Intro to Acute Care

  1. The new prospective payment system implemented in 1983 to stem the rise in health care costs was
    Diagnostic Related Groups
  2. T or F: Voluntary/not-for-profit hospitals are only concerned about meeting expenses on an ongoing basis
  3. Name the types of hospitals
    • Government
    • Voluntary/not-for profit
    • For profit
    • Specialty
  4. What are the 3 goals of case management
    • Promoting Self care
    • upgrading quality of life
    • using resources efficiently
  5. Following the great depression the demand for hospital-based nurses increased due to
    the availability of hospital insurance through blue cross
  6. Functional nursing requires that
    the RN coordinates for an entire team or unit
  7. A major advantage of team nursing is
    The RN knows the clients well
  8. The term diagnosis-related groups (DRGs) refers to:
    reimbursement of hospitals for client care based on clients’ diagnoses.
  9. The nurse functioning in the role of case manager is responsible for managing the care of clients:
    before and during the hospitalization and after discharge.
  10. What is interaction with patients in which boundaries are blurred and the nurse's personal needs may be served rather than the patient's?
    Non-therapeutic relationships
  11. What is therapeutic care that minimizes the psychologic and physical distress experienced by kids and their families
    Atraumatic care
  12. What is the philosophy that recognizes the family as the constant in a child's life that service systems must support and enhance?
    Family-centered care
  13. What is meaningful interaction with caring, well-defined boundaries separating the nurse from the patient?
    Therapeutic relationships
  14. What occurs 2 to 3 times more often in children than all other illnesses
    Respiratory Tract Infections
  15. Two basic concepts in the philosophy of family-centered pediatric nursing care are:
    enabling and empowerment
  16. An example of atraumatic care would be to
    eliminate or minimize distress experienced by a child in a health care setting
  17. What did hospitals used to be called back in the 17th and 19th century
    • Almshouse
    • Asylum
    • Homes for the incurable
    • Chronic disease hospital
  18. When was the Blue Cross Plan established?
  19. What increased the demand for hospital-based nurses
    development of insurance
  20. What is a government sponsored hospital?
    One that receives local, state or federal government support
  21. What is a non-profit hospital?
    • Sponsored/run by non-profit, tax-exempt organizations
    • must still be concerned about the bottom dollar
  22. What are for-profit hospitals
    governing organizations focus is to generate profit
  23. What is a specialty hospital?
    One that has a specific focus such as orthopedics, cardiac, pediatrics
  24. How does a nurse act as provider of care
    assesses patients, comforts clients, gives meds,
  25. How does a nurse act as an educator
    teaching about dx, teaching when discharged, diabetic counseling, lactation consultant
  26. When does nurse act as manager of care
    when juggling multiple patients' needs, when in the role of manager
  27. What is functional nursing
    • assembly-line model
    • CNA does ADL, direct care
    • LPN passes meds
    • RN assess and coordinates care
  28. where is functional nursing mostly used
    Long term care facilities
  29. what are some advantages of functional nursing?
    low cost, efficient
  30. what are disadvantages to functional nursing?
    • client interacts with several people
    • psychosocial needs are seldom met
    • RN seldom cares directly for patient
    • breaks in communication
  31. What is team nursing
    • RN/LPN, RN/CNA, RN/LPN,CNA working together with a group of patients
    • RN works with one or more health care personnel to provide care for 4 or more patients
  32. What are the advantages of team nursing
    • RN is head of team and knows clients
    • more individualized care
  33. What are disadvantages of team nursing
    fairly expensive, lack of delegation skills by RNs would reduce efficiency, communication issues
  34. What is primary nursing?
    RN working independently, taking care of all needs for a group of patients
  35. What are the advantages of primary nursing
    client has same nurse, communication improved, psychosocial needs can be met, individualized care
  36. What are the disadvantages of primary nursing?
    increased cost in hiring large RN staff, can be overwhelming
  37. Why do we need regulation and accreditation
    • quality improvement
    • cost effective care
    • improved standards of care
    • maintenance of "minimum standard"
  38. For pediatric nursing what is the main focus
    • Health promotion
    • improve quality of health care for kids
    • improve quality of life, increase quantity of life
  39. What are the goals of Health People 2010
    • increase quality and years of healthy life
    • eliminate health disparities
Card Set
Intro to Acute Care
Lecture 1