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Nursing Assistant > Chapters 1-6 12 > Flashcards

Chapters 1-6 12 Flashcards

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1
Q

A health care provider was trained in ______ health care skills, rather than for specific illnesses or conditions

A

general

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2
Q

Charlatans use to offer ineffective ______ in exchange for money

A

cures

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3
Q

The _____ was the primary site for patient care

A

home

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4
Q

Health care professionals have to undergo intensive ____ _____

Large facilities provide _____ patient care

A

educational preparation

on-site

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5
Q

The family doctor is now called a ______ _____ and is supported by a team of specialist

A

general practitioner

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6
Q

A _____ approach is now used: focuses on the care of the whole person–physically and emotionally

A

holistic

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7
Q

All health care organizations have a purpose or _____

A

mission

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8
Q

Acute care settings

Probably the best known type of health care organization

People who receive the services there are called ____

A

hospital

patients

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9
Q

A patient who has to stay at the hospital for one or more nights receives _____ _____

A

inpatient care

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10
Q

A patient who goes home the same day receives _____ _____

A

outpatient care

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11
Q

Also called a skilled nursing unit or a skilled nursing facility

Provides care for a patient who has partially recovered but still requires skilled health care

A

sub-acute care units

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12
Q

The care provided in a sub-acute unit often focuses on _____

A

rehabilitation

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13
Q

For people who are unable to care for themselves at home, yet do not need to be hospitalized

A

long term care facilities

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14
Q

Long term care facilities often becomes the person’s ____, either temporarily or permanently

A

home

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15
Q

People being cared for in long term care facilities are called _____

A

residents

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16
Q

For people needing limited help such as:

medications

transportation

meals

housekeeping

A

assisted living facilities

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17
Q

Provide skilled care in a person’s home

People receiving care in this type of setting are called ____

Available for people of all ages with any number of medical needs

A

home health care agencies

clients

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18
Q

People can receive services when they know that they have 3 to 6 months to live

Focus: to relieve pain and to provide emotional and spiritual support

Services are provided for both the dying person and the family

A

hospice organizations

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19
Q

_____ care can be delivered in the home, a nursing home, hospital or hospice house or center

A

hospice

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20
Q

Within each facility, care of patients or residents is provided by a _____ _____ _____, made up of many people with different types of knowledge and skill levels

A

health care team

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21
Q

Structure of health care organizations are usually governed by a ____ _____ _____

Has divisions in charge of certain aspects of the organization’s function

An _____ or chief of executive officer (CEO) is the link between the board and the organization

A

board of trustees

administrator

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22
Q

Nursing services is headed by a ____ or ____

Care of patients or residents is provided by a ____ ____ _____

A

director of nursing (DON) or chief nursing officer (CNO)

health care team

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23
Q

The ____ or ____ is the primary focus of the health care teams efforts

A

patient or resident

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24
Q

The primary government agency responsible for protecting this nation’s health

A

United States Department of Health and Human Services

DHHS

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25
Q

An in-depth investigation of long term care facilities initiated by the DHHS in response to complaints of neglect and abuse from people who had family members in long term care facilities resulted in a law known as the _____ ____ _____ _____ of 1987

A

Omnibus Budget Reconciliation Act of 1987

OBRA

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26
Q

Sets national standards for all types of health care organizations and officially recognizes organizations that meet standards

A

The Joint Commission (JCAHO)

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27
Q

An actual inspection and evaluation of a health care organization or facility

A

survey

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28
Q

Statements that identify the standards that were not met, as well as the survey teams findings that indicate how the facility failed to meet the standards

Must be addressed in a formal written statement that outlines how each deficiency will be corrected

A

deficiency citations

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29
Q

A facility that does not regain compliance status may face serious penalties, such as:

A

loss of accreditation status

substantial fines

an inability to qualify for Medicare or Medicaid payments

an admissions ban

closure

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30
Q

Government and private regulations make sure that:

providers of health care are properly ____ and ____

health care facilities meet standards of ____ and ____

all products used in the delivery of health care are safe

quality health care is available to everyone

A

trained and competent

cleanliness and quality

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31
Q

Regulating agencies:

