IL Final Exam
electronic health records ANS: give a broader view of the patient's health
- Advantages: enhance communication between clinicians; easy access; accuracy; confidentiality; e-
prescribing
- Challenges: learning the system; knowing how to correct errors; maintaining security
HIPPA (1996) ANS: sets rules to *limit who may have access* to a patient's health information
- any details that can identify a patient *must be protected* (SSN, name, phone number, etc)
- gives patients the right to access and change their records
- info must be shredded
the privacy rule ANS: a part of HIPPA that requires that nurses protect all written and verbal
communication about clients
Quality and Safety Education for Nurses (QSEN) ANS: assists nursing programs in preparing nurses to
provide safe and high quality care
QSEN 6 competencies ANS: 1. Safety: minimization of risk factors
2. Patient-Centered Care
3. Evidence-Based Practice: use of knowledge to base judgements
4. Informatics: the use of IT communication/info
5. Quality Improvement: development and implementation of a plan to improve healthcare services
6. Teamwork and Collaboration
- *prepare nurses to provide safe, high-quality care*
,Medicare ANS: a *federally funded* program of health insurance for persons **65 years of age and
older and those who have permanent disability**
part A: enrolled after retirement, covers hospital stays, home health, hospice
part b: outpatient services
part d: lower poverty level, families, disability
medicaid ANS: federal program that provides medical benefits for *low income* persons
patient protection and affordable care act (2010) ANS: 1. Increased access to healthcare
2. Decreased healthcare costs
3. Provides opportunities for uninsured people
private insurance plans ANS: - managed care organizations (MCOs)
- preferred provider organizations (PPOs)
chose provider from a list
- exclusive provider organizations (EPOs)
- long term care insurance
-HMO prepaid group managed care, do not get to chose provider
factors affecting healthcare ANS: -Changing Demographics
-Advances in Technology
-Health Literacy
primary prevention ANS: focus on health promotion and illness prevention
- attempt to avoid development of disease as much as possible
,ex: healthy people 2020
secondary prevention ANS: include the diagnosis and treatment of the disease
- attempts to prevent progression of disease
ex: screenings
tertirary prevention ANS: the restoration of health following an illness of accident and includes
rehabilitation and palliative services
- decreasing disease related complications
primary health care ANS: emphasizes health promotion
- a sustained partnership between clients and providers
ex: *office and clinic visits, work and school screenings*
secondary healthcare ANS: the diagnosis and treatment of acute illness and injury
ex: *hospital settings, diagnostic centers, urgent and emergency care centers*
tertiary healthcare ANS: Provision of specialized and highly technical care-
*burn centers, ICU, oncology*
regulatory agencies ANS: help ensure the quality and quantity of health care and the protection of
health care consumers
- FDA, state and local public health agencies, US dept of health and human services
functional nursing ANS: A nursing care pattern focusing on tasks and jobs; each nursing team member
has certain tasks and jobs to do
, team nursing ANS: method of care in which a nurse acts as a leader of a group of people giving care
primary nursing ANS: a nursing care pattern; an RN is responsible for the person's total care
benners novice to expert model ANS: development of professionalism
- Novice to Advanced Beginner to Competent to Proficient to Expert
unprofessional behaviors ANS: - Lateral violence: directed towards peers
- Sexual Harassment
- Improper use of authority: no longer following the code of ethics
- Intimidation: bullying, threatening, or forcing
characteristics of the nursing process ANS: Systemic, Cyclic, Dynamic, client-centered, continuous, and
problem-solving.
the nursing process ANS: Assessment
Diagnosis
Planning
Implementation
Evaluation
assessing ANS: collecting, organizing, validating, and documenting data
- subjective and objective data
includes: initial assessments, interviews, medical history, or a physical exam
electronic health records ANS: give a broader view of the patient's health
- Advantages: enhance communication between clinicians; easy access; accuracy; confidentiality; e-
prescribing
- Challenges: learning the system; knowing how to correct errors; maintaining security
HIPPA (1996) ANS: sets rules to *limit who may have access* to a patient's health information
- any details that can identify a patient *must be protected* (SSN, name, phone number, etc)
- gives patients the right to access and change their records
- info must be shredded
the privacy rule ANS: a part of HIPPA that requires that nurses protect all written and verbal
communication about clients
Quality and Safety Education for Nurses (QSEN) ANS: assists nursing programs in preparing nurses to
provide safe and high quality care
QSEN 6 competencies ANS: 1. Safety: minimization of risk factors
2. Patient-Centered Care
3. Evidence-Based Practice: use of knowledge to base judgements
4. Informatics: the use of IT communication/info
5. Quality Improvement: development and implementation of a plan to improve healthcare services
6. Teamwork and Collaboration
- *prepare nurses to provide safe, high-quality care*
,Medicare ANS: a *federally funded* program of health insurance for persons **65 years of age and
older and those who have permanent disability**
part A: enrolled after retirement, covers hospital stays, home health, hospice
part b: outpatient services
part d: lower poverty level, families, disability
medicaid ANS: federal program that provides medical benefits for *low income* persons
patient protection and affordable care act (2010) ANS: 1. Increased access to healthcare
2. Decreased healthcare costs
3. Provides opportunities for uninsured people
private insurance plans ANS: - managed care organizations (MCOs)
- preferred provider organizations (PPOs)
chose provider from a list
- exclusive provider organizations (EPOs)
- long term care insurance
-HMO prepaid group managed care, do not get to chose provider
factors affecting healthcare ANS: -Changing Demographics
-Advances in Technology
-Health Literacy
primary prevention ANS: focus on health promotion and illness prevention
- attempt to avoid development of disease as much as possible
,ex: healthy people 2020
secondary prevention ANS: include the diagnosis and treatment of the disease
- attempts to prevent progression of disease
ex: screenings
tertirary prevention ANS: the restoration of health following an illness of accident and includes
rehabilitation and palliative services
- decreasing disease related complications
primary health care ANS: emphasizes health promotion
- a sustained partnership between clients and providers
ex: *office and clinic visits, work and school screenings*
secondary healthcare ANS: the diagnosis and treatment of acute illness and injury
ex: *hospital settings, diagnostic centers, urgent and emergency care centers*
tertiary healthcare ANS: Provision of specialized and highly technical care-
*burn centers, ICU, oncology*
regulatory agencies ANS: help ensure the quality and quantity of health care and the protection of
health care consumers
- FDA, state and local public health agencies, US dept of health and human services
functional nursing ANS: A nursing care pattern focusing on tasks and jobs; each nursing team member
has certain tasks and jobs to do
, team nursing ANS: method of care in which a nurse acts as a leader of a group of people giving care
primary nursing ANS: a nursing care pattern; an RN is responsible for the person's total care
benners novice to expert model ANS: development of professionalism
- Novice to Advanced Beginner to Competent to Proficient to Expert
unprofessional behaviors ANS: - Lateral violence: directed towards peers
- Sexual Harassment
- Improper use of authority: no longer following the code of ethics
- Intimidation: bullying, threatening, or forcing
characteristics of the nursing process ANS: Systemic, Cyclic, Dynamic, client-centered, continuous, and
problem-solving.
the nursing process ANS: Assessment
Diagnosis
Planning
Implementation
Evaluation
assessing ANS: collecting, organizing, validating, and documenting data
- subjective and objective data
includes: initial assessments, interviews, medical history, or a physical exam
