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"PMCH - CORRECT ANSWER=> Model of primary care that is comprehensive, team-based, coordinated, accessible, and focused on quality and safety. Included physicians nurses, and other interprofessional providers. Focus is on whole-person orientation, goal is delivery of right care at right time in right setting" "ACO - CORRECT ANSWER=> Model of care in which a provider group of primary care physicians, specialists, and hospitals accepts the responsibility for cost and quality of care delivered to a specific population of patients cared for by the group's clinicians" "PACT - CORRECT ANSWER=> Developed by the Veterans Health Administration, and provides patient-driven, proactive, personalized team based care focused on the whole person and life-long wellness and disease prevention" "HIT - CORRECT ANSWER=> Health information technology"
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"PMCH - CORRECT ANSWER=> Model of primary care that is comprehensive, team-based, coordinated, accessible, and focused on quality and safety. Included physicians nurses, and other interprofessional providers. Focus is on whole-person orientation, goal is delivery of right care at right time in right setting" "ACO - CORRECT ANSWER=> Model of care in which a provider group of primary care physicians, specialists, and hospitals accepts the responsibility for cost and quality of care delivered to a specific population of patients cared for by the group's clinicians" "PACT - CORRECT ANSWER=> Developed by the Veterans Health Administration, and provides patient-driven, proactive, personalized team based care focused on the whole person and life- long wellness and disease prevention" "HIT - CORRECT ANSWER=> Health information technology" "Goals of professional interpersonal alliances with the nurse and the patient - CORRECT ANSWER=> 1. Accurately understand patient and family experience
Truth telling" "Fidelity - CORRECT ANSWER=> One of the ethical principles. Faithfulness" "Justice - CORRECT ANSWER=> One of the ethical principle's. The allocation of scarce resources" "Advocate - CORRECT ANSWER=> To intercede on another's behalf. Involves action" "4 Characteristics of a transformational leader - CORRECT ANSWER=> 1. Influences through visioning
"Situational/Contingency Theory of Leadership - CORRECT ANSWER=> Leadership is contingent on the situation needed and the leader uses the style appropriate to the situation, relationships, amount of trust, clarity of vision, and amount of power shared or provided to the follower" "Interactional Theory of Leadership - CORRECT ANSWER=> Leadership is supported and changed by the relationship with the follower" "Traits of a leader with emotional intelligence - CORRECT ANSWER=> Self-awareness The ability to manage emotions Self-motivation to delay gratifications and strive for innate goals Empathy Social development" "5 Stages of Project Management - CORRECT ANSWER=> 1. Definition
"Indirect costs - CORRECT ANSWER=> Costs within a service unit that are not incurred for direct patient care" "Relevant range - CORRECT ANSWER=> Normal range for an expected activity for a cost center" "Fixed costs - CORRECT ANSWER=> Costs that are fixed in the context of a relevant range; cost does not change with a change in volumes" "Variable costs - CORRECT ANSWER=> Costs that vary with changes in volumes of service units" "Mixed costs - CORRECT ANSWER=> Costs that include both fixed or variable costs" "Statutes or codes - CORRECT ANSWER=> Federal laws that are usually passed by congress and signed by the president, then complied into the United States Code" "State Laws - CORRECT ANSWER=> Usually passed by state legislatures and signed by governors or enacted by a popular vote through referenda or voter initiatives and complied into various state codes. Obviously they differ from state to state" "Regulations - CORRECT ANSWER=> Rules promoted by federal agencies (like DHHS) and state agencies, that are supplemented by formal and informal agency guidance" "Judicial and administrative agency action - CORRECT ANSWER=> Court decisions and court orders issued as a result of criminal enforcement or civil litigation. Administrative agency decisions and orders issued in connection with disputes among private parties or arising from agency enforcement of regulations" "Contracts - CORRECT ANSWER=> Legal agreements among two or more parties that may be enforced by courts or through private arbitration proceedings" "Criminal law - CORRECT ANSWER=> Defined by statute, supplemented by regulations, and interpreted by judges. Violation may be punished by fines and/or imprisonment, depending on the severity of the offense" "Examples of criminal law - CORRECT ANSWER=> 1. Practice of nursing without a license
"Damages - CORRECT ANSWER=> Did the patient suffer injury, illness, or financial loss as a result of the RN's actions?" "Abandonment - CORRECT ANSWER=> Occurs when the professional relationship between a health care provider and the patient is terminated abruptly and without the pt's consent" "Policies and procedures - CORRECT ANSWER=> Formal written statements under which an organization manages its activities" "Informed consent - CORRECT ANSWER=> A communication process in which the physician provides the patient with information about all possible treatment or decision options, allowing time for questions and understanding so the patient is able to select the option that best fits his/her goals, values, and preferences" "Information required for informed consent - CORRECT ANSWER=> 1. nature of the treatment
