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Health Policy II
ANCC Board Review
| Question | Answer |
|---|---|
| what is involved in establishing rapport and Therapeutic relationships | Non-judgmental approach Mutual trust Professional boundaries Confidentiality Cultural competence |
| How do you keep facilitate therapeutic communication | Listen more than you talk use "tell me . . ." rather than "WHY" Focus on feelings do not mince words |
| What is important in crisis intervention | Ensure safety/boundaries Etablish trust and rapport if need to call security |
| How do you approach crisis/acute grief therapeutic communication | Acknowledge feelings: " I understand this must be . . ." Offer self: "I am Here" |
| What are advanced directives | Written statement of a patient's intent regarding medical treatment |
| What is a healthcare directive | Type of advanced directive that may, or may not, include a living will and/or specifications regarding durable power of attorney in one or two separate documents |
| What is a living will | Written compilation of statements in document format that specifies which life-prolonging measures one does and does not want to be taken if he/she becomes incapacitated |
| What do living wills often contain | Durable Power of attorney |
| What does the durable power of attorney do | allows the named individual to act as a proxy/agent/attorney-in-fact of the patient in making heal care decisions should the patient become unable to do so. |
| What is the Proxy in a durable power of attorney responsible for | they are responsible for articulating the patients advance directive |
| What must happen before the Power of attorney is honored | It must be in writing |
| What does title I of HIPPA protect | health insurance coverage for workers and their families when they change or lose their job COBRA |
| Is the Comprehensive Omnibus Reconciliation Act (COBRA) free? | No you must pay lasts for 18 months |
| Who are the Covered Entities required to follow HIPPA | Health plans: health insurance companies, HMOs, company health plans Most health care providers especially those using electronic filing to health insurers Health Care Clearninghouses |
| What are some examples of HIPAA Protected Information | Written information in the medical record Conversations among healthcare providers about patients care Pt info stored in health insurers computer system Billing info stared at clinic Most all health related info about pt |
| What must occur to share or use a pts healthcare information | must obtain written permission from the patient |
| Situations in which health care information is allowed to be shared are? | ensure proper coordination of care Protect the heath of the public (disease out breaks) Make required reports to the police (gunshot wounds etc) |
| Those not required to follow HIPPA | Life insurers Employers Workmans comp Many schools/school districts CPS Many law enforcement agencies |
| What does the Patient Safety and Quality Improvement Act | establish a voluntary reporting system to enhance data availability and resolve patient safety and health care quality issues by creating an environment where providers may report and examine events without fear of increased liability risk |
| When initiating change where do you start? | always start at the most local level and then progress upward and outward |
| which is treated first; medical or physchosocial conditions | medical conditions |
| What is the strongest method to evaluate patient teaching? | Returned demonstration; "show me" "tell me" |
| What is a tertiary facility | Full service facility offering a range of services that are not typically offered i |
| Steps involved in transferring a pt to the tertiary level of care? | 1. Assess all injuries 2. stablize 3. asses the capabilities of your facility 4. Ship/transfer to tertiary facility |
| Should you keep a patient in the for exams that are unnecessary? | NO. do not delay patient discharge from a hospital or acute care facility for primary care screening exams exam that are not necessary |
| what is considered to be the most powerful data collected from a patient? | The patients subjective data or data you as the practitioner observed. |
Created by:
EL92578
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