Complete Questions & answers;All Chapters,
A+ Rated guide .
A nurse is discussing restorative health care with a newly licensed
nurse. What should the nurse include in the teaching? - ANSWER>>>
Home health care
rehabilitation facilities
Skilled nursing facilities
ts might have to a group of nurses. What are the federal funded
programs that are typically used? - ANSWER>>> Medicare
medicaid
State children health insurance program
Patient protection and affordable care act.
A nurse manager is developing strategies to care for the increasing
number of clients who have obesity. What is a primary health care
strategy the nurse could implement? - ANSWER>>> Collaborating
with providers to preform obesity screenings during routine office
visits.
A nurse is discussing regulatory agencies during a routine staff
meeting. What would be a responsibility of the state licensure board? -
ANSWER>>> Ensuring health care providers comply with regulations.
(state licensing boards are responsible for ensuring that health care
providers and agencies comply with state regulations. )
A nurse is explaining the various levels of health care services to a
group of newly licensed nurses. What are some examples of Tertiary
care? - ANSWER>>> ICU
,Oncology treatment center
Burn center
Components of the health care system - ANSWER>>>
PARTICIPANTS
Consumers (patients, family)
Licensed providers (RN, LPN, Advance Practice Nurse, medical
doctors, pharmacist, dentist, dietitians, PT, OT, speech, respiratory
therapist)
Unlicensed providers (assertive personnel)
SETTING
Hospitals, homes, Skilled nursing facilities, Community health
department, Adult day care, schools, hospice, Providers office,
Ambulatory acre clinics. occupational health clinics, stand alone
surgical centers, urgent care centers, complementary therapy centers,
urgent care centers, public health agencies, crisis centers, diagnostic
centers, specialized services-oncology, burn, dialysis, rehabilitation
centers.
REGULATORY AGENCIES
U.S. department of health and human services
FDA
State and local public health agencies
State licensing boards (ensure that health care providers and
agencies comply with state regulations)
The joint commission (set quality standers for accreditation of health
care facilities )
Professional standards review organizations (monitor health care
services provided)
Utilization review committees (monitor for appropriate diagnosis and
treatment of hospitalized clients)
HEALTH CARE FINANCING MECHANISMS
Medicare (federal funded)
Medicaid (federal funded)
Patient protection affordable care act (federal funded)
State children health insurance programs (federal funded)
Traditional insurance (private pay)
Long term care insurance (private pay)
,Levels of health care - ANSWER>>> -Primary- Emphasizes health
promotion in clues prenatal, well baby care, family planning neutron
counseling, and disease control.
-Secondary- includes diagnosis and treatment acute illness and injury.
(ex: ER, Urgent care, Diagnostic center)
-Tertiary(acute care)- Involves specialized and highly technical care.
(ex: ICU, oncology and burn centers)
-Restorative- Intermediate follow up care for restoring health and
promoting self-care. (ex: home health care, rehabilitation facilities and
skilled nursing facilities)
-Continuing health care- dress long term health care needs over a
period of time. (ex: life care, palliative care, hospice, adult daycare,
assisted living, in-home respite care)
Relationships between health care system and levels of care -
ANSWER>>> -People- the level of care depends on the client/patient
-Setting- The settings for secondary and tertiary care are usually
within a hospital or specific facility.
-Regulatory agencies- help ensure the quantity and quality of health
care and protection of the health care consumers.
-Health care finance- influences the quality and type of carboy setting
parameters for cost containment and reimbursement.
Interprofessional personell (non-nursing) - ANSWER>>> -Spiritual
support staff- provides spiritual care
-Registered dietitian- access, plans for and educates regarding
nutritional needs.
-lab tech-obtains specimens and body fluids, prefers diagnostic test.
- OT- access's and plans for clients to regain activities of daily living
(ADL's)
-Pharmacist- provides monitors and evaluates medication.
-PT- access plans for patient to increase musculoskeletal function.
-provider- accesses, diagnosis, and treat disease or injury.
-radiology tech- positions clients to preform x-rays or other imaging
procedures.
, -respiratory therapist- evaluates respiratory status and provides
respiratory treatments.
-Social worker- works with clients and patients to coordinate inpatient
and community resources to meet psychosocial and environmental
needs that are necessary for recovery and discharge.
-Speech/ language pathologist- evaluates and makes
recommendations regarding the impact of disorders or injuries on
speech language and swallowing.
Nursing Personel - ANSWER>>> -RN- the registered nurse is the
team leader, soliciting input from all nursing team members and
setting priorities for coordinated patient care.
-Practical nurse-
-assistive personnel- this includes CNA's, Certified medical assistant
(CMA) and non-nursing personnel
-
RN role and responsibilities - ANSWER>>> -function legally under
state nurse practice acts
-preform assessments; establish nursing diagnosis, goals, and
interventions; conduct ongoing client evaluations.
-Develop inter professional plans of client care
-Share appropriate information among tam members; initiate referrals
for client assistance, including health education; and identify
community resources.
Practical nurse (PN) roles and responsibilities - ANSWER>>> - work
under the supervision of a nurse
-collaborate within the nursing process, assist with the pain of care,
consult with other team members, and recognize the need for referrals
to assist with actual or potential problems.
-possess technical knowledge and skill
-participate in the delivery of nursing care, using the nursing process
as a frame work.
assistive personnel (AP) roles and responsibilities - ANSWER>>> -
work under the direct supervision of an RN or PN