HCA UNIT 3

1. The nurse is observing a healing ceremony performed by people of the American Indian culture. What is a characteristic of this ceremony? 

 a. Sound 

b. Quiet 

c. Herbal teas 

d. Hallucinogenic plants

2. A patient of the American Indian culture tells the nurse that the medicine man is consulted when an illness develops. How does a person become a medicine man? 

 a. Know the interrelationships between people, the earth, and the universe 

b. Understand the ways of plants and animals 

c. Perform special ceremonies 

d. All of the above.

3. What is the difference between the modern physician and the medicine man when determining the cause of an illness? 

 a. The medicine man looks for the physical cause of the problem 

b. The medicine man looks for the spiritual cause of the problem 

 c. The medicine man studies the patient’s past medical history to determine the cause of the illness

 d. The medicine man studies the dietary practices of the person being seen

4. In which American Indian tribe are meditation and herbs used to create a trance to provide the vision of the evil that causes an illness?

 a. Hopi 

b. Sioux

 c. Navajo

 d. Cherokee

5. Which Navajo American Indian divination method will women practice to diagnose the cause of a disease? 

 a. Singing

 b. Listening 

c. Motion in the hand  

d. Stargazing

6. What is the purpose of sand paintings when diagnosing illness in the Navajo American Indian culture? 

 a. Creates symbolic representations of the client and family

 b. Ensures that appropriate payment is made by the family 

c. Provides an atmosphere of calm for the medicine man

 d. Determines the cause and treatment of the illness 

7. The nurse is conducting a medication history with a patient from the Oneida American Indian culture. Which remedies would the nurse include as part of this history? 

 a. Witch hazel 

b. Comfrey 

c. Skunk oil 

d. All of the above.

8. A patient that is of the American Indian culture is waiting to be seen in a non-Indian Health Service facility. What concern might this patient have about receiving health care through this route? 

 a. Conflict between his or her perception of the illness and what the physician diagnoses 

 b. Easier to receive medical care through emergency departments rather than private physicians

 c. Receive better health care from mainstream medical services 

d. Concern that medical insurance won’t cover all the medical costs 

9. Which action would the nurse take when assessing a patient of American Indian culture? 

 a. Remaining quiet and recognizing the importance of nonverbal communication to seek            information

 b. Asking detailed questions regarding the presenting symptoms

 c. Asking indirect questions about the reason for seeking health care 

 d. Ensuring that no one beyond the medical provider and the client discuss what has brought the client to seek care

10. Which is a concept of holism in traditional Chinese medicine? 

 a. Integration of the body with the external environment 

b. Energy fields that create health or disease  

c. Local pathology as separate from the body 

d. Harmonic balance that creates illness

11. Which action would a patient, who practices Ayurvedic medicine, take to reestablish harmony       and balance in the body? 

 a. Sit in the sun 

b. Speak to a doctor 

c. Yoga

 d. Ingest a substance to cleanse the body of substances that cause disease

12. The nurse is planning care for a group of community members who follow Ayurveda medicine.       What beliefs about this form of health care would the nurse need to keep in mind while  planning this care? 

 a. All things in the universe are joined together.

 b. Human beings contain elements that can be found in the universe.

 c. All people are born in a state of balance. 

d. All of the above.

13. A patient of the Asian culture tells the nurse that an alteration in yin and yang will lead to       disease. Which variable can affect the body’s yin and yang? 

 a. Clothing 

b. The weather  

c. Social class 

d. Improper food preparation

14. Why does the Chinese physician focus on palpating a patient’s pulse? 

 a. It is considered the storehouse of the blood. 

b. It indicates a specific treatment. 

c. It can help to cure a patient. 

d. It determines the time of death.

