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FINAL EXAM REYES
foundations of practical nursing
581
Nursing
Not Applicable
09/04/2013

Additional Nursing Flashcards

 


 

Cards

Term
3 types of physical assessments
Definition
1. complete assesment
2. daily assessment
3. focused assesment of body part
Term
who completes a "complete assessment"
Definition
RN
Term
when ___________ the client, always explain the reason, when/where, what will happen, assist as needed, ask to empty bladder, collect sample if needed, continuously reassure, be specific about taking clothing off for gown
Definition
preparing
Term
when ___________ the patient, take into account the patients age, physical condition, energy level, ROM limitations
Definition
positioning
Term
most accessible positions
Definition
prone and supine
Term
_______ assessment includes: head to toe assessment, healthh history, level of activity/functioning
Definition
complete
Term
__________ assessment usually not done by an lpn
Definition
complete
Term
_____ may be delegated tasks such as these: inventory of personal property, allergies, medication list, dietary habits, past medical history, fall risk assessment, info related to impairments and disability
Definition
lpn
Term
conducted at the beginning and end of each shift; can be performed by rn; includes head to to systematic/efficient; energy level, fewest position changes, modified for different ages, general or specific
Definition
focused assessment
Term
when you enter the room, _______ begins
Definition
assessment
Term
important in ___________ assessment: LOC, alert, lethargic, sedated, or unconscious
Definition
neurologic
Term
orientation x ____
Definition
4
Term
person, place, time, incident =
Definition
orientation x4
Term
how to check _______ response: speech is clear, appropriate, slurred, incoherent, dysphagia, or aphasia (no speech)
Definition
verbal
Term
how to check _________ response: squeeze both fingers; equal bilaterally, grips, flexion/extension
Definition
motor
Term
how to assess _________: description; sharp, dull, burning, non-existant, scale 0-10
Definition
pain
Term
pupils are normally ___-___ mL in diameter
Definition
2-3
Term
PERRLA
Definition
Pupils are Equal, Round, React to Light and Accommodate
Term
when you hold a piece of paper up and you can see something written behind it but paper loses focus, and then look at paper and written thing loses focus
Definition
accommodation
Term
light makes the pupil ______
Definition
smaller/constrict
Term
darkness makes the pupil ________
Definition
dilate/widen
Term
temperature, pulse, respirations, bloodpressure, and pulse oximetery (and pain) are all __________ ________
Definition
vital signs
Term
always record _______ and ________ at the same time each day and use the same, appropriate equipment.
Definition
weight, height
Term
why might tattoos/piercings swell
Definition
hepatitis, infection, allergy
Term
pinching the skin to check for hydration
Definition
skin turgor
Term
normal pulse rate
Definition
60-100 beats/min (resting)
Term
what is a bilateral pulse
Definition
means that the pulse rate should be the same throughout the whole body
Term
pulse is usually taken ______ or _________
Definition
apically, radially
Term
lub-dub = how many beats
Definition
1 beat
Term
instrument used to listen to internal sounds in the body
Definition
stethoscope
Term
thready pulse
Definition
you can barely feel it
Term
Pulse amplitude 0-4
Definition
0- absent
1- thready
2- weak
3- normal
4- bounding
Term
strong visible pulse that is difficult to stop with pressure
Definition
bounding pulse
Term
what is edema
Definition
swelling
Term
edema is a sign that the ________ may be beginning to fail
Definition
heart
Term
how to display capillary refill
Definition
pushing the nail beds...white/pink
Term
way to test for capillary refill; frowned upon; may cause deep vein thrombosis
Definition
hohman's sign
Term
difference between thrombosis and embolus blood clots
Definition
thrombus is stationary
embolus moves
Term
fast breathing; more than 24 breaths per minute
Definition
tachypnea
Term
slow breathing; less than 10 breaths per min
Definition
bradypnea
Term
difficulty breathing;
Definition
dyspnea
Term
no breathing
Definition
apnea
Term
measures oxygen saturation at the capillary level
Definition
pulse oximetry
Term
pulse oximetry normal level
Definition
95%-100%
Term
life threatening pulse oximetry
Definition
below 70%
Term
always ___________ before you ____________ the abdomen
Definition
auscultate, palpate
Term
when muscles in the abdomen cease to hold the intestines back and the abdomen is distende
Definition
hernia
Term
what quadrant for appendicitis
Definition
right lower quadrant
Term
___________ in old people can be a sign of constipation
Definition
diarrhea
Term
active rom
Definition
perform their own
Term
passive rom
Definition
need assistance
Term
yellowing of skin
Definition
jaundice
Term
jaundice caused by the
Definition
liver
Term
jaundice of the eyes
Definition
sclera icteric
Term
jaundice most common in
Definition
infants
Term
newborns with increased pigmentation in sacral area
Definition
mongolian spots
Term
newborns with tiny whiteheads on the face and nose
Definition
milia
Term
soft spots on baby head
Definition
fontanels
Term
where to assess infant respirations
Definition
abdomen
Term
sway back known as
Definition
lordosis
Term
hunchback known as
Definition
kyphosis
Term
medical term for "hearing loss"
Definition
presbycusis
Term
_________ fontanel closes at 8 weeks
Definition
posterior
Term
____________ fontanel closes at 18 weeks
Definition
anterior
Term
voluntary head control by ____ months
Definition
6
Term
top of ears line with (BOTTOM/TOP) of eyes
Definition
bottom
Term
__________ of feet up to age 2 1/2 years old
Definition
pronation
Term
may be expressed after 1st trimester; milk
Definition
colostrum
Term
paralysis of the lower extremities
Definition
paraplegia
Term
paralysis of half of the body (right or left side); stroke side effect
Definition
hemiplegia
Term
muscle weakness
Definition
muscular distrophy
Term
ability to perceive environmental stimuli and body reactions
Definition
cognitive awareness
Term
means "no speech"
Definition
aphasia
Term
burn from hot liquid or vapor
Definition
scald
Term
excessive exposure to thermal, chemical, electrical, or radioactive heat
Definition
burn
Term
partial thickness burn
Definition
1st and 2nd degree
Term
full thickness burn
Definition
3rd and 4th degree
Term
1st degree burn
Definition
red
Term
2nd degree burn
Definition
blister
Term
3rd degree burn
Definition
no feeling; damaged nerves
Term
usually occurs from electrical equipment malfunctions (in medical institutions)
Definition
fire
Term
pressurized water fire extinguisher; used for paper, cloth, wood (NEVER USED FOR GREASE FIRES)
Definition
CLASS A FIRE EXTINGUISHER
Term
carbon dioxide fire extinguisher; used for flammable liquids (i.e. gasoline, oil, paint grease, gases
Definition
CLASS B FIRE EXTINGUISHER
Term
dry chemical fire extinguisher; used for electrical fires (computer labs), burning liquids; Chemical is NONCONDUCTING
Definition
CLASS C FIRE EXTINGUISHER
Term
graphite-type chemical fire extinguisher; used for all types of fires; leaves a residue that can be irritating to skin/eyes
Definition
CLASS ABC FIRE EXTINGUISHER
Term
PASS
Definition
Pull the pin
Aim at the edge of fire
Squeeze the handle to discharge
Sweep from side to side
Term
RACE
Definition
Rescue patients in immediate danger
Alarm- Pull it!
