NUR 229 - Exam 1 Review Questions and Correct Answers
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Course
NUR 229
Institution
NUR 229
Documentation Guidelines (FALC₃ONS) · Factual · Accurate · Legally prudent · Complete · Concise · Confidential · Organized and timely · Non-judgmental · Consistent with professional and agency Standards
Primary focus of healthcare health promotion
Health care outcomes by IOM (SEE PET) ...
NUR 229 - Exam 1 Review Questions and
Correct Answers
Documentation Guidelines (FALC₃ONS) ✅· Factual
· Accurate
· Legally prudent
· Complete
· Concise
· Confidential
· Organized and timely
· Non-judgmental
· Consistent with professional and agency Standards
Primary focus of healthcare ✅health promotion
Health care outcomes by IOM (SEE PET) ✅- Safe
- Effective
- Efficient
- Patient/Client-Centered
- Timely
- Equitable
Health care reform (SEAC) ✅- Improved access
- Improve experience and quality of care
- Improve costs
- Improve job satisfaction
Strategies to promote quality of care ✅- pay for performance instead of fee for service
- penalties for excess readmissions
How health care is paid ✅- out of pocket
- individual private insurance
- employer-based private insurance
- government financing (Medicare, CHIP, Veteran's administration)
Occupational Therapist ✅Evaluate the patient's functional level and teach activities to
promote self-care in activities of daily living. They assume the home for safety and
provide adaptive equipment as necessary.
Speech Therapist ✅Helps patients who are deaf or hard pf hearing speak more
clearly; assists patients who have had a stroke to relearn how to speak; diagnoses and
treats swallowing problems in patients who have had a head injury or stroke
,Social Worker ✅Assist patients and families in dealing with the social, emotional, and
environmental factors that affect their well-being
Respiratory Therapist ✅Trained in techniques that improve pulmonary function and
oxygenation; teach patients on a variety of devices from inhalers to ventilators
Physical Therapist ✅Seeks to restore function or to prevent further disability in a
patient after an injury or illness
Hospitalist ✅Health care providers who provide care to patients when they visit the
emergency department or are admitted to the hospital; communicate with the patient's
PCP, but provide care while the patient is in the hospital
Why has health care become so complex? ✅· Changing demographics
· Increasing diversity
· Technology explosion
· Globalization of economy and society
· Educated and engaged consumers
· Increasing complexity of client care
· Costs of healthcare
· Effect of health policy and regulation
· Shortages of key health professionals and educators
Qualities of the Community-Based Nurse (3) ✅1. Knowledgeable & Skilled
2. Independent in making decisions
3. Accountable
Roles of the Community-Based Nurse (3) ✅1. Patient advocate
2. Coordinator of services
3. Patient and family educator
Continuity of Care ✅Health care providers give appropriate, uninterrupted care and
facilitate the patient's transition between different settings and levels of care
ISBAR(Q) ✅Introduction
Situation
Background
Assessment
Recommendation
Question and answer
, Care Coordination ✅The deliberate organization of patient care activities between two
or more participants involved in a patient's care to facilitate the appropriate delivery of
health care services.
Safety measures required by the Joint Commission ✅- Bracelet is placed on wrist of
client
- Nursing interview and physical assessment are done
- Room is prepared for client (position and open bed)
- Assemble necessary equipment and supplies
- Adjust physical environment of the room as needed
Discharge Planning ✅-should begin when client is admitted (with the exception of LTC)
-assess if the client will be able to return home and/or if they will need assistance at
home
-assess residence to see if adaptations or specific equipment will be necessary
-make referral to social worker if needed
-communicate client health status and needs to community service providers
-if client chooses to leave before discharged, notify provider and have pt sign off
AMA (against medical advice) ✅-when a patient leaves a health care facility without a
physician's order for discharge.
-if the physician fails to convince the patient to remain in the facility, the physician will
ask the patient to sign an AMA form, releasing the facility from legal responsibility for
any medical problems the patient may experience after discharge.
- becomes a part of the medical record
- Medicare may not cover if they choose to leave
Definition of Health ✅A state of complete physical, mental, and social well-being and
the merely absence of disease.
Maslow's Hierarchy of Needs ✅1) Physiologic needs - basic needs to survive
2) Safety and security
3) Loving and belonging
4) Self-esteem
5) Self-actualization
List of Health Disparities ✅· Racial and Ethnic Groups
· Poverty
· Gender
· Age
· Mental Health
· Educational/Literacy Level
· Disabilities
· Sexual Orientation
· Having health insurance/access to care
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