Chapters 1-3 Flashcards

0
Q

What is another name for people or organizations paying for healthcare services?

A

Payers

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1
Q

What is anther name for people and organizations that provide health care including doctors, nurses, and agencies?

A

Providers

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2
Q

What are places where care is delivered or administered including hospitals, long term care facilities, and treatment centers

A

Facilities

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3
Q

What is long term care?

A

Given in long term care facilities for people who need 24 hour skilled care

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4
Q

What is skilled care?

A

Medically necessary care given by a skilled nurse or therapist, I is available 35 hours a day and is ordered by a doctor and involves a treatment plan

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5
Q

What is length of stay?

A

Number of days a person stays in a healthcare facility

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6
Q

What is terminal illness?

A

Illness will eventually cause death

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7
Q

Most people who live in long term care facilities have ______ conditions.

A

Chronic

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8
Q

What are diagnoses?

A

Medical conditions determined by a doctor

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9
Q

What is acute care?

A

24 hour skilled care given in hospitals an ambulatory surgical centers for people who require short term immediate care for illnesses or injuries

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10
Q

What is rehabilitation?

A

Care given by specialists for physical, occupational, or speech to restore or improve function after an illness or injury

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11
Q

What is hospice care?

A

Given to people who have approximately 6 months or less to live

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12
Q

What does HMOs stand for?

A

Health maintenance organizations

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13
Q

True or false: non profit companies or for profit companies can own long term care facilities

A

True

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14
Q

What are daily personal care tasks called?

A

Activities of daily living (ADLs)

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15
Q

What group has the longest average stay at long term care facilities?

A

Developmentally disabled

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16
Q

What is the course of action that should be taken every time a certain situation occurs?

A

Policy

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17
Q

What is a method or way of doing something?

A

Procedure

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18
Q

What are surveys?

A

Inspections performed periodically by the state agency that licenses facilities

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19
Q

Wha does cite mean?

A

To find a problem through a survey

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20
Q

Wha so surveyors do?

A

Study how well staff care for residents and focus on how residents nutritional, physical, social, spiritual, and emotional needs are being met

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21
Q

What is the joint commission?

A

An independent not for profit organization that evaluates and accredits healthcare organization. It’s goal is to improve the safety and quality of care given to patients

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22
Q

What is Medicare?

A

Health insurance program established in 1965 for people 65 and older or people with permanent kidney failure or certain disabilities

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23
Q

What is Medicaid?

A

Medical assistance program for low income people. Funded by federal government and each state. Eligibility is determined by income and special circumstances, people must qualify for this program

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24
Q

What is culture change?

A

Process of transforming services for elders so that they are based on the values and practices f the person receiving care. Involves respect and promotes dignity, respect, self determination and purposefully living

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25
Q

What is person directed care?

A

Emphasizes the individuality of the person who needs care and seeks to build the community by recognizing and developing each persons capabilities

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26
Q

How any hours should NA have in training?

A

75

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27
Q

A RN does what?

A

Assigns tasks and supervises daily care of residents by NA

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28
Q

What do LPNs do?

A

Supervise NA daily care of residents

29
Q

What is the doctors job?

A

Diagnose disease or disability and prescribe treatment

30
Q

What is empathy? What is sympathy?

A

1) identifying with the feelings of others

2) sharing the feelings and difficulties of others

31
Q

What is the authority to make sure reissue tangent proper health care and protects employees and employers from liability?

A

Chain of command

32
Q

What is a liability?

A

Someone can be held responsible for harming someone else

33
Q

What is scope of practice?

A

The tasks the provider is legally allowed to do and how to do them correctly

34
Q

Should a NA do tasks not listed on the care plan?

A

No

35
Q

True or false: sometimes even simple observations are very important. The NA are important job determining how care plans may need to change

A

True

36
Q

What is the nursing process?

A
Assessment
Nursing diagnoses 
Planning
Implementation 
Evaluation
37
Q

What is delegation?

A

Transferring responsibility to a person for a specific task

38
Q

5 ways to manage time?

A
Plan ahead
Prioritize
Make a schedule
Combine activities 
Get help
39
Q

What are ethics? What are laws?

A

Knowledge of right and wrong

Based on ethics, tell people what they must do

40
Q

Due to reports of poor care and a use, the government passed what act?

A

Omnibus Budget Reconciliation Act (OBRA)

41
Q

What does OBRA require?

A

Complete Assessments be done on every resident

42
Q

What is the Minimum Data Set?

A

Derail form of guidelines for assessing residents. Lists what to so if problems are identified. Must happen 14 days within admission and again each year

43
Q

What is abuse?

A

Purposefully mistreatment that causes physical, mental, emotional pain or injury

44
Q

What is neglect?

A

Failure to provide needed care resulting in physical, mental, or emotional harm

45
Q

What is physical abuse?

A

Any treatment that causes harm to a persons body

46
Q

What is psychological abuse?

A

Emotional harm causes by threatening, scaring, humiliating, or treating like a child

47
Q

What is verbal abuse?

A

Spoken or written words, gestures, or pictures to embarrass, threaten, or insult

48
Q

What is sexual abuse?

A

Forcing a person to perform or participates in sex acts again their will.

49
Q

What is Financial abuse?

A

Improper or illegal use of a persons money, possessions, or property

50
Q

What is assault?

A

A threat to harm a person resulting in fear

51
Q

Battery?

A

Intentional touching without consent

52
Q

Domestic violence?

A

Abuse by spouses, partners, family members. Can be emotional, physical, or sexual

53
Q

False imprisonment?

A

Unlawful restraint of affects freedom or movement

54
Q

Involuntary seclusion?

A

Separation from others against a persons will

55
Q

Sexual harassment?

A

Unwelcome sexual advance or behavior that is hostile, intimidating, or offensive

56
Q

Substance abuse?

A

Use if legal or illegal drugs, cigarettes, or alcohol

57
Q

Active neglect?

A

Purposeful failure to provide care resulting in harm

58
Q

Passive neglect?

A

Unintentional failure to provide care resulting in physical, emotional, and metal harm

59
Q

Negligence?

A

Failure to act or provide care for a resident resulting in injury

60
Q

Malpractice?

A

Person is injured due to professional misconduct through negligence, carelessness, or lack of skill

61
Q

Reporting abuse is not an option, it’s the _____?

A

Law

62
Q

Who makes rules about training and testing NAs?

A

Nurse aid training competency evaluation program (NATCEP)

63
Q

WhAt is an ombudsman?

A

Assigned by law as legal advocate for residents. Required by OAA (older Americans act) to visit facilities and listen to residents

64
Q

Confidentiality?

A

Keep things private

65
Q

What is HIPAA?

A

Health insurance portability and accountability act, passed in 96, helps keep information private and secure

66
Q

What is protected health information (PHI)?

A

Keeps names, addresses, numbers, social security numbers, email, and medical records safe

67
Q

What are advance directives?

A

Legal documents that allow people to choose what medical care they wish to have if they are unable to make those choices for themselves

68
Q

What is a living will?

A

Outlines medical care person wants or doesn’t, in case he becomes unable to make those decisions

69
Q

What is a durable power of attorney for health care?

A

Is a signed, dated and witnessed legal document that appoints someone to make medical decisions for a person in the event he can’t so so

70
Q

What is a DNR?

A

Do not resuscitate order that instructs medical professionals not to perform CPR