Exam Questions Flashcards
Holistic care
Taking care of pt emotional and physical needs
Healthcare team
Anyone in the medical field involved in pts health
Assisted living facility
Provides care for clients who need minimal help
Long term care
Provides care for people unable to care for themselves
Skilled nursing facility
Provides care for clients who need rehabilitation
OBRA
(1987) For people in long term care making sure they receive certain standard of care
Joint commission
Sets national standards of all types of Healthcare organizations
OSHA
Protects health and safety of American workers (safety in the work place)
Medi(care)
Insurance plan
Medic(aid)
Helps people with low incomes. Pays for healthcare
MDS (minimum data sets)
Report on degree of assistance/skilled care resident of long-term care
Advanced directive
A document that allows a person to make his own wishes regarding healthcare
Living will
States a person’s wish to not prolong death
Durable power of attorney
Transfers responsibility for a person’s affairs and making decisions to a family member
HIPPA
Privacy protection for health information
Ethics
Our behavior in a workplace
Work ethics
A person’s attitude, gossiping, tardy
Communicating with a person who has HEARING LOSS
Face the person.
Use note pad.
Consider learning sign language.
Make sure hearing aids are on, volume up.
Communicating with a person with SPEECH DIFFICULTIES
Ask yes or no answers.
Atrophy
Muscle loss
Respiratory (aging)
Lung tissue loss.
Diaphragm and intercostal muscles become weaker.
Hemoglobin
Red blood cells (contain oxygen)
Leukocytes
White blood cells (fights infections)
Systole
Heart contaction (top BP #)
Diastole
Heart relaxes (bottom BP #)
Neuron
Sends/receives information
General sense
Sight
Sound
Smell
Taste
Touch
Fissure
Crack in the skin
Ulcer
Crater like open sore
Phantom pain
Sensation feelins of a body part that is gone
DNR
Do Not Resuscitate
NPO
Nothing By Mouth
Heart disease risk factors
Age
Gender
Hereditary
Body build
Smoking
Overweight
High diet, fats, cholesterol, sodium
Hypertension
Diabetes
Stroke
Blocked blood flow to the brain
Aphasia
Affects persons ability to communicate
Caring for a BLIND PERSON
speak normal.
Describe things around you
Knock to enter.
Leave door completely open or closed
Supportive care
Treatments that’s will not prolong life but will make you comfortable
Palliative care
Relieving uncomfortable symptoms, not curing symptoms
Monitor I & O
Monitors intake and output of fluids
Changes in fluid can raise or lower a BP.
Monitors kidneys functions.
When NOT to shave a person
When on blood thinners
Where do pressure Ulcers occur most?
Back of head, down the spine, Lower back, and hips, heels, bony joints
STI
Spread through contact with semen or vaginally secretions
Displacement
Shifting an emotion from one person to another
What to do with dementia pt
Maintain calm structured environment.
Approach slowly, announce yourself before touching them.
Avoid arguing or disagreeing.
Use short words and sentences.
Avoid negative words.
Compression stockings
Maintains blood flow
Reduces swelling and discomfort
How to prevent infection from spreading
Hand washing, instead of alcohol rubs.
Provide each resd. With thier own personal care items.
Dispose of trash properly.
Maintain personal hygiene.
Define HIV (AIDS)
Acquired Immunodeficiency Syndrome
Body Mechanics
Alignment, balance, coordinated body movements
USE YOUR LEGS NOT BACK
RACE
Remove any pts or residents who are in danger.
Activate alarm.
Contain fire by closing doors/windows.
Extinguish fire Evacuate building.
Using fire extinguisher
P.A.S.S
Pull
Aim
Squeeze
Spray
CNA restraint role
Observe persons response.
Report any issues or signs of troubles to RN.
Chk on person every 15mins with repositioning and range of movement exercises.
