Shared Flashcard Set

Details

Health Care Delivery
N/A
185
Health Care
Not Applicable
10/22/2012

Additional Health Care Flashcards

 


 

Cards

Term
Acute care
Definition
treatment for illnesses which come on suddenly and are usually of short duration.
Term
Maintenance Care
Definition
care that preserves function.
Term
Preventive care
Definition
care that sopts disease or injury from occuring
Term
Activities of Daily Living (ADL)
Definition
physical activities of everyday life (bathing, grooming, dressing, positioning, toileting, eating)
Term
Advocate
Definition
one who defends the righs of another.
Term
Spiritual
Definition
the search for meaning in life usually through religion.
Term
Psychosocial Needs
Definition
need for independence, a supportive environment, recognition as an individual, spiritual fulfillment, and social interaction.
Term
Continuity of Care
Definition
getting everyone from every department on all shifts working towards the same goals using compatible methods.
Term
Active Listening
Definition
paying attention to what is being said in a conversation.
Term
Communicate
Definition
exchange information
Term
Subacute care
Definition
treatment for illnesses after acute phase.
Term
Long Term Care
Definition
treatment for chronic illnesses that may develop slowly and continue for periods of time.
Term
Terminal Care
Definition
treatment for the dying person to improve comfort and quality of life.
Term
What type of care do hospitals provide?
Definition
Acute
Term
What type of inspections are long term care facilities subject to?
Definition
Federal Government, State Department of Health, local health department and fire department.
Term
What is the Minimum Data Set (MDS)?
Definition
A form used to identify the physical, mental, and psychological status of each resident.
Term
What is the Comprehensice Care Plan (care plan)?
Definition
A written plan of action developed by the Health Care team to meet each resident's highest functional, medical, nursing, mental, and psychosocial needs.
Term
What does the care plan include?
Definition
Identification of cause, nature of residents needs, short term goals, long term goals, individualized approaches to goals, and disciplines responsible for monitoring goals.
Term
What is the difference between an acute care facility and a long term care facility?
Definition
An acute care facility is meant to care for those with illnesses that have come on suddenly and leave just as quickly; whereas a long term care facility is for the care of patients with lingering illnesses that have developed over a period of time.
Term
How does the CNA contribute to the care plan?
Definition
Provide care according to care plan; actively listen and communicate with resident, family, and health care team; observe and report changes of resident to nurse immediately; participate in care planning when asked.
Term
Environment
Definition
Surroundings
Term
Trust
Definition
to have confidence in faith; to rely on
Term
Call Light
Definition
a means of communicating with staff to get help; nonverbal communication
Term
Ethical Behavior
Definition
doing what is right according to the rules of conduct of a particular group.
Term
Accountable
Definition
being responsible for your own choices (words and actions).
Term
Respect
Definition
to treat with courtesy and consideration
Term
Confidentiality
Definition
keeping information secret
Term
Privacy
Definition
freedom from outsiders entering and watching without your consent
Term
Abuse
Definition
an act that causes harm
Term
Neglect
Definition
failure to act in a reasonable and caring manner.
Term
Incident
Definition
any unsual event (fall, theft, error) that occurs in the health care facility
Term
Current Nursing Practices
Definition
up to date, proven and accepted ways of providing nursing care
Term
Stress
Definition
pressure or strain that disturbs a person's mental or physical well being.
Term
Inservice Education
Definition
opportunities for learning offered by employer.
Term
Verified Complaint
Definition
wrong doing that has been proven.
Term
True or False: It is the law that anyone who chooses to become a CNA must have a criminal history check performed?
Definition
True
Term
What are two things that can be done to test for tuberculosis in a CNA applicant?
Definition
Mantoux test OR chest X-Ray.
Term
According to the ISDH, how many classroom hours must a CNA student attend?
Definition
30 hours.
Term
According to the ISDH, how many clinical hours must a CNA student perform?
Definition
75 hours.
Term
When should suspected abuse or neglect be reported and to who?
Definition
Immediately, and to the nurse.
Term
How many hours of inservice education must be offered to a CNA?
Definition
12 hours
Term
A CNA must work for a health care provider at least one _____ hour shift every ______ months.
Definition
8; 24
Term
True or False: If a complaint of theft or abuse is found to be valid, the CNA will loose their certification in all 50 states.
Definition
True.
Term
If found guilty of neglect, the CNA will not be allowes to work as a CNA for ____ to ____ years.
Definition
2; 5
