Bundled payments for care improvements A single payment is received for all services to treat a client during a single episode of
program care.
The hospital receives reduced or no reimbursement from the federal government for
Hospital acquired conditions reduction
treatment of conditions such as catheter-associated urinary infections (CAUTI) and
program
central line-associated bloodstream infections (CLABSI)
Innovations in care
Primary causes of increased healthcare
Advanced technology
spending in the United states
New prescription drug development
The goal is to increase the proportion of financial; insurance coverage
adults under 65 years with health insurance.
Reducing ______________ barriers will increase
__________________________.
1) Reform the private insurance market
3 main objectives of The Patient Protection 2) Expand Medicaid to the working poor with income up to 138% of the federal poverty
and Affordable Care Act (ACA) level.
3) Change the way medical decisions are made to lower the cost of healthcare
Accountability
Confidence
Some Nursing's core professional values
Responsibility
Advocacy
The nurse agrees to provide the client with pain medication in 15 minutes. The nurse
Responsibility
returns to the client's room at the designated time with the medication.
The nurse arrives for the shift to discover that two nurses are out sick and have not
Accountability
been replaces. The nurse contacts the supervisor for additional help caring for clients.
The client does not want to receive a blood transfusion that has been prescribed, so
Advocacy
the nurse contacts the healthcare provider.
A healthcare provider who is not caring for the client calls and requests information
Confidentiality
about the client's neighbor. The nurse refuses to provide information.
What organization is responsible for American Nurses Association
nursing's code of ethics
1893 The Nightingale Pledge was developed.
1950 The first formal nursing code of ethics was adopted.
1960 The code of ethics included 17 provisions.
1968 Interpretative statements were added to each provision.
What is the primary focus of Provisions 1 Direct client care
through 3 of the code of ethics? Commitments of the nurse
Affirms health through relationships of dignity and respect
1) Respect for Human Dignity
2) Relationships with Clients
Provision 1
3) The Nature of Health
4) The right to Self-Determination
5) Relationship with Colleagues and others
What part of Provision 1 addresses lateral Relationship with Colleagues and Others
violence, nurse bullying, and incivility?
, The client tells the nurse they are afraid to Advocacy
speak to regarding a desire to stop
chemotherapy treatment and end future
care for fear of upsetting family members.
Which principle in the nursing code of ethics
ensure that the nurse will support the client's
decision?
The nurse has become aware of missing Responsibility 3 multiple choice options
narcotics in the client care area. Which
ethical principle obligates the nurse to
report the missing medication.
The client's older brother asks the nurse to "No, protected health information of any kind should not be shared on social media."
send a picture of the client's broken arm x-
ray stating that the image is so "cool" and
they want to share it with their friends on 3 multiple choice options
instagram. What is the best response by the
nurse?
Legal issues reference ______ that are typically Laws; concrete; broader; behavior
______. Ethics is _______ than the law and refers to
_________ and character.
Ethics- Study of right and wrong behavior
1)Autonomy
2) Beneficence
Ethics Principles in Nursing 3) Nonmaleficence
4)Justice
5)Fidelity
6)Veracity
Patient has the right to choose their own decisions
Autonomy Mr. Smith refuses to take a narcotic for pain, stating the medication makes him too
sleepy. The nurse ensures that the client has all the information necessary to make this
decision and accepts the client's choice.
Actively doing good
Beneficence
Nurse Johnson offers to help a coworker who is overwhelmed with a new admission.
This action ensures that the client is cared for as quickly as possible
Actively not doing harm
Nonmaleficence
Ms. Martin is at risk of falling after surgery. The nurse puts fall prevention protocols into
place to avoid injury to the client.
Fair and equitable distribution of resources.
Justice
Nurse Miller provides excellent care to two clients, one of whom is very wealthy with
health insurance and the other who is experiencing homelessness.
Faithful to our promise.
Fidelity
Nurse Chen promises the client to return in 30 minutes to assist with bathing and
dressing. At the appointed time, the nurse returns to help the client.
Veracity Truth
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