RN ATI Fundamentals Test Bank, Latest Complete Questions & answers;All Chapters, A+ Rated g uide . 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 f acilities 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 pr otection 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>>> PARTICIPA NTS 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 n ursing 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 provid ed) 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 neutr on 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>>> -Peop le- 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 m onitors 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. -respir atory 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 inpu t 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 o f 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
work under the direct supervision of an RN or PN