d) Admission or encounter date e) Discharge or termination date f) Disposition of patient g) Expected Payer" "Nursing elements - CORRECT ANSWER=> Part of the NMDS. Includes: a) Nursing diagnosis b) Nursing intervention c) Nursing outcome d) Intensity of nursing care" "UACDS - CORRECT ANSWER=> Uniform Ambulatory Care Data Set. A set of data based on an individual patient encounter." "UACDS elements - CORRECT ANSWER=> a) provider identification b) Place of encounter c) Reason for encounter d) Diagnostic services e) Problem, diagnosis, or assessment f) Therapeutic services g) Preventive services h) Disposition" "Purpose of standardized language - CORRECT ANSWER=> 1. Exchange information
"National Patient Safety Foundation - CORRECT ANSWER=> NPSF" "Eight recommendations for total systems approach to culture of safety - CORRECT ANSWER=> 1. Ensure leaders establish and sustain a safety culture
"Planning - CORRECT ANSWER=> Prioritize nursing diagnoses and set timeframes. Obtain additional resources for implementation" "Implementation - CORRECT ANSWER=> The action component of the nursing process. May involve delegation and care coordination. ALWAYS requires documentation" "Evaluation - CORRECT ANSWER=> Systematic, ongoing, and criteria-based activity that includes ongoing assessment" "Family process - CORRECT ANSWER=> The ongoing interaction between family members through which they accomplish their instrumental and expressive tasks" "Patient Self-Determination Act - CORRECT ANSWER=> Federal law that defines informed consent" "Education process - CORRECT ANSWER=> A systematic and consistent cycle centered on a participatory, shared approach to leaching and learning to achieve mutual, desired outcomes" "Engagement in health - CORRECT ANSWER=> Steps the patient takes to engage in their won health to manage their disease or illness and to acieve better outcomes" "Health literacy - CORRECT ANSWER=> The capacity to obtain, process, and understand basic information and services needed to make appropriate decisions regarding health" "Health belief model - CORRECT ANSWER=> An individual will take a health-related action if they percieve susceptibility to ilness and severity of illness can be avoided or reduced by a personal ability to successfully take a recommended action" "Motivational interviewing - CORRECT ANSWER=> Intended to guide and individuals exploration of their ambivalence about changing behavior" "Social cognitive theory - CORRECT ANSWER=> Critical factors include and individuals ability to demonstrate certain behaviors, anticipate outcomes, learn by observing others, perform behaviors with confidence, self-regulate behavior, and reflect on the change experience"
"Tertiary prevention - CORRECT ANSWER=> occurs when a long-term disease or disability is already diagnosed. Aims to achieve the highest level of function, minimize complications, and reduce disability" "Anticipatory guidance - CORRECT ANSWER=> Counseling, therapeutic or educational services provided to a patient before they undergo an anticipated development or situational crisis" "CCTM - CORRECT ANSWER=> Care coordination and transition management" "Chronic Care Model - CORRECT ANSWER=> Can be applied to a variety of health states in multiple care settings. Includes a) Community b) Health system c) Self-management support d) Delivery system design e) Decision support f) Clinical information systems" "Logic Model - CORRECT ANSWER=> Evidence-based process used to guide the organization of CCTM dimensions within a framework to define competencies, activities, and outcomes" "Nine dimensions of care coordination and transition management - CORRECT ANSWER=> 1. Support for self-management
"Transitional care - CORRECT ANSWER=> A broad range of time-limited services to ensure health care continuity, avoid preventable poor outcomes, and promote the safe and timely transfer of patients from one level of care to another or from one type of setting to another" "Trasition management - CORRECT ANSWER=> Ongoing support of patients and their families over time as they navigate care and relationships among more than one provider and/or more than one setting and /or more than one service. Not determined by age, time, place, or healthcare condition" "Care management - CORRECT ANSWER=> A process designed to assist patients and their support systems in managing their medical/social/mental health conditions more efficiently and effectively" "Case management - CORRECT ANSWER=> A collaborative process of assessment, planning, facilitation, and advocacy for patients and services to meet an individuals health needs through communication and available resources to promote quality cost-effective outcomes" "Disease management - CORRECT ANSWER=> A system of coordinated health care interventions and communication for populations and conditions in which patient self-care efforts are significant" "Social determinants of health - CORRECT ANSWER=> The conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life" "Evidence-based practice - CORRECT ANSWER=> The conscientious integration of best research evidence with clinical experience and the patient values and needs in the delivery of quality, cost-effective healthcare" "Five pillars of excellence - CORRECT ANSWER=> 1. Service
"Respiratory arrest - CORRECT ANSWER=> Lung tissue is not able to receive carbon dioxide or give oxygen to circulating blood" "Ventilation - CORRECT ANSWER=> Mechanism by which the blood gives off carbon dioxide and takes on oxygen in the lungs." "Ventricular tachycardia - CORRECT ANSWER=> Fatal hear arrhythmia with the wide QRS complexes; Does not result in pulselessness initially. The rapid rate of ventricular contraction inhibits adequate blood filling and decreased cardiac output" "Ventricular fibrillation - CORRECT ANSWER=> Fatal heart arrhythmia that presents with pulselessness. The ventricles contract in an unorganized manner resembling a quiver and produce no cardiac output" "How soon should AED be available - CORRECT ANSWER=> Within 3-5 minutes of collapse" "Steps for anaphylaxis management - CORRECT ANSWER=> 1. access anaphylaxis kit