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Fundamentals exam one

Terms in this set (103)

Licensed Practical/Vocational Nurse
-- Most basic of all the entry level options for nurses with full-time programs lasting from 9 months to 1 year
-- Practices within a defined scope under the supervision of a physician, dentist, or RN; provides direct patient care and supervises assistive personnel
Medical social worker
Provides psychosocial support to patients, families, or vulnerable populations; advises caregivers; counsels patients; plans for patients' needs after discharge; and arranges for needed care such as home health
Certified nursing assistant
performs patient care duties and assists nursing staff; performs more complicated tasks, including sterile procedures, in some states
physician's assistant
employed by physicians or hospitals to work closely with physician and assist in directing patient care
Associate Degree Nurse (ADN)
Entry-level education of registered nurses ; minimum of 2 years at a community college
Nurse Practice Act
Law in each state that governs nurses' actions; addresses each level of nursing
Health Occupations Students of America (HOSA)
A national organization specifically for students in health occupations educational programs; membership is open to both high school and adult students
Scope of Practice
Limitations and allowances of what can be done as a nurse
Quality and Safety Education for Nurses (QSEN)
Project that focuses on knowledge, skills, and attitudes needed by nurses to continually improve the quality and safety of patient care
Evidence-based practice
Problem-solving approach using best evidence from nursing research studies, patient data, and patient's preferences and values
When students in ADN, diploma, and BSN programs complete all coursework and graduate, they are eligible to take the ______ and after they pass it, they become registered nurses
NCLEX-RN
Nurses who are educated in hospital-bases nursing education programs, of which there are few, are referred to as ______nurses
Diploma program
The professional organization for licensed practical/vocational nurses is the _____
National Federation of Licensed Practical Nurses
Nurses who complete their nursing education at a university, earning a 4-year college degree, are _______
Baccalaureate degree nurses
Who developed the adaptation model, inspired by the strength and resiliency of children of children; relates to the choices people make as they adapt to illness and wellness?
Sister Callista Roy
Who developed the caring theory, which focuses on nursing as an interpersonal process?
Jean Watson
Who developed the culture care diversity and universality theory?
Madeleine M. Leininger
Who developed the self-care deficit theory, which explains what nursing care is required when people cannot care for themselves?
Dorothea Orem
Which focus of QSEN ties into providing individualized care of patients, including their preferences, values, and needs in their plan of care?
Patient-Centered Care
Which student organization holds competitions for medical-related skills?
HOSA
Which student organization is connected with the American Nurses Association?
NSNA
Which nurse in history established modern nursing and is famous for giving nursing care during Crimean War?
Florence Nightingale
Who is the first African American nurse in the United States?
Mary Mahoney
Which nurse in history developed the first nurses' notes and established the first school of nursing in Japan?
Linda Richards
Which nurse in history was instrumental in establishing a 3 year training program for nurses and worked for licensure examinations and nursing registration?
Isabel Hampton Robb
Which nurse in history was known as the "Angel of the Battlefield" during the U.S. Civil War?
Clara Barton
When did laws requiring licensing of nurses first come into being?
In the early 1900s
How was nursing care provided in hospitals during the 1700s and early 1800s?
Nursing care was provided by the poor and lower classes
When students in ADN, diploma, and BSN programs complete all course work and graduate, they are eligible to take the _____
NCLEX-PN
The purpose of the Clinical Connections in this book is/are to help you ....
-- Identify actions to take and information to consider when caring for patients
-- Understand your thoughts and feelings about caring for specific types of patients
-- Connect what you read in the book with what you will see and do during clinical experiences
Which of the following are concerns when you are providing care for the elderly patients?
These patients often have chronic illnesses, sensory deficits, and multiple medications
When you care for pediatric patients, you must keep in mind that they ...
-- Have difficulty understanding what is happening and expressing their feelings during procedures
-- Often have no previous experience to prepare them for illness or treatment, so they are frightened
A unique aspect of home health is that ...
-- Fewer supplies and less equipment are available than in a hospital setting
-- The nurse is alone in the home with other health care staff to help make a decisions about care
Which of the following is true of working in long-term care?
--The setting is more homelike
-- You will need to use an easy, calming approach to residents
--Changes in behavior can indicate health problems in the elderly
Which are your responsibilities as a nursing student regarding laboratory and diagnostic test results?
-- Check the test results often and note any abnormal findings
-- Notify the physician of significant abnormal results
What might be the outcome if you delegate a task to a UAP or CNA that is not within his or her scope of practice?
