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Concepts II
Chapter 2
| Question | Answer |
|---|---|
| Health care providers (HCP) that write orders for patient care are | Physicians Physician Assistants Nurse Practitioners |
| Healthcare provider that works with the physicians and assist in direct patient care | Physician Assistant |
| Masters prepared registered nurse certified in a specific area of practice and identified with advanced practice license who diagnoses illness and prescribes medications and treatment | Nurse Practitioner |
| Practices nursing within a defined scope under the direction of a physician; provides patient care, manages departments, and supervises other nurses and assistive personnel | Registered Nurse (RN) |
| Practices within a defined scope under the supervision of a physician, dentist, or RN and provides direct patient and supervises assistive personnel | Licenses Practical/Vocational Nurse (LPN/LVN) |
| Performs more complicate tasks than the certified nursing assistant, including sterile procedures, in some states | Unlicensed Assistive Personnel (UAP) |
| Performs patient care duties and assists nursing staff | Certified Nurse Assistant (CNA) |
| RESPIRATORY THERAPIST (RT) elevates, treats, and cares for the patients with breathing problems due to heart and lungs disease | True |
| RESPIRATORY THERAPIST ASSISTANCE (RTA) works under the supervision of the | |
| Provides support to restore or improve function and mobility, relieve pain, and limit permanent physical disabilities is a PHYSICAL THERAPIST (PT) | |
| Works under the supervision of the Physical Therapist (PT) and carries out the PTs orders is PHYSICAL THERAPIST ASSISTANT (PTA) | |
| Assesses, diagnoses, treats, and helps to prevent disorders related to speech, language, voice, swallowing, and fluency SPEECH AND LANGUAGE THERAPIST | |
| Assists patients with disabilities to develop, recover, or maintain their skills for daily activities and work | Occupational Therapist (OT); Certified Occupational Therapist Assistant (OCTA) |
| Medical doctor who examines tissues and blood samples to determine the origin or existence of disease | PATHOLOGIST (MD) |
| Examines and analyzes body fluids and tissues, matches blood for transfusions, and tests for blood levels of medications MEDICAL LABORATORY TECHNOLOGIST (MLT) | True |
| Draws blood specimens from patients for testing | Phlebotomist |
| Medical doctor who specializes in procedures involving x-rays and radiation therapy; reads radiographs and other radiology films | Radiologist (MD) |
| Distributes prescription medications and advises patients and prescribers on the selection | Pharmacist |
| Provides spiritual care for patients in hospitals and hospice settings, meets the spiritual needs of families and patients when diagnosis is terminal or when death occurs, and provides spiritual care for hospital staff | Chaplain |
| Advancements in health information technology (HIT) and electronic health records (EHRs) contribute to team coordination and collaboration by allowing health-care teams to quickly receive and analyze more data about patient care and outcome | This data technology is referred to as big data; it is used to assist the health-care team in improving patient safety, care quality, and nursing practices. |
| Team STEPPS is available through the Agency for Healthcare Research and Quality (AHRQ). This program teaches evidence-based teamwork to improve communication and teamwork skills, which helps raise quality and safety in health-care settings. | True |
| Multidisciplinary team includes the health-care provider, the physical therapist, the occupational therapist, the speech therapist, the dietitian, and a representative from the nursing staff. | True |
| Two factors help guide decisions about patient care: medical necessity and the appropriate level of care | True |
| The entity or entities that are responsible for paying part or all of the patient’s care | insurers |
| Any method of financing and organizing the delivery of health care in which costs are contained by controlling the provision of benefits and services. | Managed care |
| Services necessary for the diagnosis or treatment of illness to improve the functioning of a malformed body member. (The services must seem reasonable and necessary to the entity paying for them). MEDICAL NECESSITY | True |
| Meeting the patient’s needs that is most cost-effective and safe is appropriate level of care (This may be either at an inpatient or outpatient level). | True |
| To stay overnight or longer in a health-care facility. | Inpatients |
| Providing care in an acute medical or mental health-care hospital, skilled nursing facility (nursing home or hospital), long-term acute care hospital, long-term chronic care facility nursing home or assisted living facility, or rehabilitation facility | Inpatient care |
| Select hospitals are between acute care and long-term hospitals | True |
| Patient must be in the hospital at least 3 days to a skilled facility | True |
| Patient must be in the hospital for over 30 days to qualify for a nursing home | True |
| Independent living facilities do not provide nursing care | True |
| Gallbladder procedure is considered an outpatient procedure | True |
| Discharge planning starts at admission into the hospital | True |
| Expected to live less than 6months | Hospice |
| Comfort care is | palliative |
| Provides emergency care, surgeries, inpatient care, diagnostic testing, and usually some types of outpatients care ACUTE CARE HOSPITALS | True |
| Rural hospitals are smaller | True |
| Focuses on patients with serious medical problems that require intense, special treatment for a long period of time, usually from 20 to 30 days. | long-term acute care hospital |
| It would not be unusual for a patient in an LTACH to need a ventilator or other life support medical assistance. | True |
| Health-care provider visit is required daily. | long term acute care hospitals |
| Patients may stay as long as 100 days, but they eventually move to a rehabilitation, nursing home, or home-care setting. | A skilled nursing facility |
| Level of care in which the patient can receive intense physical, occupational, and speech therapy services | rehabilitation |
| The removal of drugs and alcohol from the person’s body, which generally takes several days. | detoxification, |
| Specializes in treating mental or behavioral disorders. | a psychiatrist |
| Examples of Residential Care Facilities | Long-term care facilities Assisted living facilities Memory care facilities Independent living facilities: |