Term
Accurate
Definition
correct; exact
Term
Legally responsible
Definition
accountable by law for ones actions
Term
Chronological order
Definition
the sequence in which events occur
Term
Medical Terminology
Definition
the specific language of medicine
Term
Abbreviation
Definition
a shortened form of a word.
Term
How does a CNA provide for the residents comfort?
Definition
Create a positive home like environment; help resident develop trust; offer emotional support and work with family; communicate and actively listen.
Term
What must a CNA do to present a positive personal image?
Definition
Good hygiene; good health; professional appearance; professional state of mind
Term
What is the most important way a CNA assists the nurse and other members of the health care team to identify the needs of residents?
Definition
Observe and Report.
Term
What is observation?
Definition
Gathering bits of information about a resident through the use of the senses and feeligns.
Term
Objecttive Observation
Definition
Data available through the senses
Term
Subjective Obsersation
Definition
information reported by the resident about how he or she is feeling.
Term
Observations that include an acute condition requiring immediate attention include:
Definition
severe pain; anxiety; mood swings; any sudden change in condition; fall or accident; confusion; depression; skin tears or bruises; signs of shock; odor; loss of comfort; loss of consciousness; seizures; swelling; hemorrhage; difficulty breathing
Term
Reporting
Definition
Verbally informing the person in authority about resident care and what has been observed.
Term
True or False: Telling another CNA or QMA about an observation is considered reporting?
Definition
False. You must report to the person in charge, which is usually the nurse.
Term
Objective Reporting
Definition
Stating what is seen, smelled, heard or felt.
Term
Subjective Reporting
Definition
stating what cannot be observed by the senses.
Term
Routine reporting is usually done at the ______ of each shift.
Definition
End.
Term
____________ reporting must be done at the time the observation is made.
Definition
Immediate
Term
Documentaion
Definition
Written account of a resident's condition.
Term
Documentation is considered what type of record?
Definition
Permanent legal
Term
What must be on each page before anything is writeen when documenting?
Definition
The residents name.
Term
True or False: Entries are preferred in ink, but can be made in pencil if a pen isnt available.
Definition
False. They must be made in ink.
Term
True or False: Documentations should include your opinion has a health care provider?
Definition
False. Document only what you heard or performed.
Term
Documentation must be in __________ order.
Definition
Chronological
Term
When should you document?
A.) Just before the procedure.
B.) During the procedure.
C.) After the procedure.
Definition
C. After the procedure
Term
Why should you not leave spaces or skip linee between entries in a documentation?
Definition
To prevent altering.
Term
True of False: Using standard medical terminology and standard abbreviations, including ditto marks, are acceptable in documenting?
Definition
False. Ditto marks should not be used.
Term
True or False: It is acceptable to document for someone else if asked.
Definition
False. Never document for someone else.
Term
When correcting an error in a documentation, draw a double line through the error, but allow what was written to remain readable.
Definition
False. Draw a single line through the error.
Term
When charting, correction fluid or tape is acceptable if the mistake is very large, such as when writing in the wrong resident's chart?
Definition
False. It is never acceptable.
Term
The word "mistake" should be printed next to a mistake made in charting, along with your inital's and the date of the correction.
Definition
False. The word "error" should be written.
Term
Communication barrier
Definition
anything that hinders or blocks
Term
Culture
Definition
values, beliefs and customs passed on from generation to generation by a group of people.
Term
Impairment
Definition
diminished function
Term
Sign Language
Definition
a method of communication using hand signals; usually used to communicate with the deaf
Term
Cognitively Impaired
Definition
diminished mental capacity for awareness and ability to make correct judgements.
Term
Communication
Definition
Exchange of information and messages.
Term
Effective communication completes a cycle between ___ people.
Definition
Two.
Term
Verbal Communication
Definition
written or spoken words
Term
Nonverbal communication
Definition
facial expression, tone of voice, posture, gestures, touch, body language, call light
Term
A person who is blind relies on _____ cues including words and tone of voice.
Definition
Verba;.
Term
A person who is hearing impaired, replies on ________ cues including body language, sign language, and writing.
Definition
Nonverbal.
Term
A person who is cognitively impaired relies on _____ and ______ cues
Definition
Verbal and Nonverbal
Term
True or False: Sympathy and Empathy are different.
