Key: - Motivational quotes f ATI FUNDAMENTALS EXAM 1. CHAPTER 1: HEALTH CARE DELIVERY SYSTEMS A. Components of Health care systems a. Participants 2. Providers advanced practice nurses (APN), medical doctors, pharmacists, dentists, dietitians, physical/respiratory/occupational therapists, etc b. Unlicensed providers: assistive personal f f f b. Settings c. Regulatory Agencies f 1. US department of Health and Human Services 2. US Food and Drug Administration (FDA) 3. State and local public health agencies 4. State licensing boards a. Determines laws/regulations that govern nursing in their state f f f f f f f b. ensure health care providers and agencies comply with state regulations c. Issue/revoke nursing license f f i. Nurses need a license in every state they practice in 5. Joint Commission (JCAHO) a. Set quality standards for accreditation of health care facilities 6. Professional Standards Review Organizations- monitor health care services provided d. Healthcare financing Mechanismsf f 1. Public federally funded programs a. Affordable Care Act (Obamacare) f f f i. Increases access to healthcare for all individuals f f f f f f ii. Decreasing f f healthcare f f costs b. States Children’s Health Insurance f f f i. Covers uninsured children up to 19 years old at a low cost to parents , Don’t stop until you are proud f f f f f c. for more than 2 years OR have ALS OR on dialysis Part A: inpatient hospital, limited skilled health care (hospital insurance) f Part B: outpatient care, diagnostic services, OT/PT (medical insurance) Part C: combination of parts A and B, optional private insurance (Medicare advantage plan) f f Part D: prescription drugs f f f (medications) e. Levels of Health Care Preventati Focuses on educating and equipping clients to reduce or control risk ve Primary Emphasizes health promotion and includes prenatal, well-baby care, family planning, nutrition counseling, disease control Secondary Diagnosis and treatment of acute illness and injury f f f f f f f Tertiary Provision of specialized and highly technical care f f f f f f Restorativ Intermediate follow-up care for restoring health and promoting self- f f f f f f f f e Continuing Addresses long-term or chronic health care needs over a period of ftime 2. CHAPTER 2: THE INTERPROFESSIONAL TEAM A. Interprofessional Personnel (non-nursing) Spiritual Support f Provides spiritual care (pastors, rabbis, priests) f f f f f Staff Registered Dietitian f Assess/plans for/educates regarding nutrition needs f f f f Laboratory Obtains specimens of body fluids, and performs diagnostic tests technician Occupational Focuses on patient’s independence and regain activities of daily living therapist 2 StayPositive,workhard,makeithappen , Pharmacist Provides and monitors meds f f f Physical Therapist f Focuses on increasing musculoskeletal function (especially lower extremities), to maintain mobility Provider Assess/diagnose/treat diseases or injury, includes doctors, APNs, f f f f f f physician’s assistant Radiologic Positions client and performs x rays and other imaging procedures for technologist providers to review for diagnosis of disorders of various body parts f f f f f f f f f f Respiratory Evaluates respiratory status and provides respiratory treatments f f f f f f therapist inhalation therapy, and mechanical ventilation f f f f Social worker f Works with clients and families by coordinating inpatient and community resources to meet psychosocial and environmental needs that are necessary for recovery and discharge Speech-language Evaluates and makes recommendations regarding the impact of disorders f f f f f f f f pathologist Ex: patient with dysphagia call speech pathologist for consult 3. CHAPTER 3: ETHICAL RESPONSIBILITIES A. Ethical Decision Making In Nursing a. Basic principles of ethics 1. Advocacy- support of client’s health, wellness, safety, privacy, and personal rights 2. Responsibility- willingness to respect obligations and follow through on promises 3. Accountability- ability to answer for one’s own actions f f f f f f f 4. Confidentiality- protection of privacy without diminishing access to high-quality care b. Ethical Principles for client care Autonomy The right to make one’s own personal decisions, even when those decisions might not be in that person’s best interest (ex: Jehovah’s witness- blood transfusion) f f Beneficence Action that promotes good for others, without any self interest Fidelity Fulfillment of promises f f Justice Fairness in care delivery and use of resources Nonmaleficence A commitment to do no harm Veracity Commitment to tell the truth f f f f c. Ethical Dilemma f 1. Problems that involve more than one choice and stem from differences in values and beliefs of the decision maker a. A problem is an ethical dilemma when: i. There is not enough scientific data to solve it ii. It conflicts between 2 moral imperatives 3 , iii. Answer will have a profound effect on the situation and the client 2. When making an ethical decision: f f f f a. Identify if the issue is an ethical dilemma, gather as much relevant info as possible, reflect on own values, list and analyze all possible options, select correct option, apply it to situation f Don’t stress. Do your best. Forget the rest. f f f f f f f 4. LEGAL RESPONSIBILITIES A. Sources of Law a. Federal regulations f 1. Health Insurance Portability and Accountability Act (HIPPA) 2. Americans with Disabilities Act (ADA) f f f f 3. Mental Health Parity Act (MHPA) f f f f 4. Patient Self-Determination Act (PSDA) f f f b. Criminal and civil laws f f f 1. Criminal law- relates to the relationship between an individual and the government 2. Civil law- protect individual rights (ex: tort law) c. State laws f d. Licensure a. Unintentional torts f 1. Negligence b. 5 elements necessary to prove negligence i. Duty to provide care as defined by a standard ii. Breach of duty by failure to meet standard iii. Foreseeability of harm f f iv. Breach of duty has potential to cause harm v. Harm occurs f 2. malpractice 4
5/3/19 - Most likely on test f f f
f f
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f f f f
1. Consumers- clients f
a. Licensed providers: registered nurses, license practical (or vocational) nurses (LPN),
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1. Hospitals, homes, skilled nursing, assisted living, schools, etc
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iii. Providing opportunities for uninsured to become insured at an affordable cost
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MEDICARE MEDICAID
Eligibility: >65 years old OR on disability f f f f f f Eligibility: low socioeconomic status, no f f f f
f f f f f f f f f f insurance
f
f
Federally and state funded f f f
f f f f Individual states determine eligibility
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f nursing care, home f f requirements
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f factors for disease
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f care
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f (ADL) skills
f f
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f f f f f f f f f f
f including oxygen including oxygen therapy, chest physiotherapy,
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f or injuries on speech, languages, and swallowing
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f f f f f f f
B. Types of Torts
f f
a. nurse fails to implements safety measured for a client at risk for falls (ex: bed alarm)
f f f f f f f f f f f f f f f
f f f f f
f f f f f f f f
f f f f f f f
f f f f f f f
NUR 206_ATI FUNDAMENTALS EXAM, Chapters 1 to 58 | Complete Latest Summer 2023 pass guide. (2025)
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