Communication Skills, C5; P-LQ, WB Flashcards
W2, 9/4-9
Computerized charting offers many advantages over paper charting, but ______/_______ ___________ is a primary concern.
Patient/Resident confidentiality
__________ charting offers many advantages over ______ charting, but Patient/Resident confidentiality is a primary concern.
Computerized, paper
The ___________ _________ would most likely be the first member of the health care team to notice a change in a Resident’s condition.
NA
NAs _____ allowed to accept medication orders.
aren’t
NAs aren’t allowed to accept _________ orders.
medication
Implementation
A NA would use a medical record to ________ _________ care performed to the next person who cares for the patient
legally communicate
An NA would use a ________ ______ to legally communicate care performed to the next person who cares for the Patient.
medical record
When involved in conflict, the best way to express why you’re upset is to use “_” rather than “___” messages.
I, you
When involved in conflict, the best way to epress why you’re upset is to use . . .
. . . “I” rather than “you” messages.
Listening is a communication skill that requires the NA to _____ on the speaker.
focus
__________ is a communication skill that requires the NA to focus on the speaker.
Listening
Using ASL & writing are forms of _____ communication.
verbal
In Nonverbal Communication, a person gives information through the use of ______ expressions, _______, ________ language, & _____ of voice.
facial, gestures, body, tone
Objective Observations
information directly obtained through 5 senses
_________ Data is obtained directly, using 5 senses.
Objective
Objective Data
information obtained directly
through measurements or by using one of your five senses
Subjective Data
information that can’t be objectively measured/assessed
______________ _________ is usually a person’s complaint, or Symptom.
Subjective Observation
Subjective Observation
usually a person’s complaint/Symptom
Admission Data
provides standard information about the person
name, address, DoB, age, SSN, sex/gender, insurance, employment information, emergency notification information, Advance Directive information
___________ _____ provides standard information about the person.
Admission Data
Name, address, DoB, age, SSN, sex/gender, insurance, employment information, emergency notification information, Advance Directive information are examples of __________ Data.
Admission
Medical History
information about person’s previous surgeries, medical conditions, current medications, allergies, & current medical diagnosis
________ ________ contains information about person’s previous surgeries, medical conditions, current medications, allergies, & current medical diagnosis.
Medical History
Physician’s Orders
communicates to other members of health care team what should be done for P/R
____________ ______ communicates to other members of health care team what should be done for P/R .
Physician’s Orders
__________ _______ _____ document the person’s complaints (Symptoms) & the actions taken by nursing staff in response to them.
Narrative Nurse’s Notes
Narrative Nurse’s Notes
document the person’s complaints (Symptoms) & the actions taken by nursing staff in response to them
Graphic Notes
where information is gathered & documented routinely (such as vital signs, urination/bowel movements frequency, & food/fluid intake)
_________ _____ is where information is gathered & documented routinely (such as vital signs, urination/bowel movements frequency, & food/fluid intake).
Graphic Notes
Graphic Notes is where information is gathered & documented routinely (such as ____ signs, _____________/______ movement frequency, & ____/_____ intake).
vital, urination/bowel, food/fluid
___________ occurs when nurse examines P/R & asks questions about his/er abilities, discomfort level , eating & toileting habits, & specific needs.
Assessment
Assessment
nurse examines P/R & asks questions about his/er abilities, discomfort level , eating & toileting habits, & specific needs
Diagnosis
statement that describes problem person is having, as well as problem’s cause
__________ is a statement that describes problem person is having, as well as problem’s cause.
Diagnosis
Planning
making a plan for the person’s care
__________ is making a plan for the person’s care.
Planning
Implementation
carrying out interventions detailed in nursing care plan
______________ is carrying out interventions detailed in nursing care plan.
Implementation
Evaluation
nursing team checks the nursing care plan’s effectiveness & revises as necessary
In _________________, nursing team checks the nursing care plan’s effectiveness & revises as necessary.
Evaluation