Definition
True. Sympathy is feeling sorry for, while empathy is understanding and appreciating their feelings.
Term
What are the four elements necessary for successful communication?
Definition
Sending the message through; formulating the message; receiving the message; observing feedback
Term
What are three barriers to good communication?
Definition
Cultural differnces; age; impairments
Term
Microorganism
Definition
a tiny living thing which can only be seen with a microscope.
Term
Pathogen
Definition
microorganism capable of producing disease.
Term
Vaccine
Definition
weakened or killed disease producing organsim taken orally or by injection to protect against disease.
Term
Mantoux Test
Definition
skin test to determine past or present exposure to Tuberculosis.
Term
Personal Hygiene
Definition
cleanliness including bathing, using deoderant, mouth care and wearing clean clothing.
Term
Sharps
Definition
any piece of medical equipment that has the potential to cut or puncture the skin
Term
Nosocomical Infection
Definition
an infection acquired during a stay at a health care facility
Term
Disinfect
Definition
using chemicals or boiling water to reduce the number of microorganisms
Term
Sterilize
Definition
process of killing all mircoorganisms
Term
How is sterilization of medical instruments performed?
Definition
Steam or chemical solution.
Term
True or False: Microorganisms are everywhere.
Definition
True.
Term
Harmful microorganisms are called ____________.
Definition
Pathogens (germs)
Term
What are the 4 types of pathogens?
Definition
Bacteria; viruses; fungi; protozoa
Term
How many links are in the infection chain?
Definition
6
Term
What is the causative agent in the infection chain?
Definition
Pathogen
Term
The portal of exit and the portal of _____ are usually the same in the infection chain.
Definition
Entry
Term
Where are the Standard Precautions Developed?
Definition
Center for Disease Control (CDC)
Term
What are the three types of isolation precautions?
Definition
Airborne; Droplet; Contact
Term
True or False: Airborne pathogens are smaller than droplet pathogens.
Definition
True
Term
True or False: Chickenpox are spread via airborne pathogens?
Definition
True.
Term
True or False: Pneumonia is spread via airborne pathogens?
Definition
False. It is spread via droplet pathograns.
Term
True or False: Influenza is spread via droplet pathogens?
Definition
True.
Term
True or False: Scabies is spread via contact pathogens?
Definition
True.
Term
Hepatitis is spread by exposure to infected ________, sexual contact and fecal/oral contact.
Definition
Blood.
Term
Scabies, is a skin infection caused by a _______.
Definition
Mite.
Term
Tuberculosis is a __________ infection.
Definition
Bacterial.
Term
True or False: AIDS comes before HIV?
Definition
False. HIV preceeds AIDS.
Term
AIDS is spread via ____________ blood and _______ fluid.
Definition
Infection; body
Term
MRSA is a ____________ that doesn't respond to antibiotics.
Definition
Bacteria.
Term
MRSA is spread via the ______ of the health care worker.
Definition
Hands.
Term
What is infection control?
Definition
Preventing the spread of mircoorganisms by following certain practices and procedures.
Term
What is the best and easiest way to prevent the spread of infection?
Definition
Handwashing.
Term
What are Standard Precautions?
Definition
Guidelines developed by the CDC to reduce risk of transmission of pathogens from both known and unknown sources of infection in a health care setting.
Term
When should gloves be worn during resident care?
Definition
Any time you could come into contact with body fluids, secretions/excretions.
Term
What is the purpose of isolation precautions?
Definition
To prevent the transmission of pathogens.
Term
When turning on the faucet to wash hands, you should use a clean paper towel. Why?
Definition
Because it may be used by residents/visitors and should be kept as clean as possible.
Term
Hot water should not be used when washing hands. Why?
Definition
Hot water opens pores and may cause irritation.
Term
When washing your hands, you should angle arms _____ holding hands _____ then elbows.
Definition
Down; lower
Term
What part of the arm is most contaminated?
Definition
The hand.
Term
How long should you lather hands when washing?
Definition
At least 10 seconds.
Term
Why is it important to lather hands?
Definition
Lather and friction loosen skin oils and allow pathogens to be rinsed away.
Term
How should you clean the nails of the fingers and thumb?
Definition
By rubbing them in the palm of the opposite hand.
Term
Where do most pathogens on hands come from?
Definition
Beneath the nails.
Term
When rinsing, water should run _____ from ______ to fingertips
Definition
down; wrists
Term
Why is it important to pat skin completely dry?
Definition
Skin may chap if left damp.
Term
The faucet should be turned off with ______ ______ and discarded immediatel.
Definition
Paper towel.
Term
Why should you use paper towel to turn off the faucet when you are done washing your hands?
Definition
Hands will be re contaminated if you touch the dirty faucet with clean hands or if the towel is used after turning off the faucet.
