ATI Final Review 1
ATI Final Review for Chapters 2, 3 and 4
(Questions and Detailed Answers)
Question Answer
A law enacted in 2010 to improve health care quality
Affordable Care Act while lowering costs and expanding the Medicaid
program.
a nonprofit organization that accredits health care
The Joint Commission organizations in multiple types of health care settings,
ranging from inpatient hospitals to pharmacies.
An adverse event that should never occur. Ex; A client is
given blood that has been incorrectly typed in the
Sentinel Event
laboratory, An infant death, A client has the wrong arm or
leg amputated during surgery.
an independent, nonprofit organization that accredits
National Committee for
health care plans, providers, facilities, and case
Quality Assurance
management companies.
An organization that supports nurses to improve client
American Nurses
care through education, certifications, and professional
Credentialing Center
designations.
Magnet Recognition Program A program that recognizes acute care facilities that
, demonstrate excellence in nursing based upon meeting
standards in five categories.
Structural empowerment Exemplary professional practice
The Components of Magnet New knowledge, innovations, or improvements
Transformational leadership Empirical outcomes
Pathway to Excellence A program for long-term or outpatient facilities to
Program recognize excellence in nursing.
Hospital Consumer
A system that acute care facilities use to measure the
Assessment of Healthcare
client's satisfaction
Providers and Systems
A survey tool designed to evaluate the client's perception
Press Ganey of their experience within the outpatient setting of the
health care system.
Government health care coverage for a client who is age
Medicare 65 or older, under age 65 with disabilities, or any age with
End Stage Renal Disease (ESRD).
Part A: Hospitalization, skilled nursing facilities, some
hospice care, some home health care Part B: Doctor’s
Medicare Benefits pt.1
services, physical therapy, occupational therapy, some
home health care
Government health care coverage for a client who must
Medicaid meet eligibility requirements based on the client's
income in relation to the poverty level.
Children’s Health Insurance Government health care coverage that provides for
Program children who may not meet Medicaid's requirements but
, need health coverage.
Insurance coverage that is not provided by a government
Private Insurance
agency.
A type of health insurance plan that usually limits
Health Maintenance coverage to care from doctors who work for or contract
Organizations(HMOs) with the HMO. It generally won't cover out-of-network
care except in an emergency.
Reimbursement payments made to service providers
Fee For Service
based on the volume of services delivered.
Centers for Medicare and A government agency that oversees the health care
Medicaid Services (CMS) delivery of Medicare, Medicaid, and CHIP programs.
A fixed payment system for reimbursement for health
Diagnosis Related Groups
care services based upon client diagnosis and procedures
(DRGs)
performed.
A method of standardized insurance reimbursement
Inpatient Prospective
based on the client’s diagnosis and procedures
Payment System (IPPS)
performed within the acute care setting.
A program instituted by the Centers for Medicare &
Medicaid (CMS) to increase the quality of care in health
Hospital-Acquired Condition
care facilities. This program denies reimbursement for
Reduction Program
services associated with specific health care-acquired
infections.
An infection a client develops during an admission to an
Hospital-Acquired Infections
acute care facility.
, A fixed payment system for reimbursement of health care
Resource Utilization Groups
services provided in the long-term care setting based
(RUGs)
upon client diagnosis and services required.
A clinical assessment of a client's physical and cognitive
Minimum Data Set (MDS) status required to be conducted on nursing home
residents who receive Medicare and Medicaid benefits.
Factors that impact health other than health care
Social Determinants of Health
services, including location, environment, genetics,
(SDOH)
income, relationships, and gender.
Neighborhood and Built Environment Health and Health
Key Factors of Social
Care Economic Stability Education Social and Community
Determinants of Health
Context
The primary care provider (who may be a physician, nurse
practitioner, or physician’s assistant) can screen the client
Primary Care
and treat him or her for routine illness, promote wellness,
and prevent disease.
The community care setting also focuses on preventive
Community Care
services, caring for clients before admission to a facility.
An acute care illness is one that requires treatment in an
emergency department or an overnight stay in an acute
Acute Care
care setting. It is usually a brief or short admission to
treat and stabilize the episode.
A long-term care (LTC) facility cares for clients who do not
Long-Term Care need specific nursing skills such as dressing changes or
tube feedings, but rather a place to live.
