NURSING I - FON - Ch 2

Question 0

Hospitals receive a set dollar amount based on an assigned group

Answer 0

DRGs (Diagnosis Related Groups)

Question 1

Eliminated cost-based reimbursement

Answer 1

PPS (Prospective Payment Systems)

Question 2

Providers receive a fixed amount per patient

Answer 2

Capitation

Question 3

Used in long-term care

Answer 3

RUGs (Resource Utilization Groups)

Question 4

Administrative control over primary health care services for a defined patient population

Answer 4

Managed Care

Question 5

Health Promotion vs. Preventative Care

Answer 5

Health Promotion (Primary Health Care) - focus on improved health outcomes; education, nutrition, family planning

Preventative - focus on reducing & controlling risk factors for disease; immunizations, BP & cancer screening)

Question 6

Because of __ __, more services are available on nursing units, thus minimizing the need to transfer patients across multiple areas

Answer 6

work redesign

Question 7

Is a centralized, coordinated, multidisciplinary process that ensures that the patient has a plan for continuing care after the leaving the health care agency

Answer 7

Discharge Planning

Question 8

(7) instructions needed before patients leave health care facilities

Answer 8

1. Safe & effective use of medications and medical equipment
2. Instruction in potential food-drug interactions…
3. Rehabilitation techniques to support adaptation
4. Access to available community resources
5. When/how to obtain further treatment
6. Responsibilities in ongoing health care needs
7. When to notify for changes in functioning or new symptoms

Question 9

Goal for RESTORATIVE Care

Answer 9

To help individuals regain maximal functional status & enhance quality of life through promotion of independence & self-care

Question 10

Examples of HOME CARE services:

Answer 10

Monitoring vital signs
Administering nutrition, medicines, IV, or blood therapies
Wound or respiratory care

Question 11

___ restores a person to the fullest physical, mental, social, vocational, and economic potential possible.

Answer 11

Rehabilitiation

Question 12

At skilled nursing facilities, patients receive:

Answer 12

Extensive supportive care until they are able to move back into the community or into residential care

Question 13

Nursing Center philosophy:

Answer 13

Provide a planned, systematic & interdisciplinary approach to nursing care to help residents reach & maintain their highest level of function

Question 14

Long-term care setting with greater resident autonomy

Answer 14

Assisted Living

Question 15

Provides short-term relief to the family members who care for the patient

Answer 15

Respite Care

Question 16

Allows patients to retain more independence by living at home

Answer 16

Adult Day Care Center

Question 17

Focus of care is palliative, nut curative, treatment

Answer 17

Hospice

Question 18

Integrates best research with clinical practice and values

Answer 18

Evidence-based practice

Question 19

The goal of Pay for Performance Programs is to:

Answer 19

Promote quality, effective & safe patient care

Question 20

Picker/Commonwealth Program: (8) Dimensions

Answer 20

1. Respect, values, preferences, & expressed needs
2. Coordination & integration of care
3. Information, communication, & Education
4. Physical comfort
5. Emotional support & relief of fear and anxiety
6. Involvement of family and friends
7. Transition & continuity
8. Access to care

Question 21

Explain nurse-sensitive outcomes

Answer 21

Patient outcomes & workforce characteristics related to nursing care

Question 22

__ __ uses information and technology to communicate, manage knowledge, mitigate error, and support decision-making.

Answer 22

Nursing Informatics

Question 23

Health promotion programs are designed to help patients (3):

Answer 23

1. REDUCE the incidence of diseasse
2. MAINTAIN maximal function
3. Reduce the need to use more expensive health care services

Question 24

Rehabilitation services begin __

Answer 24

when the patient enters the health care system.

Question 25

Extended Care Facilities include (2):

Answer 25

1. Extended Care

2. Skilled Nursing Facilities

Question 26

Larger health care systems have _____ that include a set of providers and services organized to deliver a continuum of care to a population of patients at a capitated cost in a particular setting

Answer 26

integrated delivery networks (IDNs)