| Designed to meet the needs of the patient in 1 day (24 hours), after which the patient is allowed to return home | Outpatient care |
| Outpatient is less expressive than inpatient | True |
| A patient may require surgery provided at an outpatient facility; however, if other health conditions that could compromise their recovery, appropriate level of care may require that the surgery be performed in an inpatient setting. | True |
| Observation stays generally last 24 to 72 hours and are considered outpatient services | True |
| Outpatient surgery is also referred to as ambulatory surgery or same-day surgery. | True |
| Freestanding health-care facilities that provide outpatient surgery only. (hint ASC) | Ambulatory surgery centers |
| Provide group counseling and therapy sessions for mental health and chemical dependency illnesses; these sessions generally last 2 to 3 hours per day, two to five times per week. | Intensive outpatient programs |
| PARTIAL DAY TREATMENT PROGRAMS Provide group and individual counseling and therapy sessions for mental health and chemical dependency illnesses, lasting approximately 7 to 8 hours per day during the week | |
| Help patients with cardiac disorders recover quickly and improve their overall physical, mental, and social functioning. The goal is to stabilize, slow, or even reverse the progression of cardiovascular disease. | Cardiac rehabilitation programs |
| CARDIAC REHABILITATION PROGRAMS Counseling enables patient to understand; manage the disease process Exercise programs Nutritional counseling Risk factor modification Counseling on use of prescribed medications | True |
| PULMONARY REHABILITATION (outpatient) A program of education and exercise classes that teach patients about their lungs, how to exercise and perform activities with less shortness of breath, and how to live better with a lung condition | |
| AMBULATORY CARE CLINICS Operate much like a medical office and provide the same type of services | |
| AMBULATORY CARE CLINIC Services may include medical, dental, laboratory, x-ray, psychological, and/or pharmaceutical care. Urgent care, pulmonary, and orthopedic services | |
| HEALTH DEPARTMENTS are public facilities that provide health-care services. | |
| HEALTH DEPARTMENTS FACILITIES are funded by county, city, state, and federal governments. | |
| HOME HEALTH Health or medical services provided to patients in their homes because they are confined to their homes by an illness or disability. | |
| Home health care allows people to stay in their homes rather than being forced by medical needs to live in a health-care facility | |
| HOSPICE An interdisciplinary program of palliative care and support services that addresses the physical, spiritual, social, and economic needs of terminally ill patients and their families | |
| TEAM NURSING A team consisting of nurses and certified nursing assistants (CNAs) or other assistive personnel to provide care for a group of patients. | |
| PATIENT CENTERED CARE allows patients to achieve independence within the limits of their disability by permitting them to have a voice in their rehabilitation, schedule, goals, and method of attaining those goals. | |
| A tracing of electrical heart activity when indicated, and may even administer respiratory therapy treatments is ELECTROCARDIOGRAM | |
| PRIMARY CARE NURSING One nurse is responsible for all aspects of nursing care for their assigned patients | |
| The primary care nursing model is often used in intensive care units (ICUs). | True |
| THE GOAL OF CASE MANAGEMENT To assist patients who are vulnerable at risk of cost-intensive so that their care is coordinated meets their specific needs and is cost-effective while still bringing them to optimum health. | |
| THE AFFORDABLE CARE ACT Works to address four major issues: cost containment preexisting conditions small business premiums lifetime benefit caps | |
| Health-care costs are paid for in one of five ways | Public health insurance Private health insurance Insurance for special populations Charitable organizations Self-pay |
| The federal government’s health insurance program for people older than 65 years. It may be available to those younger than 65 years if end-stage renal disease, are mentally or physically disabled (or both), or have certain other debilitating illn | MEDICARE |
| Insurance for hospitalization, hospice, home health, and skilled nursing facility services | Part A |
| Supplementary health insurance to help pay for outpatient services, such as health- care provider visits, laboratories, x-ray technicians, and home health nurses, and for durable medical equipment | Part B |
| PART C | |
| Known as Medicare Prescription Drug Coverage; provides payment for prescribed medications and is run by insurance companies or other private companies approved by Medicare | |
| Federal-state program where the federal government helps states pay for the health care of those with a low-income threshold, including pregnant women, children, and individuals with disabilities who meet income-level requirements. | Medicaid |
| Provides government funding for health care for qualified Native American individuals. | Indian Health Service |
| the payment system used by health maintenance organizations (HMOs) is CAPITATION | True |
| An insurance plan for active and retired military service members and their families, and CHAMPVA provides free health benefits for veterans of military service. | TRICARE |
| local, state, and national charitable organizations that provide free health-care services to individual | Charitable Organizations |
| Catholic and Jewish health systems, Shriners, the Kaiser family, and the Robert Wood Johnson Foundation | Charitable organizations |
| A self-pay option is CONCIERGE MEDICINE | True |
| Those who have purchased some form of medical insurance, but it pays only a portion of their medical expenses are UNDERINSURED PATIENTS | True |
| Insurance company is referred to as the THIRD-PARTY PAYER | True |
| A cost containment program featuring a primary care physician as the gatekeeper to eliminate unnecessary testing/procedures is HEALTH MAINTENANCE ORGANIZATION | True |
| Classifications of illness and diseases are used to determine the amount of money paid by Medicare to the hospital DIAGNOSIS-RELATED GROUPS | True |
| System is associated with a managed care strategy and deal with insurance is CASE MANAGEMENT | True |
| removal of drugs and alcohol from the person's body is DETOXIFICATION | True |
Created by:
Daarina Jones