Contain the fire
Extinguish or Escape the fire
Term
T or F: Everyone uses the stairs during evacuation plan.
Definition
true
Term
practice evacuation plan at least ___ per year
Definition
twice
Term
poison control center phone number
Definition
1-800-222-1222
Term
carbon monoxide
Definition
the "silent" killer; furnaces/heaters, CO detectors are low to the floor
Term
leading cause of injury among older adults
Definition
falls
Term
fall risk assessment is made on admission and with changes in condition (T or F)
Definition
true
Term
suffocation
Definition
asphyxiation
Term
lack of oxygen caused by interuption in breathing
Definition
asphyxiation
Term
FBAO
Definition
foreign body airway obstruction
Term
all equipment must be properly grounded: this means they must have _____-________ plugs
Definition
3-prong
Term
overexposure to radioactive material used in diagnostic or therapeutic procedures
Definition
radiations
Term
continuous radiation that involves a live video
Definition
flouroscopy
Term
protection for nurses during xray
Definition
lead apron
Term
OSHA
Definition
occupational safety and health administration
Term
ensures needless systems and assistive devices
Definition
OSHA
Term
OSHA's 2 standards for infectious waste:
Definition
bloodborne pathogens
occupational exposure to tuberculosis (tb)
Term
T or F- It is "okay" to make a bed at the facility like we do at home, lying the sheets on the floor, and pressing them against us as we take them to the laundry basket.
Definition
false: handle linens as little as possible
Term
MSDS
Definition
material safety data sheets
Term
used for every hazardous chemical in institution; provides product name and chemical info, precautions for handling, instructions for safe use, procedures for spills, emergency first aid, and a 24-hr hotline phone number
Definition
Material safety data sheets
Term
3 types of disaster plans
Definition
external
internal
external/internal
Term
disaster plan that deals with events outside of the facility that cause a large amount of victims; ie plane/bus/train crash
Definition
external disaster plan
Term
disaster plan that deals with events within the facility that involves a large amount of victims; ie explosion, infection, fire
Definition
internal disaster plan
Term
disaster plan that deals with events inside and outside of the facility that cause a large amount of deaths; ie, tornado/hurricane/flashflood/fire
Definition
internal/external disaster plan
Term
disaster plan should have atleast ____ days of food and water for each person
Definition
3
Term
volunteer organization that ensures hometown security during local and national disasters; includes medical personnel, clergy, attorneys, etc.
Definition
medical reserve corps
Term
method of prioritizing victims according to their need for care
Definition
triage
Term
red triage
Definition
most severe; uncontrollable bleeding, major wounds, salvageable
Term
yellow triage
Definition
significant; no ambulation- can wait
Term
green triage
Definition
walking; wounded; stable
Term
black triage
Definition
deceased
Term
when can you legally stop cpr?
Definition
when someone relieves you
when you are physically exhausted
Term
where are reassignments made?
Definition
command center
Term
code pink usually means
Definition
child abduction
Term
protective devices used to limit the physical activity of a client or a part of the client's body
Definition
restraint
Term
restraints can be
Definition
physical or chemical
Term
t/f: restraints are applied as a last resort
Definition
true
Term
physician's order for restraint must include:
Definition
type of restraint and how long it will be used
Term
safe efficient use of the body to move objects and carry out activities of daily living
Definition
body mechanics
Term
widening base of support and lowering center of gravity means better _________ ________
Definition
body balance
Term
connects bone to bone
Definition
ligament
Term
connects muscle to bone
Definition
tendon
Term
ligament injury
Definition
sprain
Term
muscle injury
Definition
strain
Term
most common injury in health care worker
Definition
lower back injury
Term
proper way to lift
Definition
hold object close to body,
wide base of support,
bed at knees - not the waist
Term
more control occurs when you ______ an object DIRECTLY toward you than when you _________ an object away from you
Definition
pull, push
Term
runny nose
Definition
rhinorrhea
Term
patients have the right to
Definition
participate in own care,
accept/refuse medical/surgical treatment
prepare advance directive
information about provider of care
Term
two types of advanced directives
Definition
living will
DPOA- durable power of attorney
Term
describes type of treatment desired by the patient as well as the undesired treatment
Definition
advanced directive
Term
describes the medical treatment of life-sustaining treatments the person would want if seriously or terminally ill
Definition
living will
Term
t/f: attorney is required for living will
Definition
false! Not required!
Term
DPOA
Definition
durable power of attorney
Term
names a health care proxy (18+ yrs old) to make medical decisions in the event the patient is not able to decide for themselves
Definition
DPOA durable power of attorney
Term
t/f: living will considered more useful than DPOA
Definition
false- dpoa more useful
Term
DNR
Definition
do not resuscitate
Term
DNH
Definition
DO NOT HOSPITALIZE
Term
DNR must be written on yellow official form t/f
Definition
true
Term
t/f: the physician must pronounce the patient deceased and document this status before the nurse can discontinue life support
Definition
true
Term
physician provides means of death
Definition
physician assisted suicide
Term
t/f: in physician assisted suicide, the doctor administers lethal dose of medication
Definition
false! patient!
