ATI FUNDAMENTALS RN EXAM TESTBANK
QUESTIONS AND ANSWERS WITH
RATIONALES.
Medicare - ANSWER-public federally funded programs. clients over
age 65 and/or with permanent disabilities.
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
QUESTIONS AND ANSWERS WITH
RATIONALES.
Medicare - ANSWER-public federally funded programs. clients over
age 65 and/or with permanent disabilities.
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
