D439 HEALTHCARE DELIVERY SYSTEM
EXAM QUESTIONS AND CORRECT
ANSWERS!!
preventive, primary, secondary, tertiary, restorative, and continuing health care
The U.S. health care system has six levels of care for which health care providers offer services:
____________.
Preventive care
6 levels of health care services
What level of health care provides the following?
Adult screenings for blood pressure, cholesterol, tobacco use, and cancer
• Pediatric screenings for hearing, vision, autism, and developmental disorders
• HIV screening for adults at higher risk
• Wellness visits
• Immunizations
• Diet counseling
• Mental health counseling and crisis prevention
• Community legislation (seat belts, car seats for children, bike helmets)
Primary care (health promotion)
6 levels of health care services
What level of health care provides the following?
• Diagnosis and treatment of common illnesses
• Ongoing management of chronic health problems
• Prenatal care
• Well-baby care
,• Family planning
• Patient-centered medical home care
Secondary (acute care)
6 levels of health care services
What level of health care provides the following?
• Urgent care; hospital emergency care
• Acute medical-surgical care: ambulatory care, outpatient surgery, hospital
• Radiological procedures
Tertiary care
6 levels of health care services
What level of health care provides the following?
• Highly specialized: intensive care, inpatient psychiatric facilities
• Specialty care (such as neurology, cardiology, rheumatology, dermatology, oncology)
Restorative care
6 levels of health care services
What level of health care provides the following?
• Rehabilitation programs (such as cardiovascular, pulmonary, orthopedic)
• Sports medicine
• Spinal cord injury programs
• Home care
Continuing care
,6 levels of health care services
What level of health care provides the following?
• Long-term care: assisted living, nursing centers
• Psychiatric and older-adult day care
primary care
For example, in your role within a ____________ setting, you will be extensively involved in
patient assessment. You will be expected to identify changes in chronic conditions or the
development of new acute conditions. You will educate patients on how to perform self-care
activities (e.g., teaching new mothers how to care for their babies, or young adults how to use
inhalers).
continuing care
In a _____________ setting, you will apply gerontological nursing principles to help patients
adapt to permanent health changes so that they can remain active and engaged.
health promotion and disease prevention (primary prevention), curing or managing disease
(secondary prevention), and reducing complications (tertiary prevention)
Levels of prevention describe the focus of health-related activities in a care setting. These
include _____________.
primary prevention
in a tertiary level of care, such as an intensive care unit (ICU), a nurse practices _____________
by preventing pneumonia through repositioning a patient frequently.
secondary prevention
in a tertiary level of care, such as an intensive care unit (ICU), a nurse practices _________ by
administering antibiotics on time to treat the pneumonia
tertiary prevention
, in a tertiary level of care, such as an intensive care unit (ICU), a nurse practices _____________
by assessing the patient frequently for signs of antibiotic intolerance.
primary and preventive care
Health care reform has led to changes unique to each level of care. For example, the health care
industry now places greater emphasis on wellness. Thus, the industry directs more resources
toward _____________.
Wellness care
_____________ focuses on the health of populations and their communities. In ____________,
nurses can help lead communities and health care systems in coordinating resources to better
serve their populations.
Integrated health care delivery
_____________ (IHCD) came about as part of the U.S. health care reform movement in response
to the fragmented, costly, and varying quality of health care found in the United States at the
time. An ___________ IHCD system is a network of health care organizations that work
together to provide a continuum of health services to a defined population with intended
outcomes of better aligning resources, improving quality, and controlling costs.
Example: Accountable care organizations ACO, Patient-Centered Medical Home model
organizational structure
two types of IHCDs exist: an __________ that follows economic imperatives (such as combining
financing with all providers, from hospitals, clinics, and physicians to home care and long-term
care facilities).
organized care delivery approach
two types of IHCDs exist: a structure that supports an _____________ (coordinating care
activities and services into seamless functioning).