Term
palliative care
Definition
comfort measures; end of life care
Term
person who delivers emergency care in good faith at the scene of an accident is immune from civil liability while providing care UNLESS
Definition
They abandon the scene,
accept payment
Term
tiny liviing bodies visible only with a microscope present in the environment, body surfaces, mouth, and respiratory, intestinal, urinary, and vaginal tracts
Definition
microorganisms
Term
microorganisms that perform essential functions of the body; first line of protection against infection
Definition
normal flora
Term
types of microorganisms
Definition
bacteria, virus, fungi,parasite
Term
most common type of disease-causing microorganism
Definition
bacteria
Term
microorganism with NO NUCLEI
Definition
bacteria
Term
two specific types of bacteria
Definition
aerobic/anaerobic
Term
smallest of pathogens; invade the cell and change its dna and rna
Definition
virus
Term
microorganism that does not respond to antibiotics
Definition
virus
Term
common cold
Definition
rhinovirus
Term
plant organism; yeast or mold; eat tissue on or near skin
Definition
fungi
Term
ex. of fungi
Definition
yeast infection, athletes foot
Term
athletes foot
Definition
tinea pedis
Term
live on other organisms; totally dependent on host to survive
Definition
parasite
Term
invasion of the body by a disease causing organism or an infectious agent
Definition
infection
Term
microorganism that causes disease
Definition
pathogen
Term
thrives when system is compromised; ie aids
Definition
opportunistic pathogen
Term
microorganisms ability to live inside and outside of the body (aggressiveness)
Definition
virulence
Term
disease that is spread directly or indirectly; it can spread
Definition
communicable disease
Term
insect or item that can transmit disease
Definition
vector
Term
international organization that protects world populations from communicable disease
Definition
world health organization WHO
Term
agency charged with protecting usa from disease and spread of diseases; located in atlanta GA
Definition
centers for disease control and prevention CDC
Term
microorganism remains within a specific part of the body (type of infection)
Definition
local
Term
type of infection that spreads to other parts of the body; everywhere! Blood! bacteremia!
Definition
systemic
Term
spreads to all parts of the body (infection)
Definition
septicemia
Term
acute vs. chronic infection
Definition
sudden short acting vs. slow onset, long lasting, returning
Term
infection that was acquired within a healthcare setting
Definition
healthcare associated infection (nosocomial infection)
Term
infection directly caused by a healthcare provider
Definition
Iatrogenic infection
Term
Links in chain of infection
Definition
1. Pathogenic Agent
2. Carrier
3. Resevoir
4. Portal of Exit
5. Transmission
6. Portal of entry
Term
source of infection; first link
Definition
parthogenic/etiologic agent
Term
carries and can spread infection to others
Definition
carrier
Term
where microorganism lives before it infects
Definition
resevoir
Term
way by which microorganisms leave the resevoir
Definition
portal of exit
Term
way microorganism is transmitted to the host
Definition
transmission
Term
inanimate object; toy; cooking utensil; anything that is contaminated!!!
Definition
fomite
Term
transmission can be via:
Definition
direct contact
indirect contact
airborne
droplet
Term
way microorganism gets into the body
Definition
portal of entry
Term
person with compromised immune response
Definition
susceptible host
Term
t/f: all six links in chain must connect for an infection to occur
Definition
true
Term
t/f: failure to perform appropriate hand hygiene is the leading cause of healthcare associated infections and spread drug resistant organisms
Definition
true
Term
hormone that regulates blood pressure, immune function, glucose metabolism
Definition
cortisol
Term
small increases of cortisol
Definition
increased energy levels, immunity, memory, lower sensitivity to pain
Term
prolonged elevation of cortisol
Definition
low energy, immunity, groggy memory, high sensitivity to pain
Term
t/f: nutrition is important for infection resistance
Definition
true
Term
t/f: medical therapies may contribute to decreased immune system
Definition
true
Term
resistance to infection by the body
Definition
immunity
Term
body produces own antibodies
Definition
active immunity
Term
antibodies passed down from parents
Definition
passive immunity
Term
local reaction of tissues when exposed to injury or infections
Definition
inflammatory response
Term
primary signs of inflammation
Definition
pain
swelling
redness
heat
weakened function
Term
3 stages of inflammatory response
Definition
vascular and cellular response
exudate production
reparative phase
Term
these are all examples of ____________ issues

in vitro fertilization, artificial insemination, surrogate motherhood, cloning, organ donation, stem cell research, abortion, and advance directives
Definition
ethical
Term
a system of standards or moral principles that direct actions as being right or wrong
Definition
ethics
Term
deal with right or wrong behavior (conduct) or character
Definition
morals
Term
the worth you assign to an idea or action; freely chosen and affected by age and maturity
Definition
values
Term
the values and ethical principles governing nursing practice, conduct and relationships
Definition
nursing ethics
Term
defends choices in behavior and actions you take as a nurse, they are the laws that govern nursing practice
Definition
the nurse practice act
Term
florida statutes are located on these two pages in the florida board of nursing practice act
Definition
ch.. 464
ch. 64b9
Term
you must always follow the ________; no matter what your personal beliefs may be.
Definition
law
Term
always present statement of objection to employer ______ starting your employment
Definition
before
Term
personal ethics and nursing ethics are (DIFFERENT/THESAME)
Definition
different
Term
all patients must be cared for _______
Definition
equally
Term
evolution of nursing ethics; the nurses purpose WAS:
Definition
to follow physician's orders; advocacy was more for physician than for patient
Term
evolution of nursing ethics; the nurses purpose NOW involves
Definition
critical thinking; patient advocacy; encouraging patients to become involved with their care and assisting them in doing so
Term
issues the ethics committee deals with
Definition
multidisciplinary, religious, and cultural issues
Term
freedom to choose
Definition
individual autonomy
Term
consent or refuse treatments; cannot speak for others
Definition
individual rights
Term
keeping the patient informed; support and teaching done by RN or physician; answer questions; support patient decisions
Definition
patient advocacy
Term
the ___________ is accountable to:
themselves, the patient, the Rn, the physician, the instructor, institution, nursing standards
Definition
lpn student
Term
reporting peers if they are displaying potentially harmful behaviors; ie impaired, theft, patient abuse, asking peers to cover mistakes
Definition
peer reporting
Term
these are the _________________ ___ _______:
nonmaleficence, beneficence, autonomy, fidelity, and justice
Definition
principles of ethics
Term
do no harm
Definition
nonmaleficence
Term
do good
Definition
beneficence
Term
free to choose
Definition
autonomy
Term
be true
Definition
fidelity
Term
fair to all
Definition
justice
Term
rule of 6 for medications
Definition
Plz MR, DidnT Do (it)
patient, medication, route, dose, time, documentation
Term
at the hospital the side rails must be (UP/DOWN)
Definition
up
Term
at the LTC facility, the side rails must be (UP/DOWN)
Definition
DOWN
Term
difference between beneficence and nonmaleficence
Definition
beneficence is preventing harm, nonmaleficence is doing no harm.
