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NUR 204 Test 1
Module A and B
| Question | Answer |
|---|---|
| (FFS) Fee-for-service/indemnity plan | member pays fixed precentage of expense covered. includes deductible and co-payment. allows members to choose physician and specilist with out restraint. may only cover customary charges and may or may not cover prevenitive care. |
| (PPO)Preferred Provider Organization | member pays fixed precentage of expense covered. includes deductible and co-payment. member selects provider but pay less for physicians in a plans preferred list. May or may not cover preventive care. |
| (POS) Point of Service | Offered by HMO or FFS. Allows use of providers outside of plan's preferred list or network but requires higher premiums and co-payments. |
| (HMO) Health Maintenance Organization | Member pays premium. Has fixed co-payment. Must select primary care physician approved by plan. Must be referred be primary care physician. Services out side of network are preapproved for payment. encourages use of preventive care. |
| Medicare | Federal insurance plan for Americans 65+ and certain disabled. Must be eligible for SSI or railroad retirement. Part A Hospital stay. Part B requires a premium for physician services and supplies. Prescription drug benefit. |
| Medicaid | Healthcare coverage for low income people who are aged, blind, disabled, or families w/ dependent children. Managed by state for elibility and scope of services offered. |
| TRICARE:military insurance (aka CHAMPUS) | Civilian health and medical insurance program for military, spouses, dependents, and beneficiaries. |
| DRG's (Diagnosus related groups) | refers to reimbursment for health care services based on predetermined fixed price per case or diagnosis. |
| Nurse Reinvestment Act | -Nursing scholarships -public servic annoucements -falculty loan cancellation programs -geriatric training grants -nurse retention and enhancement grants |
| Earliest literature reference | Exodus 1- actions of two nurse midwives and how they became the vehicle in which the Judeo-Christian heritage survived |
| Florence Nightingale | one of the earliest users of statistics and the pie chart. |
| Edith Carvell | The founder of the first nursing school in Belgium. |
| The Spirit of Nursing | limestore statue in the Arlington National Cemetery to honor military nurses |
| The White Angel | movie by Warner Brothers that protrayed the life of Florence Nightingale. |
| We Band of Angels | the Untold Story of American Nurses trapped in Bataan by the Japanese |
| One flew over the Cuckoo's nest | Best selling novel in the 1960's. Depicted Nurse Ratched a military Nurse in starch white uniform as an ultimate power figure who cured the mentally ill by punishing them. |
| Clara Maas, She gave her life | a stamp that commemorated the 100th birthday of a Maas a 25 y/o nurse who died by two mosquito bites so that she could continue providing care to the soilders with yellow fever in the Spanish American War |
| Miss Evers' Boys | play that told the story of Nurse Rivers who was hired to recuit and retain young African America men in the infamous Tuskeegee experiment to describe the long term effects of untreated syphillis |
| Three films used war and nursing as a backdrop in 1997 | The English Patient, Love and War and Paradise Road |
| Vietname War Women's Memorial | central figure of a bronze nurse in battle fatigues cradling the head of a soilder who she is prividing care. |
| Meet the Parents | Character Greg Focker, RN showed the streotyped views of men in Nursing |
| ER, Greys Anatomy, Fox's House and Scrubs | depicted physicians as primary roles who did nursing practice. |
| Electronic Health Record (EHR) | includes information about clients life time health status. allows for more data to be captured, processed, and integrated. |
| Nursing Informatics | sepcialty that integrates nursing science, computer science,and information science in identifying,collecting,processing,and managing data and information to support nursing practice,administration,education, research,and the expansion of nuring knowledge |
| Clinical Information System | the software and associated hardware that supports the entry, retrieval, update, and analysis of patient care information and associated clinical information related to patient care |
| Decison support systems | software programs that process data to produce or recommend decisons by linking with an electronic knowledge base |
| Dock | connecting a device through a cable or other connector so that the data can be transferred. |
| Point of care technology (POCT) | technologies that allow real time data retreival, documentation and decison support. |
| The Joint Commission (JACHO) | a national agency that conducts surveys of inpatient and ambulatory facilities and certifies their compliance with established quality standards |
| Total Patient Care | nurses are responsible for planning, organizing, and performing all care including personal hygiene, medications, treatments, emotional support, and education. Ideal for ICU or PACU settings |
| Functional Nursing | staff members are assigned to complete certain tasks for groups of patients rather than care for specific patients |
| Team Nursing | RN functions as a team leader and coordinates a small group of ancillary personnel to provide care to a small group of patients. Ideal for inpatient/outpatient health care settings |
| Primary Nursing | RN assumes a "24 hour" responsibility for planning, directing, and evaluating care from admisson to discharge. Ideal for home health or hospice care |
| Partnership Model | RN, delegate non professional tasks to partner this providing more time for RN to address professional demands like assessment and education. |
| Patient Center Care | interdisciplary approach in which cross-functional teams of professionals and assistive personnel from nursing and other departments becomes centralized in patient care under the direction of a nurse manager. |
| Clinical Pathways | crticial paths, practice protocols, patient care protocols, care maps, are plans that manage special care activities, interdisciplinary interventions, and desired outcomes with in a specific time period of diagonosis. |
| Leadership | occurs any time a person attempts to influence the beliefs, opinions, or behaviors of a person or group |
| Management | refers to the activities involved in coordinating people, time, and supplies to acheive desired outcomes and involves problem solving and decison making processes |
| reward power | comes from the ability to reward others for complying and may include such rewards as money, desired assignments, or the acknowledgement of accomplishments |
| coercive power | is based on fear, of punishment for failure to comply |
| legitimate power | is based on an official position in the organization. |
| referent power | comes from followerts identification with the leader |
| expert power | is based on the knowledge, skills, and information. |
| information power | based on person's possesion of information needed by others |
| connection power | based on person's relationship or affiliation with other people who are preceived powerful. |
| Leaders role | is motivate and inspire others. |
| Managers role | assign responsibility for accomplishing the goals of an organization |
| autocratic/authoritative | determines policy, makes all the decisons, ignores subordinates ideas and suggestions. dictates the work with much control. Gives little feedback with recognition. Makes fast decisons, successful with employees with little education and training |
| democratic/participative | encourages staff participation in decison making, involves staff in planning and new ideas, believe in the best of people, communicates effectively, provides feed back, builds responsibility in people, works well with competent motivated people |
| laizzes faire | does not provide guidance or direction, unable or unwilling to make decisons, does not provide feedback, initiates little change, commnunicates by memos or email. may work well with professional people |
| Webers theory of Bureaucracy | benefit of bureaucracy was in it ability to apply general rules to specific cases, making actions of management fair and predictable. |
| Systems of theory | the interdependent nature of parts of the organization suggests that anything that affects the functioning of one aspect of the organization will affect the othe parts fo the organization |
| Open systems | suggests that the organization not only affected by the internal changes among any of it parts but also the external environmental forces will have a direct effect on the influence on the organization and vica versa |
| Closed systems | views the system totally independenton outside influences, which is an unrealistic view for health care organizations |
| Planning | is the first management function is defined as deciding in advance what to do; who is to do it; and how, when, and where it is to be done. |
| Assessment | separate problem from symptom. What is causing the issue? |
| Analysis and Diagnosis | apply data from assessment and determine where this is a "act on" situation that require implementation |
| Planning | weigh outcomes of possible interventions. do not forget those who are effect. ask for input |
| Implementation | communication decison and stand behind it. Carry it out with delegation and supervison and a positive attitude |
| Evalution | Does this work? Ask for feedback. |
Created by:
RNBound11