Government: ____

Private: _____

A

United States Department of Health and Human Services (DHHS)

The Joint Commission

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32
Q

Government agency that is responsible for protecting the health and safety of American workers by enforcing standards and providing education to improve conditions in the workplace

A

Occupational Safety and Health Administration (OSHA)

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33
Q

Assures the organization is meeting specifically stated standards of care

A

accreditation

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34
Q

Health care facilities that comply with the standards set by The Joint Commission are allowed to display the ____ ____ _____ _____ of _____

A

Joint Commission’s Gold Seal of Approval

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35
Q

Comprised of representatives of various accrediting agencies, inspects and evaluates the organization and actual facility

A

survey team

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36
Q

A report containing any identified deficiencies

A

written summary

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37
Q

Insurance purchased at group rates by an employer or corporation

A

group insurance

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38
Q

Health care provider has to prove that a person’s medical condition meets certain criteria before starting
treatment

A

Precertification (preapproval) process

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39
Q

Arrange contracts with various health care providers

A

managed care system

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40
Q

Health care providers contract with an insurance company to accept a standard payment

A

Preferred provider organization (PPO)

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41
Q

Contract with health care providers to provide health care services for a prepaid fee

A

Health maintenance organization (HMO)

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42
Q

Federally funded by Social Security, administered by Center for Medicare and Medicaid Services (CMMS)

People who are 65 or older are eligible

A

medicare

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43
Q

A report required for each resident that received Medicare

Asses the degree of assistance that each resident needs and helps to ensure that the resident receives quality care that is directed to his or her specific needs

A

minimum data set (MDS)

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44
Q

Payment is specified according to the diagnosis

A

diagnosis-related groups (DRG’s)

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45
Q

Due to the DRG system, patients are discharged ____ and ____

A

sooner and sicker

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46
Q

Designed to help people with low income to pay for health care

Federally funded and state regulated plan

Reimbursements are given only to facilities approved by the state agency

A

Medicaid

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47
Q

British nurse who is credited with making nursing into the profession it is today (1820-1910)

A

Florence Nightingale

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48
Q

____ _____ _____ _____ requirements for certification:

competency evaluation
principle of reciprocity
registry
continuing education

A

Omnibus Budget Reconciliation Act (OBRA)

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49
Q

Nursing assistant training ends with a ____ ____,

which involves a written test of 75 multiple choice questions and a skills test

A

competency evaluation

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50
Q

The principle of ____ means your certification as a nursing assistant may be valid in states other than where you originally trained

A

reciprocity

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51
Q

OBRA requires every state to maintain a ____, an official database of the people who have successfully completed the nursing assistant training program

A

registry

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52
Q

The ____ contains:

  • full name, including maiden name and married name
  • last known home address
  • date competency evaluation was passed
  • reported incidents of resident abuse or neglect, or theft of resident property
A

registry

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53
Q
  • assist nurses in giving care to patients and residents
  • meet the basic physical needs of patients and residents
  • meet the emotional needs of patients and residents
  • act as observer and communicator

These are responsibilities of a _____ _____

A

nursing assistant

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54
Q

The nursing team consists of: ____, _____, and _____

A

licensed practical nurse (LPN) or licensed vocational nurse (LVN)
registered nurse (RN)
nursing assistant

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55
Q

The difference between a LPN and RN is _____

A

the level of training

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56
Q

Licensed nurse who supervises the nursing assistants and may supervise another nurse

A

charge nurse

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57
Q

Sometimes called a nurse manager or head nurse, is usually an RN who is in charge of a particular floor or section, supervises the charge nurse and has 24 hr day responsibility of the floor

A

unit manager

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58
Q

May have same responsibilities as a unit manager, but the duties are limited to that shift

A

shift supervisor

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59
Q

RN who directs all of the nurse care within the facility, responsible for the overall operation of the entire nursing department

A

Director of Nursing (DON)