Term
nursing duties: always put patient ______-
Definition
first
Term
autonomy DOES NOT MEAN
Definition
patients can do or act as they want; patients can dictate how, when, or by whom care will be delivered; choose segments of plan of care to have and/or refuse
Term
autonomy DOES MEAN
Definition
thinking through all the facts; deciding independently and voluntarily; acting based on their decision
Term
jehovahs witnesses cannot
Definition
accept other blood into their body
Term
in the middle east, the (MALE/FEMALE) makes all the decisions
Definition
male
Term
quality vs. quantity of life
Definition
deciding to forgo recommended treatment for advanced stage of disease even if it will extend quantity of life
Term
acting in a patients best interest when they are no long able to do so on their own
Definition
fidelity
Term
breaching fidelity
Definition
could cost you your job!!!
do not discuss patient in public; patients name does NOT have to be mentioned if circumstances are known by others
Term
who can you speak with about patient
Definition
medical professionals directly involved in this patient's care; instructor
Term
disrespectful attitude towards the patient and patient's input regarding their own thoughts and beliefs related to their own care
Definition
beneficient paternalism
Term
it is advised to develop plan of care without the patients input (T/F)
Definition
FALSE
Term
steering the patients decisions in a different direction than what they may have chosen is not "okay" (T/F)
Definition
TRUE
Term
giving an opinion of what you believe would benefit the patient most without allowing them to consider all the options is never okay (t/f)
Definition
true
Term
your legal guideline for as a long as you practice nursing in the state of florida
Definition
florida nurse practice act
Term
(T/F) no person or agency can legally authorie you to do something in your capacity of a nurse that is not covered by the nurse practice act
Definition
true
Term
FNPA includes
Definition
definitions of nursing, lpn, use of lpn title, scope of practice, elements of unprofessional conduct, and function of state board of nursing
Term
nursing care that can be safely performed by lpn, based on knowledge and skills gained during the educational program
Definition
basic nursing care
Term
patients medical condition is predictable; medical and nursing orders are not changing continuusly- require nly basic nursing care
Definition
basic patient situation
Term
the (RN/LPN) assesses if the situation is basic or complex
Definition
rn
Term
patients situation is not predictable; medical and nursing orders are changing continously- expectations of care beyond scope of LPN practice
Definition
complex patient situation
Term
physicians order is given to an RN or LPN
Definition
delegate medical act (depends on facility's policy)
Term
states that the rn gives nursing orders to lpn
Definition
delegated nursing act
Term
supervisor is continously present to coordinate, direct, or inspect nursing care; must be on the premises
Definition
direct supervision
Term
supervisor has same supervision responsibilities but can be on premises or accessible by phone
Definition
general supervision
Term
funcitons of the board of nursing:
Definition
committees of councils decide whether specific activities are within scope of practice
Term
each (STATE/HOSPITAL) has their own board of nursing
Definition
state
Term
practicees can differ from (HOSPITAL TO HOSPITAL/ STATE TO STATE)
Definition
STATE TO STATE
Term
where to call if you think there is abuse
Definition
1-800-96-ABUSE
Term
_________ IS LIVELYHOOD
Definition
LICENSE
Term
8 categories (specific reasons to seek disciplinary action via nurse practice act)
Definition
fraud, negligence, discipline by another jurisdiction, unethical conduct, criminal activity, violation of nurse practice act, incompetence, alohol drug abuse
Term
written complaint that damages reputation
Definition
libel
Term
spoken complaint that damages reputation
Definition
slander
Term
Responsible for own actions includinh negligent behavior
Definition
Personal liability
Term
Responsible fir actions of others
Definition
Vicarious liability
Term
The nurse becomes temporarily employee of the physician. Physician controls nurses actions that may have lead to harm caused to the patient
Definition
Captain of the ship doctrine
Term
Legal document and subject to subpoena
Definition
Medical chart
Term
Are all common causes of ________ ________
Lack of safety knowledge skill observation reporting
Definition
Nursing liability
Term
You are accountable to
Definition
The patient, yourself, and instructor
Term
_________ is your priority
Definition
Patient
Term
Liability of student nurses and instructors
Definition
Responsible to read about patient
Be aware of all patients medications
Create your own plan of care
Request assistance if /when needed
Term
Instructor liabilities
Definition
Make the patient /student assignments
Reasonable supervision of students
Provide ongoing support during clinical experience
Term
The right to be left alone and free from intrusion : choose care based on personal feelings attitudes and beliefs, accept /reject treatment, control how sensitive information is shared
Definition
Privacy
Term
The nondisclosure of information regarding patients
Definition
Confidentiality
Term
Information that must be revealed to health department
Definition
Communicable diseases
Adverse reactions related to vaccines
Criminal acts
Equipment related injuries
Clear and present danger to patient
Abuse /neglect
Incompetence /unprofessional acts
Term
Ethical document (not legal), includes high quality hospital care, clean /safe environment, involvement in own care, protection of your privacy, help when leaving the hospital, help with billing claims
Definition
Patients bill of rights
Term
Took effect in 2003, gives patient rights over their health information
Definition
Health insurance portability and accountability act (hipaa)
Term
Three basic parts of Hippaa law
Definition
Protection of privacy-Protected health information
Administrative simplification- Reduction of paperwork for reimbursement
Security standards- security standards for protection of information (password protected)
Term
Must be available to all patients employees and health related companies with whom the provider of care does business with, patient reads and signs, NOT THE SAME as signing consent for treatment
Definition
Notice of privacy practices HIPPA
Term
Gives access ti medical records, ammendments to medical records, restriction on use of health information, access to accounting, confidential communications (identity), complaints about hippa violations
Definition
Hipaa notice of privacy practices
Term
How much information can be released
Definition
Minimum necessary rule
Term
Determining g competency
Definition
Legal or clinical
Term
Legal competency
Definition
..18 years
pregnant or married female
Self supporting minor (emancipated)
Competent in eyes of the law
Term
Clinical competency
Definition
Indentify the problem for which they are seeing a physician for,
Understand options of care (pros /cons)
Make decisions related to care
Support reasons for their choice
Term
Obtained on admission, may be revoked verbally or in writing
Definition
Implied consent
Term
What does "CBC" stand for?
Definition
complete blood count
Term
(NEUTROPHILS/LYMPHOCYTES) increase with bacterial infections
Definition
neutrophils
Term
(NEUTROPHILS/LYMPHOCYTES) increase with viral infections
Definition
lymphocytes
Term
what does ESR stand for
Definition
Erythrocyte sedimentation rate
Term
Why are some organisms drug-resistant?
Definition
1. misuse/overuse of antibiotics
2. not completing antibiotics
3. over prescribing new antibiotics
Term
what does MRSA stand for
Definition
methicillin resistant staph aureus
Term
where does MRSA colonize?
Definition
the nose
Term
how is MRSA spread
Definition
hand-to-hand, hand-to-nose
Term
_______ usually appears as a small lesion, first believed to be an insect bite, that if untreated, grows and fills with exudate
Definition
MRSA
Term
How is MRSA treated?