ATI Final Review for Chapters 2, 3 and 4
(Questions and Detailed Answers)
Question Answer
A law enacted in 2010 to improve health care quality
Affordable Care Act while lowering costs and expanding the Medicaid
program.
a nonprofit organization that accredits health care
The Joint Commission organizations in multiple types of health care settings,
ranging from inpatient hospitals to pharmacies.
An adverse event that should never occur. Ex; A client is
given blood that has been incorrectly typed in the
Sentinel Event
laboratory, An infant death, A client has the wrong arm or
leg amputated during surgery.
an independent, nonprofit organization that accredits
National Committee for
health care plans, providers, facilities, and case
Quality Assurance
management companies.
An organization that supports nurses to improve client
American Nurses
care through education, certifications, and professional
Credentialing Center
designations.
Magnet Recognition Program A program that recognizes acute care facilities that
, demonstrate excellence in nursing based upon meeting
standards in five categories.
Structural empowerment Exemplary professional practice
The Components of Magnet New knowledge, innovations, or improvements
Transformational leadership Empirical outcomes
Pathway to Excellence A program for long-term or outpatient facilities to
Program recognize excellence in nursing.
Hospital Consumer
A system that acute care facilities use to measure the
Assessment of Healthcare
client's satisfaction
Providers and Systems
A survey tool designed to evaluate the client's perception
Press Ganey of their experience within the outpatient setting of the
health care system.
Government health care coverage for a client who is age
Medicare 65 or older, under age 65 with disabilities, or any age with
End Stage Renal Disease (ESRD).
Part A: Hospitalization, skilled nursing facilities, some
hospice care, some home health care Part B: Doctor’s
Medicare Benefits pt.1
services, physical therapy, occupational therapy, some
home health care
Government health care coverage for a client who must
Medicaid meet eligibility requirements based on the client's
income in relation to the poverty level.
Children’s Health Insurance Government health care coverage that provides for
Program children who may not meet Medicaid's requirements but
, need health coverage.
Insurance coverage that is not provided by a government
Private Insurance
agency.
A type of health insurance plan that usually limits
Health Maintenance coverage to care from doctors who work for or contract
Organizations(HMOs) with the HMO. It generally won't cover out-of-network
care except in an emergency.
Reimbursement payments made to service providers
Fee For Service
based on the volume of services delivered.
Centers for Medicare and A government agency that oversees the health care
Medicaid Services (CMS) delivery of Medicare, Medicaid, and CHIP programs.
A fixed payment system for reimbursement for health
Diagnosis Related Groups
care services based upon client diagnosis and procedures
(DRGs)
performed.
A method of standardized insurance reimbursement
Inpatient Prospective
based on the client’s diagnosis and procedures
Payment System (IPPS)
performed within the acute care setting.
A program instituted by the Centers for Medicare &
Medicaid (CMS) to increase the quality of care in health
Hospital-Acquired Condition
care facilities. This program denies reimbursement for
Reduction Program
services associated with specific health care-acquired
infections.
An infection a client develops during an admission to an
Hospital-Acquired Infections
acute care facility.
, A fixed payment system for reimbursement of health care
Resource Utilization Groups
services provided in the long-term care setting based
(RUGs)
upon client diagnosis and services required.
A clinical assessment of a client's physical and cognitive
Minimum Data Set (MDS) status required to be conducted on nursing home
residents who receive Medicare and Medicaid benefits.
Factors that impact health other than health care
Social Determinants of Health
services, including location, environment, genetics,
(SDOH)
income, relationships, and gender.
Neighborhood and Built Environment Health and Health
Key Factors of Social
Care Economic Stability Education Social and Community
Determinants of Health
Context
The primary care provider (who may be a physician, nurse
practitioner, or physician’s assistant) can screen the client
Primary Care
and treat him or her for routine illness, promote wellness,
and prevent disease.
The community care setting also focuses on preventive
Community Care
services, caring for clients before admission to a facility.
An acute care illness is one that requires treatment in an
emergency department or an overnight stay in an acute
Acute Care
care setting. It is usually a brief or short admission to
treat and stabilize the episode.
A long-term care (LTC) facility cares for clients who do not
Long-Term Care need specific nursing skills such as dressing changes or
tube feedings, but rather a place to live.
