NURSING Exam | Complete Study Guide
with Questions and Verified Answers |
100% Correct | Graded A+
‣ Medicaid -✓✓for clients with low income. is federally funded and
individual states determine eligibility requirements.
‣ Traditional Insurance -✓✓reimburses for services on fee-for-service
basis.
‣ Managed Care Organizations (MCOs) -✓✓comprehensive care is
overseen by a primary care provider & focuses on prevention and health
promotion
‣ Preferred Provider Organizations (PPOs) -✓✓client chooses from a list
of contracted providers. using non-contracted providers increases the
client's out of pocket costs
‣ Exclusive Provider Organizations (EPOs) -✓✓the client chooses from
a list of providers within a contracted organization
‣ Long-Term Care Insurance -✓✓provides for long-term care expenses
not covered by Medicare
,‣ Preventive health care -✓✓focuses on educating and equipping clients
to reduce and control risk factors of disease. Examples include
immunizations, stress management programs, and seat belt use
‣ Primary health care -✓✓emphasizes health promotion, and includes
prenatal and well-baby care, nutrition counseling, and disease control. is
based on a sustained partnership between client and provider. examples
include office or clinic visits and scheduled school/work centered
screenings (vision, hearing, obesity)
‣ Secondary health care -✓✓includes the diagnosis and treatment of
emergency, acute illness, or injury. examples include care given in
hospital settings (inpatient and EDs), diagnostic centers, or emergent
care centers
‣ Tertiary health care -✓✓involves the provision of specialized highly
technical care. examples include oncology centers and burn centers
‣ Restorative health care -✓✓involves intermediate follow-up care for
restoring health. examples include home health care, rehab centers, and
skilled nursing facilities
‣ Continuing health care -✓✓designed to address long-term or chronic
health care needs. examples include hospice, adult day care, and in-
home respite care
,‣ Health care regulatory agencies include: -✓✓-US Dept of Health and
Human Srvcs
-US FDA
-State and local public health agencies
-State licensing boards (to ensure providers & agencies comply with
state regulations)
-the Joint Commission/JCAHO (set quality standards for accreditation of
health care facilities)
-Professional Standards Review Organizations (PSROs)
-Utilization review committees (monitor for appropriate diagnosis and
treatment of hospitalized clients)
‣ Clergy -✓✓Job: provide spiritual care to client (pastors, rabbis, priests)
Refer to when: the client requests communication or the family asks for
prayer prior to client undergoing a procedure
‣ Registered dietitian -✓✓Job: assess, plan for, and educate the client
reg. nutritional needs; direct care of nutritional aids
Refer to when: ex- the client has low nutrient levels and/or experienced
a recent unexplained weight loss
, ‣ Lab tech -✓✓Job: obtain specimens of the client's body fluids and
perform the necessary diagnostic tests
Refer to when: ex- the provider orders a CBC to be performed
immediately
‣ Occupational therapist -✓✓Job: assess and plan for the client to regain
ADLs, esp motor skills of the upper extremities; direct care of
occupational therapy assistants
Refer to when: ex- client has difficulties using an eating utensil with
dominate hand following a stroke
‣ Pharmacist -✓✓Job: provide & monitor meds for the client as
prescribed by the provider; supervises pharm techs in states in which the
practice is allowed
Refer to when: client concerns over meds; dosage concerns; etc
‣ Physical Therapist -✓✓Job: assess and plan for client to increase
musculoskeletal functions, esp of lower extremities, to maintain
mobility; direct care of physical therapy assistants
Refer to when: ex- following a hip replacement, a client requires
assistance learning to ambulate and regain strength