15. A belief of Ayurvedic medicine is the concept of doshas. What is a characteristic of this concept?

 

 a. Combine space and air to control nutritional preferences 

b. Blend fire and water to balance mental capacities 

c. Are constantly formed and reformed by food, activity, and bodily processes  

d. Use water and earth to regulate hormonal balance 

16. While assessing the health history of a patient who is an Asian/Pacific Islander, what will the       nurse identify as a leading cause of death for people from this culture? 

 a. Malignant neoplasms 

 b. Influenza and pneumonia 

c. Alzheimer’s disease 

d. Chronic lower respiratory diseases 

17. Why does poor health continue to occur among immigrant Asian populations?

 a. Poor working environments and crowded living conditions 

b. Refusal of Western medicine to treat Asian immigrants 

c. Inability to tolerate Western medications

 d. Low number of health care workers of Asian origin

18. How would a patient from the Black culture treat poison ivy? 

 a. Sprinkling crushed bluestone powder on the affected area  

b. Placing a mixture of garlic, onions, and parsley on the site 

c. Placing clay in a dark leaf over the affected area 

d. Rubbing Vicks Vaporub on the area 

19. In the Black culture, what would be used to treat colds? 

 a. Sassafras tea 

b. Hot lemon water with honey 

c. Hot toddy made of tea, honey, lemon, peppermint, and alcohol 

d. All of the above.

20. Why are folk remedies still used today in the Black community?

 

 a. Tradition of quality care and treatment by healers  

b. Acknowledgement of the African heritage  

c. Rituals associated with folk remedies 

d. Close proximity of hospitals in the community

21. What would be a benefit of following the African food tradition of geophagy?

 a. Dirt is high in calcium 

b. Pica is an accepted cultural practice 

c. Red clay is rich in iron 

d. Starch is sweet and dry

22. For which reasons might a patient of the Black culture and of the Muslin religion refuse insulin to treat diabetes mellitus? 

 a. Because any injectable medication is forbidden

 b. If it has a pork base  

c. Because it implies the person has not led a holy life 

d. During Ramadan 

23. Which is a health statistic of significance to Black or African Americans when compared to all        races? 

 a. A lower incidence of breast cancer 

 b. Lower percentages of low birth weight infants 

c. A lower crude birth rate

 d. Lower male death rates from homicide 

24. Who does the nurse recognize as being the leading authority figure within the Black familial       structure?

 

 a. Female 

b. Minister 

c. Male 

d. Oldest adult child 

25. Why would some patients of the Black culture resent using health clinics for care? 

 a. Prescription medications are given out only to those seen first. 

b. Cheaper accessible health care is regarded as demeaning. 

c. A day’s work may be lost in waiting to be seen by a physician. 

d. There are not enough clinics to focus on Black health problems.

Part ONE 

In Unit VIII, you are required to submit a management action plan (MAP). Instructions for this assignment can be found by viewing the Unit VIII assignment instructions below. Additionally, you can click here to view an example of a completed MAP. Your MAP can be either a “real-world” management problem within your own healthcare organization or one of the scenarios shown below. For this assignment, please present a one-paragraph summary of the problem to your instructor for approval by submitting it here in Blackboard. Your paragraph will describe the scenario as well as the reason why you believe a MAP is warranted for this scenario. Deciding on for-profit, not-for-profit, or public status for your hospital Managing third-party payer relationships in health care Implementing Healthy People 2020 standards in your community Implementing evidence-based medicine in your hospital Implementing CMS quality initiatives in your hospital Developing a workplace safety plan for your hospital Implementing telehealth services in your facility Conducting a complete risk assessment for your facility Developing an accountable care organization for your organization Developing a marketing plan for your healthcare facility

PART 2

QUESTION 1.  What are the key financial differences among for-profit, not-for-profit, and public healthcare facilities?

Your response must be at least 200 words in length.

QUESTION 2. Explain how case mix and occupancy rate can be used to help balance the budget of a healthcare facility.

Your response must be at least 200 words in length.

QUESTION 3. Discuss the CMS Quality Initiatives that are underway at this time. Do you support these initiatives? Why, or why not? How do you feel these initiatives will affect patient care?

Your response must be at least 200 words in length.

QUESTIONS4. Based upon your learning from this unit, and also from your own experience, what do you consider to be the most important steps that a healthcare administrator should take to ensure the financial stability of his or her medical facility today? In addition, what do you consider to be the most important steps that a healthcare administrator should take to ensure the quality of care received at his or her medical facility today? Be sure to include information regarding the process involved in checking the credentials of physicians and other healthcare providers in the facility.

