NR 222 Exam #1 Chamberlain Questions With Well Elaborated Solutions

NR 222 Exam #1 Chamberlain Questions With Well Elaborated Solutions CHAPTER 2 - ANSWER -Health Care Delivery System Health Services Pyramid - ANSWER -Managing health instead of illness Emphasis on wellness Injury prevention programs Primary Health Care - ANSWER -Focuses on improved health outcomes for an entire population; includes primary care and health education, proper nutrition, maternal/child health care, family planning, vaccines, and control of diseases Intensive Care - ANSWER -Patients receive close monitoring and intensive medical care Psychiatric Facilities - ANSWER -Patients who suffer emotional and behavioral problems such as depression, violent behavior, and eating disorders often require special counseling and treatment in psychiatric facilities Rural Hospitals - ANSWER -Located in a county that has a low population density Restorative Care - ANSWER -Care that helps persons regain their health, strength, and independence Home Care - ANSWER -Provision of medically related professional and paraprofessional services and equipment to patients and families in their homes for health maintenance, education, illness prevention, diagnosis and treatment of disease, palliation, and rehabilitation Rehabilitation - ANSWER -Restores a person to the fullest physical, mental, social, vocational, and economic potential possible Extended Care Facility - ANSWER -A facility that provides health care and help with the activities of daily living to people who may be physically or mentally unable to care for themselves; this type of care may last from days to years Skilled Nursing Facility (SNF) - ANSWER -Includes administration of IV fluids, wound care, long term ventilator management, and rehab Continuing Care - ANSWER -For people who are disabled, functionally dependent, or suffering a terminal disease Assisted Living - ANSWER -A living arrangement for elderly people that combines privacy and independence with medical supervision Respite Care - ANSWER -A type of care provided for caregivers of homebound ill, disabled, or elderly patients; gives the normal care-takers time off Adult Day Care - ANSWER -A program for impaired adults that attempts to meet their health, social, and functional needs in a setting away from their homes Hospice - ANSWER -Allows patient to live with comfort, independence, and dignity while easing the pains of terminal illness IOM Competencies - ANSWER -Patient Centered Care Work in Interdisciplinary Teams Use Evidence-Based Practice Apply Quality Improvement Use Informatics Ten Rules of Performance in a Redesigned Health Care System - ANSWER -1. Care is based on continuous healing relationships 2. Care is individualized based on patient needs and values 3. Patient is the source of control, participates in decision-making 4. Knowledge is shared, info flows freely 5. Decision making is evidence-based 6. Safety is a system property and focused on reducing errors 7. Transparency is necessary through sharing info with patients and families 8. Patients needs are anticipated 9. Waste is continuously decreased 10. Cooperation and communication among clinicians are priorities Quality Health Care - ANSWER -The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge Pay for performance programs - ANSWER -Designed to promote quality, effective, and safe patient care by physicians and health care organizations Quality improvement strategies that reward excellence through financial incentives to motivate change to achieve measurable improvements Six Sigma - ANSWER -A data-driven approach for improving quality by removing defects and variations in processes Patient-Centered Care - ANSWER -Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient's preferences, values, and needs Magnet Recognition Program - ANSWER -Recognition by the American Nurses Credentialing Center that an organization provides quality nursing care Nursing-sensitive outcomes - ANSWER -Patient outcomes and nursing workforce characteristics that are directly related to nursing care such as changes in patients' symptom experiences, functional status, safety, psychological distress, registered nurse job satisfaction, total nursing hours per patient day, and costs Nursing Quality Indicators - ANSWER -Outcomes of nursing care, identified by the American Nurses Association, that address patient safety and quality of care Nursing informatics - ANSWER -Uses information and technology to communicate, manage knowledge, mitigate error, and support decision making Telemedicine - ANSWER -Involves the use of video, audio, and computer systems to provide medical and/or health care services Vulnerable populations - ANSWER -Collection of individuals who are more likely to develop health problems as a result of excess risks, limits in access to health care services, or being dependent on others for care CHAPTER 6 - ANSWER -Health and Wellness Healthy People 2020 - ANSWER -A set of disease prevention and health promotion objectives for Americans to meet during the second decade of the new millennium