ATI FUNDAMENTALS PROCTORED EXAM 2019/2020 RETAKE GUIDE 3 LATEST 2023 REAL EXAMS

ATI FUNDAMENTALS PROCTORED EXAM 2019/2020 RETAKE GUIDE 3 LATEST 2023 REAL EXAMS 1. CHAPTER 1: HEALTH CARE DELIVERY SYSTEM i. Covers uninsured children up to 19 years old at a low cost to parents e. Levels of Health Care Don’t stop until you are proud c. MEDICARE MEDICAID Eligibility: 65 years old OR on disability for more than 2 years OR have ALS OR on dialysis Part A: inpatient hospital, limited skilled nursing care, home health care (hospital insurance) Part B: outpatient care, diagnostic services, OT/PT (medical insurance) Part C: combination of parts A and B, optional private insurance (Medicare advantage plan) Part D: prescription drugs (medications) Eligibility: low socioeconomic status, no insurance Federally and state funded Individual states determine eligibility requirements Preventati ve Focuses on educating and equipping clients to reduce or control risk factors for disease Primary Emphasizes health promotion and includes prenatal, well-baby care, family planning, nutrition counseling, disease control Secondary Diagnosis and treatment of acute illness and injury Tertiary Provision of specialized and highly technical care Restorativ e Intermediate follow-up care for restoring health and promoting selfcare Continuing Addresses long-term or chronic health care needs over a period of time 2. CHAPTER 2: THE INTERPROFESSIONAL TEAM A. Interprofessional Personnel(non-nursing) Spiritual Support Staff Provides spiritual care (pastors, rabbis, priests) RegisteredDietitian Assess/plans for/educates regarding nutrition needs Laboratory technician Obtains specimens of body fluids, and performs diagnostic tests Occupational therapist Focuses on patient’s independence and regain activities of daily living (ADL) skills 2 Stay Positive, work hard, make it happen 3 Pharmacist Provides and monitors meds Physical Therapist Focuses on increasing musculoskeletal function (especially lower extremities), to maintain mobility Provider Assess/diagnose/treat diseases or injury, includes doctors, APNs, physician’s assistant 3. CHAPTER 3: ETHICAL RESPONSIBILITIES A. EthicalDecision Making InNursing a. Basic principles of ethics 1. Advocacy- support of client’s health, wellness, safety, privacy, and personal rights 2. Responsibility- willingness to respect obligations and follow through on promises 3. Accountability- ability to answer for one’s own actions 4. Confidentiality- protection of privacy without diminishing access to high-quality care b. Ethical Principles for client care Radiologic technologist Positions client and performs x rays and other imaging procedures for providers to review for diagnosis of disorders of various body parts Respiratory therapist Evaluates respiratory status and provides respiratory treatments including oxygen including oxygen therapy, chest physiotherapy, inhalation therapy, and mechanical ventilation Social worker Works with clients and families by coordinating 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, languages, and swallowing Ex: patient with dysphagiacall speech pathologist for consult Autonomy The right to make one’s own personal decisions, even when those decisions might not be in that person’s best interest(ex: Jehovah’s witness- blood transfusion) Beneficence Action that promotes good for others, without any self interest Fidelity Fulfillment of promises Justice Fairness in care delivery and use of resources Nonmaleficence A commitment to do no harm Veracity Commitmentto tell the truth c. EthicalDilemma 1. Problems that involve more than one choice and stem from differences in values and beliefs of the decision maker a. A problem is an ethical dilemma when: i. There is not enough scientific data to solve it ii. It conflicts between 2 moral imperatives