Both you and the UAP can be in legal jeopardy
Kaiserworth deaconesses were women who ...
-- Trained at the first school of nursing
-- Went to various places to teach other women to be nurses
-- Were educated at the same school as Florence Nightingale
Graduate of which program(s) take the NCLEX-RN?
-- Baccalaureaate degree nursing program
-- Associate degree nursing program
-- Diploma nursing program
Which is true of the Nurse Practice Acts in all states?
-- LPNs/LVNs must practice under the supervision of an RN or physician
-- RNs must practice under the supervision of a physician
-- The act is enforced by each stat's nursing board
-- The act establishes the scope of practices for each level of nursing practice
Which are the responsibilities of the nurse?
-- Caring for more than one patient at a time
-- Helping families understand the care of the patient after discharge
--Noticing changes in the patient's condition and notifying the appropriate health care professional
Which is/are example(s) of unprofessional conduct that could result in the loss of a person's nursing license?
-- Stealing from a patient while caring for him or her in the home
-- Neglecting to ensure that resident in a long-term care setting is receiving adequate food and fluids
--Caring for a patient while under the influence of alcohol
-- Leaving a long-term care facility during an assigned shift so that nursing assistants are unsupervised
Medicare
- The federal government's health insurance program for people older than 65 years of age
- is a go government-run insurance plan for people older than a certain age
Managed care
A system of health care delivery aimed at managing the cost and quality of access to health care
Case management
patient care approach aimed at coordinating the care of patients who are vulnerable, at-risk, or cost-intensive so that their specific needs are met in the most cost effective manner while still bringing them to optimum health
medicaid
- A federally and state-funded health insurance program for individuals who are poor and medically indigent, pregnant women, individuals with disabilities, and children meeting income level requirements
- is a government-run insurance program for poor people and some people who are disabled
private
blue cross/blue shield, aetna, and prudential are examples of ________ insurance programs
Third-party payer
The insurance company that finances health care provided to a beneficiary
Health Maintenance Organization (HMO)
- A cost-containment program featuring a primary care physician (PCP) as the gatekeeper to eliminate unnecessary testing and procedures
Diagnosis-related groups
A classification of illnesses and diseases that are then used to determine the amount of money paid to a hospital by Medicare
Preferred Provider Organization
A group of health care providers who contract with a health insurancecompany to provide services to a specific group of patients on a discounted basis
Point of service
A type of insurance program where a primary care physician serves as gatekeeper but the members are not capitated; insured people can seek care from physicians who are both in and out of the network
primary care physician
The "gatekeeper" for access to medical services
When a person stays overnight or longer in a health care facility, he or she is referred to as an _______
Inpatient
_________________ can be one or many types of health or medical services provided to patients in their home because they are confined to their home by an illness or disability
Home Healthcare
___________ is a medically directed, nurse -coordianted program providing a continuum of home and inpatient cae for the patient who is terminally ill and his or her family
Hospice
Empowering the patient to take control of and manage his or her care is called _______________
Client centered care
When patient care is provided by different individuals who perform tasks based on his or her skills, education, and licensure, it is called _____________
team nursing
In ______________ one nurse is responsible for all aspects of nursing care for his or her assigned patients
primary care nursing
When a primary care physician cannot successfully treat a patient's condition, he or she makes a ____________ to a specialist
referral
When care is provided to a person without admitting him or her to a health care facility, the person is referred to as an _______________
outpatient
A facility that specializes in intense physical, occupational, and speech therapy is called a ___________ facility
rehabilitation
At what age are people eligible for Medicare?
65
Insurance companies will only pay costs when a procedure is deemed medically necessary. by medically necessary, they mean
--The procedure has to be a reasonable intervention, given the patient's diagnosis
-- The procedure has to treat an illness or injury
A 58-year old patient is in the ICU step-down unit at an acute care hospital after having as cerebrovascular accident (stroke) with right-sided weakness. He is medically stable but needs assistance with all activities of daily living (ADLs). The doctors think he may be able to regain all his former level of function. The appropriate level of care at this point in the patient's progress is
Rehabilitation facility
Which of the following is a criterion for admission to a skilled nursing facility?
The patient has been hospitalized within the last 30 days
Which of the following can be considered a disadvantage of team nursing?
Care can be fragmented unless there is good communication among team members
An LPN is the team leader for another LPN and certified nursing assistant, all of whom are caring for 10 patients in a long-term care facility. The second LPN applies a pressure ulcer dressing incorrectly. Which of the following is the best response for the team leader to make when she discovers the error?
"You did a good job with this dressing change. i see one step here that you may have overlooked. Tell me how you did it so we can figure out if it was done according to procedure."