Responding to an emergency
- Recognize the emergency
- Decide to act
Chk for consciousness - Activate emergency response system
- Provide appropriate care until they arrive
- Record the Care you provided
Cardiac arrest
Heart has stopped
Syncope.
What to do
Fainting.
Have person lie down and elevate feet and lower head. Or have them sit down and place head between knees. (Helps blood flow to the head)
Shearing
Force created when someone is pulled across a surface that offers resistance
How often do you reposition?
Every 2 hours
Dyspnea
Difficulty breathing
Bradycardia
Low heart rate
Tachycardia
Rapid heart rate
Pressure Ulcers
Where are the pressure points?
Bony areas
Heels
Ankles
Hips
Knees
Elbows
Shoulder blades
Ears
Back of head
Along the spine
How often do you reposition a person with pressure ulcers?
Every 2 hours
What are Wound drains?
To remove fluids from the wounds to help heal.
Dysphagia
Difficulty swallowing
What’s the reason for special diets?
People with difficulty Swallowing.
Control intake of certain foods for nutrients.
Aspiration precautions
BOLD
Vital signs
Respiratory within 2 breaths
Pulse rate withing 4 beats
Systolic BP within 6
Diastolic BP within 8
BOLD
Feeding a dependent resident
Position resident in upright 45 degrees.
Record 25% consumed food.
Record 45% liquids drank
BOLD
Catheter care for a resident
Hold catheter where it exits the urethra with one hand.
Clean with stokes only away from the urethra.
Canidate measures output within 30mls.
*
Changing a bedridden resident
Remove gown from unaffected side first.
From weak side 1st dress resident in shirt, insert your hand through the sleeve and grasp affected hand of resident.
BOLD
Ambulatory resident with a walker using gait belt
Lock bed brakes to ensure residents safety.
Lock wheelchair brakes to ensure residents saftey.
BOLD
with beds
No bolds, only *
BOLDS
Pericare
Privacy (curtain)
BOLDS
saftey
Lock bed, lock wheelchair
BOLD
R.O.M (arm,leg)
Supine
Do not force
Ask if in pain
BOLD
Coma
Full body to the side (90 degree angle)
BOLD
Blood pressure
2 respiratory
4 pulse
6 systolic
8 diastolic
BOLD
Teeth brushing
Bush ALL surfaces
BOLD
feeding a dependant
45 degree angle (sitting)
25% feeding
45ml drinking
BOLD
position on side
None, has 3 or 6 *
BOLD
Stocking
Must be placed appropriately with no restrictions
*
Stocking
Wrinkles
*
Dressing a resident
TOS
POW
Remove gown
BOLD
Urine output
30ml
Respite care
Homecare that gives the primary caregiver time to rest/leave for a short time
Changes in the body before death
Circulatory fails.
Respiratory patterns change.
Digestive system slows down.
Urine decreases.
Musculoskeletal weakens.
Nervous system changes.
Maybe altered status.
Indwelling cath
Pt is incontinent or unable to urinate
Dressing pt with IV (Affected arm)
Place on Affected arm first
Therapy for dementia/alzhiemer
Reminiscence therapy
Incident report
Accident while at work
Full liquid diet
All clears, foods that can be pored to room temp,.
What is it called when a pt is experiencing sense of fear/apprehension?
Anxiety
Slower brain impulses can lead to slower reaction so the risk of?
Falls
Define ADL
Activities of Daily Living
What’s the footcare on a diabetic?
Clean and dry, no cutting nails
Integumentary system
Hair, skin, nails
Normal systolic
90-120
Normal diastolic
60-80
Normal pulse
60-100
Normal respiratory
12-20 breaths/min
Normal temp
97.6-99.6
Unintentional tort
Violation of civil law when someone causes harm/injury to another person’s property without intent to cause harm.
Phaygocytosis
White blood cells, destroy germs by surrounding them and destroying them
Cecum
A pouch connected to the junction of small and large intestine
Stages of grief
Denial
Anger
Bargaining
Depression
Acceptance