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HCA > Interpersonal Relationships (Final 5-7) > Flashcards

Interpersonal Relationships (Final 5-7) Flashcards

1
Q

What is another name for a patient’s health care record?

A

chart

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2
Q

What are the contents of a patient’s health care record?

A
  • medical history
  • daily progress (filled by nurses and physicians)
  • vital sign records
  • fluid balance sheets
  • lab reports
  • reports by allied health professionals
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3
Q

What form of records are usually on your patient’s chart that are filled out by health care aides?

A
  • Kardex
  • Fluid Balance Record
  • Activity of Daily Living (ADLs) flow sheets
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4
Q

True or false? A patient’s health care record or chart is a legal document and must have basic guidelines and legal standards.

A

True.

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5
Q

Identify 5 general charting guidelines.

A
  • understand reason why you are documenting (read carefully)
  • check for right patient, right room and right chart
  • include date and time with each entry (24 hour clock)
  • chart entries in chronological order
  • chart changes as patient’s condition changes
  • be brief, factual and objective
  • record only what you observed or have done
  • use a pen, write clearly, spell correctly, proper medical terminology,
  • no blank spaces or lines between entries
  • sign each entry with signature and job title
  • make corrections with line through mistake, write error, put initials
  • use appropriate abbreviations
  • stamp each form with client’s name and other info
  • never chart procedure or treatment until after completion
  • do not omit info
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6
Q

Meaning of: Hemiplegia

A

hemi=half

plegia=paralysis

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7
Q

Meaning of: Dyspnea

A

dys=difficult

pnea=breathing

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8
Q

Meaning of: Bronchoscopy

A

broncho=bronchi

scopy=examination using a scope

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9
Q

Meaning of: Laryngitis

A

laryng=larynx

itis=inflammation

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10
Q

Meaning of: Leukocyte

A

leuko-white

cyte-cell

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11
Q

Meaning of: Ophthalmoscope

A

ophthalm=eye

scope=examination instrument

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12
Q

Meaning of: Tachycardia

A

tachy=fast

cardia=heart

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13
Q

Meaning of: Glucometer

A

gluco=glucose

meter=measuring instrument

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14
Q

Meaning of: Mammogram

A

mammo=breast

gram=record

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15
Q

Meaning of: Splenectomy

A

splen=spleen

ectomy=removal of

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16
Q

Meaning of: Aphasia

A

a=lack of/not/without

phasia=speaking

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17
Q

Meaning of: Arthralgia

A

arthr=joint

algia=pain

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18
Q

Meaning of: Psychosis

A

psych=mind

osis=condition

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19
Q

Meaning of: Pyrrhea

A

py=pus

rrhea=discharge

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20
Q

Abbreviation of: hour

A

h

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21
Q

Abbreviation of: activities of daily living

A

ADL

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22
Q

Where would you find the abbreviations used by the facility you work for?

A

policy manual

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23
Q

Meaning of: abd

A

abdomen

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24
Q

Meaning of: ac

A

before meals

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25
Q

Meaning of: ad lib

A

as desired

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26
Q

Meaning of: a.m.

A

morning

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27
Q

Meaning of: as tol

A

as tolerated

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28
Q

Meaning of: bid

A

twice a day

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29
Q

Meaning of: BM (bm)

A

bowel movement

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30
Q

Meaning of: BP

A

blood pressure

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31
Q

Meaning of: BRP

A

bathroom privileges

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32
Q

Meaning of: oC

A

degrees celsius

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33
Q

Meaning of: CA

A

cancer

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34
Q

Meaning of: cath

A

catheter

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35
Q

Meaning of: CHF

A

congestive heart failure

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36
Q

Meaning of: c/o

A

complains of

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37
Q

Meaning of: COPD

A

chronic obstructive pulmonary disease

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38
Q

Meaning of: CPR

A

cardiopulmonary resuscitation

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39
Q

Meaning of: CVA

A

cerebral vascular accident (stroke)

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40
Q

Meaning of: DAT

A

diet as tolerated

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41
Q

Meaning of: DNR

A

do not resuscitate

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42
Q

Meaning of: drsg

A

dressing

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43
Q

Meaning of: dx

A

diagnosis

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44
Q

Meaning of: EKG

A

electrocardiogram

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45
Q

Meaning of: FF

A

force fluids

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46
Q

Meaning of: hs

A

bedtime

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47
Q

Meaning of: ICU

A

intensive care unit

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48
Q

Meaning of: I&O

A

intake and output

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49
Q

Meaning of: IV

A

intravenous

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50
Q

Meaning of: MI

A

myocardial infarction

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51
Q

Meaning of: NPO

A

nothing by mouth

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52
Q

Meaning of: NWB

A

non-weight bearing

53
Q

Meaning of: O2

A

oxygen

54
Q

Meaning of: OR

A

operating room

55
Q

Meaning of: OTC

A

over the counter

56
Q

Meaning of: pc

A

after meals

57
Q

Meaning of: p.m.