Definition
1. draining and packing
2. antibiotic therapy
3. close monitoring of the wound
Term
factors that cause a disease, what led to the disease appearing; where disease came from
Definition
etiology
Term
disease that affects many people across different regions, continents, and/or world-wide; ie AIDS
Definition
pandemic
Term
when cause of disease is unknown
Definition
idiopathic
Term
disease that affects a particular part or region of the world; ie SARS
Definition
endemic
Term
refers to a disease that occurs in many different individuals at the same time; ie the Flu
Definition
epidemic
Term
what does SARS stand for
Definition
severe acute respirator syndrome
Term
when and where was SARS an endemic?
Definition
2003, Asia
Term
what is H1N1
Definition
the bird flu
Term
t/f: 331 people died in 121 countries in 2009 because of the epidemic of H1N1
Definition
true
Term
how is H1N1 spread?
Definition
person to person contact
droplet (cough/sneeze)
surface
blood and bodily fluids
Term
if hands are visibly soiled, use (SOAP AND WATER/HAND SANITIZER)
Definition
soap and water
Term
if hands are not visibly soiled, use (SOAP AND WATER/HAND SANITIZER)
Definition
Hand sanitizer
Term
hand sanitizer must have over ____% alcohol to be effective
Definition
63
Term
when should hands be washed?
Definition
often, and before and after each procedure
Term
agents that inhibit growth of "some" microorganisms
Definition
antiseptics
Term
agent that destroys pathogens other than spores
Definition
disinfectant
Term
microorganism with a helmet; ie mold
Definition
spore
Term
destroys bacteria
Definition
bacterial disinfectant
Term
inhibits the growth of bacteria
Definition
bacteriostatic agent
Term
t/f: bacteria cannot survive in warm, dark areas.
Definition
false; bacteria cannot survive in cool, well lit areas.
Term
absense of disease causing microorganisms
Definition
asepesis
Term
presence of infection
Definition
sepsis
Term
prevents spread of pathogens from one person to another
Definition
aseptic technique
Term
practices used to confine a specific microorganism to specific area; or limit growth and spread
Definition
medical asepsis
Term
sterile technique; completely free of microorganisms and spore
Definition
surgical asepsis
Term
guidelines for special care to be used with all bodily fluids
Definition
standard precautions
Term
tier 1
Definition
standard precautions
Term
tier 2
Definition
transmission-based precaution
Term
systematic, lorgical method of providing nursing care
Definition
the nursing process
Term
what is the purpose of the nursing process?
Definition
to identify a client's health status
identify actual or potential healthcare problems or needs
establish a care plan
deliver specific nursing care to meet needs
Term
5 steps of the nursing process
Definition
1. assessing
2. diagnosing
3. planning
4. implementing
5. evaluating

A Delicious PIE
Term
systematic collection, organization, validation, and documentation of data
Definition
assessment
Term
when is the initial assessment completed and by whom?
Definition
admission, RN
Term
these are all components of the ____________; medical history, physical assessment, lab results, diagnostic test results, and information controlled by other health personnel.
Definition
assessment
Term
difference between subjective and objective symptoms
Definition
the nurse cannot measure subjective symptoms
Term
complaints or conditions that cannot be measured; ie itching, pain, hunger, weakness, sadness
Definition
subjective symptoms
Term
detectable or measurable complaints or conditions; ie blood pressure, fever, sweating
Definition
objective symptoms
Term
medical term for sweating
Definition
diaphoresis
Term
the __________ is the primary source of data
Definition
patient
Term
observation includes using the ______ to collect data
Definition
senses
Term
___________ involves inspection, auscultation, palpation, and percussion to collect data
Definition
examination
Term
what are the components of nursing diagnosis?
Definition
problem, defining characteristics, and etiology
Term
process of designing nursing activities required to prevent, reduce, or eliminate a patient's health problems
Definition
planning
Term
record of planning activities
Definition
care plan
Term
planning that takes place during patient's stay at facility
Definition
ongoing planning
Term
planning that takes place in regards to the client's needs after release from hospital
Definition
discharge planning
Term
care plan where the nurse mentally plans care that will be administered
Definition
informal plan of care
Term
written guide that organizes information about client's care
Definition
formal plan of care
Term
nursing care that is normally provided to groups of patients with same needs
Definition
standardized plan of care
Term
specific plan of care to your patient's needs; very detailed, no generic statements
Definition
individualized plan of care
Term
information and instructions readily available on all patients; one per patient; may be written in pencil so it can be updated as needed
Definition
kardex plan of care
Term
SOP
Definition
SUBJECTIVE?
OBJECTIVE?
PLAN!!!
Term
t/f: plans of care should be prioritized in order from most to least important
Definition
true
Term
concept of Maslow's Hierarchy of Needs
Definition
the most important needs are at the bottom of the pyramid, as you work your way up to the peak, they decrease in importance
Term
t/f: every nursing diagnoses must have at least one expected outcome
Definition
true
Term
phase in which interventions and activities occur
Definition
implementation
Term
actions initiated by nurses to achieve patient goals; reducing or eliminating the cause of nursing diagnosis
Definition
intervention
Term
things NEVER to do in nursing documentation
Definition
document ahead of time
Term
intervention performed through interaction with the patient; ie R.O.M. exercise
Definition
direct care
Term
intervention performed away from, but on behalf of the patient; ie making followup appointments
Definition
indirect care
Term
nurse initiated intervention that nurse is licensed to do based on training and education
Definition
independent intervention
Term
physician initiated intervention carried out as direct results of physicians order
Definition
dependent intervention
Term
combination of independent and dependent intervention
Definition
collaborative (interdisciplinary) intervention
Term
problem-solving, decision making, and critical and creative thinking are all ____________ skills
Definition
cognitive skills
Term
verbal, non-verbal communication, conveying knowledge, attitudes, feelings, interest, and apprecation of patient's culture and values are all ___________ skills
Definition
interpersonal
Term
hands-on skills, using equipment, giving injections, moving/lifting/repositioning patients are all examples of __________ skills
Definition
technical
Term
one of the things that sets LPNs apart from CNAs
Definition
evaluation
Term
The organic, inorganic, and energy producing substances found in foods required for body functioning
