Funds Final copy
Health Care Systems
Health Care Systems Include:
Preventive, Primary, Secondary, Tertiary, Restorative, and Continuing Health Care
Preventive Health Care
Focuses on educating and equipping clients to reduce and control risk factors for disease. Preventive
care is more disease oriented and focused on reducing and controlling risk factors for disease through
activities such as immunization and occupational health programs.
- Ex: Programs that promote immunization, stress management, occupational health, and seat belt use.
Primary Health Care
Emphasized health promotion includes prenatal and well-baby care, family planning, nutrition
counseling, and disease control. Sustained partnerships between clients and providers. Primary health
care focuses on improved health outcomes for an entire population by promoting regular health care
visits, health education, proper nutrition, maternal/child health care, family planning, immunizations,
and control of diseases.
- Ex: Office or clinic visits, community health centers, and scheduled school or work-centered screenings
(vision, hearing, obesity).
Secondary Health Care
Diagnosis and treatment of acute illness and injury. Secondary health care is provided by a specialist or
agency on referral by a primary health care provider. It requires more specialized knowledge, skill, or
equipment than the primary care physician or nurse practitioner can provide. For example, an
individual sees a cardiologist because of increasing shortness of breath with activity.
- Ex: Care in hospital settings (inpatient and emergency departments), diagnostic centers, urgent, and
emergent care centers.
Tertiary Health Care
Acute care involves the provision of specialized and highly technical care. Specialized consultative care,
usually provided on referral from secondary medical personnel. For example, the cardiac surgeon sees
the patient referred from the cardiologist for possible cardiac bypass surgery.
- Ex: Intensive care, oncology centers, and burn centers.
Restorative Health Care
Intermediate follow-up care for restoring health and promoting self-care. The goals of restorative care
are to help individuals regain maximal functional status and to enhance quality of life through
promotion of independence and self-care.
- Ex: Home health care, rehab centers, and skilled nursing facilities.
Continuing Health Care
Long-term or chronic health care needs over a period of time. Continuing care describes a variety of
health, personal, and social services provided over a prolonged period. These services are for people
who have disabilities, who were never functionally independent, or who have a terminal disease.
,- Ex: End-of-life care, palliative care, hospice, adult day care, assisted living, and in-home respite care.
3 Levels of Prevention
Primary, Secondary, and Tertiary.
Primary Prevention
Addresses healthy client needs, promotes health, prevents diseases, and reduces
exposure risk for individual/community.
- Ex: Immunization programs, Child Car Seat Education, Nutrition and Fitness, and
Health Education.
Secondary Prevention
Focuses on identifying illness, providing treatment, and conducting activities that
help prevent a worsening health status.
- Ex: Communicable disease screening and case finding, Early detection and treatment
of diabetes, Exercise programs for older adult clients who are frail.
Tertiary Prevention
Aims to prevent the long-term consequences of a chronic illness or disability and
to support optimal functioning.
- Ex: Begins after an injury or illness, Prevention of pressure ulcers after spinal cord
injury, Promoting independence after traumatic brain injury, Referrals to support groups,
and Rehab center.
ATI Workbook
A nurse is discussing restorative health care with a newly licensed nurse. Which
of the following examples should the nurse include in the teaching? (Select all
that apply)
a) Home health care
b) Rehabilitation facilities
c) Diagnostic centers
d) Skilled nursing facilities
e) Oncology centers
a) Home health care
b) Rehabilitation facilities
d) Skilled nursing facilities
,ATI Workbook
A nurse is explaining the various levels of health care services to a group of newly
licensed nurses. Which of the following examples of care or care settings should the
nurse classify as tertiary care?
A) Intensive care unit
B) Oncology treatment center
C) Burn Center
D) Cardiac Rehabilitation
E) Home health care
A) Intensive care unit
B) Oncology treatment center
C) Burn Center
Aimed at early disease detection and treatment to prevent progression of disease
(screenings). Examples include: mammograms, Pap smear, and colonoscopy.
a) Preventive
b) Primary
c) Secondary
d) Tertiary
c) Secondary
Which care is provided in a rehab/extended care facility?
a) Primary
b) Secondary
c) Tertiary
d) Restorative
d) Restorative
Therapeutic Communication
"SOLER"
Sit facing client
Observe open posture
Lean toward client
Establish and maintain eye contact
Relax
Why is Active Listening Important?
- Notice when verbal and nonverbal messages are inconsistent.
- Conveys respect
, - Enhances trust
- Promotes open and honest expression.
Therapeutic Techniques
1. Silence
2. Providing Leads
3. Focused Questions
4. Open-ended Questions
5. Exploration
6. Clarifying
7. Paraphrasing, restating
8. Reflection
9. Touch
10. Offering Presence
11. Refocusing
12. Summarizing
Nontherapeutic Techniques
1. Close-ended Questions
2. "Why" Questions
3. Giving Common Advice, Personal Opinion
4. Generalized Remarks
5. False Reassurance
6. Defensive Responses
7. Judgmental Responses
8. Minimizing client's feelings
9. Changing the Subject
10. Focusing on Self
11. Interruptions
ATI Therapeutic Communication
Which of the following statements is an example of a therapeutic communication technique?
A) "I would not be concerned about that."
B) "Why did you not go to your scheduled group therapy?"
C) "Tell me about your relationship with your wife."
C) "Tell me about your relationship with your wife."
