Nursing 1130 Exam 2 UPDATED ACTUAL Questions and
CORRECT Answers
Trends in Inpatient vs Outpatient Care Historical perception changing
Inpatient services declining
Hospitals have resources to become competitive
Growth of ambulatory procedures
Reasons for Growth in Outpatient care Changes in reimbursement favoring outpatient services
Fewer payment restrictions
Development of new technology
Utilization Controls- quicker discharge
Social Factors
Scope of Outpatient Care Primary care
Hospital Emergency Services
Mobile Diagnostic Units
Emergent/Urgent Care situations
Ambulatory Care Surgery Centers
Community Health Centers
Home Care
Primary Care Focus on type of level of service- prevention, diagnostic, therapeutic services,
health education, counseling and minor surgery
Primary care function delivery of health services, refer patients to specialized care, give advice
regarding diagnosis. discuss treatment options, provide continuing care
Secondary Care Usually short term, sporadic consultation from a specialist, includes
hospitalization, routine surgery, specialty consultation, rehab
Tertiary Care most complex level of care, for conditions that are uncommon, usually institution
based, highly specialized, technology driven, rendered in large teaching
hospitals, may be long term
Primary Care 75-85% of population utilizes this type of care
5 Main types of Hospital Based Services 1. (special consultation)
2. Surgical
3. Emergency services for acute services (emergent, urgent, and non urgent)
4. Home Health Care
5. Womens health center
Free Standing Facilities Another type of outpatient care
- Free standing facilities (walk in clinics, convenient)
- Urgi-centers (24/7, no appt necessary, 1st come 1st serve)
-Surgi Centers (independent of hospitals, full ranges of services, no overnight)
, Private Practice Independent solo practice
Group Practice institutional employment- lower operating costs
Mobile Health Units Another type of Outpatient care setting
-transported to patients (Ambulances)
Mobile Diagnostic Care Unit Mammography
MRI
Home Health Service brought into the home- nursing care, meds monitoring, bathing, short
term rehab, homemaker service
Durable Medical Equipment DME- wheelchairs, oxygen, beds, walkers, commodes
Hospice Services for terminally ill (6 months or less)
24 hour staffing, medical and nursing care, access to inpatient care, social
services, support, therapy and access to supplies. Focus on palliation (relieve of
pain and psychosocial and spiritual support)
Ambulatory Long term Services Nursing homes, case management ( coordination and referral, find most
appropriate care), adult day health care
Public Health Service Immunizations to a full range of inpatient and outpatient services. Preventative-
treatment
Public and Voluntary Clinics Community health centers, free clinic, other clinics
Telephone triage giving expert opinion and advice to the patient, especially during hours when the
physicians office is closed
Clients of LTC older adults, children and adolescents, young adults, people with HIV/AIDS, those
needing subacute and specialized care
Older Adults-clients of specialized care 64% of LTC clients
Elderly population is growing, elderly people with the lowest socioeconomic
status are at greatest risk for LTC and are least able to pay for the services
Children and Adolescents-Clients of LTC Birth related disorders, Developmental disabilities (DD), mental retardation (MR)
Young Adults-Clients of LTC Neurological disability, degenerative conditions, serious accidents
People with HIV/ AIDS Now a chronic condition thanks to drug therapies, nerve system disorders,
infections, dementia, psychiatric disorders, weight loss and incontinence
Subacute or specialized care ventilator, head trauma, alzheimers services
CORRECT Answers
Trends in Inpatient vs Outpatient Care Historical perception changing
Inpatient services declining
Hospitals have resources to become competitive
Growth of ambulatory procedures
Reasons for Growth in Outpatient care Changes in reimbursement favoring outpatient services
Fewer payment restrictions
Development of new technology
Utilization Controls- quicker discharge
Social Factors
Scope of Outpatient Care Primary care
Hospital Emergency Services
Mobile Diagnostic Units
Emergent/Urgent Care situations
Ambulatory Care Surgery Centers
Community Health Centers
Home Care
Primary Care Focus on type of level of service- prevention, diagnostic, therapeutic services,
health education, counseling and minor surgery
Primary care function delivery of health services, refer patients to specialized care, give advice
regarding diagnosis. discuss treatment options, provide continuing care
Secondary Care Usually short term, sporadic consultation from a specialist, includes
hospitalization, routine surgery, specialty consultation, rehab
Tertiary Care most complex level of care, for conditions that are uncommon, usually institution
based, highly specialized, technology driven, rendered in large teaching
hospitals, may be long term
Primary Care 75-85% of population utilizes this type of care
5 Main types of Hospital Based Services 1. (special consultation)
2. Surgical
3. Emergency services for acute services (emergent, urgent, and non urgent)
4. Home Health Care
5. Womens health center
Free Standing Facilities Another type of outpatient care
- Free standing facilities (walk in clinics, convenient)
- Urgi-centers (24/7, no appt necessary, 1st come 1st serve)
-Surgi Centers (independent of hospitals, full ranges of services, no overnight)
, Private Practice Independent solo practice
Group Practice institutional employment- lower operating costs
Mobile Health Units Another type of Outpatient care setting
-transported to patients (Ambulances)
Mobile Diagnostic Care Unit Mammography
MRI
Home Health Service brought into the home- nursing care, meds monitoring, bathing, short
term rehab, homemaker service
Durable Medical Equipment DME- wheelchairs, oxygen, beds, walkers, commodes
Hospice Services for terminally ill (6 months or less)
24 hour staffing, medical and nursing care, access to inpatient care, social
services, support, therapy and access to supplies. Focus on palliation (relieve of
pain and psychosocial and spiritual support)
Ambulatory Long term Services Nursing homes, case management ( coordination and referral, find most
appropriate care), adult day health care
Public Health Service Immunizations to a full range of inpatient and outpatient services. Preventative-
treatment
Public and Voluntary Clinics Community health centers, free clinic, other clinics
Telephone triage giving expert opinion and advice to the patient, especially during hours when the
physicians office is closed
Clients of LTC older adults, children and adolescents, young adults, people with HIV/AIDS, those
needing subacute and specialized care
Older Adults-clients of specialized care 64% of LTC clients
Elderly population is growing, elderly people with the lowest socioeconomic
status are at greatest risk for LTC and are least able to pay for the services
Children and Adolescents-Clients of LTC Birth related disorders, Developmental disabilities (DD), mental retardation (MR)
Young Adults-Clients of LTC Neurological disability, degenerative conditions, serious accidents
People with HIV/ AIDS Now a chronic condition thanks to drug therapies, nerve system disorders,
infections, dementia, psychiatric disorders, weight loss and incontinence
Subacute or specialized care ventilator, head trauma, alzheimers services