Patient-Centered Medical Home
EXAM QUESTIONS AND CORRECT
ANSWERS!!
preventive, primary, secondary, tertiary, restorative, and continuing health care
The U.S. health care system has six levels of care for which health care providers offer services:
____________.
Preventive care
6 levels of health care services
What level of health care provides the following?
Adult screenings for blood pressure, cholesterol, tobacco use, and cancer
• Pediatric screenings for hearing, vision, autism, and developmental disorders
• HIV screening for adults at higher risk
• Wellness visits
• Immunizations
• Diet counseling
• Mental health counseling and crisis prevention
• Community legislation (seat belts, car seats for children, bike helmets)
Primary care (health promotion)
6 levels of health care services
What level of health care provides the following?
• Diagnosis and treatment of common illnesses
• Ongoing management of chronic health problems
• Prenatal care
• Well-baby care
,• Family planning
• Patient-centered medical home care
Secondary (acute care)
6 levels of health care services
What level of health care provides the following?
• Urgent care; hospital emergency care
• Acute medical-surgical care: ambulatory care, outpatient surgery, hospital
• Radiological procedures
Tertiary care
6 levels of health care services
What level of health care provides the following?
• Highly specialized: intensive care, inpatient psychiatric facilities
• Specialty care (such as neurology, cardiology, rheumatology, dermatology, oncology)
Restorative care
6 levels of health care services
What level of health care provides the following?
• Rehabilitation programs (such as cardiovascular, pulmonary, orthopedic)
• Sports medicine
• Spinal cord injury programs
• Home care
Continuing care
,6 levels of health care services
What level of health care provides the following?
• Long-term care: assisted living, nursing centers
• Psychiatric and older-adult day care
primary care
For example, in your role within a ____________ setting, you will be extensively involved in
patient assessment. You will be expected to identify changes in chronic conditions or the
development of new acute conditions. You will educate patients on how to perform self-care
activities (e.g., teaching new mothers how to care for their babies, or young adults how to use
inhalers).
continuing care
In a _____________ setting, you will apply gerontological nursing principles to help patients
adapt to permanent health changes so that they can remain active and engaged.
health promotion and disease prevention (primary prevention), curing or managing disease
(secondary prevention), and reducing complications (tertiary prevention)
Levels of prevention describe the focus of health-related activities in a care setting. These
include _____________.
primary prevention
in a tertiary level of care, such as an intensive care unit (ICU), a nurse practices _____________
by preventing pneumonia through repositioning a patient frequently.
secondary prevention
in a tertiary level of care, such as an intensive care unit (ICU), a nurse practices _________ by
administering antibiotics on time to treat the pneumonia
tertiary prevention
, in a tertiary level of care, such as an intensive care unit (ICU), a nurse practices _____________
by assessing the patient frequently for signs of antibiotic intolerance.
primary and preventive care
Health care reform has led to changes unique to each level of care. For example, the health care
industry now places greater emphasis on wellness. Thus, the industry directs more resources
toward _____________.
Wellness care
_____________ focuses on the health of populations and their communities. In ____________,
nurses can help lead communities and health care systems in coordinating resources to better
serve their populations.
Integrated health care delivery
_____________ (IHCD) came about as part of the U.S. health care reform movement in response
to the fragmented, costly, and varying quality of health care found in the United States at the
time. An ___________ IHCD system is a network of health care organizations that work
together to provide a continuum of health services to a defined population with intended
outcomes of better aligning resources, improving quality, and controlling costs.
Example: Accountable care organizations ACO, Patient-Centered Medical Home model
organizational structure
two types of IHCDs exist: an __________ that follows economic imperatives (such as combining
financing with all providers, from hospitals, clinics, and physicians to home care and long-term
care facilities).
organized care delivery approach
two types of IHCDs exist: a structure that supports an _____________ (coordinating care
activities and services into seamless functioning).
Patient-Centered Medical Home