Health Care Systems
Health Care Systems Include:
Preventive, Primary, Secondary, Tertiary, Restorative, and Continuing Health Care
Preventive Health Care
Focuses on educating and equipping clients to reduce and control risk factors for disease. Preventive
care is more disease oriented and focused on reducing and controlling risk factors for disease through
activities such as immunization and occupational health programs.
- Ex: Programs that promote immunization, stress management, occupational health, and seat belt use.
Primary Health Care
Emphasized health promotion includes prenatal and well-baby care, family planning, nutrition
counseling, and disease control. Sustained partnerships between clients and providers. Primary health
care focuses on improved health outcomes for an entire population by promoting regular health care
visits, health education, proper nutrition, maternal/child health care, family planning, immunizations,
and control of diseases.
- Ex: Office or clinic visits, community health centers, and scheduled school or work-centered screenings
(vision, hearing, obesity).
Secondary Health Care
Diagnosis and treatment of acute illness and injury. Secondary health care is provided by a specialist or
agency on referral by a primary health care provider. It requires more specialized knowledge, skill, or
equipment than the primary care physician or nurse practitioner can provide. For example, an
individual sees a cardiologist because of increasing shortness of breath with activity.
- Ex: Care in hospital settings (inpatient and emergency departments), diagnostic centers, urgent, and
emergent care centers.
Tertiary Health Care
Acute care involves the provision of specialized and highly technical care. Specialized consultative care,
usually provided on referral from secondary medical personnel. For example, the cardiac surgeon sees
the patient referred from the cardiologist for possible cardiac bypass surgery.
- Ex: Intensive care, oncology centers, and burn centers.
Restorative Health Care
Intermediate follow-up care for restoring health and promoting self-care. The goals of restorative care
are to help individuals regain maximal functional status and to enhance quality of life through
promotion of independence and self-care.
- Ex: Home health care, rehab centers, and skilled nursing facilities.
Continuing Health Care
Long-term or chronic health care needs over a period of time. Continuing care describes a variety of
health, personal, and social services provided over a prolonged period. These services are for people
who have disabilities, who were never functionally independent, or who have a terminal disease.
,- Ex: End-of-life care, palliative care, hospice, adult day care, assisted living, and in-home respite care.
3 Levels of Prevention
Primary, Secondary, and Tertiary.
Primary Prevention
Addresses healthy client needs, promotes health, prevents diseases, and reduces
exposure risk for individual/community.
- Ex: Immunization programs, Child Car Seat Education, Nutrition and Fitness, and
Health Education.
Secondary Prevention
Focuses on identifying illness, providing treatment, and conducting activities that
help prevent a worsening health status.
- Ex: Communicable disease screening and case finding, Early detection and treatment
of diabetes, Exercise programs for older adult clients who are frail.
Tertiary Prevention
Aims to prevent the long-term consequences of a chronic illness or disability and
to support optimal functioning.
- Ex: Begins after an injury or illness, Prevention of pressure ulcers after spinal cord
injury, Promoting independence after traumatic brain injury, Referrals to support groups,
and Rehab center.
ATI Workbook
A nurse is discussing restorative health care with a newly licensed nurse. Which
of the following examples should the nurse include in the teaching? (Select all
that apply)
a) Home health care
b) Rehabilitation facilities
c) Diagnostic centers
d) Skilled nursing facilities
e) Oncology centers
a) Home health care
b) Rehabilitation facilities
d) Skilled nursing facilities
,ATI Workbook
A nurse is explaining the various levels of health care services to a group of newly
licensed nurses. Which of the following examples of care or care settings should the
nurse classify as tertiary care?
A) Intensive care unit
B) Oncology treatment center
C) Burn Center
D) Cardiac Rehabilitation
E) Home health care
A) Intensive care unit
B) Oncology treatment center
C) Burn Center
Aimed at early disease detection and treatment to prevent progression of disease
(screenings). Examples include: mammograms, Pap smear, and colonoscopy.
a) Preventive
b) Primary
c) Secondary
d) Tertiary
c) Secondary
Which care is provided in a rehab/extended care facility?
a) Primary
b) Secondary
c) Tertiary
d) Restorative
d) Restorative
Therapeutic Communication
"SOLER"
Sit facing client
Observe open posture
Lean toward client
Establish and maintain eye contact
Relax
Why is Active Listening Important?
- Notice when verbal and nonverbal messages are inconsistent.
- Conveys respect
, - Enhances trust
- Promotes open and honest expression.
Therapeutic Techniques
1. Silence
2. Providing Leads
3. Focused Questions
4. Open-ended Questions
5. Exploration
6. Clarifying
7. Paraphrasing, restating
8. Reflection
9. Touch
10. Offering Presence
11. Refocusing
12. Summarizing
Nontherapeutic Techniques
1. Close-ended Questions
2. "Why" Questions
3. Giving Common Advice, Personal Opinion
4. Generalized Remarks
5. False Reassurance
6. Defensive Responses
7. Judgmental Responses
8. Minimizing client's feelings
9. Changing the Subject
10. Focusing on Self
11. Interruptions
ATI Therapeutic Communication
Which of the following statements is an example of a therapeutic communication technique?
A) "I would not be concerned about that."
B) "Why did you not go to your scheduled group therapy?"
C) "Tell me about your relationship with your wife."
C) "Tell me about your relationship with your wife."