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60
Q

Person that is responsible for developing and delivering in-service education

A

Coordinator (of director) of In-Service Education or Staff Development

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61
Q

Nurse that is responsible for tracking data that reflect quality of care issues, like incidents or accidents

A

Quality Assurance (QA) or Quality Improvement (QI)

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62
Q

RN responsible for the assessment process that is used to complete the Minimum Data Set (MDS)

A

Registered Nurse Assessment Coordinator (RNAC)

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63
Q

RN who has completed additional training for licensure in advanced practice, are able to do some tasks that doctors do

A

Certified Registered Nurse Practitioner (CRNP)

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64
Q

RN that is assigned several patients or residents and is responsible for planning and carrying out all aspects of care for those people

A

primary nursing

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65
Q

Each member of the nursing team carries out the same task for all patients and residents

A

functional (modular) nursing

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66
Q

A team leader, determines all of the nursing needs for the patients or residents assigned to the team and assigns task according to each team members skills

A

team nursing

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67
Q

Nursing care is designed around the needs of the patient or resident and works to meet the person’s needs

A

patient-centered or patient-focused care

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68
Q
  • describes the range of task the assistant is legally permitted to do
  • restricts task assistant is allowed to do
  • defines the responsibilities of a nursing assistant
A

scope of practice

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69
Q

To give another person permission to perform that task on your behalf

A

delegate

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70
Q

The National Council of State Boards of Nursing (NCSBN) has developed guidelines called the ____ ____ _____ _____

  • the right task
  • the right circumstances
  • the right person
  • the right direction
  • the right supervision
A

five rights of delegation

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71
Q
  • administering meds and O2
  • receiving verbal orders from doctor
  • diagnosing illness and prescribing meds
  • supervising other CNA’s
  • sterile task
  • inserting or removing tubes

These are task that a CNA should ____ do

A

not

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72
Q
  • person with experience and skill in a specific role
  • person engaged in a specific occupation for pay
  • person who has credentials, obtained through education and training enabling licensing or certification to practice certain professions
A

professional

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73
Q
  • having a professional attitude
  • possessing a positive attitude
  • committed to doing your best
  • sense of pride as result of setting high standards
  • obtaining satisfaction from work done
A

professionalism

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74
Q
  • your attitude toward your work
  • remember that a strong ___ ____ is what separates an average employee from a great employee
  • allows growth
A

work ethics

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75
Q
  • punctuality
  • reliability
  • accountability
  • conscientiousness
  • honesty
  • cooperativeness
  • empathy
  • life-long learner
A

characteristics of work ethics

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76
Q

Side of ourselves that we display to the world, communicating outwardly how we feel about things

A

attitude

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77
Q

____ and _____ go together hand and hand

A

professionalism and strong work ethics

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78
Q

Being able to imagine what it would feel like to be in another persons situation

A

empathy

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79
Q
  • prevent emotional burn out

- keep your emotions in check

A

emotional health

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80
Q
  • prevent the spread of infection

- maintain a professional appearance

A

personal hygiene

81
Q

A brief document that gives a possible employer general information about you and your education and work experience

A

resume

82
Q

It is against the law for an employer to ask a candidate questions about race, religion, marital status, ect….

A

Equal Employment Opportunity Commission (EEOC)

83
Q

A list of three or four people who would be willing to talk to a potential employer about your abilities

A

reference list

84
Q

Person that handles the hiring

A

human resources department (HR)

85
Q

A chance for a potential employer to meet you personally and learn more about you

A

interview

86
Q

The practice of designing equipment and work task to conform to the capacity of the worker

A

ergonomics

87
Q

Manual lifting, turning, and repositioning of patients put health care workers at increased risk for _____

A

musculoskeletal disorders

88
Q

Musculoskeletal disorders include:

A
  • muscles strains and tears
  • ligament sprains
  • joint and tension inflammation
  • pinched nerve
  • herniated discs in the spinal column
89
Q

Performing the same action over and over again places physical stress on the body, actions are:

A
  • lifting
  • pushing
  • pulling
  • stooping
  • bending
  • moving
90
Q

The basic components of good body mechanics are

the ABC’s:

