Podcast
Questions and Answers
A patient newly diagnosed with a chronic illness expresses anxiety about the cost of long-term treatment. Which healthcare financing model would a nurse identify as a system designed to manage costs through pre-negotiated rates and designated provider networks?
A patient newly diagnosed with a chronic illness expresses anxiety about the cost of long-term treatment. Which healthcare financing model would a nurse identify as a system designed to manage costs through pre-negotiated rates and designated provider networks?
- Retrospective payment system
- Diagnosis-related groups (DRGs)
- Managed care (correct)
- Government-sponsored health insurance
A nurse is caring for a diverse group of patients. Which action best demonstrates the provision of holistic care?
A nurse is caring for a diverse group of patients. Which action best demonstrates the provision of holistic care?
- Providing a comfortable physical environment.
- Documenting vital signs accurately.
- Inquiring about the patient's cultural and spiritual beliefs. (correct)
- Administering medications on time.
Which nursing action is most effective in establishing trust with a patient who is visibly anxious and reluctant to share personal information?
Which nursing action is most effective in establishing trust with a patient who is visibly anxious and reluctant to share personal information?
- Maintaining a professional demeanor and actively listening to the patient's concerns. (correct)
- Assuring the patient that everything will be alright.
- Sharing personal experiences to find common ground.
- Avoiding direct eye contact to respect the patient's personal space.
A patient expresses distress regarding their illness, stating, "I feel like my faith is being tested." Which nursing response best demonstrates sensitivity to the patient's spiritual needs?
A patient expresses distress regarding their illness, stating, "I feel like my faith is being tested." Which nursing response best demonstrates sensitivity to the patient's spiritual needs?
A nurse is caring for a patient from a different cultural background. What is the most appropriate approach to ensure culturally competent care?
A nurse is caring for a patient from a different cultural background. What is the most appropriate approach to ensure culturally competent care?
A registered nurse is delegating the task of ambulating a stable patient to a UAP. Which of the following considerations aligns with the 'Right Circumstances' principle of delegation?
A registered nurse is delegating the task of ambulating a stable patient to a UAP. Which of the following considerations aligns with the 'Right Circumstances' principle of delegation?
An LPN/LVN is working in a long-term care facility. Which task is MOST likely within their scope of practice?
An LPN/LVN is working in a long-term care facility. Which task is MOST likely within their scope of practice?
A patient with a history of falls is being discharged. Which action BEST exemplifies patient-centered care?
A patient with a history of falls is being discharged. Which action BEST exemplifies patient-centered care?
An LPN/LVN is assigned to an outpatient surgery center. Which of the following duties aligns with their possible responsibilities in this setting?
An LPN/LVN is assigned to an outpatient surgery center. Which of the following duties aligns with their possible responsibilities in this setting?
A nurse in a correctional facility discovers a breach of patient confidentiality. According to ethical and legal guidelines, what is the MOST appropriate initial action?
A nurse in a correctional facility discovers a breach of patient confidentiality. According to ethical and legal guidelines, what is the MOST appropriate initial action?
A patient in the intermediate care unit requires frequent vital sign monitoring. When delegating this task to a UAP, what MUST the nurse include in the 'Right Direction/Communication'?
A patient in the intermediate care unit requires frequent vital sign monitoring. When delegating this task to a UAP, what MUST the nurse include in the 'Right Direction/Communication'?
An LPN/LVN is working in home healthcare. Which activity would require additional training and competency validation?
An LPN/LVN is working in home healthcare. Which activity would require additional training and competency validation?
A new graduate LPN/LVN is working in a dialysis center. What action should the nurse prioritize to ensure ethical practice?
A new graduate LPN/LVN is working in a dialysis center. What action should the nurse prioritize to ensure ethical practice?
Which of the following scenarios best exemplifies the use of evidence-based practice (EBP) in nursing?
Which of the following scenarios best exemplifies the use of evidence-based practice (EBP) in nursing?
A hospital is implementing a new quality improvement program. Which of the following actions would be most aligned with the principles of continuous quality improvement?
A hospital is implementing a new quality improvement program. Which of the following actions would be most aligned with the principles of continuous quality improvement?
A nurse is using an electronic health record (EHR) system to manage a patient's care. Which of the following actions demonstrates the effective use of informatics?
A nurse is using an electronic health record (EHR) system to manage a patient's care. Which of the following actions demonstrates the effective use of informatics?
According to the National Council of State Boards of Nursing (NCSBN), which of the following is a key area for improving patient safety in nursing practice?
According to the National Council of State Boards of Nursing (NCSBN), which of the following is a key area for improving patient safety in nursing practice?
