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Exam (elaborations)

NUR 228 EXAM 2 Questions With Correct And Revised Answers

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NUR 228 EXAM 2 Questions With Correct And Revised Answers What are nursing homes and what kind of patients do they care for? - answerProvide care for those without the ability to manage ADLs and ongoing care. Provide skilled care in nursing, physical therapy, and speech therapy is termed a skil...

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  • September 7, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 228
  • NUR 228
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NUR 228 EXAM 2 Questions With Correct
And Revised Answers

What are nursing homes and what kind of patients do they care for? - answer✔✔Provide care for
those without the ability to manage ADLs and ongoing care.
Provide skilled care in nursing, physical therapy, and speech therapy is termed a skilled nursing
facility (SNF).
The major reason for admission to a nursing home is functional dependence in terms of basic
ADLs and cognitive impairment rather than medical diagnosis.

What are assisted living centers and what kind of patients do they care for? - answer✔✔Provide
supportive services to those who can manage most of their own ADLs.
The resident can maintain maximum independence and use a shared decision making model to
decide when additional help or support is needed.

What are rehabilitation centers and what kind of patients do they care for? - answer✔✔Assist the
individual in returning to the maximum level of independence possible.
Sister callista Roy's adoption model is very applicable to the communities..

Sister Callista Roy's Adaptation Model - answer✔✔She identified a holistic theory looking at all
aspects of a client including four modes of adaption. They include: physiologic, self concept,
role function, interdependence.

What are ambulatory care setting and what patients do they care for? - answer✔✔Provide care
on an outpatient basis.
This care may range from simple office calls for common illnesses and health promotion
activities such as immunizations to the performance of ambulatory surgery.

What are the 3 community agencies that provide care? - answer✔✔Public health agencies, Home
care agencies, and Hospice care

Public health agencies - answer✔✔Focus of health departments has been on board community
issues, communicable diseases, and infant and child health.

Home care agencies - answer✔✔Offer a wide variety of care services that may include
traditional public health services, high intensity skilled care ij the home and rehabilitation

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services. Assist individuals in avoiding institutional care settings when they are unable to
complete their own ADLs.

Hospice care - answer✔✔Assist the terminally ill individual to maintain the highest possible
quality of life until death.

What are primary care providers or PCPs? - answer✔✔Federal government considers family
practice specialists, pediatricians, internal medicine specialists, obstetricians, PAs< and NPs to
be PCPs.
PCP is the mainstay of basic care for most individuals.

What is interdisciplinary teamwork? - answer✔✔As the health care system gowns more complex
it is impossible for one individual, educated for a specific role, to manage all aspects of care.
This has led to an increasing emphasis on collaborative work that will provide the benefits
available through the expertise of different professions.

How is healthcare paid? - answer✔✔Private insurance, Public insurance (medicare, medicaid)

Private insurance - answer✔✔Largest percent of coverage for health care and it is typically
provided by employer for employees.

Public insurance - answer✔✔Medicare and Medicaid

Medicare - answer✔✔The largest insurance program in the US. This is an entitlement program
based on age or disability criteria rather than on need

Medicare Part A - answer✔✔Insurance provides payment for hospitalization

Medicare Part B - answer✔✔Insurance that can be purchased to meet physicians' fees and
outpatient costs

Medicaid - answer✔✔Covers primarily disabled persons, low income households with children,
and those in nursing homes who qualify on the basis of low income.

What kind of payment patterns are there? - answer✔✔Free for service: fee for service provided
Prospective Payment: fixed reimbursement amount for care
DRGs: predetermined fixed price per case or diagnosis
How has the federal government played a major role in development of mechanisms to control
costs? - answer✔✔Limiting Hospital Costs: hospitals have developed many mechanisms to limit
costs
Preferred Provider Organizations (PPOs): include hospitals, nursing homes, corporations
employing care providers, or groups of care providers who have cooperated to negotiate more
successfully with third party payers for these special contracts

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