ATI Fundamentals Study Guide
Comprehensive Questions (Frequently
Tested) with Verified Answers Graded
A+
Medicare - Answer: for clients over age 65 and/or with permanent disabilities. premiums
applied as insurance program reimburses providers based on DRGs. Premiums applied as
Managed Care Organizations (MCOs) provide enrolled clients with comprehensive care
overseen by a primary care provider. Is federally funded.
Medicaid - Answer: for clients with low income. is federally funded and individual states
determine eligibility requirements.
Traditional Insurance - Answer: reimburses for services on fee-for-service basis.
Managed Care Organizations (MCOs) - Answer: comprehensive care is overseen by a primary
care provider & focuses on prevention and health promotion
Preferred Provider Organizations (PPOs) - Answer: client chooses from a list of contracted
providers. using non-contracted providers increases the client's out of pocket costs
Exclusive Provider Organizations (EPOs) - Answer: the client chooses from a list of providers
within a contracted organization
Long-Term Care Insurance - Answer: provides for long-term care expenses not covered by
Medicare
,Preventive health care - Answer: focuses on educating and equipping clients to reduce and
control risk factors of disease. Examples include immunizations, stress management programs,
and seat belt use
Primary health care - Answer: emphasizes health promotion, and includes prenatal and well-
baby care, nutrition counseling, and disease control. is based on a sustained partnership
between client and provider. examples include office or clinic visits and scheduled school/work
centered screenings (vision, hearing, obesity)
Secondary health care - Answer: includes the diagnosis and treatment of emergency, acute
illness, or injury. examples include care given in hospital settings (inpatient and EDs), diagnostic
centers, or emergent care centers
Tertiary health care - Answer: involves the provision of specialized highly technical care.
examples include oncology centers and burn centers
Restorative health care - Answer: involves intermediate follow-up care for restoring health.
examples include home health care, rehab centers, and skilled nursing facilities
Continuing health care - Answer: designed to address long-term or chronic health care needs.
examples include hospice, adult day care, and in-home respite care
Health care regulatory agencies include: - Answer: -US Dept of Health and Human Srvcs
-US FDA
-State and local public health agencies
-State licensing boards (to ensure providers & agencies comply with state regulations)
-the Joint Commission/JCAHO (set quality standards for accreditation of health care facilities)
-Professional Standards Review Organizations (PSROs)
,-Utilization review committees (monitor for appropriate diagnosis and treatment of hospitalized
clients)
Clergy - Answer: Job: provide spiritual care to client (pastors, rabbis, priests)
Refer to when: the client requests communication or the family asks for prayer prior to client
undergoing a procedure
Registered dietitian - Answer: Job: assess, plan for, and educate the client reg. nutritional needs;
direct care of nutritional aids
Refer to when: ex- the client has low nutrient levels and/or experienced a recent unexplained
weight loss
Lab tech - Answer: Job: obtain specimens of the client's body fluids and perform the necessary
diagnostic tests
Refer to when: ex- the provider orders a CBC to be performed immediately
Occupational therapist - Answer: Job: assess and plan for the client to regain ADLs, esp motor
skills of the upper extremities; direct care of occupational therapy assistants
Refer to when: ex- client has difficulties using an eating utensil with dominate hand following a
stroke
Pharmacist - Answer: Job: provide & monitor meds for the client as prescribed by the provider;
supervises pharm techs in states in which the practice is allowed
Refer to when: client concerns over meds; dosage concerns; etc
, Physical Therapist - Answer: Job: assess and plan for client to increase musculoskeletal
functions, esp of lower extremities, to maintain mobility; direct care of physical therapy
assistants
Refer to when: ex- following a hip replacement, a client requires assistance learning to ambulate
and regain strength
Provider - Answer: Job: assess, diagnose, and treat cllient for disease and/or injury; includes
MDs, DOs, APNs, and PAs
Refer to when: ex- client experiences change in vital signs
Rad Tech - Answer: Job: position client and perform x-rays and other imaging procedures for
providers to review for diagnosis of disorders of various body parts
Refer to when: ex- provider orders x-ray of client's hip after a fall
Respiratory therapist - Answer: Job: evaluate resp status and provide prescribed resp
treatments including O2 therapy, chest physiotherapy, inhalation therapy, and artificial
mechanical ventilation
Refer to when: ex- client with resp disease experiences SOB and requests nebulizer treatment
that is ordered PRN
Social Worker - Answer: Job: work with client and client's family by coordinating inpatient and
community resources to meet psychosocial and environmental needs that are necessary for
recovery and/or discharge
Comprehensive Questions (Frequently
Tested) with Verified Answers Graded
A+
Medicare - Answer: for clients over age 65 and/or with permanent disabilities. premiums
applied as insurance program reimburses providers based on DRGs. Premiums applied as
Managed Care Organizations (MCOs) provide enrolled clients with comprehensive care
overseen by a primary care provider. Is federally funded.