Nurse Practitioner
certified in a specific area of practice; carries an advanced practice license and can diagnose illnesses, prescribe medications, and order treatments
registered nurse
practices nursing within a defined scope under the direction of a physician; provides direct patient care, manages departments, and supervises other nurses and assistive personnel
The personnel who help patients with disabilities to develop new skills, recover costs skills, or maintain functional skills so that they can perform activities of daily living are called _________
occupational therapists or certified occupational therapy assistants
The personnel who help diagnose swallowing difficulties are called __________
speech and language therapists
What are the two most important factors in economic decision about patient care?
Medical necessity and appropriate level of care
Health care provide by various companies and purchased by the individual or an employer is called
private insurance
one important consideration in managing costs is making sure the patient is placed in which of the following?
appropriate level of care
Which of the following is the major difference between an assisted living facility and an independent living facility?
independent living facilities do not provide nursing care
An 81 year old woman had a total hip replacement 1 month ago but has had difficulty swallowing related to an injury from the breathing tube. Three weeks ago she had a feeding tube placed through her abdominal wall directly into her stomach to help her get enough calosrivs and for administering medications. She has been improving and has just started a thickened-liquids diet. Which of the following would be the appropriate level of care for her?
skilled nursing facility
A 48 year old male patient has been hospitalized for 6 weeks in an acute care facility after being involved in a car accident. He was driving while intoxicated and admitted to being an alcoholic. He went through alcohol withdrawal while he was recoding from his injuries and has received some information about alcoholism treatment from a psychologist. He has his own business, is married, has four children, and has adequate health insurance, What care options are best for this man at this time?
inpatient drug and alcohol rehabilitation facility
which of the following prepress the desired outcomes of cardiac rehabilitation?
prevent working heart disease, new cardiac events, and premature death
which of the following statements are true regarding health departments?
-- they are funded by all levels of government
-- they provide immunizations
-- they track and treat communicable diseases
-- they run the women, infants, and children health programs
what is the role of the social worker in home health care?
-- provides psychosocial support
-- helps families prepare for the patient's needs after discharge
-- arranges for community services such as meals on wheels or transportation to and form office visits
Which of the following represents a benefit of home health care?
- allows people to stay in their own homes instead of being in facility
- is more cost effective than inpatient care
Which of the following services can be provided through home health care?
- infusion therapy
- occupational therapy
- physical therapy
- wound therapy
For medicare to pay for home health services, which of the following two criteria must be met?
skilled services required; patient is homebound
Although there is not hard and fast rule, when is the appropriate time to initiate hospice care?
patient is expected to live 6 months or less
The national hospice organization's definition of hospice states that hospice ...
- provides a continuum of home and inpatient care
- is coordinated by nurses
- cares for the patient and family
T/F As a member of a nursing care team, but not the leader, it is important for a nurse to have good communication skills
True
T/F In client-centered care, patients are encouraged to have a voice in goal setting and in deciding how the goals will be met
True
T/F In client-care, the nurse makes sure other members of the health-care team such as the phlebotomist, EKG technician, and respiratory therapist perform their tasks n a timely manner
False
T/F Cross-training of staff is more important in primary care than it is in client-centered care
false
T/F primary care nursing means that one nurse does all the care for one patient
true
t/f primary care works best on general care floors, not intensive care units (ICU's)
false
t/f Primary care must be performed by an RN
false
t/f The main goal of fas management is to make sure patients at high risk get the care they need at the least cost to the facility
true
t/f The nurse case manager usually provides direct, hands-on care
false
t/f A case manager's mean function is to coordinate and facilitate the care of several different patients concurrently
true
TRICARE for retired military personnel and their families and CHAMPVA for veterans are examples of ...
insurance for special populations
Diagnosis-related groups (DRG's) are classifications of illnesses or procedures used to
standardize the amount the government will pay for a specific illness
which are true statements about the affordable care act?
- It makes some services such as preventative care and vaccinations free to the patient
- it allows young adults up to the age of 30 to stay on their patients' health insurance policies
- Many insurance are no longer offering insurance coverage through the exchanges
t/f fragmentation of care is more likely to occur with team nursing than with primary nursing
true
t/f delegation skills are helpful when leading a nursing care team but not essential because each team member knows his or her level of expertise
false
t/f team leaders probably know more about each patient in his or her care because they have other staff to help them
false
t/f collaboration and teamwork are closely associated with patient safety
true
t/f multidisciplinary teams work especially well for patients with multiple and complex health problems
true
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