Exam (elaborations)
CASAL 1 – Questions And Verified Answers (Graded A+)
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CASAL 1 – Questions And Verified Answers (Graded A+)
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CASAL 1 – Questions And Verified Answers (Graded A+)When are patient’s eligable for medicare? Right Ans - 65 or those with
permanent diabilites
Medicaid for patients with Right Ans - low incomes
MCO insurance Right Ans - managed care organizer: prevention and health
promotion
PPO Right Ans - preferred provider organizations
EPO insurance Right Ans - exclusive provider orgnaizatoin (no out o
fnetwork coverage)
Long term care insurance Right Ans - used a s supplement: for what
medicare doesn't cover
Emphasizes health promotion; office or clinic visits, work centered screenings,
health centers Right Ans - primary health care
Diagnosis and treatment of ill ness and injury (i.e. ER, diagnostic center,
emergent care) Right Ans - secondary health care
Acute crae, high specialty care; oncology cents, burn centes, intensive care
Right Ans - teritary health care
Immediate follow up care, promotes self-care, home healht, rehab ceneters,
SNF Right Ans - restorative health care
Long term or chronic health care: end of life care, palliative care, hospice,
adult day ccare, assisted ilving Right Ans - continuing health care
Who do you refer to when a patient is going home and is no longer able to
perfeorm ADL's. helps get medical equiptment into the home Right Ans -
social worker
CNA's are considered Right Ans - AP- assistive personell
,Support of clien'ts health, wellness, safety, and personal rights, including
privacy Right Ans - advocacy
Willingness to respect obligations and follwo through on promises Right
Ans - respnsibilites
Ability to anser for one's own actoins Right Ans - accountability
Protection of privacy without dimishinga cces to high quality care Right
Ans - confidentiality
The right to make one's own personal decisoins, even when the decisions may
not be in the person's best intereste Right Ans - autonomy
Action that promotes good for others, without any self-interest Right Ans -
beneficence
Fulfillment of promises Right Ans - fidelity
Fairness in care delivery and use of resources Right Ans - justice
A commitment to do no harm Right Ans - nonmaleficence
A commitment to tell the truth Right Ans - veracity
the conduct of one persona makes another person fearful adn apprehensive
(i.e. NG tube threat for a client who refuses to eat) Right Ans - assault
Intentional and wrongful physical contact: infolves injury or offensive contact
Right Ans - battery
A person is confined or restrained against his will Right Ans - false
imprisonment
Providers responsibility for informed consent Right Ans - purpose of
procedure, description, potential harm, pain, discomfort, options for other
treatments, option to refuse
,Clients responsbitiy for informed consent Right Ans - give it voluntairy, be
competnet, legal age to give consent,
Nurses responsibiites for informed consent Right Ans - witness the
informed conset, ensure the client undersnants, notify the provider if the
client has more quetisons, (provider is responsible for giving clarification),
document quesiotns, reinforcmetn of teahcing, and use of an interpreter
Advanced directives: when to ask? Right Ans - upon admission
AND- Right Ans - allow natural death
Who’s job to inform all HC personalle about the client's advance directive?
Right Ans - nurse
Document what data as direct quotes, within quotaion marks or summarize
Right Ans - subjective
Document client's behaviro without judements, or assumptions Right Ans -
objective data
Type of documetation that trends vital signs, blood glucose levels, pain levels
and other assessments Right Ans - flow charts
Type of doucmentation for "story like" manner Right Ans - narrative
documentation
Documentation that uses a standardized form to identify norms and allows
selective documentation of deveiations from those norms Right Ans -
charting by exception documentation
Type of documentation that is organized by problem or diagnosis, consist of a
database, problem list, care plan, progeress notes. I.E. SOAP, PIE< DAR
Right Ans - problem- orientated medical records
TO- needs physician to sign in person within Right Ans - 24 hours
Should an incident report be reported in a client's medical file Right Ans -
NO
, SOAP Right Ans - subjective, objective, assessment, plan
PIE Right Ans - problem, intervention, evaluation
DAR Right Ans - data, action, response
nurses CANNOT delegate these to PNs or APs Right Ans - nursing porcess,
client education or tasks that require nursing judgment
give specific info when delegating example Right Ans - tell them to assist
with shower at 0900 INSTEAD of assist mr martin with morning hygiene
discharge planning starts on Right Ans - admission
one of the first things you should do when admitting a patien Right Ans -
introduce them to thier roommate
family history focus Right Ans - HTN, cancer, heart disease, diabetes
AMA Right Ans - against medical advice
documentation of discharge Right Ans - date and time, how they are
leaving, where they are going, summary of condition, followup, disposistion of
valubles, medications etc
discharge instructions Right Ans - written instrucios, diet, step by step
instruction for home care, precautions, signs and symptoms of what to report,
names and numbers of providers and community sercies to contact, plans for
follwo up and therapies
the absence of illness-producing microorganizims Right Ans - asepsis
alwasy check if the patient has a ___________ allergy before aseptic technique
Right Ans - latex
how much alcohol gel to use? Right Ans - 3-5 ml
have visitors sit _______ feet away from a patient with a cough Right Ans - 3
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