and Definitions for Foundations of Nursing
1. The Joint Commission Ans: Sets quality standards for accreditation of health care
facilities
2. Utilization review committee Ans: Monitors appropriate diagnosis and treatment of
hospitalized clients
3. Federally funded health care programs Ans: 1) Medicare - for clients 65 years or
older or with permanent disabilities (premiums applied either through (a) Insurance
programs - DRG; or (b) MCO (Managed Care Organizations) - enrolled clients receive a
comprehensive care overseen by a primary care provider
2) Medicaid - for clients with low incomes; State determines eligibility requirements
4. Privately funded health care plans Ans: a) Traditional - fee for service
b) MCO - Managed Care organization; primary care provider focuses on prevention and
health promotion
c) PPO - preferred provider organization; client chooses from a list
d) EPO- exclusive provider organization; client chooses from a list within a contract- ed
organization
e) LTC - long term care insurance; expenses not covered by Medicare
,5. Levels of health care Ans: a) Preventive - focus on education (immunization, stress
management, seat belts)
b) Primary - emphasizes health promotion (prenatal and well baby care)
c) Secondary - diagnosis and treatment of emergency, acute illness or injury (acute
inpatient care, ER)
d) Tertiary - specialized highly technical care (Oncology, burn centers)
e) Restorative - intermediate follow up care for restoring health (home health care, rehab
centers)
f) Continuing health care - addresses long term or chronic health care needs
(hospice, adult day care)
6. Interdisciplinary personnel (non-nursing) Ans: a) clergy
b) registered dietitian
c) laboratory technician
d) occupational therapist
e) Pharmacist
f) Physical Therapist
g) Provider - MD, DO
h) Radiologic technologist
i) Respiratory therapist
,j) Social worker
k) Speech Therapist
, 7. Nursing Personnel Ans: a) RN
b) LPN/LVN
c) UAP - CNA, CMA
8. Expanded Nursing Roles Ans: a) APN - advanced practice nurse ( CNS - clinical
nurse specialist; CRNA - certified registered nurse anesthetist; NP - nurse practi- tioner;
CNM - certified nurse-midwife)
b) Nurse Educator
c) Nurse Administrator
d) Nurse Researcher
9. ETHICS Ans: Based on an expected behavior of a certain group in relation to what is
considered right or wrong. Study of conduct and character
10. MORALS Ans: Values and beliefs held by people that guide their behaviors and
decision making
11. ETHICAL THEORY Ans: Examines different principles, ideas, systems and
philoso- phies used to make judgments about what is right and wrong, good or bad.
a) utilitarianism - the value of a thing is based on its use; end justifies the means
b) deontology - moral rights and duties
12. ETHICAL PRINCIPLES related to the treatment of clients Ans: a) Autonomy