health, infomatics, patient care and quality

Question 1

Primary Preventions

Answer 1

Preventing something from happening.

Methods designed to focus on health promotion and illness prevention

Question 2

Secondary prevention

Answer 2

Methods that focus on the diagnosis and treatment of disease. Early detection of disease. Can be done as a outpatient basis.

Question 3

Tertiary Prevention

Answer 3

Methods that focus on the restoration of health following an illness or accident and include rehabilitation and palliative services
Trying to get a person back to functional state

Question 4

Decisions by government bodies and professional organizations aimed at directing and influencing actions and decisions of organizations and individuals within the health care systems

Answer 4

Health Policy

Question 5

is defined as the degree to which individuals can obtain, act on, and understand the basic health information and services needed to make appropriate healthcare decisions

Answer 5

Health Literacy

Question 6

is a method of delivering cost-effective and high-quality care

Answer 6

Managed care

Question 7

“a collaborative process of assessment, planing, facilitation and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality, cost-effective outcomes.”

Answer 7

Case management

Question 8

is a delivery model that organizes health care around the expressed physical and emotional needs of the client

Answer 8

Client-focused care

Question 9

is a task-oriented approach to care delivery

Answer 9

Functional Nursing

Question 10

Unlicensed assistive personnel (UAP)

Answer 10

are a critical component of functional nursing

Assist clients with ADLS and provide other types of basic care

Question 11

Primary nursing

Answer 11

One nurse has 24/7 authority and responsibility for the care of an assigned group of clients. the Primary nurse cares for the client during shift from time of admission through discharge. Assessing clients, developing care plans and providing direct care.

Question 12

team nursing

Answer 12

The delivery of individualized nursing care to a group of clients by a team led by a professional nurse

Question 13

Uninsured

Answer 13

Individuals are those without any type of healthcare coverage.

Question 14

Underinsured

Answer 14

individuals have healthcare coverage that is insufficient to meet their needs

Question 15

Types of Healthcare Settings

Answer 15

Primary care, Secondary Care, and Tertiary Care

Question 16

Physician’s offices, Hospital-based clinics, Community health centers, and Public health service organizations

Answer 16

Primary care Setting

Question 17

Secondary Care Setting

Answer 17

Hospital, Outpatient surgical center, and Specialist’s office

Question 18

Hospital, Acute care facility, Rehabilitation center, and Extended care facility

Answer 18

Tertiary Care Settings

Question 19

Factors Affecting Delivery of Health care

Answer 19

Changing demographics
Advances in technology
Health literacy
Lower health literacy
Lower socioeconomic status
Lower education attainment

Question 20

Lack of health insurance
lack of a usual source of care
Perception of need
Uneven distribution of resources

Answer 20

Barriers to Access

Question 21

Informatics

Answer 21

Communicate, manage knowledge, mitigate error, and support decision making using information technology.

Question 22

EHR

Answer 22

A health record system that is designed so that multiple clinicians from multiple disciplines can all have simultaneous access to the client’s health information

Question 23

EMR

Answer 23

A system focused on diagnosis and treatment. EMRs track information over time (weight, blood pressure, cholesterol reading) and identify when clients are due for routine preventive health maintenance such as vaccines and mammograms

Question 24

A software-based system that allows multiple disciplines to simultaneously access the client’s chart and record data that can be viewed and analyzed by a number of healthcare providers in real time. These systems are designed to provide the most accurate and current information about the client so that the best decisions concerning the care of that client can be made

Answer 24

Clinical information system

Question 25

Telehealth

Answer 25

A system that employs the use of telecommunications technologies to allow clients access to care that they might not otherwise be able to obtain.

Question 26

A smaller version of the Internet that is meant to be used by a smaller group of people, such as employees within a company or members or an organization

Answer 26

Intranet

Question 27

Nursing Informatics

Answer 27

A specialty that integrates nursing science , computers science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice

Question 28

Point of care

Answer 28

refers to interventions or testing that takes place using transportable, portable, or hand head devices near the client.

Question 29

Benefits of EHR

Answer 29

``` Improves data integrity increased productivity improved quality of care increased satisfaction for providers Universal data access shared with other healthcare professionals improves documentation ```

Question 30

Eliminates repetition Provides propts Facilitates automation of critical pathways Improved reimbursement Enhances compliance Supports ay for performance bonuses Early warming of changes in clients status

Answer 30

EHR Nursing Benifits

Question 31

Recognizes the patients 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

Answer 31

Patient Centered Care

Question 32

Protecting by expressing and defending the cause of another

Answer 32

Advocacy

Question 33

Client advocacy

Answer 33

acts to protect the client and defend the client from harm.

Question 34

Navigate complex health care system Penetrate bureaucracy, access resources protect clients rights Educate clients about their rights, health care options provide information support client in making informed decisions work with clients who lack decision-making capacity

Answer 34

Advocate's Role

Question 35

Four Dimensions of advocacy

Answer 35

Being client advocate Following through or following up Providing resources Going above and beyond

Question 36

Vulnerable populations include

Answer 36

Poor, Disability or mental illness, Any client unable to advocate for self, Ensures needs and rights not overlooked

Question 37

Systematic processes to measure client outcomes, identify hazards and errors, and develop changes to improve client care

Answer 37

Quality Improvement

Question 38

The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.

Answer 38

Quality

Question 39

``` Evidence-based care Reorganization of practices Systematic attention Ready access Supportive Information systems ```

Answer 39

Quality improvements Recommended changes

Question 40

National Initiatives

Answer 40

National Database of Nursing Quality Indicators Patient Safety and quality: An Evidence Based Handbook for Nurses National Patient Safety Goals Institue of Healthcare Improvements

Question 41

"unexpected occurrence involving death or serious physical or psychologival injury, or the risk thereof" Specigically loss of limb or function

Answer 41

Sentinel Events

Question 42

Identifies factors that led to sentinel event Focus on systems, processes Goal Determine which organizational improvements are needed to decrease likelihood of such evensts reoccurring

Answer 42

Root Cause Analysis

Question 43

All nurses must be involved in quality improvement Nursing students -Commitment never to perform an act if student uncertain how to perform -Show accountability for actions -Admit to errors if they occur

Answer 43

Nurse Practice

Question 44

Reporting

Answer 44

Change of shift report given to all nurses on next shift written or oral Face to face

Question 45

Follow particular order Basic identifying information New client information reason for admission,medical diagnosis, surgery tests

Answer 45

Key elements Reporting

Question 46

Present significant changes in client's condition in order of nursing process Provide exact information Report client's need for emotional support Include current orders Provide summary of newly admitted clients Report on clients transferred, discharged clearly state priorities of care

Answer 46

Change of shift report

Question 47

Allows two or more nurses to report - obtain information that will help plan care - provide clients opportunity to discuss care - evaluate nursing care clients has received - facilitate client participation * use terms client can understand

Answer 47

Nursing Rounds