NUR 205 final exam Questions and Answers 100% Verified
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Course
NUR 205
Institution
NUR 205
3 Part Diagnostic Statement: PES - Problem (NANDA label)
Etiology (r/t: related factors)
Symptoms (defining characteristics/AEB)
5 Key Principles of TeamSTEPPS - Team structure
communication
leadership
Situation monitoring
Mutual support
Assess the client's risk for injury. - -Developmental...
NUR 205 final exam
3 Part Diagnostic Statement: PES - Problem (NANDA label)
Etiology (r/t: related factors)
Symptoms (defining characteristics/AEB)
5 Key Principles of TeamSTEPPS - Team structure
communication
leadership
Situation monitoring
Mutual support
Assess the client's risk for injury. - -Developmental considerations
-ability to communicate
-sensory perception
-knowledge
-physical health state
-psychosocial health state
-lifestyle (occupation, social behavior, and environment)
client at risk for infection - -Intact skin and mucous membranes
-nutrition
-Body's white blood cells
-immobilization
-Age related changes predisposing to infections
-immunizations
-Level of fatigue
-Stress level
,-Use of invasive medical devices
client with infection - fever, increased HR and RR
Compare and contrast settings and agencies that provide health care. - AHRQ: (Agency for
Healthcare Research and Quality)
Their mission is to produce evidence, to make health care safer, higher quality, more accessible,
equitable and affordable, and to work within the U.S. Department of Health and Human Services and
with other partners to make sure that the evidence is understood and used.
PCMH: (Patient Centered Medical Home)
AHRQ definition: comprehensive care, patient-centered/coordinated care, accessible services, quality
and safety
Compare and contrast these health care delivery systems: accountable care organizations - -
Originated from PPACA (patient protection and the affordable care act).
-Provide incentives for doing well coordinated, integrated care instead of high volume of services.
-Made up of hospitals, primary care settings, specialty care practices. Only one bill for all services
received across all settings.
Compare and contrast these health care delivery systems: community health centers - -
Regionalized services for vulnerable communities, emphasis on primary care and education.
-Goal is for everyone to have access to care regardless of ability to pay.
-Mary Breckenridge's clinic in rural KY was the first of its kind.
-Nurses provide primary care.
Compare and contrast these health care delivery systems: medical homes - -Enhanced primary
care model providing coordinated, comprehensive, whole-person care.
-1960s, by American Academy of Pediatrics, became common in 2007 under PCMH (patient-centered
_______ _____) view.
-Advancement of nursing homes, raising standards since 2012.
, Compare and contrast these health care delivery systems: medical neighborhoods - Agency for
Healthcare Research and Quality (AHRQ) defines a ________ ______________ as:
-a PCMH, and other clinicians, providing care for patients within the nursing home as well as community
and service organizations as well as state and local public health agencies.
-Focusing on individual patient care while also incorporating community health needs as well as aspects
of population health.
Compare and contrast these health care delivery systems: multispecialty practice groups - -Late
1800s, Mayo Clinic founded in Rochester, MN.
-Physicians of different specialties came together and shared income, expenses, facilities, ect. To provide
better, more comprehensive care
-Serve specific communities
Compare and contrast these health care delivery systems: physicians and hospitals - Until recently,
physicians were private/solo and had fee-for-service practice
Most hospitals were not-for-profit, and physicians held a lot of power over hospitals because they were
not employees
Physicians had a lot of power because hospitals depended on physicians to admit patients or refer them
for treatment
The fee-for-service arrangement caused financial incentive for physicians doing more care, not
necessarily better care
Compare and contrast these health care delivery systems: prepaid group practices - -Either no fee
or co-payment required.
-Goal of primary care is reducing costs by preventing illness. Popular with managed care of large
employers.
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