Components of the health care system are: correct answers Consumers (clients), Providers,
Unlicensed providers
What are the 6 levels of healthcare? correct answers Preventive health care, Primary health care,
Secondary health care, Tertiary health care, Restorative health care, Restorative health care,
Continuing health care
Preventative health care correct answers Focuses on educating and equipping client to reduce
and control risk factors for disease. Examples include programs that promote immunizations,
stress management, occupational health programs, and seat belt use.
Primary health care correct answers Emphasizes health promotion and includes prenatal and
well-baby care, family planning nutrition counseling, and disease control. This level of care is a
sustained partnership between clients and providers. Examples include office or clinic visits,
community health centers, and scheduled school- or work-centered screenings (vision, hearing,
obesity).
Secondary health care correct answers Includes the diagnosis and treatment of acute illness and
injury. Examples include care in hospital settings (inpatient and emergency departments),
diagnostic centers, and emergent care centers.
Tertiary health care correct answers Acute care, involves the provision of specialized and highly
technical care. Examples include intensive care, oncology centers, and burn centers.
Restorative health care correct answers Involves intermediate follow-up care for restoring health
and promoting self-care. Examples include home health care, rehabilitation centers, and skilled
nursing facilities.
Safety: correct answers The minimization of risk factors that could cause injury or harm while
promoting high-quality care and maintains a secure environment for clients, self, and others.
,Patient-centered care: correct answers The provision of caring and compassionate, culturally
sensitive care that addresses clients' physiological, psychological, sociological, spiritual, and
cultural needs, preferences, and values. the client is included in the decision making process.
Evidence base practice: correct answers The use of current knowledge from research and other
credible sources on which to base clinical judgement and client care.
Informatics: correct answers The use of information technology as a communication and
information-gathering tool that support clinical decision-making and scientifically based nursing
practice.
Quality Improvement: correct answers Care-related and organizational processes that involves
the development and implementation of a plan to improve health care services and better meet
clients' needs.
Teamwork and Collaboration: correct answers The delivery of client care in partnership with
multidisciplinary members of the health care team to achieve continuity of care and positive
client outcomes.
Advocacy: correct answers Support of clients' health, wellness, safety, and personal rights,
including privacy.
Responsibility: correct answers Willingness to respect obligations and follow through on
promises.
Accountability: correct answers Ability to answer for one's own actions
Confidentiality: correct answers Protection of privacy without diminishing access to high-quality
care.
,Autonomy: correct answers The right to makes one's own person decisions, even when those
decisions might not be in that person's own best interest.
Beneficence: correct answers Action that promotes good for others, without any self-interest
Fidelity: correct answers Fulfillment of promises, being faithful.
Justice: correct answers Fairness in care delivery and use of resources.
Nonmaleficence: correct answers A commitment to do no harm.
Veracity: correct answers A commitment to tell the truth.
What is an example of ethical guidelines? correct answers American Nurses Association's Code
of Ethics
HIPAA correct answers Health Insurance Portability and Accountability Act
ADA correct answers Americans with Disabilities Act
MHPA correct answers Mental Health Parity Act
PSDA correct answers Patient Self-Determination Act
What is the nurses role for informed consent? correct answers Witness informed consent.
-Ensure that the provider gave the client the necessary information.
-Ensure that the client understood the information and is competent to give informed consent.
-Have the client sign the informed consent document.
, -Notify the provider if the client has more questions or appears not to understand any of the
information. The provider is then responsible for giving clarification.
- Document questions the client has, notification of the provider, reinforcement of teaching, and
use of an interpreter.
What are 3 types of Advanced Directives? correct answers Living will, Durable power of
attorney for health care, Provider's orders
What are the types of documentation formats? correct answers Flow charts: show trends in vital
signs, blood glucose levels, pain level, and other frequent assessments.
Narrative documentation: records information as a sequence of events in a story-like manner.
Charting by exception: uses standardized forms that identify norms and allows selective
documentation of deviations from those norms.
Problem-oriented medical records: are organized by problem or diagnosis and consist of a
database, problem list, care plan, and progress notes. Examples include SOAP, PIE, and DAR.
What are the types of reporting? correct answers Change-of-shift reports, Telephone reports,
Telephone or verbal prescriptions, Transfer (hand-off) reports, Incident reports (unusual
occurrences)
SOAP correct answers Subjective data
Objective data
Assessment
Plan
PIE correct answers Problem
Intervention