Term
What should you do before applying gloves?
Definition
Wash hands.
Term
After putting on gloves, what should you do?
Definition
Check for tears.
Term
When removing gloves, you should remove one glove by grasping the _______ surface just below the _____.
Definition
Outer; cuff
Term
When the first glove is removed, it should be removed so that it is _______ ______.
Definition
Inside out.
Term
Once the first glove is removed, the removed glove should be held in the ______ hand.
Definition
Gloved.
Term
How many fingers of the ungloved hand should be placed under the cuff of the remaining gloved hand?
Definition
Two.
Term
The second gloved removed should be removed so that the first glove is ________ the second glove.
Definition
Inside.
Term
True or False: Touching the outside of the glove with an ungloved hand causes contamination.
Definition
True.
Term
What should you do immediately after ungloving?
Definition
Wash Hands.
Term
Efficient
Definition
using the least amount of effort to accompolish a task.
Term
Pelvis
Definition
the hip area
Term
Balance
Definition
a state of being stable
Term
Friction
Definition
rubbing one surface against another
Term
Assess
Definition
to evaluate or check
Term
What two things does body mechanics help to properly coordinate?
Definition
Balance and movement
Term
What is the center of gravity on the human body?
Definition
Pelvis
Term
What is the base of support on the human body?
Definition
Feet
Term
Approximately, in inches, how far apart should be the feet be during a move?
Definition
18 inches
Term
More _______ under the feet increases stability.
Definition
Friction
Term
More friction under what is being moved ________ the effort needed to move it.
Definition
Decreases
Term
True or False: When lifting, the knees and back should be bent.
Definition
False. The knees should be bent, but the back should be straight.
Term
When moving, keep the load _____ to you.
Definition
Close
Term
You always move residents on a count of ____, _____, _______.
Definition
One, two, three
Term
Taking a deep breath before lifting and exhaling during the lift helps do what for the body?
Definition
Pumps blood to the lungs and oxygen to the muscles.
Term
During a lift, pull in the stomach to support the ______.
Definition
Spine.
Term
What two movements should not be done at the same time according to body mechanics?
Definition
Lifting and Twisting
Term
Traffic pattern
Definition
usual path taken in a room or hallway
Term
Side Rail (guard rail)
Definition
metal or plastic rails on the sides off hospital beds.
Term
Cross contamination
Definition
spread of different pathogens between two surfaces
Term
Restraint
Definition
device or method including chemical means used to limit the activity or aggressivness that could be harmful to the resident or others.
Term
When walking in the healthcare facility, you should stay to the _____.
Definition
Right
Term
True or False: When a frayed cord is found, the CNA should try to fix it as long as it appears easy to fix.
Definition
False.
Term
What type of equipment should never be used around water or oxygen.
Definition
Electrical
Term
The call light should always be placed on the resident's ________ side.
Definition
Unaffected
Term
What could potentially occur if you leaned over a resident to do a procedure?
Definition
Cross contamination
Term
How long should you allow the resident to sit on the side of the bed before standing.
Definition
10-15 seconds
Term
True or False: A resident should never be grabbed under the arms when assisting with a move.
Definition
True. There are nerves under the arm that could cause pain to the resident.
Term
What are 3 things that side rails can be considered as?
Definition
A safety aid, self help device, or restraint.
Term
True or False: A restraint can be used whenever the nurse feels it appropriate to safeguard the resident or others in the facility.
Definition
False. Any type of restraint used to control a resident's behavior, must be ordered by a doctor.
Term
A protective device muse be used according to the manufacturer's guidelines including a _____ _______ knot.
Definition
Quick release
Term
How should a restraint be checked for proper fit and comfort?
Definition
By placing an open hand flat between the resident and restraint.
Term
How often should a resident in a restrain be visited?
Definition
Every hour.
Term
How often should a restraint be released for a ROM exercise?
Definition
Every two hours
Term
True or False: Oxygen is slightly flammable.
Definition
False. Oxygen is highly flammable.
Term
What types of signs should be posted inside and outside the door of a resident on oxygen?
Definition
"No Smoking, Oxygen In Use"
Term
When chceking the residents identity, what three things should you look for.
Definition
First and Last name, DOB.
Term
Where should a quick release tie be attached to on the bed?
Definition
The moveable part of the bed frame.
Term
Where should a quick release tie be attached to in a wheel chair?
Definition
Kick spurs
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