Definition
nutrients
Term
the result of the interaction between nutrients and the human body
Definition
nutrition
Term
3 major functions of nutrients
Definition
1. provide energy for body process and movement
2. structural material for body tissues,
3. regulate body processes
Term
3 essential nutrients
Definition
1. water
2. macronutrients
3. micronutrients
Term
the body's most basic nutrient need
Definition
water
Term
water's functions (nutrition)
Definition
1. metabolism
2.transporter
3.lubricant
4.insulator
5.shock absorber
6. temperature
Term
provide fuel that converts to energy; found in carbohydrates, proteins and fats
Definition
macronutrients
Term
two basic kinds of carbohydrates
Definition
1. simple
2. complex
Term
simple carbohydrates consist of
Definition
sugars
Term
complex carbohydrates consist of
Definition
fibers and starch
Term
3 Kinds of simple carbohydrates
Definition
1. monosaccharides
2. disaccharides
3. polysaccharides
Term
_________ simplest form of all carbohydrates
Definition
sugar
Term
________ are water soluble
Definition
sugar
Term
sugar found in milk
Definition
galactose
Term
______ are insoluble
Definition
starches
Term
_________ means "does not dissolve in water"
Definition
insoluble
Term
_________ means "dissolves in water"
Definition
soluble
Term
________ cannot be digested
Definition
fiber
Term
supplies roughage, or bulk, to the diet, helping the digestive track eliminate waste
Definition
fiber
Term
_______ helps weight control, treats constipation, lowers blood cholesterol, stabilizes blood glucose
Definition
fiber
Term
daily recommended fiber intake per day
Definition
20-38 grams/day
Term
altering of food from natural state
Definition
processed food
Term
often referred to as empty calories
Definition
processed food calories
Term
the end products of carbohydrate digestion are _____________
Definition
monosaccharides
Term
body uses ________ to produce energy
Definition
glucose
Term
digested carbohydrate is absorbed by the _______ ____________
Definition
small intestine
Term
hormone secreted by pancreas needed for glucose to be transported into the cells
Definition
insulin
Term
medical condition where the pancreas fails to produce adequate amounts of insulin in the bloodstream to lower/control blood glucose level, or facilitate glucose entering cells
Definition
diabetes mellitus
Term
digested carbohydrates are maintained in the body either as _________ or _________
Definition
glycogen, fat
Term
glycogen formation process
Definition
glycogenesis
Term
process of glycogen being converted back into glucose when needed to maintain blood levels or provide energy
Definition
glycogenolysis
Term
organic substances composed of amino acids
Definition
proteins
Term
the building blocks of proteins
Definition
amino acids
Term
amino acids are categorized as either _________ or __________
Definition
essential or nonessential
Term
_______ amino acids are those that cannot be manufactured in the body and must be supplied by ingesting protein
Definition
essential
Term
________ amino acids are those that the body can manufacture
Definition
nonessential
Term
amino acids that in certain conditions cannot be produced in sufficient quantities from other amino acids
Definition
conditionally essential amino acids
Term
there are ____ essential amino acids
Definition
9
Term
there are ____ nonessential amino acids
Definition
11
Term
proteins may be _____ or ______
Definition
complete, incomplete
Term
__________ proteins contain all nine essential amino acids plus many nonessential ones
Definition
complete
Term
__________ proteins lack one or more essential amino acids and are usually derived from vegetables
Definition
incomplete
Term
only plant source of complete proteins
Definition
soy beans
Term
when foods containing some essential amino acids are combined with others so that together they contain all nine essential amino acids, the foods are called:
Definition
complementary proteins
Term
__________ proteins are plant based, less expensive, and contain less fat
Definition
complementary
Term
most protein is digested in the _____ ________ where enymes break it down into the end products of protein digestion
Definition
small intestine
Term
end products of protein digestion
Definition
amino acids
Term
_______ are transported to the liver, where some are used to synthesize specific proteins such as albumin, globulin, and fibrinogen
Definition
amino acids
Term
protein is "stored" as
Definition
body tissue
Term
body cannot store excess _____ ______ for future use
Definition
amino acids
Term
protein metabolism includes 3 activities
Definition
1. anabolism
2. catabolism
3. nitrogen balance
Term
building tissue
Definition
anabolism
Term
breaking down tissue
Definition
catabolism
Term
a measure of the intake and loss of nitrogen
Definition
nitrogen balance
Term
organic substances that are greasy and insoluble in water but soluble in alcohol
Definition
lipids
Term
_____ are lipids that are solid at room temperature
Definition
fats
Term
______ are lipids that are liquid at room temperature
Definition
oils
Term
the basic structural units of most lipids (made of carbon chains and hydrogen)
Definition
fatty acids
Term
simple lipids (most common)
Definition
glycerides
Term
account for over 90% of the lipids in food and in the body; contain 3 fatty acids
Definition
triglycerides
Term
triglycerides may be ________ or __________
Definition
saturated or unsaturated
Term
found in animal products, such as butter, and are usually solid at room temperature (harder means more fat); contribute to elevated blood cholesterol; considered unhealthy
Definition
saturated triglycerides
Term
usually liquid at room temperature and are found in plant products; lower blood cholesterol; healthier
Definition
unsaturated triglycerides
Term
fat like substance that is both produced by the body and found in foods of animal origin; most of it is synthesized in the liver
Definition
cholesterol
Term
needed by the body to form bile acids and to synthesize steroid hormones; primary lipid connected to heart disease
Definition
cholesterol
Term
normal "total cholesterol"
Definition
140-200
Term
triglycerides normal level
Definition
40-190
Term
HDL, men
Definition
37-70
Term
HDL, women
Definition
40-88
Term
LDL
Definition
less than 130
Term
test for lipoproteins and triglycerides
Definition
lipid profiles
Term
it is desirable to have a higher _____ level and a lower ______ evel because the risk of heart disease is greater when _____ is elevated
Definition
HDL, LDL, LDL
Term
an organic compound that cannot be manufactured by the body and is needed in small quantities to catalyze (trigger) metabolic processes
Definition
vitamin
Term
when _______ are lacking in the diet, _______ deficits result.
Definition
vitamins, metabolic
Term
generally classified as fat soluble or water soluble
Definition
vitamins
Term
water-soluble vitamins include:
Definition
vitamins c, B-complex, B1, B2, B3, B6, B9, B12, pantothenic acid, and biotin.