A patient is seeing both a conventional medical doctor and a practitioner of alternative medicine. What is the most important action the nurse should take to ensure patient safety?
A patient is seeing both a conventional medical doctor and a practitioner of alternative medicine. What is the most important action the nurse should take to ensure patient safety?
A healthcare organization aims to align its strategic goals with the objectives of Healthy People 2020. Which initiative would best support these objectives?
A healthcare organization aims to align its strategic goals with the objectives of Healthy People 2020. Which initiative would best support these objectives?
A patient's insurance plan has a $500 deductible, a $25 copayment for office visits, and an 80/20 co-insurance. If the patient incurs $1,500 in medical expenses, how much will the patient be responsible for paying?
A patient's insurance plan has a $500 deductible, a $25 copayment for office visits, and an 80/20 co-insurance. If the patient incurs $1,500 in medical expenses, how much will the patient be responsible for paying?
A physician group contracts with an insurance company to provide care for a set number of patients for a fixed fee per patient per month, regardless of how often each patient seeks care. This payment model is best described as:
A physician group contracts with an insurance company to provide care for a set number of patients for a fixed fee per patient per month, regardless of how often each patient seeks care. This payment model is best described as:
Which of the following statements best describes the role of an LPN/LVN in advocating for a patient?
Which of the following statements best describes the role of an LPN/LVN in advocating for a patient?
An LPN/LVN is asked to perform a task that is outside their scope of practice according to the nurse practice act. What is the most appropriate course of action?
An LPN/LVN is asked to perform a task that is outside their scope of practice according to the nurse practice act. What is the most appropriate course of action?
Which activity exemplifies an LPN/LVN functioning as a collaborative member of the health care team?
Which activity exemplifies an LPN/LVN functioning as a collaborative member of the health care team?
In the delegation process, what is the primary responsibility of the LPN/LVN delegating a task to unlicensed assistive personnel (UAP)?
In the delegation process, what is the primary responsibility of the LPN/LVN delegating a task to unlicensed assistive personnel (UAP)?
How do Diagnosis-Related Groups (DRGs) impact hospital reimbursement, and what is a likely consequence for patient care?
How do Diagnosis-Related Groups (DRGs) impact hospital reimbursement, and what is a likely consequence for patient care?
An LPN/LVN is caring for a patient with a chronic illness. Which action best demonstrates providing holistic care?
An LPN/LVN is caring for a patient with a chronic illness. Which action best demonstrates providing holistic care?
When caring for a dying patient, what is the LPN/LVN's primary goal?
When caring for a dying patient, what is the LPN/LVN's primary goal?
Which of the following scenarios demonstrates an LPN/LVN upholding clinical standards?
Which of the following scenarios demonstrates an LPN/LVN upholding clinical standards?
Flashcards
Promote health
Promote health
To improve and sustain well-being.
Prevent disease
Prevent disease
Actions to stop illnesses and impairments.
Rehabilitation care
Rehabilitation care
Providing care during recovery from illness or injury.
Care for dying patients
Care for dying patients
Signup and view all the flashcards
Nursing process
Nursing process
Signup and view all the flashcards
Uphold clinical standards
Uphold clinical standards
Signup and view all the flashcards
Provide safe patient care
Provide safe patient care
Signup and view all the flashcards
Delegation
Delegation
Signup and view all the flashcards
Nursing Assignment
Nursing Assignment
Signup and view all the flashcards
Five Rights of Delegation
Five Rights of Delegation
Signup and view all the flashcards
LPN Hospital Opportunities
LPN Hospital Opportunities
Signup and view all the flashcards
LPN/LVN Opportunities
LPN/LVN Opportunities
Signup and view all the flashcards
More LPN/LVN Opportunities
More LPN/LVN Opportunities
Signup and view all the flashcards
Delegation Considerations
Delegation Considerations
Signup and view all the flashcards
Nurse Practice Act
Nurse Practice Act
Signup and view all the flashcards
Patient-centered Care
Patient-centered Care
Signup and view all the flashcards
Group Health Insurance
Group Health Insurance
Signup and view all the flashcards
Managed Care
Managed Care
Signup and view all the flashcards
Retrospective Payment System
Retrospective Payment System
Signup and view all the flashcards
Diagnosis-Related Groups (DRGs)
Diagnosis-Related Groups (DRGs)
Signup and view all the flashcards
Holistic patient care
Holistic patient care
Signup and view all the flashcards
Evidence-Based Practice (EBP)
Evidence-Based Practice (EBP)
Signup and view all the flashcards
Quality Improvement
Quality Improvement
Signup and view all the flashcards
Informatics
Informatics
Signup and view all the flashcards
Safety
Safety
Signup and view all the flashcards
Biomedicine
Biomedicine
