5/3/19 ATI FUNDAMENTALS EXAM 1. CHAPTER 1: HEALTH CARE DELIVERY SYSTEMS A. Components of Health care systems a. Participants 1. Consumers- clients 2. Providers a. Licensed providers: registered nurses, license practical (or vocational) nurses (LPN), advanced practice nurses (APN), medical doctors, ...
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[COMPANY NAME] [Company address] NUR 206_ATI FUNDAMENTALS EXAM, Chapters 1 to 58 | Complete Latest Summer 2023 study guide. ATI FUNDAMENTALS EXAM
1.CHAPTER 1: HEALTH CARE DELIVERY SYSTEMS
A.Components of Health care systems
a.Participants
1.Consumers- clients
2.Providers
a.Licensed providers: registered nurses, license practical (or vocational) nurses (LPN), advanced practice nurses (APN), medical doctors, pharmacists, dentists, dietitians, physical/respiratory/occupational therapists, etc
b.Unlicensed providers: assistive personal
b.Settings
1.Hospitals, homes, skilled nursing, assisted living, schools, etc
c.Regulatory Agencies
1.US department of Health and Human Services
2.US Food and Drug Administration (FDA)
3.State and local public health agencies
4.State licensing boards
a.Determines laws/regulations that govern nursing in their state
b.ensure health care providers and agencies comply with state regulations
c.Issue/revoke nursing license
i.Nurses need a license in every state they practice in
5.Joint Commission (JCAHO)
a.Set quality standards for accreditation of health care facilities
6.Professional Standards Review Organizations- monitor health care services provided
d.Healthcare financing Mechanisms
1.Public federally funded programs
a.Affordable Care Act (Obamacare)
i.Increases access to healthcare for all individuals
ii.Decreasing healthcare costs
iii.Providing opportunities for uninsured to become insured at an affordable cost
b.States Children’s Health Insurance
i.Covers uninsured children up to 19 years old at a low cost to parentsKey:
-Most likely on test
-Motivational quotes 2Don’t stop until you are proud
c.
MEDICARE MEDICAID
Eligibility: >65 years old OR on disability for more than 2 years OR have ALS OR on dialysis
Part A: inpatient hospital, limited
skillednursing care, home health
care
(hospital insurance)
Part B: outpatient care, diagnostic services, OT/PT (medical insurance)
Part C: combination of parts A and B, optional private insurance
(Medicare advantage plan)
Part D: prescription drugs (medications)Eligibility: low socioeconomic status, no insurance
Federally and state funded
Individual states determine eligibility requirements
e.Levels of Health Care
PreventativeFocuses on educating and equipping clients to reduce or control risk factors for disease
PrimaryEmphasizes health promotion and includes prenatal, well-baby care, family planning, nutrition counseling, disease control
SecondaryDiagnosis and treatment of acute illness and injury
TertiaryProvision of specialized and highly technical care
RestorativeIntermediate follow-up care for restoring health and promoting self- care
ContinuingAddresses long-term or chronic health care needs over a period of time
2.CHAPTER 2: THE INTERPROFESSIONAL TEAM
A.Interprofessional Personnel (non-nursing)
Spiritual Support StaffProvides spiritual care (pastors, rabbis, priests)
Registered DietitianAssess/plans for/educates regarding nutrition needs
Laboratory technicianObtains specimens of body fluids, and performs diagnostic tests
Occupational therapistFocuses on patient’s independence and regain activities of daily living (ADL) skills
Pharmacist Provides and monitors meds 3Physical TherapistFocuses on increasing musculoskeletal function (especially lower extremities), to maintain mobility
Provider Assess/diagnose/treat diseases or injury, includes doctors, APNs, physician’s assistant
Radiologic technologistPositions client and performs x rays and other imaging procedures for providers to review for diagnosis of disorders of various body parts
Respiratory therapistEvaluates respiratory status and provides respiratory treatments including oxygen including oxygen therapy, chest physiotherapy,
inhalation therapy, and mechanical ventilation
Social worker Works with clients and families by coordinating inpatient and community resources to meet psychosocial and environmental needs
that are necessary for recovery and discharge
Speech-language pathologistEvaluates and makes recommendations regarding the impact of disorders or injuries on speech, languages, and swallowing Ex: patient with dysphagia call speech pathologist for consult
3.CHAPTER 3: ETHICAL RESPONSIBILITIES
A.Ethical Decision Making In Nursing
a.Basic principles of ethics
1.Advocacy- support of client’s health, wellness, safety, privacy, and personal rights
2.Responsibility- willingness to respect obligations and follow through on promises
3.Accountability- ability to answer for one’s own actions
4.Confidentiality- protection of privacy without diminishing access to high-quality care
b.Ethical Principles for client care
Autonomy The right to make one’s own personal decisions , even when those decisions might not be in that person’s best interest (ex: Jehovah’s witness-
blood transfusion)
Beneficence Action that promotes good for others, without any self interest
Fidelity Fulfillment of promises Justice Fairness in care delivery and use of resources
Nonmaleficence A commitment to do no harm Veracity Commitment to tell the truth c.Ethical Dilemma
1.Problems that involve more than one choice and stem from differences in values and
beliefs of the decision maker
a.A problem is an ethical dilemma when:
i.There is not enough scientific data to solve it
ii.It conflicts between 2 moral imperatives
iii.Answer will have a profound effect on the situation and the client
2.When making an ethical decision:
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