ATI Fundamentals for Nursing RN

ATI Fundamentals for Nursing RN
Medicare - CORRECT ANSWERS public federally funded programs. clients over age
65 and/or with permanent disabilities.
Medicaid - CORRECT ANSWERS for clients with low income. is federally funded and
individual states determine eligibility requirements.
Traditional Insurance - CORRECT ANSWERS reimburses for services on fee-for-service basis.
Managed Care Organizations (MCOs) - CORRECT ANSWERS comprehensive care is
overseen by a primary care provider & focuses on prevention and health promotion
Preferred Provider Organizations (PPOs) - CORRECT ANSWERS client chooses from
a list of contracted providers. using non-contracted providers increases the client's out
of pocket costs
Exclusive Provider Organizations (EPOs) - CORRECT ANSWERS the client chooses
from a list of providers within a contracted organization
Long-Term Care Insurance - CORRECT ANSWERS provides for long-term care
expenses not covered by Medicare
Preventive health care - CORRECT ANSWERS focuses on educating and equipping
clients to reduce and control risk factors of disease. Examples include immunizations,
stress management programs, and seat belt use
Primary health care - CORRECT ANSWERS emphasizes health promotion, and
includes prenatal and well-baby care, nutrition counseling, and disease control. is based
on a sustained partnership between client and provider. examples include office or clinic
visits and scheduled school/work centered screenings (vision, hearing, obesity)
Secondary health care - CORRECT ANSWERS includes the diagnosis and treatment
of emergency, acute illness, or injury. examples include care given in hospital settings
(inpatient and EDs), diagnostic centers, or emergent care centers
Tertiary health care - CORRECT ANSWERS involves the provision of specialized
highly technical care. examples include oncology centers and burn centers
Restorative health care - CORRECT ANSWERS involves intermediate follow-up care
for restoring health. examples include home health care, rehab centers, and skilled
nursing facilities
Continuing health care - CORRECT ANSWERS designed to address long-term or
chronic health care needs. examples include hospice, adult day care, and in-home
respite care
Health care regulatory agencies include: - CORRECT ANSWERS -US Dept of Health
and Human Srvcs
-US FDA
-State and local public health agencies
-State licensing boards (to ensure providers & agencies comply with state regulations)
-the Joint Commission/JCAHO (set quality standards for accreditation of health care
facilities)
-Professional Standards Review Organizations (PSROs)
-Utilization review committees (monitor for appropriate diagnosis and treatment of
hospitalized clients)
Clergy - CORRECT ANSWERS Job: provide spiritual care to client (pastors, rabbis,
priests)
Refer to when: the client requests communication or the family asks for prayer prior to
client undergoing a procedure
Registered dietitian - CORRECT ANSWERS Job: assess, plan for, and educate the
client reg. nutritional needs; direct care of nutritional aids
Refer to when: ex- the client has low nutrient levels and/or experienced a recent
unexplained weight loss
Lab tech - CORRECT ANSWERS Job: obtain specimens of the client's body fluids and
perform the necessary diagnostic tests
Refer to when: ex- the provider orders a CBC to be performed immediately
Occupational therapist - CORRECT ANSWERS Job: assess and plan for the client to
regain ADLs, esp motor skills of the upper extremities; direct care of occupational
therapy assistants
Refer to when: ex- client has difficulties using an eating utensil with dominate hand
following a stroke
Pharmacist - CORRECT ANSWERS Job: provide & monitor meds for the client as
prescribed by the provider; supervises pharm techs in states in which the practice is
allowed
Refer to when: client concerns over meds; dosag