Chapter 3/4

Question 1

all of the conscious or unconscious messages a person’s body sends as she
communicates; facial expressions, gestures, and posture are examples.

Answer 1

body language

Question 2

a way of communicating that involves giving a person one’s full attention while he is speaking and encouraging him to give information and clarify ideas.

Answer 2

active listening

Question 3

is the exchange of information with others, which involves sending and
receiving messages.

Answer 3

communication

Question 4

a set of learned beliefs, values, traditions, and behaviors shared by a social or ethnic group.

Answer 4

culture

Question 5

swelling in body tissues caused by excess fluid.

Answer 5

edema

Question 6

legal record of all medical care a patient, resident, or client receives.

Answer 6

medical chart

Question 7

a detailed form with guidelines for assessing residents in long-term care facilities; also details what to do if resident problems are identified.

Answer 7

Minimum Data Set (MDS)

Question 8

a plan for each resident created by a registered nurse that outlines the tasks that team members must perform to help the resident reach her goals of care.

Answer 8

care plan

Question 9

factual information collected using the senses of sight, hearing, smell, and touch; also called signs.

Answer 9

objective information

Question 10

information collected from residents, their family members, and their friends; information may not be true, but is what the person reported; also called symptoms.

Answer 10

subjective information

Question 11

an organized method used by nurses to determine residents’ needs, plan the
appropriate care to meet those needs, and evaluate how well the plan of care is
working; five steps are assessment, diagnosis, planning, implementation, and evaluation.

Answer 11

nursing process

Question 12

a meeting to share and gather information about a resident in order to develop a care plan.

Answer 12

care conference

Question 13

an accident, problem, or unexpected event during the course of care.

Answer 13

incident

Question 14

a report documenting an incident and the response to the incident; also called an occurrence, accident, accident/incident or event report.

Answer 14

incident report

Question 15

an unexpected event that causes serious injury or death

Answer 15

sentinel/adverse event

Question 16

scheduled visits to each resident’s room to assess the resident’s condition and needs and to discuss the care plan with participating staff.

Answer 16

rounds

Question 17

formal documentation of the type and scope of care that should be provided to a particular resident in the event of a cardiac arrest, other catastrophic organ failure, or
terminal illness.

Answer 17

code status

Question 18

a partial or complete loss of function or ability.

Answer 18

impairment

Question 19

unconscious behaviors used to release tension and/or help a person cope with stress.

Answer 19

defense mechanisms

Question 20

unease or worry, often about a situation or condition.

Answer 20

anxiety

Question 21

an illness that causes social withdrawal, lack of energy, and loss of interest in activities, as well as other symptoms.

Answer 21

major depressive order

Question 22

violent or hostile

Answer 22

combative

Question 23

confusion about person, place, or time; may be permanent or temporary.

Answer 23

disorientation

Question 24

the inability to think clearly and logically.

Answer 24

confusion

Question 25

state of unconsciousness in which a person is unable to respond to any change in
the environment, including pain.

Answer 25

coma