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CNA > Chapter 7 Vocab > Flashcards

Chapter 7 Vocab Flashcards

1
Q

Abbreviation

A

Shortened form of word/phrase

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2
Q

Anterior (ventral)

A

At/towards front of the body

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3
Q

Medical record

Chart/clinical record

A

Legal account of person’s condition and response to treatment/care

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4
Q

Communication

A

Exchange if information- correctly interpreted by receiver

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5
Q

Distal

A

Farthest from the center/point of attachment

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6
Q

Dorsal/Posterior

A

At/toward the back of body

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7
Q

Electronic Health Record (EHR)

Elect. Medical record-EMR

A

Electronic version of person’s medical record

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8
Q

End-of-shift report

A

Report nurse gives to the on-coming shift durning shift change

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9
Q

Kardex

A

Type of card file that summarizes information found in med record

(drugs, treatment, diagnoses, routine care measures, equipment, and special needs)

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10
Q

Lateral

A

Away from midline or at side of body

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11
Q

Medial

A

Near the middle/mid-line of body

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12
Q

Prefix

A

Word/element before the root word (changes meaning)

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13
Q

Progress note

A

Describes care given and person’s response/progress

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14
Q

Proximal

A

Nearest to center/point of attachment

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15
Q

Recording

A

Written account of care/observations - charting, documentation

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16
Q

Reporting

A

Oral account of care/observations

17
Q

Root

A

Word/element containing basic meaning of word

18
Q

Suffix

A

Word/element placed after root (changes meaning)

19
Q

Word element

A

A part of a word

20
Q

ADL (abbreviation)

A

Activities of Daily Living

21
Q

EHR (abbreviation)

A

Electronic Health Record

22
Q

EMR (abbreviation)

A

Electronic Medical Record

23
Q

EPHI or ePHI (abbreviation)

A

Electronic Protected Health Information

24
Q

PHI (abbreviation)

A

Protected Health Information

CNA (22 decks)

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