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SHOPE CH. 2
SHOPE CH.2
| Question | Answer |
|---|---|
| Adult day care centers | Provide variety of health and social services to specific pt. population who live alone or with family. |
| Assisted living | Long term care setting with homier env't and more autonomy. |
| Assistive personnel (AP) | Help out the nurses |
| Block nursing | Happens where nurse lives, services available on need basis rather than availability of reimbursement. |
| Capitation | Payment mechanism in which providers recieve a fixed amount per client or enrollee of a health care plan. |
| Case management | Case manager advises nursing staff on specific care issues, coordinates referrals and ensures pt. education, and monitors progress thru discharge. |
| Critical pathway | Multidisciplinary Tx. plan sequencing critical intervention over a projected length of stay of time frame for specific types of cases. |
| Delegation | Delegation of responsibilities to make nursing care more efficient. |
| Diagnosis-Related groups (DRG's) | Each group has a fixed reimbursement amount with adjustments for severity of a case, labor and teaching costs. |
| Discharge planning | Transfers Pt. needs from hospital to another environment to continue care. |
| Evidence Based Practice | Integration of current best evidence with clinical expertise and patient values. |
| Extended care facility | Provides intermediate medical, nursing or custodial care for pts recovering from acute or chronic illnesses or disabilities. |
| Home care | Provision of services in the home. |
| Hospice | System of family cenetred care to allow pts to remain at home with comfort and dignity while alleviating strains caused by terminal illness. |
| Integrated Delivery Networks (IDN's) | Set of providers and services organized to deliver a coordinate continuum of care to population served at capitated cost. Should reduce duplication of services. |
| Managed Care | Health care system in which there is administrative control over over primary services. Predetermined payment for each enrollee. |
| Primary Care | Provision of integrated, accessible health care services by clinicians who address large majority of needs. |
| Primary Health Care | Approach to interventions that leads to improved health outcomes for entire population. |
| Nursing Center | Provide high quality nursing services with focus on health promotion and education, disease prevention and management, and support for self care and caregivers. |
| Parish Nursing | Like block nursing, but churches offer site and support system for program activities. |
| Professional Standards Review Organization (PSRO's) | Review quality, quantity and cost of hospital care provided through Medicare. |
| Prospective Payment System (PPS) | Eliminates cost based reimbursement. |
| Rehabilitation | Restoration of a person to the fullest physical, mental, social, vocational, and economic usefulness possible. |
| Respite Care | Provides short term relief of time off for those providing care to a loved one. |
| Resource Utilization Groups (RUGs) | Used in long term care like DRG's. |
| Restorative Care | Assist an individual in regaining maximal functional status, enhancing quality of life, and promoting independence. |
| Skilled Nursing Facility (SNF) | Offers skilled care from licensed personnel in an intermedicate care facility |
| Utilization Review (UR) | Review admissions, diagnostic testing, and Tx's provided by MD's to pts. |
| The professional standards review organizations function to: | Review quality, quantity, and cost of care. |
| This payment mechanism is one in which health care networks or managed care organizations recieve a fixed amount per client or enrollee of a health care plan: | Capitation |
| In this type of managed care organization, the MD's are salaried employees of the MCO. | Staff model |
| The nurse organizes a blood pressure screening program. This is an example of which health care service? | Illness prevention |
| Recurring issues that nurses face in this type of nursing are drug testing, right to know issues, concerns r/t AIDS, and esposure to Env't hazards | Office nursing |
| This type of nursing has a nontraditional setting in which preventative and primary are can be found | Parish nursing |
| This site provides secondary and tertiary health care | Hospital |
| Medicare covers stays at this type of facility for 100 days but at a decreasing dollar amount after 1st 20 days. | SNF |
| The following develops as a result of a nurse's expertise in a specific clinical area, time in practice, and quality of relationships she formed with pts. | "Knowing Clients" is a measure of a nurse's experience and maturity. |
| The federal law allowing nurse practitioners to deliver primary health care in underserved areas is the: | Rural Health care clinics act |
| Health promotion activities are designed to help clients: | Reduce risk of illness, maintain max. fxn, promote habits r/t health care |
| Rehab. services begin when? | When the pt. enters the health care system. |
| An example of an extended care facility is a? | Nursing facility |
| A client and his family facing the end stages of a terminal illness might best be served by a? | Hospice |
Created by:
stephanielhope
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