NUR 219 Exam 1 Presentation 4

Question 1

What are IOMS six outcomes for a New Health System for the 21st century

Answer 1

Safe, effective, efficient, patient-centered, timely, and equitable

Question 2

What are three things that help achieve IOM’s goals for care

Answer 2

Access to health care, quality and safety, and affordability

Question 3

Requires preventative services be covered without co-payment or coinsurance by more insurance plans/policies including Medicare and private insurance

Answer 3

Affordable Care Act

Question 4

Patient Protection and Affordable Care Act

Answer 4

Health insurance marketplace, shortage of providers, legislation addressing health care access, and caring for undocumented persons

Question 5

Preventing c.dif infections. infections related to overuse of antibiotics (infection prevention, hand hygiene, length of stay)

Answer 5

Reliable care accountability matrix

Question 6

Gov. run insurance, private run insurance, and multi payer insurance, pay cash

Answer 6

Multi-payer system (currently)

Question 7

Government ran health care; no private medical care

Answer 7

Single-payer system

Question 8

Allow incentive for doing more

Answer 8

Diagnosis related groups

Question 9

Allow incentive for doing more; can get reimbursed because the patient has a certain disease; can request more money

Answer 9

Resource utilization groups

Question 10

Fixed sum for care

Answer 10

Bundled payments

Question 11

Set cap on care to equalize cost

Answer 11

Rate setting

Question 12

Compares cost to look for cheaper options (find solution with the cheapest option first)

Answer 12

Comparative effectiveness analysis

Question 13

Treatment of common health problems  preventive care; minor illnesses (strep)

Answer 13

Primary health care

Question 14

Treatment of problems requiring more specialized clinical expertise  heart attack or uncontrolled diabetes

Answer 14

Secondary health care

Question 15

Management of rare and complex disorders  most complex; specialist

Answer 15

Tertiary health care

Question 16

Health care services for the seriously ill or dying

Answer 16

Respite, hospice, palliative

Question 17

The health care team includes

Answer 17

Physical, Nurse, therapist, dietitian, pharmacist, chaplain

Question 18

Provided to people who live within a defined geographic area

Answer 18

Community based health care

Question 19

Ensures smooth transition between ambulatory or acute care and home health care or other types of health care in community settings

Answer 19

SBAR

Question 20

ISBARQ

Answer 20

Introduction, situation, background, assessment, recommendation, question and answer

Question 21

Introduction

Answer 21

Identify patient the date of admission

Question 22

Situation

Answer 22

State clients current problem

Question 23

Tell story, admitting diagnosis, relevant history, brief synopsis to what you have done for the patient up to the date

Answer 23

Background

Question 24

Assessment

Answer 24

Last set of vital signs, pain, wounds

Question 25

Recommendation

Answer 25

What does the client need

Question 26

Opportunity to allow the person you report to to ask questions and you answer them

Answer 26

Question and answer

Question 27

A continuous process in which a patient's care shifts from being provided in one setting of care to another

Answer 27

Care transitions

Question 28

Identifies and removes barriers to treatment Clinically trained nurse Central point of contact for patient care

Answer 28

Nurse Navigator

Question 28

Nurse, social worker, or lay person Focuses on the support aspects of care

Answer 28

Patient navigator

Question 29

Which populations are vulnerable

Answer 29

Disabilities or multiple chronic condition, mental illness or substance use, cultural, racial, and ethnic minorities, poverty, homeless, and undocumented immigrants

Question 30

Convenient; limits risk of exposure to illnesses; shorter wait times; increased access

Answer 30

Telehealth

Question 31

Thigh; infants and toddlers

Answer 31

Vastus lateralis

Question 32

Upper arm; older kids

Answer 32

Deltoid

Question 33

Hip

Answer 33

Ventrogluteal

Question 34

Not used anymore (runs to close to the sciatic nerve

Answer 34

Dorsogluteal

Question 35

Sub q injections; short needle that only goes in fat

Answer 35

MMR and Varicella

Question 36

Protects agains tetanus, diphtheria, and pertussis

Answer 36

DTaP

Question 37

When is the DTaP given

Answer 37

2,4,6 months, 15-18 months, and 4-6 years

Question 38

IM injection; person-to person contact

Answer 38

Polio

Question 39

When is Polio injection given

Answer 39

2,4,6-18 months, 4 years old

Question 40

When is the Hep B given

Answer 40

birth, 1-2 months, and 6 months

Question 41

Rotavirus (2 dose)

Answer 41

2 and 4 months

Question 42

Rotavirus (3 dose)

Answer 42

2,4,6 months

Question 43

Accounts for 30-50% of all hospitalizations for gastroenteritis of children less than 5 years of age

Answer 43

Rotavirus

Question 44

Haemophilus Influenzae (3 dose)

Answer 44

2, 4, 13-15 months

Question 45

Haemophilus influenzae (4 dose)

Answer 45

2, 4, 6, 12015 months

Question 46

Pneumococcal dose ages

Answer 46

2, 4, 6, 12-15 months

Question 47

Kills more people in the United States each year than all other vaccine-preventable diseases combined

Answer 47

Pneumococcal

Question 48

Hepatitis dose

Answer 48

1st dose at 12 months 2nd dose winton 6-12 months after

Question 49

What is the minimum age for Hep A dose

Answer 49

12 months

Question 50

Varicella is a live vaccine, doses are given

Answer 50

12 months and 4 years

Question 51

What does MMR mean

Answer 51

Measles, Mumps, RubellaW

Question 52

When is the MMR vaccine given

Answer 52

12 months and 4 years

Question 53

What are two live vaccines given

Answer 53

MMR and Varicella

Question 54

When is the influenza vaccine given

Answer 54

annually for ages 6 months - 18years

Question 55

What is the exception for the age range for influenza vaccine

Answer 55

6 months to 9 years if first vaccination for flu, will need booster

Question 56

When is TDap Given

Answer 56

2, 4, 5, 15-18 months and 4-6 years, 11 years then every 10 years

Question 57

When is the vaccine for Human Papillomavirus given

Answer 57

11 years (2 or 3 dose series

Question 58

When is the vaccine for Meningococcal given

Answer 58

11-12 and 16 years

Question 59

Who is at high risk for Meningococcal

Answer 59

College students (spread by droplets)