A
  • alignment
  • balance
  • coordinated movement
91
Q

Simply good posture, ensures that no excess strain is placed on the joints and muscles

A

alignment

92
Q

The back is held in a _____ position with the natural curvature of the lower back intact

A

neutral

93
Q

Stability produced by the even distribution of weight

A

balance

94
Q

Improve your _____ by:

  • increasing your base of support by spreading your feet further apart
  • bringing your center of gravity (torso) closer to your base of support (feet) by bending at the knees and hips so that your torso is closer to your feet
A

balance

95
Q

Involves using the weight of your body to help with movement

A

coordinated body movement

96
Q

When you have to move a patient from the bed to a chair,

  • bend your knees and hold the person close to the center of your body
  • use your muscles in your ____ and ____ to lift and move the person
A

thighs and hips

97
Q

A series of steps followed in a particular order:

-protects patients, residents, and nursing assistant

A

procedure

98
Q

Actions followed before performing any procedure

A

pre-procedure actions

99
Q

The Getting Ready steps:

-WEAVERS

A
  • wash
  • equipment
  • announce
  • verify
  • explain
  • respect
  • safety
100
Q

Actions that are routinely performed at the end of each procedure

A

post-procedure actions

101
Q

Finish up steps:

A L S O W D

A
  • alignment
  • light
  • safety
  • open
  • wash
  • document
102
Q

-Multiple duties
-emergency situations
-unnoticed wet floors
-helping a very weak person
-attempting to prevent a fall
Are factors that increase _____

A

a risk for falling

103
Q

Form of communicating information about chemicals to employees

A

Safety Data Sheet (SDS)

104
Q

Summarizes the following information:

  • what the chemical is made from
  • which exposures may be dangerous
  • what to do if an exposure occurs
  • how to clean up spills
A

Safety Data Sheet (SDS)

105
Q

____ mishaps can occur due to:

  • frayed wires
  • loose plugs
  • unsafe electrical appliances
A

electrical

106
Q

A way of returning stray electrical current to the outlet so that the risk of electrical shock is reduced

A

grounded

107
Q

For a fire to occur 3 elements must be present:

A
  • fuel
  • heat
  • O2
108
Q

Common sources of ____ include:

  • cloth
  • cooking oil, gasoline
  • the building itself
A

fuel

109
Q

Common sources of ____ include:

  • electrical spark
  • lighted smoking material
  • candles
  • heated elements
  • stove
A

heat

110
Q

Common sources of ____ include:

  • present air
  • O2
A

oxygen

111
Q

The general actions that are taken in the event of a fire emergency are known as the ____ fire response plan

A

RACE

R- remove
A- activate
C- contain
E- extinguish or evacuate

112
Q

Type of fire fueled by wood, paper, cloth, dried leaves and grass
Extinguished by water and removing heat

A

Type A

113
Q

Type of fire fueled by petroleum, cooking, grease

Extinguished by sprinkling baking powder, put a lid on pan and remove from heat

A

Type B

114
Q

Type of fire fueled by electric short circuit, electric sparks
Extinguished by using a fire extinguisher

A

Type C

115
Q

When using a fire extinguisher remember the word PASS:

A

Pull
Aim
Squeeze
Spray

116
Q

A sudden, unexpected event that causes injury to many people, major damage to property, or both

A

disaster

117
Q 
Violet acts (including physical assaults and threats of assaults) directed toward persons at work or on duty
Includes acts of terrorism
A

workplace violence

118
Q

-society’s laws
-governing authority
-personal ethical code
-moral sense
-values installed by family
-spiritual beliefs
Are factors that influence ____

A

behavior

119
Q

Revision of Patients’ Bill of Rights by American Hospital Association
12 points in the Patient Care Partnership
Patients’ rights and responsibilities in the bill

A

Patients’ Rights

120
Q

Guidelines as part of the Omnibus Budget (OBRA)
16 points in the residents rights
-set legal and ethical standards
-creates atmosphere of open communication
-protects residents