A

afternoon/evening

58
Q

Meaning of: prn

A

when necessary

59
Q

Meaning of: PT

A

physiotherapy

60
Q

Meaning of: qhs

A

every night at bedtime

61
Q

Meaning of: qid

A

four times a day

62
Q

Meaning of: ROM

A

range of motion

63
Q

Meaning of: stat

A

at once / immediately

64
Q

Meaning of: SOB

A

shortness of breath

65
Q

Meaning of: tid

A

three times a day

66
Q

Meaning of: TPR

A

temperature, pulse, respiration

67
Q

Meaning of: ↑

A

increase

68
Q

Meaning of: ↓

A

decrease

69
Q

Meaning of: +

A

positive

70
Q

Meaning of: -

A

negative

71
Q

Meaning of: š

A

without

72
Q

Meaning of: č

A

with

73
Q

Meaning of: Ǿ

A

no, nil

74
Q

Meaning of: Δ

A

change

75
Q

Which laws protect the confidentiality of patients?

A
  1. Freedom of Information and Protection of Privacy Act (FIPPA)
  2. Personal Health Information Act (PHIA)
76
Q

As a health care aide, what are you legally obliged to do with a client’s information?

A

Obliged to keep all written and verbal information about a patient’s care, treatment and condition confidential.

77
Q

Who can you not discuss with about your patients.

A
  • patient’s relatives, friends, visitors (refer all questions to nurse)
  • other patients
  • fellow workers
  • news media
  • own family and friends
78
Q

True or false. Patients do not have the right to access all information about their condition and treatment, and can’t see their chart.

A

False. The responsibility to give out this information is for the physician.

79
Q

True or false. Anyone can have access to the computer codes to view a patient’s information.

A

False. Never give an unauthorized person these codes

80
Q

Define a group

A

Two or more people who interact over time and share common needs and goals.

81
Q

Why is it better as a group?

A
  • help people achieve goals that would be unattainable by individual effort alone
  • strength from combining knowledge, efforts and creativity
82
Q

True or false. No one health care worker can meet all of a patient’s needs alone.

A

True. Require input from all to deliver optimal care to patients.

83
Q

Define a team

A

Special kind of group brought together for a specific purpose and characterized by complementary talents of its various members.

84
Q

What is the main goal of the health care team?

A

providing optimal care for each patient

85
Q

Name the advantages of working in groups or teams.

A
  • provide access to greater range of resources
  • promote problem solving abilities
  • encourage greater risk-taking
  • peer support
  • economical and cost-effective
  • positive and trusting atmosphere
  • flexibility
  • opportunities for communication and collaboration
86
Q

Name the disadvantages of working in groups or teams.

A
  • time consuming
  • different opinions
  • different values
  • other commitments
  • different beliefs
  • talking over each other
  • power issues
87
Q

Name the two types of groups that are classified based on structure and type of interaction.

A
  1. Primary Group: small intimate group where relationships are personal, spontaneous, cooperative and inclusive
    ex) family, friends
  2. Secondary Group: larger more impersonal group
    ex) professional associates, task groups, political parties
88
Q

Name and give an example for each type of group found in the health care setting.

A
  1. Task group: focus is completion of specific task ex) patient care conference
  2. Teaching group: provide information to participants ex) parenting class
  3. Self-help groups: small group of volunteering individuals who share a similar problem ex) Alcoholics anonymous
  4. Therapy group: work towards self-understanding and changing behaviours
89
Q

What are therapeutic groups?

A

their focus is on helping others

ex) teaching group, self-help group, therapy group

90
Q

Name the key ingredients of a therapeutic relationship.

A
  1. mutual trust
  2. respect and acceptance
  3. caring
  4. therapeutic communication techniques
91
Q

How can a group be effective?

A

formal leadership: unit manager or school principal

less formal and temporary: nurse becoming leader for specific condition in patient

92
Q

Name the three stages of group development.

A
  1. initiation stage
  2. working stage
  3. termination stage
93
Q

What are the characteristics for the initiation stage?

A
  • members get acquainted
  • identify problems and goals
  • roles are given
  • dependency on leader
  • restricted communication
94
Q

What are the characteristics for the working stage?

A
  • members work together
  • assimilation of attitudes and beliefs
  • control and power issues
95
Q

What are the characteristics for termination stage?

A
  • summarize accomplishments
  • review unmet goals
  • evaluate group experience
  • prepare for separation
96
Q

Name the three major group roles.

A
  1. task roles
  2. maintenance roles
  3. self-serving roles
97
Q

What are the characteristics of task roles?

A
  • focus on the tasks of the group that enhances and coordinates the group’s movement toward achievement of goals
    ex) starter
    ex) information and opinion giver
98
Q

What are the characteristics of maintenance roles?

A
  • focus on creating and maintaining climate of cohesion and stability to emphasize progress and minimize conflict
    ex) encourager
    ex) tension reliever
99
Q

What are the characteristics of self-serving roles?

