HealthCare Delivery

Question 1

**How does the WHO describe health?

Answer 1

state of complete physical, mental, and social well-being,
- Not merely the absence of disease and infirmity

Question 2

Healthcare

Answer 2

management of the resources for healing
- work together

Question 3

Delivery of Healthcare

Answer 3

action or activities of supplying or providing services to maintain health, detect illness, and cure those who are ill or injured

Question 4

American Nursing Association
Healthcare reform agenda

Answer 4

universal access to essential healthcare services
outcomes on research to improve quality
shift priority to health promotion
single-payer system to finance

Question 5

Health care in the US is moving toward practices that emphasize managing ________ rather than managing illness.

Answer 5

health

Question 6

Challenges of Healthcare

Answer 6

Uninsured - more likely to skip/delay tx and die prematurely
Cost - lower cost but high quality
Access
Health (edu. behaviors)
Services
New Millenium - tension btw caring and business and cost-saving

Question 7

Earlier discharges result in more patients needing

Answer 7

nursing homes or home care

Question 8

What financial information would be beneficial for a nurse to be a better pt advocate?

Answer 8

finances and reimbursements
-Documentation carries a vital role

Question 9

1 tsp = _____ mL

Answer 9

5

Question 10

1 Tbsp = _____ mL

Answer 10

15
1 Tbsp = 1tsp

Question 11

1 oz = ______ mL

Answer 11

30

Question 12

1 C = ______ oz.

Answer 12

8

Question 13

1 C = _____ mL

Answer 13

240
1 C = 8 oz / 1 oz = 30 mL / 8 oz = 240 mL

Question 14

1 kg = ______ lbs

Answer 14

2.2
lbs divided by 2.2 = lbs
- round up if to tenths
- round down if to hundreths

Question 15

Formula for Dosage

Answer 15

Desired / Have x Quantity

Question 16

Documentation is used to determine

Answer 16

severity of illness
the intensity of received services
quality of care

Question 17

Documentation is used to determine what for the insurance companies?

Answer 17

determine payment and reimbursements

Question 18

DRGs are based on the pts

Answer 18

primary and secondary dx
- the basis for Medicare reimbursements
-advocate for your pt

Question 19

DRGs mean

Answer 19

Diagnostic Related Group

Question 20

Is the US the only industrialized country without a national policy?

Answer 20

yes

Question 21

Individual private insurance

Answer 21

pays a premium to the company
prearranged rates
Out of pocket expenses

Question 22

Employment-based private insurance

Answer 22

the employer pays all or portion of premiums
both pay
extend to intimate family

-employer tries to reduce coverage they provide so gov. subsidizes by not taxing health insurance with tax benefit

Question 23

Medicare

Answer 23

over 65
disabled parts A-D
Madigap

Question 24

Medicaid

Answer 24

mothers children
nursing home care

Question 25

What are the 3 charitable organizations that Covenant helps?

Answer 25

United Way Salvation Army Red Cross - provide direct support to poor, elderly, children, and vulnerable groups

Question 26

**What are the 6 levels of Healthcare?**

Answer 26

Preventative Primary Secondary Tertiary Restorative Continuing

Question 27

Preventative Care

Answer 27

Physician offices, nurse-managed clinics, schools, community, parish, and block nursing **health promotion and prevention of diseases** -Vaccines-nutrition-occupation-

Question 28

Secondary Care

Answer 28

hospitals, outpatient surgical, specialists (referral) **Early dx, tx, prevention of worsening of disease, illness, injury**

Question 29

Tertiary Care

Answer 29

ICU, oncology, burn, psych, rural hospitals **specialized pt populations** -quaternary care - transplant

Question 30

Discharge Planning starts when

Answer 30

at time of admission

Question 31

Discharge Planning consists of

Answer 31

pt hospital needs (edu of health and meds) - learning level Social workers and Case Mgrs Home situation and supplies Post-discharge needs/resources Instructions

Question 32

Discharge Planning Benefits

Answer 32

fewer complications fewer admins improved outcomes

Question 33

Discharge Planning Barriers

Answer 33

ineffective communications (to pt and teams) lack of role therapy lack of follow-ups lack of resources (rehab or nursing homes)

Question 34

If a pt comes back before 24 hours after discharge with a complication, will insurance pay for it?

Answer 34

no

Question 35

Restorative Care

Answer 35

skilled-nursing **rehab**, home health **recover from illness/disability** **helps max function and enhance the quality of life**

Question 36

Continuing Care

Answer 36

nursing centers (prolonged care for dependents) and assisted living (long-term at home with greater autonomy) **respite care, day care, and palliative care**

Question 37

Respite Care

Answer 37

short term relief for caregivers

Question 38

Adult Day Care

Answer 38

retain independence by living at home and continuity of care at the center

Question 39

Hospice Care

Answer 39

home, inpatient, freestanding *symptoms, not cure

Question 40

Team Members - just reference-

Answer 40

Practitioners - physicians and NPs, CRNAs Assistive - CNAs, Unit secretaries Nursing - RN, LVN Supportive - pharmacists and therapists Specialty - social workers, case mgmt, dieticians, spiritual Ancillary - EVS, nutrition, security

Question 41

Social Workers

Answer 41

find assistance for meds, housing, transport, and financial needs

Question 42

Case Mgmt

Answer 42

helps with plans for pt recovery and home care resources

Question 43

Direct Care

Answer 43

interaction with nurse and pt

Question 44

Indirect Care

Answer 44

work on behalf of pts

Question 45

Why is there such a big critical nursing shortage?

Answer 45

burnout