ATI Fundamentals for Nursing ATI Q&A
Medicare - Answer-for clients over age 65 and/or with permanent disabilities. premiums applied as
insurance program reimburses providers based on DRGs. Premiums applied as Managed Care
Organizations (MCOs) provide enrolled clients with comprehensive care overseen by a primary care
provider. Is federally funded.
Medicaid - Answer-for clients with low income. is federally funded and individual states determine
eligibility requirements.
Traditional Insurance - Answer-reimburses for services on fee-for-service basis.
Managed Care Organizations (MCOs) - Answer-comprehensive care is overseen by a primary care
provider & focuses on prevention and health promotion
Preferred Provider Organizations (PPOs) - Answer-client chooses from a list of contracted providers.
using non-contracted providers increases the client's out of pocket costs
Exclusive Provider Organizations (EPOs) - Answer-the client chooses from a list of providers within a
contracted organization
Long-Term Care Insurance - Answer-provides for long-term care expenses not covered by Medicare
Preventive health care - Answer-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 - Answer-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 - Answer-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 - Answer-involves the provision of specialized highly technical care. examples
include oncology centers and burn centers
Restorative health care - Answer-involves intermediate follow-up care for restoring health. examples
include home health care, rehab centers, and skilled nursing facilities
Continuing health care - Answer-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: - Answer--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 - Answer-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 - Answer-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 - Answer-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 - Answer-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 - Answer-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 - Answer-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
Provider - Answer-Job: assess, diagnose, and treat cllient for disease and/or injury; includes MDs,
DOs, APNs, and PAs
Refer to when: ex- client experiences change in vital signs
Rad Tech - Answer-Job: position client and perform x-rays and other imaging procedures for
providers to review for diagnosis of disorders of various body parts
Refer to when: ex- provider orders x-ray of client's hip after a fall
Respiratory therapist - Answer-Job: evaluate resp status and provide prescribed resp treatments
including O2 therapy, chest physiotherapy, inhalation therapy, and artificial mechanical ventilation
Refer to when: ex- client with resp disease experiences SOB and requests nebulizer treatment that is
ordered PRN
, Social Worker - Answer-Job: work with client and client's family by coordinating inpatient and
community resources to meet psychosocial and environmental needs that are necessary for
recovery and/or discharge
Refer to when: ex- client dying of cancer wishes to go home but is unable to perform ADLs; the
spouse needs med equipment in the home to care for client
Speech therapist - Answer-Job: evaluate and make recommendations regarding the functions of
speech, language, and swallowing impacted by various client disorders or injuries; teach client
techniques and exercises to improve function when possible
Refer to when: ex- a client is having difficulty swallowing a regular diet after trauma to the head and
neck
Registered Nurse (RN) - Answer--Functions under state nurse practice laws
-Perform assessments; establish nursing diagnoses, goals, and interventions; conducts ongoing client
evaluations
-Participate in developing interdisciplinary plans for client care
-Share best practices; continuing education
Licensed Practical Nurse (LPN) - Answer--Works under supervision of the RN
-Collaborate with other team members
-Possess technical knowledge and skills
-Participate in the delivery of nursing care, using the nursing process as a framework
Unlicensed Assistive Personnel (UAP) - Answer--Includes CNAs, CMAs, and non-nursing personnel
-Work under direct supervision of an RN or LPN
-Specific tasks usually outlined in position description
-Tasks may including feeding clients, preparing meals, lifting, basic care, measuring & recording vital
signs, and ambulating clients
The foundation of ethics is based on: - Answer-an expected behavior of a certain group in relation to
what is considered right and wrong; it is the study of conduct and character
Medicare - Answer-for clients over age 65 and/or with permanent disabilities. premiums applied as
insurance program reimburses providers based on DRGs. Premiums applied as Managed Care
Organizations (MCOs) provide enrolled clients with comprehensive care overseen by a primary care
provider. Is federally funded.
Medicaid - Answer-for clients with low income. is federally funded and individual states determine
eligibility requirements.
Traditional Insurance - Answer-reimburses for services on fee-for-service basis.
Managed Care Organizations (MCOs) - Answer-comprehensive care is overseen by a primary care
provider & focuses on prevention and health promotion
Preferred Provider Organizations (PPOs) - Answer-client chooses from a list of contracted providers.
using non-contracted providers increases the client's out of pocket costs
Exclusive Provider Organizations (EPOs) - Answer-the client chooses from a list of providers within a
contracted organization
Long-Term Care Insurance - Answer-provides for long-term care expenses not covered by Medicare
Preventive health care - Answer-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 - Answer-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 - Answer-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 - Answer-involves the provision of specialized highly technical care. examples
include oncology centers and burn centers
Restorative health care - Answer-involves intermediate follow-up care for restoring health. examples
include home health care, rehab centers, and skilled nursing facilities
Continuing health care - Answer-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: - Answer--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 - Answer-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 - Answer-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 - Answer-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 - Answer-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 - Answer-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 - Answer-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
Provider - Answer-Job: assess, diagnose, and treat cllient for disease and/or injury; includes MDs,
DOs, APNs, and PAs
Refer to when: ex- client experiences change in vital signs
Rad Tech - Answer-Job: position client and perform x-rays and other imaging procedures for
providers to review for diagnosis of disorders of various body parts
Refer to when: ex- provider orders x-ray of client's hip after a fall
Respiratory therapist - Answer-Job: evaluate resp status and provide prescribed resp treatments
including O2 therapy, chest physiotherapy, inhalation therapy, and artificial mechanical ventilation
Refer to when: ex- client with resp disease experiences SOB and requests nebulizer treatment that is
ordered PRN
, Social Worker - Answer-Job: work with client and client's family by coordinating inpatient and
community resources to meet psychosocial and environmental needs that are necessary for
recovery and/or discharge
Refer to when: ex- client dying of cancer wishes to go home but is unable to perform ADLs; the
spouse needs med equipment in the home to care for client
Speech therapist - Answer-Job: evaluate and make recommendations regarding the functions of
speech, language, and swallowing impacted by various client disorders or injuries; teach client
techniques and exercises to improve function when possible
Refer to when: ex- a client is having difficulty swallowing a regular diet after trauma to the head and
neck
Registered Nurse (RN) - Answer--Functions under state nurse practice laws
-Perform assessments; establish nursing diagnoses, goals, and interventions; conducts ongoing client
evaluations
-Participate in developing interdisciplinary plans for client care
-Share best practices; continuing education
Licensed Practical Nurse (LPN) - Answer--Works under supervision of the RN
-Collaborate with other team members
-Possess technical knowledge and skills
-Participate in the delivery of nursing care, using the nursing process as a framework
Unlicensed Assistive Personnel (UAP) - Answer--Includes CNAs, CMAs, and non-nursing personnel
-Work under direct supervision of an RN or LPN
-Specific tasks usually outlined in position description
-Tasks may including feeding clients, preparing meals, lifting, basic care, measuring & recording vital
signs, and ambulating clients
The foundation of ethics is based on: - Answer-an expected behavior of a certain group in relation to
what is considered right and wrong; it is the study of conduct and character