A

Residents’ Rights

121
Q

Advocacy
Ombudsman
OBRA requirements
Are concerns for ____

A

long-term care

122
Q

Process of making a plea or providing support on another’s behalf

A

advocacy

123
Q

A person from the state or local Office on Aging who regularly visits residents in long term care facilities to check on their welfare

A

ombudsman

124
Q

____ requires nursing homes to post information notifying residents of their right to file an complaint

A

OBRA

125
Q

The ability to make thoughtful decisions based on an understanding of the risks and benefits related to a decision

A

decision making capacity

126
Q

Documents that allow a person to make his or her wishes concerning health care known to family, friends, and health care providers
-preserve the patient’s right to make informed health care related decisions

A

advanced directives

127
Q

The authority to make health care decisions is transferred to a health care agent in times when the patients decision making abilities are impaired

A

durable power of attorney for health care

128
Q

Allows the patient to make known their wishes concerning end of life medical treatment

A

living will

129
Q

Rules are made by a controlling authority such as the state or federal government

A

laws

130
Q

Concerned with the relationship between individuals

A

civil law

131
Q

Concerned with the relationship between an individual and society

A

criminal law

132
Q

Legal action taken against a person for breaking the law

A

litigation

133
Q

Responsibility of an individual to act within the confines of the law

A

liability

134
Q

When a civil law is violated a ____ or wrong is committed

A

tort

135
Q

Without intent to cause harm

A

unintentional tort

136
Q

A person who commits unintentional tort is considered ____

A

negligent

137
Q

Negligence committed by people licensed to practice their profession is called _____

A

malpractice

138
Q

with intent to cause harm, includes:

  • defamation
  • assault
  • battery
  • fraud
  • false imprisonment
  • invasion of privacy
  • larceny
A

intentional tort

139
Q

Making untrue statements, slander or libel

A

defamation

140
Q

stealing

A

larceny

141
Q

Threatening or attempting to touch a person without consent

Can be based on angry statement or gesture

A

assault

142
Q

Touching a person without consent

A

battery

143
Q

Deception that could cause harm

Misrepresents professional qualities

A

fraud

144
Q

Confining another person against their will

Improper use of restraints

A

false imprisonment

145
Q

Violating another persons right to keep certain information and aspects of self away from others

A

invasion of privacy

146
Q

Keeping information to self

A

confidentiality

147
Q

Federal privacy regulations

Involves both at work and away from work

A

Health Insurance Portability and Accountability Act

HIPAA 1996

148
Q

Repetitive and deliberate infliction of injury on another person
Actively doing something failing to do something

A

abuse

149
Q

Moral principles or standards that govern conduct

A

ethics

150
Q

Code stated by the American Nurses Association

A

professional ethics

151
Q

Type of ethics that are derived from values

A

personal

152
Q

A cherished belief or principle

A

value

153
Q

Do good for those in your care

A

beneficence

154
Q

Avoid harming those in your care, use kindness and gentleness

A

nonmaleficence

155
Q

Treat people fairly and equally

A

justice

156
Q

Act with integrity to earn others trust

A

fidelity

157
Q

Respect a person rights and personal preference

A

autonomy

158
Q
  • treat patients and residents with respect for their individual needs and values
  • respect the patients right to choice in regards to their care
  • hold confidential all information about a patient
  • be guided by consideration for dignity of patients
  • fulfill the obligation to provide competent care
A

code of ethics

159
Q

Process of exchanging information that involves at least two people

A

communication

160
Q

Tends to be deliberate, used to express a thought, with the intent of giving specific information to another person

A

verbal communication

161
Q

More subtle, involves giving information through the use of facial expressions, gestures, and body language
-tone of voice can be considered a form

A

nonverbal communication

162
Q

Is an indication that the message sent by the sender was received and understood by the receiver

A

feedback

163
Q

_____ questions invite the person to say more

A

open ended

164
Q

____ is perhaps the most universal of all languages

A

touch

165
Q

Results from differences between people

A

conflict

166
Q

Today the _____ remains a primary tool of communication

  • use etiquette
  • respect patient confidentiality
  • know your facilities policy
A

telephone

167
Q

Something that you noticed about a patient typically related to a change in physical and mental condition