A
  • aim to satisfy individual needs, does not enhance group effectiveness (an obstacle)
    ex) aggressor
    ex) self-confessor
100
Q

Distinguish between effective and ineffective group functioning: Atmosphere

A
  • informal, comfortable, relaxed

- tense and boredom

101
Q

Distinguish between effective and ineffective group functioning: Goal setting

A
  • goals, tasks and objectives clarified

- unclear and misunderstood

102
Q

Distinguish between effective and ineffective group functioning: Leadership and member participation

A
  • shifts from time to time based on knowledge and experience

- delegated and based on authority

103
Q

Distinguish between effective and ineffective group functioning: Communication

A
  • open and two way, ideas and feelings encouraged

- closed or one way, feelings ignored

104
Q

Distinguish between effective and ineffective group functioning: Decision making

A
  • by consensus

- by highest authority with minimal involvement of members

105
Q

Distinguish between effective and ineffective group functioning: Cohesion

A
  • inclusion, trust, liking and support

- ignored or used to control members

106
Q

Distinguish between effective and ineffective group functioning: Conflict tolerance

A
  • high tolerance and reasons for disagreement examined

- low tolerance and ignored, denied, avoided

107
Q

Distinguish between effective and ineffective group functioning: Power

A
  • determined by members’ abilities, power shared

- determined by position in group, obedience is strong

108
Q

Distinguish between effective and ineffective group functioning: Problem solving ability

A
  • high, frequent constructive criticism

- low, destructive criticism

109
Q

Distinguish between effective and ineffective group functioning: Self evaluation as a group

A
  • frequent, all members participate

- minimal, done by highest authority

110
Q

Distinguish between effective and ineffective group functioning: Creativity

A
  • encouraged

- discouraged, people are afraid

111
Q

Identify the steps when searching for and obtaining a job.

A
  1. self-appraisal
  2. searching for employment
  3. preparing a resume
  4. applying for a specific job
  5. participating in an interview
  6. deciding to take the job or not
112
Q

What is the self-appraisal step?

A

-determine personal assets and limitations that will impact the choice of employment
(What does and employer want?)

113
Q

Which assets should you consider when at the self-appraisal step?

A
  • kind of patients you want to work with
  • special skills you have
  • caring attitude
114
Q

Which limitations should you consider when at the self-appraisal step?

A
  • home responsibilities
  • hours you can work
  • transportation
  • child care issues
115
Q

Name the three employability skills groups from the National Business and Education Centre of Canada and Conference Board of Canada. Give examples in each group.

A

1) fundamental skills ex) communication, manage information, use numbers, thinking and solving problems
2) personal management skills ex) demonstrate positive attitudes and behaviours, responsibility, adaptability, learning, working safely
3) teamwork skills ex) working with others, participation

116
Q

Where are common work places for health care aides?

A
  • personal care homes
  • geriatric centers
  • long-term care facilities
  • acute care facilities
  • government-run home care companies
  • private home care companies
  • hospitals
  • clinics
117
Q

What is a resume?

A

-written summary of your education and work history and accomplishments

118
Q

Name the two different styles of resumes.

A

chronological and functional

119
Q

What should you include in your resume?

A
  • personal information (name, address, phone number, email)
  • educational background (name of school, certificates, diplomas, degrees)
  • work experience (job title, name of employer, length, brief description of tasks)
  • other information (volunteer work, languages, training, workshops)
  • references (three, 2 for work skills and 1 personal reference, name, title, phone number)
120
Q

How should a resume be written?

A
  • simple writing style
  • don’t cram
  • be brief
  • use action verbs
  • correct spelling and grammar
  • 8 1/2” X 11” paper
121
Q

What should you do when filling an application form?

A
  • read the whole application first
  • use a good pen
  • be neat
  • complete, honest and accurate
  • correct spelling
  • complete entire form
122
Q

Why is it important to make a good impression on the application form?

A

-Even though it is repetition of your resume, it is convenient for employer in the screening process. The information and format is the same for all applicants, making it a lot faster for employers.

123
Q

How should you prepare for the interview?

A
  • know strengths and skills
  • learn about facility
  • practice interview questions
  • know how to get there and how long it takes
  • know interviewer’s name and position
  • dress conservatively
  • take extra copy of resume
  • make list of questions to ask interviewer
124
Q

How should you dress for an interview?

A
  • clean hair
  • brush teeth
  • not too much makeup
  • little jewellery
  • no perfume or cologne
  • trimmed nails
  • avoid revealing clothing
125
Q

What questions to not ask interviewer?

A

-salary, benefits, hours and vacation time

126
Q

On the day of the interview, when should you arrive?

A

15 minutes before

127
Q

What should you do during the interview?

A
  • firm handshake
  • stand until invited to sit
  • let interviewer guide conversation
  • friendly, courteous, positive
  • smile
  • make eye contact from time to time
  • avoid one-word answers
128
Q

Which questions can the interviewer not ask you?

A

ethnic background, age, marital status, personal finances, religious affiliations

129
Q

What should you do at the end of an interview?

A
  • thank interviewer
  • leave resume
  • write short thank you note

HCA (13 decks)

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