BLANK, and BLANK, and BLANK employers those you will care for yourself Positive interactions with others promotes BLANK for you job satisfaction When you offer to help team members, it shows that you are BLANK and value BLANK dependable teamwork To protect yourself and others, you should know the limits of BLANK in your state and agency your role The nursing assistant reports to 2 groups of nursing service. They are ** * staff RNs * LPNs/LVNs Mr. Williams needs assistance to regain skills to dress, shave, and feed himself (ADL). He is assisted by the occupational therapist Mrs. Young needs the corns on her feet treated. The nurse notifies the podiatrist Mrs. Stuart has the responsibility of doing physical examinations, health assessments, and health educations in the center where she works. She is a nurse practitioner Mr. Gomez keeps turning up the volume on his TV. His hearing is tested by the audiologist The BLANK meets with a new resident and his family to discuss his nutritional needs dietitian Mr. Fox had a stroke and has weakness on his left side, the BLANK assists him by developing a plan that focuses on restoring function and preventing disability from his illness physical therapist The doctor orders x-rays after Mr. Jackson falls. The x-rays are done by the radiographer Mr. Ling has chronic lung disease and needs respiratory treatments. These are given by the respiratory therapist Ms. Walker plans the recreational needs of a nursing center. She is an activities director After a stroke, Mr. Stubbs has difficulty swallowing. He is evaluated by the speech-language pathologist When the doctor orders blood tests, the samples are collected by the medical laboratory technician Ms. Hines works with Dr. Hogan. When his patient, Harry Forbes, is admitted to the hospital, Ms. Hines coordinates his care from admission to discharge. She also communicates with the insurance company and community agencies involved in Mr. Forbes' care. This is an example of case management When Mr. Holcomb reports for work as a nursing assistant, he is assigned to make all beds on the unit. The RN gives all drugs and the LPN gives all treatments. This nursing care pattern is functional nursing Ms. Conroy works on the same nursing unit each day. She has a group of patients and she gives total care to each of them. She teaches and counsels the person and family and plans for home care or long-terms care when needed. This is an example of primary nursing Ms. Ryan is a nursing assistant. She gives care that is delegated by an RN. The RN leads a team of nursing staff members and she decides the amount and kind of care each person needs. This is called team nursing Mrs. Young receives her care and physical therapy on the nursing unit. She does not have to go to different departments to receive treatments and care. This care is provided by the nursing team instead of by other health team members. This is called patient-focused care