Your response must be at least 200 words in length.

create a PowerPoint 8 slides presentation for expectant fathers on what to expect during pregnancy and childbirth. For example, what changes can the father expect in his partner? What changes does the baby undergo during each trimester? Why are health and nutrition so important during pregnancy? What will the newborn look like? How can the father support the mother during pregnancy and childbirth, and why is social support important for both mother and baby?

Complete the preliminary care coordination plan you developed in Assessment 1. Present the plan to the patient in a face-to-face clinical learning session and collaborate with the patient in evaluating session outcomes and addressing possible revisions to the plan                                                                                     Care coordination is the process of providing a smooth and seamless transition of care as part of the health continuum. Nurses must be aware of community resources, ethical considerations, policy issues, cultural norms, safety, and the physiological needs of patients. Nurses play a key role in providing the necessary knowledge and communication to ensure seamless transitions of care. They draw upon evidence-based practices to promote health and disease prevention to create a safe environment conducive to improving and maintaining the health of individuals, families, or aggregates within a community. When provided with a plan and the resources to achieve and maintain optimal health, patients benefit from a safe environment conducive to healing and a better quality of life.

This assessment provides an opportunity for you to apply communication, teaching, and learning best practices to the presentation of a care coordination plan to the patient. Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria: Competency 1: Adapt care based on patient-centered and person-focused factors.  Design patient-centered health interventions and timelines for care. Competency 2: Collaborate with patients and family to achieve desired outcomes.  Evaluate learning session outcomes and the attainment of mutually agreed-upon health goals, in collaboration with a patient. Competency 3: Create a satisfying patient experience.  Evaluate patient satisfaction with the care coordination plan and progress made toward Healthy People 2020 goals and leading health indicators. Competency 4: Defend decisions based on the code of ethics for nursing.  Make ethical decisions in designing patient-centered health interventions. Competency 5: Explain how health care policies affect patient-centered care.  Identify relevant health policy implications for the coordination and continuum of care. Preparation

In this assessment, you will complete the preliminary care coordination plan you developed in Assessment 1 and communicate the plan to the patient in a professional, culturally sensitive, and ethical manner.

To prepare for the assessment, consider the patient experience and how you will present the plan. Make sure you schedule time accordingly.

Note: Remember that you can submit all, or a portion of, your plan to Smarthinking Tutoring for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback. Instructions

Note: You are required to complete Assessment 1 before this assessment.

For this assessment: Complete the preliminary care coordination plan you developed in Assessment 1. Present the plan to the patient in a face-to-face clinical learning session. Communicate in a professional, culturally sensitive, and ethical manner. Collaborate with the patient in evaluating session outcomes and addressing possible revisions to the plan.

Reminder: The time you spend presenting your final care coordination plan must be logged in the CORE ELMS system. The total time spent in securing individual participation in this activity in Assessment 1 and presenting your plan in this assessment must be at least three hours. The CORE ELMS link is located in the courseroom navigation menu. Document Format and Length

Build on the preliminary plan document you created in Assessment 1. Your final plan should be 5–7 pages in length. Supporting Evidence

Support your care coordination plan with peer-reviewed articles, course study resources, and Healthy People 2020 resources. Cite at least three credible sources. Grading Requirements

The requirements, outlined below, correspond to the grading criteria in the Final Care Coordination Plan Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. Design patient-centered health interventions and timelines for care.  Address three patient health issues. Design an intervention for each health issue. Identify three community resources for each health intervention, so the patient may make an informed decision about what resources to use. Make ethical decisions in designing patient-centered health interventions.  Consider the practical effects of specific decisions. Include the ethical questions that generate uncertainty about the decisions you have made. Identify relevant health policy implications for the coordination and continuum of care.  Cite specific health policy provisions. Evaluate learning session outcomes and the attainment of mutually agreed-upon health goals, in collaboration with the patient.  What aspects of the session would you change? How might revisions to the plan improve future outcomes? Evaluate patient satisfaction with the care coordination plan and progress made toward Healthy People 2020 goals and leading health indicators.  What changes would you recommend to improve patient satisfaction and better align the session with Healthy People 2020 goals and leading health indicators?