Term
the body ________ store water-soluble vitamins
Definition
cannot
Term
fat soluble vitamins include
Definition
A, D, E, and K
Term
The body _____ store fat soluble vitamins
Definition
can
Term
Two categories of minerals
Definition
1.macrominerals
2.microminerals
Term
minerals that people require daily in amounts over 100mg; including calcium, phosphorus, sodium, potassium, magnesium, chloride, and sulfur
Definition
macrominerals
Term
minerals that people require daily in amounts less than 100 mg; including iron, zinc, manganese, iodine, fluoride, copper, cobalt, chromium, and selenium
Definition
microminerals
Term
Micro/Macrominerals are both found in vegetables, fruits, meats, and most essentially, ____ _____
Definition
whole grains
Term
the relationship between the energy obtained from food and the energy used by the body
Definition
energy balance
Term
units of heat energy
Definition
calories
Term
body gets ______ from calories, carbohydrates, protein, fat, and alcohol
Definition
energy
Term
the term for all the biochemical and physiological processes by which the body grows and maintains itself
Definition
metabolism
Term
rate at which the body metabolizes food to maintain the energy requirements of a person who is awake and at rest
Definition
basal metabolic rate (bmr)
Term
lean people have _______ bmr's than overweight people
Definition
higher
Term
changes in __________ and ___________ occur in older adults and can affect food intake
Definition
sensation, taste
Term
clients should be reminded of the dangers of high _________ intake
Definition
sodium
Term
_______ increase through food, supplements, or both is important for older adults
Definition
calcium
Term
Clients who do not have special needs eat the _______ diet; a balanced diet that supplies the metabolic requirements of a sedentary person
Definition
standard/house diet
Term
diet where food and fluid are prohibited
Definition
NPO Nothing By Mouth
Term
Diet limited to water, tea, coffee, clear broths, ginger ale, and other carbonated beverages, strained and clear juices, and plain gelatin; must be able to see thru
Definition
clear liquid diet
Term
diet contains only liquids or foods that turn to liquid: I.e. melted icecream, blended pb&j
Definition
full liquid diet
Term
nutritional concerns with this diet because of the amount of milk offered
Definition
full liquid diet
Term
diet that is easily chewed and digested
Definition
soft diet
Term
diet that is ordered when the client's appetite, ability to eat, and the tolerance for certain foods change; allows for choice and evaluation of progress
Definition
diet as tolerated
Term
diet consist of plant foods only
Definition
vegan diet
Term
diet consists of plant foods along with dairy products
Definition
lacto vegetarian diet
Term
diet consists of plant foods, dairy products, and eggs
Definition
ovo-lacto vegetarian diet
Term
the first priority in nursing care when performing a nutritional assessment is to obtain the client's
Definition
height and weight
Term
the nurse must know how to obtain the client's weight and height accurately, meaning:
Definition
the nurse must use the appropriate equipment
Term
weight recommended for optimal health
Definition
Ideal Body Weight IBW
Term
A person is said to be __________ when the body weight exceeds IBW by up to 20%
Definition
overweight
Term
a person is said to be __________ when the body weight exceeds the IBW by more than 20%
Definition
obese
Term
How to calculate BMI
Definition
Kg/(m^2)=BMI
Term
1 Meter =
Definition
39 Inches
Term
1 lb
Definition
2.2 Kg
Term
means that nutrient intake is insufficient to meet daily energy requirements; it can occur because the person does not eat enough food or because he or she cannot digest or absorb food
Definition
undernutrition
Term
difficulty swallowing
Definition
dysphagia
Term
excess body weight causes _______ on body organs and contributes to chronic health problems such as ________ and __________ ___________
Definition
stress, hypertension, diabetes mellitus
Term
obesity that interferes with mobility or breathing
Definition
morbid obesity
Term
associated mostly with the starving children of developing countries, and as a significant problem of clients with cancer and chronic disease; characteristics include weight loss and visible muscle and fat wasting
Definition
protein-calorie malnutrition PCM
Term
The 3 most frequent nursing diagnoses related to nutrition are
Definition
1. Imbalanced Nutrition: More than body Requirements
2.Imbalanced Nutritioin: Less than Body Requirements
3. Risk for Imbalanced Nutrition
Term
Nursing care of clients with imbalanced nutrition includes assisting with
Definition
changes in diet, monitoring blood glucose, stimulating appetite, assisting with meals, and providing enteral nutrition
Term
clients who have _________ may need to monitor random blood glucose levels throughout the day
Definition
diabetes
Term
physical illness, unfamiliar or unpalatable food, environmental and psychological factors, and physical discomfort or pain may _______ a client's appetite
Definition
depress
Term
decreased food intake is often accompanied by a ________ in fluid intake, which may cause __________
Definition
decrease, dehydration
Term
Never _______ the feeding process!
Definition
rush
Term
the nurse ________ decide if an adaptive feeding aid should be used on a client
Definition
cannot
Term
two types of alternative feeding methods are
Definition
1. enteral nutrition
2. parenteral nutrition
Term
nutrition through the gastrointestinal system
Definition
enteral nutrition
Term
intravaneous nutrition
Definition
parenteral nutrition
Term
enteral access is achieved by _______, ________, ____________, and __________
Definition
1. nasogastric tubes
2. nasointestinal tubes
3. gastrostomy tubes
4. jejunostomy tubes
Term
inserted through one of the nostrils, down to the nasopharynx, and into the stomach; usually firm;
Definition
nasogastric tube (NG Tube)
Term
_________ tubes are used for clients who have INTACT gag reflexes, who have adequate gastric emptying, and who require short-term feedings
Definition
nasogastric
Term
nasogastric tubes may also be required for other reason than feeing; including
Definition
1. prevention of nausea and vomiting
2. to remove stomach contents (i.e. overdose)
3. to wash the stomach of poisons
Term
nasoenteric is aka
Definition
nasointestinal
Term
____________ tube is longer than the _____________ tube
Definition
nasoenteric, nasogastric
Term
tube that is inserted into one nostril, through the pharynx, esophagus, and stomach, and into the upper small intestine
Definition
nasoenteric tube
Term
insertion of the _______ tube may require special training; used when risk of aspiration is high
Definition
nasoenteric
Term
clients are at risk for aspiration if presenting these 5 conditions
Definition
1. Decreased LOC
2. poor cough or gag reflex
3. endotracheal intubation or recent extubation
4. inability to cooperate with the procedure
5. restlessness or agitation
Term
_________ and ___________ devices are used for long term nutritional support, generally for more than 6 to 8 weeks.
Definition
gastrostomy, jejunostomy
Term
tube placed surgically or by laparoscopy through the abdominal wall into the stomach
Definition
gastrostomy
Term
tube placed surgically or by laparoscopy through the abdominal wall into the intestine
Definition
jejunostomy
Term
before feedings are introduced, tube placement is confirmed by _________
Definition
radiography (xray)
Term
the administration of 300 to 500 mL of enteral formula several times per day; usually administered thru the tube into the stomach over at least 30 mins.