A

observation

168
Q

Information that cannot be objectively measured or assessed

A

subjective data (symptom)

169
Q

Information that you obtain directly though measurements or by using one of your five senses

A

objective data (sign)

170
Q

Spoken exchange of information between health care team workers

A

reporting

171
Q

Communicating information about a patient to other health care team members in written form

  • medical record
  • kardex
A

recording (charting)

172
Q

Legal document that contains:

  • persons current condition
  • measures taken for diagnosis and treatment
  • persons response to treatment
A

medical record

173
Q

_____ records contain:

  • admission sheet
  • med history
  • nursing history
  • physicians order sheet
  • medication administration record
  • physicians progress notes
  • narrative nurses notes
  • graphic sheet
  • miscellaneous documents
A

medical

174
Q

A persons medical record can be maintained by:

entering data into a _____ in response to prompts

A

computer

175
Q 
Computer information system
Advantages:
-record easily and quickly
-information can be uploaded quickly
-information can be recorded at bed side
-doctor orders immediately sent to appropriate departments
A

electronic health record (EHR)

176
Q

A card file containing condensed versions of each patients medical record

  • summary of pts current diagnosis
  • diagnostic tests and treatments ordered by the doctor
  • information about routine care measures
A

kardex

177
Q

Plan that directs the efforts of the health care team members who are responsible for carrying out the doctors orders

A

interdisciplinary care plan

178
Q

Nursing team develops a care plan for each pt

A

nursing care plan

179
Q

The communication method that is used to develop the nursing care plan

A

nursing process

180
Q

Nursing assistants play a key role in ____ and ____ the nursing care plan

A

implementing and evaluating

181
Q

Steps in the ____:

  • assessment
  • diagnosis
  • planning
  • implementation
  • evaluation
A

nursing process

182
Q

A condition characterized by a rapid onset and a relatively short recovery time, unexpected

A

acute illness

183
Q

A condition that is ongoing

A

chronic illness

184
Q

Illness or condition from which recovery is not expected

A

terminal illness

185
Q
  • grouped according to age
  • grouped according to illness or condition
  • grouped according to special needs
A

grouping

186
Q

Changes that occur physically are known as ____

A

growth

187
Q

Changes that occur psychologically or socially are known as ____

A

development

188
Q
  • 20 to 40 years

- typically enjoy stable, supporting friendships and good health

A

young adult

189
Q
  • 40 to 65 years
  • at the height of career
  • become caretakers
  • start to show signs of aging
  • chronic illness may occur
A

middle adulthood

190
Q
  • 65 to 75 years
  • physical signs of aging and the development of chronic illnesses become more prevalent
  • strength diminishes
A

later adulthood

191
Q
  • 75 years and beyond
  • primary task is preparing for ones own death
  • must adjust to failing health
  • enjoy sharing wisdom to the young
A

older adulthood

192
Q

Defined as something that is essential for a persons physical and mental health

A

need

193
Q

Famous American psychologist defined what he thought to be the basic human needs

A

Abraham Maslow (1908-1970)

194
Q

Maslow’s pyramid, called ____ reflects Maslow’s belief that the more basic, lower level needs must be met, at least to some degree, before the higher level needs can be met

A

Maslow’s hierarchy of human needs

195
Q
  • physiologic needs
  • safety and security
  • love and belonging needs
  • self-esteem needs
  • self-actualization needs (highest level)
A

Maslow’s hierarchy of human needs

196
Q

Made up of the beliefs (including religious or spiritual beliefs) values and traditions that are customary to a group of people

A

culture

197
Q

A persons spiritual beliefs

A

religion

198
Q

-getting satisfaction and comfort from the way we live
-everyone has different idea
-everyone will decide what they do and do not want
-holistic approach
-must respect his or her wishes
-provide information to help client or resident to make
decision

A

quality of life

Nursing Assistant (8 decks)

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