HESI PN FUNDAMENTALS PROCTORED EXAM

HESI PN FUNDAMENTALS PROCTORED EXAM

VERSION 5

1. CHAPTER 1: HEALTH CARE DELIVERY SYSTEMS

• Components of Health care systems
• Participants
• Consumers- clients
• Providers

a. Licensed providers: registered nurses, license practical (or

vocational) nurses (LPN), advanced practice nurses (APN), medical doctors, pharmacists, dentists, dietitians, physical/respiratory/occupational therapists, etc

b. Unlicensed providers: assistive personal

• Settings
• Hospitals, homes, skilled nursing, assisted living, schools, etc
• Regulatory Agencies
• US department of Health and Human Services
• US Food and Drug Administration (FDA)
• State and local public health agencies
• State licensing boards
• Determines laws/regulations that govern nursing in their state
• ensure health care providers and agencies comply with state

regulations

• Issue/revoke nursing license
• Nurses need a license in every state they practice in
• Joint Commission (JCAHO)
• Set quality standards for accreditation of health care facilities
• Professional Standards Review Organizations- monitor health care

services provided

• Healthcare financing Mechanisms
• Public federally funded programs
• Affordable Care Act (Obamacare)
• Increases access to healthcare for all individuals

ii. Decreasing healthcare costs iii. Providing opportunities for uninsured to become insured at an affordable cost 1 / 4

• States Children’s Health Insurance
• Covers uninsured children up to 19 years old at a low cost

to parents

Don’t stop until you are proud c.

MEDICARE MEDICAID

Eligibility: >65 years old OR on

disability for more than 2 years OR have ALS OR on dialysis

Part A: inpatient hospital,

limited skilled nursing care, home health care (hospital insurance)

Part B: outpatient care,

diagnostic services, OT/PT (medical insurance)

Part C: combination of

parts A and B, optional private insurance (Medicare advantage plan)

Part D: prescription drugs

(medications)

Eligibility: low socioeconomic

status, no insurance Federally and state funded Individual states determine eligibility requirements

• Levels of Health Care

Preventativ e Focuses on educating and equipping clients to reduce or control risk factors for disease 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 Tertiary Provision of specialized and highly technical care Restorative Intermediate follow-up care for restoring health and 2 / 4

Radiologic Positions client and performs x rays and other technologist imaging procedures for providers to review for diagnosis of disorders of various body parts Respiratory Evaluates respiratory status and provides promoting self-care Continuing Addresses long-term or chronic health care needs over a period of time

2. CHAPTER 2: THE INTERPROFESSIONAL TEAM

• Interprofessional Personnel (non-nursing)

Spiritual Support Staff Provides spiritual care (pastors, rabbis, priests) Registered Dietitian Assess/plans for/educates regarding nutrition needs Laboratory technician Obtains specimens of body fluids, and performs diagnostic tests Occupational therapist Focuses on patient’s independence and regain activities of daily living (ADL) skills Pharmacist Provides and monitors meds Physical Therapist Focuses on increasing musculoskeletal function (especially lower extremities), to maintain mobility Provider Assess/diagnose/treat diseases or injury, includes doctors, APNs, physician’s assistant Stay Positive, work hard, make it happen

therapist respiratory treatments including oxygen including oxygen therapy, chest physiotherapy, inhalation therapy, and mechanical ventilation Social worker 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 pathologist Evaluates and makes recommendations regarding the impact of disorders or injuries on speech, languages, and swallowing

Ex: patient with dysphagia call speech

pathologist for consult 3 / 4

3. CHAPTER 3: ETHICAL RESPONSIBILITIES

• Ethical Decision Making In Nursing
• Basic principles of ethics
• Advocacy- support of client’s health, wellness, safety, privacy, and

personal rights

• Responsibility- willingness to respect obligations and follow through

on promises

• Accountability- ability to answer for one’s own actions
• Confidentiality- protection of privacy without diminishing access to

high-quality care

• 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) Beneficence Action that promotes good for others, without any self interest Fidelity Fulfillment of promises Justice Fairness in care delivery and use of resources Nonmaleficence A commitment to do no harm Veracity Commitment to tell the truth

• Ethical Dilemma
• 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:

• There is not enough scientific data to solve it

ii. It conflicts between 2 moral imperatives iii. Answer will have a profound effect on the situation and the client

2. When making an ethical decision:

• 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

• / 4