Foundations of Nursing Practice ( Essential
Concepts)
Describe how the Whistle Blower Law and the Safe Harbor Law protects both
patients and nurses.: -Whistle Blower Law: Protects nurse from retaliation when
substandard practices are exposed-protects from being fired or blocked from
employment because they exposed unsafe practice
-Safe Harbor Law: Protects nurse from engaging in behaviors that potentially
put patients at risk-like an in an unsafe staffing situation
What information is mandated by HIPAA to be given to patients on admission to
a health care facility: How health care information will be used
A nurse has taken a telephone order from a physician for an emergency
medication. The dose of the medication is abnormally high. What should the
nurse do next?: Question the order for the medication
A patient refuses to have a pain medication by injection. A nurse says, "If you
don't let me give you the injection, I will get help to hold you down and give it."
With what crime might the nurse be charged?: Assault
A new arena of nursing practice in which nurses retrieve, analyze, organize and
communicate data related to patient care is know as....: Informatics
Which health practice is most universally identified throughout history as a
deterrent to disease? Why is this?: Hand washing
Why? Protective, aseptic
, Which of the following health-related practices has been consistently present
throughout history?: Hand Washing
Which of the following was enacted to counter the thinking that being poor
and/or unable to work was a personal moral failing?: Elizabethan Poor Laws
Which of the following health care practices are considered complementary
to Western medical practices in the United States today? Choose all that
apply.-
: Biofeedback
Guided imagery
In the US, which federal department oversees the health of the nation? And
which other departments/ agencies are accountable to them?: Department of
Health
& Human Services (DHHS)
CDC (Center for Disease Control)
HUD (housing and urban development) OSHA (Occupational
Safety and Health Administration) EPA, FDA, USDA, Disaster
Response
Differentiate an HMO from a PPO system in terms of how services are
provided and how the health care providers are paid: HMO-select MD
primary, prospective payment, focus is health promotion & disease
prevention. All services go through primary MD (gatekeeper).
PPO-**most common** can access any physician on preferred list. Focus is
more to treatment (health restoration). Retrospective payment.
Compare and contrast Medicare and Medicaid related to eligibility, premi-
ums, and coverage.: Medicare (age >65-part A, end stage
renal, disabled) A-cover >65, free **limit amount of days
, B-80% of visits covered
C-new (combines A+B+D)
D- with part A—Medications (additional premium deductible)
Medicaid (dispersed at state level—for the poor (poverty level))
All ages, covers all expenses, medical '0' premiums, Vision/Dental extra
premiums.
Compare and contrast HMO and a PPO.: HMO- Emphasis on this coverage
is to keep patients healthy because if the patient becomes ill, there are no
further reimbursable funds. Primary care MD's are gatekeepers.
PPO- Can access primary care MD's as well as specialists. Most insurance
systems today are PPO's.
Explain how the Patient Protection and Affordable Care Act (2010) address
cost, access and quality health care.: Costs- reduced premiums and lower
health care costs including financial assistance to consumers through reduced
premiums and /or tax credits.
Access- improved due to reduced costs thereby increasing access.
Improves quality by providing preventive services at little or no cost, lifting any
pre-existing condition restrictions from coverage, expanding age coverage for
young adults, and providing consumer protection for health care delivery
restrictions (cancellations, lifetime limitations, out of pocket costs).
Identify at least three other laws in the U.S. that protect an individual's health
and health information: Health Insurance Portability and Accountability Act
(HIPAA)
American with Disabilities Act
Equal Opportunity Act
Concepts)
Describe how the Whistle Blower Law and the Safe Harbor Law protects both
patients and nurses.: -Whistle Blower Law: Protects nurse from retaliation when
substandard practices are exposed-protects from being fired or blocked from
employment because they exposed unsafe practice
-Safe Harbor Law: Protects nurse from engaging in behaviors that potentially
put patients at risk-like an in an unsafe staffing situation
What information is mandated by HIPAA to be given to patients on admission to
a health care facility: How health care information will be used
A nurse has taken a telephone order from a physician for an emergency
medication. The dose of the medication is abnormally high. What should the
nurse do next?: Question the order for the medication
A patient refuses to have a pain medication by injection. A nurse says, "If you
don't let me give you the injection, I will get help to hold you down and give it."
With what crime might the nurse be charged?: Assault
A new arena of nursing practice in which nurses retrieve, analyze, organize and
communicate data related to patient care is know as....: Informatics
Which health practice is most universally identified throughout history as a
deterrent to disease? Why is this?: Hand washing
Why? Protective, aseptic
, Which of the following health-related practices has been consistently present
throughout history?: Hand Washing
Which of the following was enacted to counter the thinking that being poor
and/or unable to work was a personal moral failing?: Elizabethan Poor Laws
Which of the following health care practices are considered complementary
to Western medical practices in the United States today? Choose all that
apply.-
: Biofeedback
Guided imagery
In the US, which federal department oversees the health of the nation? And
which other departments/ agencies are accountable to them?: Department of
Health
& Human Services (DHHS)
CDC (Center for Disease Control)
HUD (housing and urban development) OSHA (Occupational
Safety and Health Administration) EPA, FDA, USDA, Disaster
Response
Differentiate an HMO from a PPO system in terms of how services are
provided and how the health care providers are paid: HMO-select MD
primary, prospective payment, focus is health promotion & disease
prevention. All services go through primary MD (gatekeeper).
PPO-**most common** can access any physician on preferred list. Focus is
more to treatment (health restoration). Retrospective payment.
Compare and contrast Medicare and Medicaid related to eligibility, premi-
ums, and coverage.: Medicare (age >65-part A, end stage
renal, disabled) A-cover >65, free **limit amount of days
, B-80% of visits covered
C-new (combines A+B+D)
D- with part A—Medications (additional premium deductible)
Medicaid (dispersed at state level—for the poor (poverty level))
All ages, covers all expenses, medical '0' premiums, Vision/Dental extra
premiums.
Compare and contrast HMO and a PPO.: HMO- Emphasis on this coverage
is to keep patients healthy because if the patient becomes ill, there are no
further reimbursable funds. Primary care MD's are gatekeepers.
PPO- Can access primary care MD's as well as specialists. Most insurance
systems today are PPO's.
Explain how the Patient Protection and Affordable Care Act (2010) address
cost, access and quality health care.: Costs- reduced premiums and lower
health care costs including financial assistance to consumers through reduced
premiums and /or tax credits.
Access- improved due to reduced costs thereby increasing access.
Improves quality by providing preventive services at little or no cost, lifting any
pre-existing condition restrictions from coverage, expanding age coverage for
young adults, and providing consumer protection for health care delivery
restrictions (cancellations, lifetime limitations, out of pocket costs).
Identify at least three other laws in the U.S. that protect an individual's health
and health information: Health Insurance Portability and Accountability Act
(HIPAA)
American with Disabilities Act
Equal Opportunity Act