Medicaid - Answer: for clients with low income. is federally funded and individual states
determine eligibility requirements.
Traditional Insurance - Answer: reimburses for services on fee-for-service basis.
Managed Care Organizations (MCOs) - Answer: comprehensive care is overseen by a primary
care provider & focuses on prevention and health promotion
Preferred Provider Organizations (PPOs) - Answer: client chooses from a list of contracted
providers. using non-contracted providers increases the client's out of pocket costs
Exclusive Provider Organizations (EPOs) - Answer: the client chooses from a list of providers
within a contracted organization
Long-Term Care Insurance - Answer: provides for long-term care expenses not covered by
Medicare
,Preventive health care - Answer: focuses on educating and equipping clients to reduce and
control risk factors of disease. Examples include immunizations, stress management programs,
and seat belt use
Primary health care - Answer: emphasizes health promotion, and includes prenatal and well-
baby care, nutrition counseling, and disease control. is based on a sustained partnership
between client and provider. examples include office or clinic visits and scheduled school/work
centered screenings (vision, hearing, obesity)
Secondary health care - Answer: includes the diagnosis and treatment of emergency, acute
illness, or injury. examples include care given in hospital settings (inpatient and EDs), diagnostic
centers, or emergent care centers
Tertiary health care - Answer: involves the provision of specialized highly technical care.
examples include oncology centers and burn centers
Restorative health care - Answer: involves intermediate follow-up care for restoring health.
examples include home health care, rehab centers, and skilled nursing facilities
Continuing health care - Answer: designed to address long-term or chronic health care needs.
examples include hospice, adult day care, and in-home respite care
Health care regulatory agencies include: - Answer: -US Dept of Health and Human Srvcs
-US FDA
-State and local public health agencies
-State licensing boards (to ensure providers & agencies comply with state regulations)
-the Joint Commission/JCAHO (set quality standards for accreditation of health care facilities)
-Professional Standards Review Organizations (PSROs)
,-Utilization review committees (monitor for appropriate diagnosis and treatment of hospitalized
clients)
Clergy - Answer: Job: provide spiritual care to client (pastors, rabbis, priests)
Refer to when: the client requests communication or the family asks for prayer prior to client
undergoing a procedure
Registered dietitian - Answer: Job: assess, plan for, and educate the client reg. nutritional needs;
direct care of nutritional aids
Refer to when: ex- the client has low nutrient levels and/or experienced a recent unexplained
weight loss
Lab tech - Answer: Job: obtain specimens of the client's body fluids and perform the necessary
diagnostic tests
Refer to when: ex- the provider orders a CBC to be performed immediately
Occupational therapist - Answer: Job: assess and plan for the client to regain ADLs, esp motor
skills of the upper extremities; direct care of occupational therapy assistants
Refer to when: ex- client has difficulties using an eating utensil with dominate hand following a
stroke
Pharmacist - Answer: Job: provide & monitor meds for the client as prescribed by the provider;
supervises pharm techs in states in which the practice is allowed
Refer to when: client concerns over meds; dosage concerns; etc
, Physical Therapist - Answer: Job: assess and plan for client to increase musculoskeletal
functions, esp of lower extremities, to maintain mobility; direct care of physical therapy
assistants
Refer to when: ex- following a hip replacement, a client requires assistance learning to ambulate
and regain strength
Provider - Answer: Job: assess, diagnose, and treat cllient for disease and/or injury; includes
MDs, DOs, APNs, and PAs
Refer to when: ex- client experiences change in vital signs
Rad Tech - Answer: Job: position client and perform x-rays and other imaging procedures for
providers to review for diagnosis of disorders of various body parts
Refer to when: ex- provider orders x-ray of client's hip after a fall
Respiratory therapist - Answer: Job: evaluate resp status and provide prescribed resp
treatments including O2 therapy, chest physiotherapy, inhalation therapy, and artificial
mechanical ventilation
Refer to when: ex- client with resp disease experiences SOB and requests nebulizer treatment
that is ordered PRN
Social Worker - Answer: Job: work with client and client's family by coordinating inpatient and
community resources to meet psychosocial and environmental needs that are necessary for
recovery and/or discharge
