ATI Ch 1,2,16,17 Quiz Flashcards Preview

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Flashcards in ATI Ch 1,2,16,17 Quiz Deck (46)
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1

The following are what?
US DHHS
FDA
state and local public health agencies
state licensing boards
The Joint Commission
Professional Standards Review Organizations
Utilization review committees (appropriate diagnosis and treatment of clients)

Components of health care systems regulatory agencies

2

2 public federally funded programs

medicare and medicaid

3

primary care providers oversee comprehensive care for enrolled clients and focus on prevention and health promotion

MCOs - Managed care organizations

4

Clients choose from a list of providers within a contracted organization

EPOs - Exclusive provider organizations

5

LEVELS of health care- focuses on educating and equipping clients to reduce and control risk factors for disease. Examples include programs that promote immunization, stress management, and seat belt use.

preventative health care

6

LEVELS of health care- emphasizes health promotion, and includes prenatal and well-baby care, nutrition counseling, and disease control. This level of care is a sustained partnership between clients and providers. Examples include office or clinic visits and scheduled school- or work-centered screenings (vision, hearing, obesity).

primary health care

7

LEVELS of health care- includes the diagnosis and treatment of acute illness and injury. Examples include care in hospital settings (inpatient and emergency departments), diagnostic centers, and emergent care centers.

secondary health care

8

LEVELS of health care- involves the provision of specialized and highly technical care. Examples include intensive care, oncology centers, and burn centers.

tertiary health care

9

LEVELS of health care- involves intermediate follow-up care for restoring health. Examples include home health care, rehabilitation centers, and skilled nursing facilities.

restorative health care

10

LEVELS of health care- addresses long-term or chronic health care needs. Examples include end-of-life care, palliative care, hospice, adult day care, and in-home respite care.

continuing health care

11

QSEN-The minimization of risk factors that could cause injury or harm while promoting high-quality care and maintaining a secure environment for clients, self, and others.

safety

12

QSEN-The provision of caring and compassionate, culturally sensitive care that addresses clients’ physiological, psychological, sociological, spiritual, and cultural needs, preferences, and values.

patient-centered care

13

QSEN-The use of current knowledge from research and other credible sources on which to base clinical judgment and client care.

evidence based practice

14

QSEN-The use of information technology as a communication and information-gathering tool that supports clinical decision making and scientifically based nursing practice.

informatics

15

QSEN-Care-related and organizational processes that involve the development and implementation of a plan to improve health care services and better meet clients’ needs.

quality improvement

16

QSEN-The delivery of client care in partnership with multidisciplinary members of the health care team to achieve continuity of care and positive client outcomes.

teamwork and collaboration

17

Works with clients and families by coordinating inpatient and community resources to meet
psychosocial and environmental needs that are necessary for recovery and discharge.
◯ Example of when to refer – A client who has terminal cancer wishes to go home but is no longer able to perform many activities of daily living. The spouse needs medical equipment in the home to care for the client.

social worker

18

genetics, gender, physiologic factors, environmental factors, lifestyle-risk behaviors, age, frequency of exams and screenings

risk factor assessment

19

How often? routine physical exam

generally every 3-5 years from 20-40 and then more often

20

How often? BP

every 2 yrs, annually if elevated

21

How often? BMI

at each routine health care visit

22

What age? How often? blood cholesterol

at 20, min every 5 years

23

What age? How often? blood glucose

45, min every 3 years

24

What age? How often? colorectal screening

50, high sensitivity fecal occult blood test every year
flexible sigmoidoscopy every 5
colonoscopy every 10

25

What age?How often? cervical cancer screening

21-29 pap smear every 3
30-65 pap and HPV every 5

26

What age? How often? breast cancer screening

20-40 clinical exam every 3, then annually thereafter
50-74, mammogram every 2

27

How often? clinical testicular exam

at each routine health care visit starting at 20

28

What age? prostate specific antigen test, digital rectal exam

50 if indicated

29

Levels of prevention: addresses the needs of healthy clients to promote health and prevent disease with specific protections.
› Immunization programs
› Child car seat education
› Nutrition, fitness activities
› Health education in schools

primary prevention

30

Levels of prevention: focuses on identifying illness, providing treatment, and conducting activities that help prevent a worsening health status.
› Communicable disease screening, case finding › Early detection, treatment of diabetes mellitus › Exercise programs for older adults who are frail

secondary prevention