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N342 Ambulatory Care Test -1 questions with complete solutions
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N342 Ambulatory Care Test #1 questionswith complete solutions
Key |Roles/Responsibilities |is |Ambulatory |Care |RN |(4) |- |correct |answer-1) |enhance |pt |safety |and |
quality/effectiveness |of |care |delivery |(irreplaceable)
2) |responsible |for |design/administration/eval |of |professional |nursing |services |within |organization |in |
accordance |with |nurse |practice |acts/scope |of |practice/org |standards
3) |provide |leadership |necessary |for |collab/coordination |of |services; |includes |defining |appropriate |
skills |mix |+ |delegation |of |tasks |to |licensed |and |unlicensed |workers
4) |RN |fully |accountable |in |amb |care |for |all |nursing |services |and |associated |pt |outcomes |provided |
under |their |direction
Role |of |RNs |in |Ambulatory |Care |(7) |- |correct |answer-1) |TELEHEALTH |NURSE |- |uses |nursing |
process/tech |to |care |for |remote |pts.
2) |NURSE |NAVIGATOR |- |helps |nagivate |health |system
3) |NURSE |EDUCATOR |- |educate |pts |and |educate |other |nurses
4) |NURSE-RUN |CLINICS |- |APRN |clinics
5) |RESEARCH |NURSE |- |for |enrolling |pts |in |trials |and |providing |care |during |trial
6) |CARE |COORDINATOR |- |similar |to |nurse |navigator
7) |PROCEDURAL |- |infusion |center, |cath |lab, |amb |surgery
,Categories |of |Challenges |to |RNs |in |Ambulatory |Setting |(6) |- |correct |answer-1) |Societal |Changes
2) |Healthcare |environment
3) |Integration |of |Health |Records
4) |Changing |Reimbursement |Models
5) |Ambulatory |Care |Nursing |Workforce
6) |Nursing |Education
Amb |RN |Challenges: |Societal |Changes |- |correct |answer-- |pop |w/ |more |old |people |and |more |
diverse |w/ |complex |behavioral |needs
- |high |quality/individalization |w/ |care |tech |(mobile |devices/social |media
- |societal |violence: |challenges |of |settings |lacking |infrastructure |+ |resources |of |larger |facility
Amb |RN |Challenges: |Healthcare |Environment |- |correct |answer--fragmented |care |delivery; |struggle |
to |coordinate |across |specialties
- |amb |care |increasing |regulatory |control |-- |demand |for |high |quality/safety |--> |impacts |
reimbursement/ability |to |compete |for |contracts
- |increase |demand |for |care; |shortage |of |primary |care |providers
Amb |RN |Challenges: |Integration |of |Health |Records |- |correct |answer--lack |of |record |integration |-- |
system |fragmentation
- |longitudinal |health |records |not |accessible |across |settings/providers/services
- |EHRs |not |patient-centered; |not |good |for |care |coordination
, Amb |RN |Challenges: |Changing |Reimbursement |Models |- |correct |answer-nursing |filed |struggles |w/ |
bill |recognition |from |third-party |payers
Amb |RN |Challenges: |Ambulatory |Care |Nursing |Workforce |- |correct |answer-- |RNs |need |skill |
development/situational |translation |of |knowledge |to |amb |environment
- |more |interdisciplinary |team |members |working |in |amb |environment
Amb |RN |Challenges: |Nursing |Education |- |correct |answer-- |nursing |ed |still |mostly |on |acute |care
-idea |that |nurses |need |to |work |inpatient |before |doing |amb; |reality |is |that |hospital |skills |are |not |
needed |in |amb |care
- |amb |care |needs |to |integrate |new |grads |early' |starts |with |having |nurse |educators |integrate |amb |
clinical |experience |in |with |nursing |curriculum
Goal |of |Affordable |Care |Act |- |correct |answer-LESS |HOSPITALIZATIONS |AND |MORE |FOCUS |ON |
PREVENTION
Changes |from |ACA |in |Slides |(5) |- |correct |answer-1) |gives |free |preventive |care |for |seniors
2) |Community |Care |Transitions |Program |for |at |risk |seniors |to |prevents |ED |visits |and |hospital |
readmissions
3) |Increase |primary |care |reimbursement
4) |State-sanctioned |patient-centered |medical |homes
5) |physician |reimbursement |changed |to |value |based |care |models
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