ATI Fundamentals: Fundamentals of Nursing Exam 1
participants of health care systems
1. consumers (clients)
2. licensed providers (RN, LPN, MD, PT, OT, etc.)
3. unlicensed providers (assistive personnel)
settings of the health care delivery system
hospitals, homes, assisted-living, schools, h...
ati fundamentals fundamentals of nursing exam 1 participants of health care systems 1 consumers clients 2 licensed providers rn
etc 3 unlicensed providers assistive personn
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ATI Fundamentals: Fundamentals of
Nursing Exam 1
participants of health care systems
1. consumers (clients)
2. licensed providers (RN, LPN, MD, PT, OT, etc.)
3. unlicensed providers (assistive personnel)
settings of the health care delivery system
hospitals, homes, assisted-living, schools, hospices, occupational health clinics, urgent
care, etc.
regulatory agencies of health care delivery systems
department of health and human services, FDA, state licensing boards, the Joint
Commission (set quality standards for accreditation of health care facilities), etc.
health care financing mechanisms
medicare (65 or older and those who have permanent disabilities), medicaid (low
income), private plans
levels of health care
preventative: focus on educating to reduce and control risk factors
primary: emphasizes health promotion
secondary: includes the diagnosis and treatment of acute illness and injury
tertiary: acute care; involves provision of specialized and highly technical care
restorative: intermediate follow-up care for restoring health and promoting self-care
continuing: addresses long-term or chronic health care needs over a period of time
safety in health care delivery
minimization of risk factors that could cause injury or harm while promoting high-quality
care and maintaining a secure environment for clients, self, and others
patient-centered care
caring and compassionate, culturally sensitive care that addresses clients' physiological,
psychological, sociological, spiritual and cultural needs, preferences, and values. the
client is included in the decision making process
evidence based practice
use of current knowledge from research and other credible sources on which to base
clinical judgement and client care
informatics
the use of information technology as a communication and information-gathering tool
that supports clinical decision-making and scientifically-based nursing practice
quality improvement
care-related and organizational processes that involve the development and
implementation of a plan to improve health care services and better meet clients' needs
teamwork and collaboration
,the delivery of client care in partnership with interprofessional members of the health
care team to achieve continuity of care and positive client outcomes
A nurse is discussing restorative health care with a newly licensed nurse. Which
of the following examples should the nurse include in the teaching? (select all)
a. Home health care
b. Rehabilitation facilities
c. Diagnostic centers
d. Skilled nursing facilities
e. oncology centers
a. Home health care
b. Rehabilitation facilities
d. Skilled nursing facilities
A nurse is explaining the various types of health care coverage clients might
have to a group of nurses. Which of the following health care financing
mechanisms should the nurse include as federally funded? (select all)
a. Preferred provider organization (PPO)
b. Medicare
c. Long-term care insurance
d. Exclusive provider organization (EPO)
e. Medicaid
b. Medicare
e. Medicaid
A nurse manager is developing strategies to care for the increasing number of
clients who have obesity. Which of the following actions should the nurse include
as a primary health care strategy?
a. Collaborating with providers to perform obesity screenings during routine
office visits
b. Ensuring the availability of specialized beds in rehabilitation centers for clients
who have obesity
c. Providing specialized intraoperative training in surgical treatments for obesity
d. Educating acute care nurses about postoperative complications related to
obesity
a. Collaborating with providers to perform obesity screenings during routine office visits
A nurse is discussing the purpose of regulatory agencies during a staff meeting.
Which of the following tasks should the nurse identify as the responsibility of
state licensing boards?
a. Monitoring evidence-based practice for clients who have a specific diagnosis
b. Ensuring that health care providers comply with regulations
c. Setting quality standards for accreditation of health care facilities
d. Determining whether medications are safe for administration to clients
b. Ensuring that health care providers comply with regulations
, A nurse is explaining the various levels of health care services to a group of
newly licensed nurses. Which of the following examples of care or care settings
should the nurse classify as tertiary care? (select all)
a. Intensive care unit
b. Oncology treatment center
c. Burn center
d. Cardiac rehabilitation
e. Home health care
a. Intensive care unit
b. Oncology treatment center
c. Burn center
interprofessional personnel (non-nursing)
spiritual support staff, registered dietitian, laboratory technician, occupational therapist,
pharmacist, physical therapist, provider, radiologic technologist, respiratory therapist,
social worker, speech-language pathologist
nursing personnel
1. RN (registered nurse)
2. PN (practical nurse)
3. AP (assistive personnel)
4. APN (advanced practical nurse)
- CNS (clinical nurse specialist)
- NP (nurse practitioner)
- CRNA (certified registered nurse anesthetist)
- CNM (certified nurse-midwife)
5. Nurse educator
6. Nurse administrator
7. Nurse researcher
A nurse is caring for a group of clients on a medical-surgical unit. For which of
the following client care needs should the nurse initiate a referral for a social
worker? (select all)
a. A client who has terminal cancer requests hospice care for the home
b. A client asks about community resources available for older adults
c. A client states, "I would like to have my child baptized before surgery."
d. A client requests an electric wheelchair to use after discharge
e. A client states, "I do not understand how to use a nebulizer."
a. A client who has terminal cancer requests hospice care for the home
b. A client asks about community resources available for older adults
d. A client requests an electric wheelchair to use after discharge
A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis
is to use adaptive devices. The nurse caring for the client should initiate a referral
to which of the following members of the interprofessional care team?
a. Social worker
b. Certified nursing assistant
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