Guide/NUR 100 Exam 3 Questions and Correct Verified
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Fundamental challenges facing healthcare in the 21st century
-Rapidly aging population
-New and emerging health threats
-Persisting care fragmentation and discontinuity
-Health expenditure costs and wastes
-Constrained innovation due to outmoded approaches
Strategies recommended by the Institute of Medicine to improve
health care quality and safety
-Create leadership, research, tools, and protocols to enhance our
knowledge about safety
-Identify and learn from errors
-Raise performance standards/expectations for improvements in
safety
-Implementing safety systems in health care organizations to ensure
safe practice
What is a common source of medical errors as stated by the IOM
report?
The decentralized and fragmented nature of the health care delivery
system—or "non-system."
pg. 1
,What does the ANA recommend for Health System Transformation?
-Stay informed about current issues
-Write or e-mail members of Congress
Belong to and participate in nursing organizations.
-Document the outcomes of nursing care
-Participate in efforts to design and implement innovative health care
delivery models.
-Be a leader
-Advocate for the rights of all people for equal, affordable, accessible,
and knowledgeable health care.
What is the goal of the PPACA (patient protection and affordable care
act)?
Provides Medicaid or subsidized coverage to qualifying people in
poverty.
Designed to help people more easily find health insurance that fits
their budget.
Differentiate between primary, secondary, and tertiary health care
-Primary health care: Treatment of common health problems
-Secondary health care: Treatment of problems requiring more
specialized clinical expertise
-Tertiary health care: Management of rare and complex disorders
pg. 2
,Know the four modes of payment for health care
-Out-of-pocket payment
-Individual private insurance
-Employer-based group private insurance *most common
-Government financing
Difference between Medicare and Medicaid
-Medicare: health insurance for older adults over 65 years old.
Payment based on patient classification call diagnosis-related groups
(DRGs). People who receive Medicare pay both a deductible cost and
monthly premium for full insurance coverage.
-Medicaid: federally funded public assistance program for people of
any age who have low incomes.
Care available for terminally ill and their families
-Respite care: care provided for caregivers of homebound ill, disabled
or older adults. The purpose to give the primary caregiver some time
away from responsibilities of day-to-day care
-Hospice Services: care providing physical, psychological, social,
spiritual care for dying people and their loved ones.
-Palliative care: care that optimizes quality of life by anticipating,
preventing, treating suffering.
Meals on Wheels
pg. 3
, supply meals to older and homebound people
Alcoholics Anonymous
recovering alcoholics to help people stop drinking
Reach to Recovery:
women who have had mastectomy for cancer. They visit women
before surgery, teach exercises to prevent muscle atrophy, provide
information for prostheses and clothing
Public Health Service
Many programs with wide range of services such as Medical branch
for the US Coast Guard, Native American health care through Indian
Health Services, Center for Disease Control and Prevention (CDC),
etc.
Advanced Practice Registered Nurse
educated at the master's or post-master's level in a specific role and
for a specific population; examples include nurse practitioners,
clinical nurse specialists, nurse anesthetists, and nurse midwive
pg. 4