Definition
intermittent feeding
Term
generally administered over a 24 hour period using an infusion pump that guarantees a constant flow
Definition
continuous feedings
Term
continuous feedings that are administered in less than 24 hours; often administered at night and referred to as "nocturnal feedings", allows the client to eat regular meals throught the day
Definition
cyclic feedings
Term
any formula that has passed the expiration date or solution that has been opened at room temperature for more than ______ hours must be discarded
Definition
8
Term
a feeding tube used intermittently can become clogged. this can be prevented by
Definition
flushing the tube with clear water after bolus feedings or administration of medication; always follow facility approved method; prevention is the best way to ensure that the client will be able to receive nutrition via the tube
Term
feedings must be given through _________ when a client is unable to tolerate foods or formula through the gastrointestinal tract
Definition
IV
Term
there are 2 forms of parenteral nutrition
Definition
1. peripheral vein infusions
2. central vein infusions
Term
limited vein infusions that are done in peripheral veins
Definition
peripheral vein infusions
Term
when nutritional needs are great, the use of a large central vein is desirable; TPN is infused throuh a catheter that is surgically inserted into a central vein such as the _________ or the _________ vein; added risk of infection and must be closely monitored.
Definition
central vein infusions; subclavian or femoral vein
Term
two main veins used for central vein infusions
Definition
1. subclavian vein
2. femoral vein
Term
loss related to specific occurence (job loss/transfer)
Definition
situational loss
Term
loss of endurance; increase dependence (aging)
Definition
maturational loss
Term
loss of a body part due to accident or illness
Definition
accidental loss
Term
feelings/loss/behaviors related to loss including overwhelming stress and sorrow
Definition
grief
Term
grieving period experienced by surviving loved ones
Definition
bereavment
Term
process and rituals through which grief is resolved
Definition
mourning
Term
grieving in acceptance of loss
Definition
anticipatory grieving
Term
period of denial, depression, physiological symptoms, or suicidal thoughts
Definition
dysfunctional grieving
Term
when mourner is judged by those not understanding the loss
Definition
disenfranchised grief
Term
t/f: childhood loss can threaten child's ability to develop normally
Definition
true
Term
older adults dealing with successive losses
Definition
bereavement overload
Term
stages of grief
Definition
dabda

denial
anger
bargaining
depression
acceptance
Term
Patient self determination act
Definition
the right to advance directives
Term
t/f the bodies of all patients, including the deceased, are to be handled with dignity and respect
Definition
true
Term
national organ transplant act
Definition
governs organ and tissue donation in the USA
Term
clinical signs of death
Definition
cessation of apical pulse, respirations, and blood pressure
Term
apical pulse found where?
Definition
apex of the heart
Term
an illness from which there is no reasonable expectation of survival
Definition
terminal illness
Term
care that involves providing relief from suffering; comfort measures
Definition
palliative care
Term
for patients determined to have prognosis of 6 months or less survival time
Definition
hospice care
Term
the study of persons age 65 or older
Definition
gerontology
Term
gradual loss of muscle mass
Definition
sarcopenia
Term
recommended protein intake
Definition
0.8 g/kg/day
Term
orthostatic hypotension
Definition
as you're getting up, your blood pressure drops and you get light headed and may pass out
Term
grayish haze of cornea
Definition
arcus senilis
Term
hearing loss in the elderly
Definition
presbycusis
Term
benign prostatic hyperplasia
Definition
enlargement of prostate gland that may lead to frequent urination
Term
t/f enter date and time with each entry
Definition
true
Term
why do we use black ink?
Definition
copying
Term
t/f always document your opinion
Definition
FALSE: factual info only!
Term
SOAPIER
Definition
subjective
objective
assess
plan
intervention
evaluation
revision
Term
PIE
Definition
problem
intervention
evaluation
Term
charting by exception
Definition
only exceptions to norms are documented
Term
purpose of computerised documentation
Definition
large volumes of information
error reduction
accessibility
Term
physical change and increase in size; includes height, weight, bone size and dentition (teeth)
Definition
growth
Term
increase in complexity of function and skill progression; capacity to adapt to an environment
Definition
development
Term
neonate
Definition
birth to day 28; follows objects, closes hands (reflex)
Term
infant
Definition
one month to 1 year; sits, crawls, stands
Term
toddler
Definition
1-3 years; skill with utensils, has daytime bowel/bladder control
Term
preschooler
Definition
3-6 years; climbs, learns letters/numbers, 1000 word vocabulary
Term
school age
Definition
6-12 years; participates in group activities, accomplishes tasks
Term
adolescents
Definition
12-20 years; puberty, peers and independence are important, take risks
Term
young adult
Definition
20-40 years; finds life path, establishes long-term relationships
Term
middle adult
Definition
40-65 years; establishes career, commitment to family
Term
older adult
Definition
"young old" 65-74 years; retirement or semi retirement, new activities
Term
middle-old adult
Definition
75-84 years; adapts to physical and sensory changes
Term
old-old adult
Definition
85 years and older; assistive devices may be needed, may need help with ADLs
Term
two most common responses to hospital admission
Definition
anxiety and fear
Term
dehumanization
Definition
surrender of belongings, privacy, and independence
Term
t/f always address patient by last name unless they say you can call them something else and it has been documented
Definition
true
Term
HIPAA
Definition
HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT
Term
reasons for transfer
Definition
patient request
condition change
Term
official procedure by which the patient leaves the health care facility for home or other setting
Definition
discharge
Term
patient leaving medical facility without permission of primary care provider
Definition
AMA against medical advice
Term
the exchange of information or thoughts between two or more people
Definition
communication
Term
feedback that both parties understand the message in the same manner
Definition
validation
Term
distance people prefer in interactions with others
Definition
personal space
Term
study of spatial distances between individuals in different cultures and situations
Definition
proxemics
Term
space or things patients consider theirs
Definition
territoriality
Term
exchange of ideas using spoken or writtenword to include electronic communication
Definition
verbal
Term
gestures, facial expression, and touch
Definition
nonverbal
Term
__-__% of communication is nonverbal
Definition
80-90%
Term
patient centered, goal-directed, time-limited communication; used to determine patients' concerns, problems, feelings, or progress
Definition
therapeutic
Term
loss of ability to speak or understand written or verbal language
Definition
aphasia
Term
difficulty articulation words, often a result of stroke
Definition
dysarthria
Term
requires an interpreter
Definition
language barrier
Term
seeking to gain specific information in an interview; closed ended questions
Definition
directive
Term
interview where the patient controls the conversation; open ended statements/questions
Definition
nondirective
Term
3 theories of human learning
Definition
behaviorism
cognitivism
humanism
Term
learning where environment influences behavior
Definition
behaviorism
Term
learning as a complex thinking process
Definition
cognitivism
Term
learning focused on self-development
Definition
humanism
Term
inhibiting factors of patient learning
Definition
emotions, learning plateau, physiological event, terminology
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