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CASAL 12 Questions With Complete Solutions

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CASAL 12 Questions With Complete Solutions

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  • December 6, 2023
  • 35
  • 2023/2024
  • Exam (elaborations)
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CASAL 1
When are patients eligable for medicare? ANSWER- 65 or those with permanent
diabilites

medicaid for patients with ANSWER- low incomes

MCO insurance ANSWER- managed care organizer: prevention and health promotion

PPO ANSWER- preferred provider organizations

EPO insurance ANSWER- exclusive provider orgnaizatoin (no out o fnetwork coverage)

long term care insurance ANSWER- used a s supplement: for what medicare doesn't
cover

emphasizes health promotion; office or clinic visits, work centered screenings, health
centers ANSWER- primary health care

diagnosis and treatment of ill ness and injury (i.e. ER, diagnostic center, emergent care)
ANSWER- secondary health care

acute crae, high specialty care; oncology cents, burn centes, intensive care ANSWER-
teritary health care

immedicate follow up care, promotes self care, home healht, rehab ceneters, SNF
ANSWER- restorative health care

long term or chronic health care: end of life care, palliative care, hospice, adult day
ccare, assisted ilving ANSWER- continuing health care

who do you refer to when a patient is going home and is no longer able to perfeorm
ADL's. helps get medical equiptment into the home ANSWER- social worker

CNA's are considered ANSWER- AP- assistive personell

support of clien'ts health, wellness, safety, and personal rights, including privacy
ANSWER- advocacy

willingness to respect obligations and follwo through on promises ANSWER-
respnsibilites

abilty to anser for one's own actoins ANSWER- accountability

,protection of privacy without dimishinga cces to high quality care ANSWER-
confidentiality

the right to make one's own personal decisoins, even when the decisions may not be in
the person's best intereste ANSWER- autonomy

action that promotes good for others, without any self interest ANSWER- beneficence

fufillment of promises ANSWER- fidelity

fairness in care delivery and use of resources ANSWER- justice

a commitment to do no harm ANSWER- nonmaleficence

a commitment to tell the truth ANSWER- veracity

the conduct of one persona makes another person fearful adn apprehensive (i.e. NG
tube threat for a client who refuses to eat) ANSWER- assault

intentional and wrongful physical contact: infolves injury or offensive contact ANSWER-
battery

a person is confined or restrained against his will ANSWER- false imprisonment

providers responsibility for informed consent ANSWER- purpose of procedure,
description, potential harm, pain, discomfort, options for other treatments, option to
refuse

clients responsbitiy for informed consent ANSWER- give it voluntairy, be competnet,
legal age to give consent,

nurses responsibiites for informed consent ANSWER- witness the informed conset,
ensure the client undersnants, notify the provider if the client has more quetisons,
(provider is responsible for giving clarification), document quesiotns, reinforcmetn of
teahcing, and use of an interpreter

advanced directives: when to ask? ANSWER- upon admission

AND- ANSWER- allow natural death

who's job to inform all HC personalle about the client's advance directive? ANSWER-
nurse

document what data as direct quotes, within quotaion marks or summarize ANSWER-
subjective

,document client's behaviro without judements, or assumptions ANSWER- objective data

type of documetation that trends vitals signs, blood glucose levels, pain levels and other
assessments ANSWER- flow charts

type of doucmentation for "story like" manner ANSWER- narrative documentation

documentation that uses a standardized form to identify norms and allows selective
documentation of deveiations from those norms ANSWER- charting by exception
documentation

type of documentation that is organized by problem or diagnosis, consist of a database,
problem list, care plan, progeress notes. I.E. SOAP, PIE< DAR ANSWER- problem-
orientated medical records

TO- needs physician to sign in person within ANSWER- 24 hours

should an incident report be reported in a client's medical file ANSWER- NO

SOAP ANSWER- subjective, objective, assessment, plan

PIE ANSWER- problem, intervention, evaluation

DAR ANSWER- data, action, response

nurses CANNOT delegate these to PNs or APs ANSWER- nursing porcess, client
education or tasks that require nursing judgment

give specific info when delegating example ANSWER- tell them to assist with shower at
0900 INSTEAD of assist mr martin with morning hygiene

discharge planning starts on ANSWER- admission

one of the first things you should do when admitting a patien ANSWER- introduce them
to thier roommate

family history focus ANSWER- HTN, cancer, heart disease, diabetes

AMA ANSWER- against medical advice

documentation of discharge ANSWER- date and time, how they are leaving, where they
are going, summary of condition, followup, disposistion of valubles, medications etc

discharge instructions ANSWER- written instrucios, diet, step by step instruction for
home care, precautions, signs and symptoms of what to report, names and numbers of
providers and community sercies to contact, plans for follwo up and therapies

, the absence of illness-producing microorganizims ANSWER- asepsis

alwasy check if the patient has a ___________ allergy before aseptic technique
ANSWER- latex

how much alcohol gel to use? ANSWER- 3-5 ml

have visitors sit _______ feet away from a patient with a cough ANSWER- 3

any object below the ________ or above the ______ is contaminated ANSWER- waist,
chest

place the items to be used _____ furthest away from the sterile field ANSWER- last

to add item to sterile field, drop it ____ inches avove the sterile field ANSWER- 6 inches

hold sterile bottle with _____ in the palm ANSWER- label

which hand to don first? ANSWER- dominant

allows the body to make antibodies in response to a forign organism (antigen)
ANSWER- specific adaptive immunity

difference b/w droplet and airborn (similarities?) ANSWER- both for coughing and
sneezing (droplet for talking too)

stage when the bactera is mutiplying, onset of symptoms ANSWER- prodromal stage

general feeling of discomfort, illness or uneasiness ANSWER- malaise

first stage of the inflammatory resopnose ANSWER- local infection, redness, warmth,
edema, pain or tenderness, oss of use of the affected site

2nd stage of injury ANSWER- microorganisms are killed, fluid containing dead tissue
cells and WBC's accumulate, exudate

3rd stage of injury; ANSWER- tissue replaced by scar tissue

lab values of infections ANSWER- WBC > 10,000 and ESR (erythrocyte sedimentation
rate) over 20 mm/hr; presence of microorganisms on cultrure

airborre precautions for what kind of infections? examples? ANSWER- droplet-
measles, varicella, pulmonary, TB

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