Exam (elaborations)
NR222 Chapter 2 Questions with Solution
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Exam of 7 pages for the course NR222 at NR222 (NR222 Chapter 2)
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NR222 Chapter 2Levels of health care: - answer Primary Care (health promotion),
Preventive Care,
Secondary Acute Care,
Tertiary Care,
Restorative Care,
and continuing Care.
Primary care (health promotion): - answer Examples:
•Diagnosis and treatment of common illnesses
• Ongoing management of chronic health problems
• Prenatal care
• Well-baby care
• Family planning
• Patient-centered medical home
Preventive Care: - answerExample:
• Adult screenings for blood pressure, cholesterol, tobacco use, and cancer
• Pediatric screenings for hearing, vision, autism, and developmental disorders
• HIV screening for adults at higher risk
• Wellness visits
• Immunizations
• Diet counseling
• Mental health counseling and crisis prevention
• Community legislation (seat belts, car seats for children, bike helmets)
Secondary (Acute Care) - answerExamples:
• Urgent care; hospital emergency care
• Acute medical-surgical care: ambulatory care, outpatient surgery, hospital
• Radiological procedures
Tertiary Care
• Highly specialized: intensive care, inpatient psychiatric facilities
• Specialty care (such as neurology, cardiology, rheumatology, dermatology, oncology)
Restorative Care - answerExample:
• Rehabilitation programs (such as cardiovascular, pulmonary, orthopedic)
• Sports medicine
• Spinal cord injury programs
• Home care
Continuing Care - answer• Long-term care: assisted living, nursing centers
• Psychiatric and older-adult day care
, Levels of prevention - answerhealth promotion and disease prevention (primary
prevention),
curing of disease (secondary prevention),
and reducing complications (tertiary prevention)
Health Promotion and Disease Prevention (primary prevention) - answerpreventing
pneumonia through repositioning a patient frequently
Curing of Disease (secondary prevention) - answeradministering antibiotics on time to
treat the pneumonia
Reducing Complications (tertiary prevention) - answerassessing the patient frequently
for signs of antibiotic intolerance
Explain what an integrated health care delivery system (IHCD) is: - answera network of
organizations that provides or arranges to provide a coordinated continuum of services
to a defined population and is willing to be held clinically and fiscally accountable for the
outcomes and health status of the population served
Identify the core mission of hospitals across the country: - answerdelivering the right
care, at the right time, in the right setting
Acute Care Facilities - answera. Intensive care units
b. Mental health facilities
Intensive care units - answerpatients receive close monitoring and intensive medical
care; the health care providers need to have specialized knowledge and skills
Mental health facilities - answerpatients with emotional and behavioral problems receive
special counseling and treatment.
To improve care for patients residing in rural areas, rural hospitals are expected to: -
answera. Improve access to services, including urgent care services, and to meet
unmet health needs in isolated rural communities.
b. Engage rural communities in developing rural health care systems.
c. Develop collaborative delivery systems in rural communities as the hubs of rural
health care.
d. Create protocols for coordinating care transition by aligning urban health care
systems.
e. Be the subject matter experts and coordinators for the health care environment of
providers, patients, and staff.
Define what discharge planning is: - answera coordinated, interprofessional process
that develops a plan for continuing care after a patient leaves a health care agency
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