Signup and view all the flashcards
Complementary and Alternative Medicine
Complementary and Alternative Medicine
Signup and view all the flashcards
Healthy People 2020
Healthy People 2020
Signup and view all the flashcards
Co-payment
Co-payment
Signup and view all the flashcards
Study Notes
Caring for Medical-Surgical Patients
- Healthcare focuses on promoting and maintaining health
- Patients need disease and disability prevention
- The goal is to care for people during rehabilitation and assist dying patients in maintaining the best quality of life
Roles of the LPN/LVN
- LPN/LVNs uphold clinical standards and provide safe patient care
- LPN/LVNs teach patients and communicate effectively
- Collaboration with the healthcare team and advocating for the patient are essential
Leader and Delegator
- LPN/LVNs uphold clinical standards in leadership roles
- Delegation involves transferring authority to qualified unlicensed assistive personnel (UAP) for specific tasks
- Assignment includes giving UAP tasks or activities within their job description to a particular individual
Five Rights of Delegation
- Right task
- Right circumstances
- Right person
- Right direction/communication
- Right supervision
Employment Opportunities for LPN/LVNs
- Hospitals offer opportunities in outpatient surgery, intermediate care, IV therapy, and emergency departments
- Long-term care facilities, ambulatory care, rehabilitation, hospice, group homes, and assisted living also provide jobs
- Opportunities also include homes for the developmentally disabled, home healthcare, private offices, military, dialysis centers, jails, and prisons
Ethical and Legal Practice
- Each state's nurse practice act defines the role and scope of practice for LPNs/LVNs
- Ethical practice is displayed through abiding by the Code for Nurses and adhering to the National Patient Safety Goals
- Ethical Practice also includes honoring privacy via HIPAA
Quality and Safety
- Quality and Safety Education for Nurses (QSEN) is important
- Patient-centered care involves the patient as a full partner in their care decisions
- Care should be compassionate and coordinated with respect for the patient’s values and preferences
- Care managers, such as nurses or social workers, may be designated within a hospital
Evidence-Based Practice (EBP)
- EBP uses current research findings to make patient care decisions
- There are five steps in the process of developing this type of practice
Quality Improvement
- Continuous quality improvement programs are implemented in all facilities
- These programs set standards for care and are based on guidelines from the American Nurses Association, the American Hospital Association, and The Joint Commission
Informatics
- Informatics uses information and technology to communicate and manage knowledge
- It can help to prevent errors and support decision-making
- Electronic medical records (EMR) and electronic health records (EHR) are central to informatics
Safety
- Patients are vulnerable to injury when ill or incapacitated
- The National Council of State Boards of Nursing (NCSBN) identifies areas where nursing practice can improve safety
Health Care Today
- Biomedicine is the process of discovering the cause of a disease to eliminate or correct the problem
- Patients need to be reminded that herbals and supplements need to be included when asked for a list of drugs taken
- Cost containment is a priority in health care
Healthy People 2020
- Improve the opportunities for progress by attaining high-quality longer lives free of preventable disease
- Achieve health equity, eliminate disparities, and improve the health of all groups
- Promote quality of life, healthy development, and healthy behaviors across all life stages
- Create social and physical environments that promote good health
Financing of Health Care
- Involves health insurance through government and private funding, fee for service, provider, and deductibles
- Copayments, coinsurance, capitation, Medicare, and Medicaid all support healthcare
- Includes group health insurance and managed care, such as health maintenance organizations (HMOs) and preferred provider organizations (PPOs)
- The government sponsors health insurance through Medicare and Medicaid
- The types of healthcare also include retrospective and prospective payment systems, as well as diagnosis-related groups (DRGs)
Providing Holistic Care
- Includes being aware and attending to the patient's physiologic, psychological, social, cultural, and spiritual needs
Promoting a Therapeutic Nurse-Patient Relationship
- Can be done by establishing trust, using empathy, and therapeutic communication skills
- Important to maintain the patient's self-esteem, ensure pain control, display compassion, and use therapeutic touch
Meeting Cultural Needs
- Nurses should be open-minded and nonjudgmental
- Take differences at face value, accepting people as they are and always giving high-quality care
Meeting Spiritual Needs
- Patient’s beliefs and values can affect their response to crises, attitude toward treatment, and rate of recovery
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
Explore patient care scenarios. Focus on healthcare financing, holistic and culturally competent care, and spiritual sensitivity. Understand ethical delegation and trust-building strategies.
