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HCC

HCC 2008 VOCAB Exam 2 (class 5-8)

QuestionAnswer
cultural assimilation when minority groups live within a dominate group, many of their members lose the cultural characteristics that once made them different
cultural blindness when one ignores differences and proceeds as though they do not exist
cultural diversity people of varying racial classification and national origin religious affliction, language, physical size, gender, sexual orientation, age, disability, socioeconomic status, occupational status, and geographic location
cultural imposition the belief that everyone everyone should conform to the majority belief system
culture a shared system of beliefs, values, and behavioral expectations that provide social structure for daily living
culture conflict occurs when people become aware of cultural differences, feel threatened and respond by ridiculing the beliefs and traditions of others to make themselves feel more secure about their own values
culture shock the feelings a person experiences when placed in a different culture that the person perceives as strange, may result in psychological discomfort or disturbances
ethnicity the sense of identification with a collective cultural group, largely based on the groups common heritage
ethnocentrism the belief that ones own ideas, beliefs, and practices are the best , are superior, or are most preferred to those of others
personal space external environment surrounding a person that is regarded as being part of that person
race specific physical characteristics, such as skin pigmentation, body structure, facial features, and hair texture
stereotyping when someone assumes that all members of a culture or ethnic group act alike
assertive behaviors open honest and direct communication
body language nonverbal communication
channel the medium the sender has selected to send the message
cliche a stereotyped, trite, or pat answer
communication the process of exchanging information and the process of generating and transmitting meanings btw two or more individuals
empathy identifying with the way another person feels
feedback evidence that the receiver has understood the intended message
group dynamics how individual group members relate to one another during the process of working toward group goals
helping relationship exists among people who provide and receive assistance in meeting human needs
horizontal violence anger and aggressive behavior btw nurses, or nurse-to-nurse hostility
interpersonal communication occurs btw two or more people with a goal to exchange messages
interviewing techniques used to obtain needed information while remaining flexible in approach
intrapersonal communication self -talk, communication that happens within the individual, positive talk can be helpful
language a prescribed way of using words so that people can share information effectively
message the actual physiologic product of the source
noise factors that distort the quality of a message- can interfere with communication at any point in the process
nonverbal communication transmission of information without use of words
organizational communication when individuals and groups within an organization communicate to achieve established goals
professionalism appearance demeanor and behavior...a way of being/commitment to secure the interests and welfare of those entrusted to ones care
rapport a feeling of mutual trust experienced by people in a satisfactory relationship. good rapport facilitates open communication
receiver (decoder) must translate and interpret the message sent
semantics the study of the meaning of words
small-group communication when nurses interact with two or more people. ex. staff meetings, patient care conferences, teaching sessions, or support groups
source (encoder) a person or group who initiates or begins the communication process
stimulus patient need to be addressed
Therapeutic Touch "unruffling" or clearing, congested areas of energy in the body and redirecting the energy
verbal communication exchange of information using words, including both the spoken and written word
affective learning includes changes in attitudes, values, and feelings. eg. the patient expresses renewed self confidence after physical therapy
androgyny the study of teaching adults
cognitive learning the store and recalling of new knowledge in the brain
contractual agreement a pact btw two people setting out mutually agreed on goals
counseling interpersonal process of helping patients to make decisions that promote their overall well-being
developmental crisis can occur when a patient is going through a developmental stage or passage such as menopause
formal teaching the planned teaching done to fulfill learner outcomes
informal teaching unplanned teaching sessions that deal with the patients immediate learning needs and concerns
learning the process by which a person acquires or increases knowledge or changes behavior in a measurable way as a result of the experience
learning readiness the patients willingness to engage in the teaching-learning process(emotional-readiness) and to begin the challenge of learning
literacy the ability to read and write
negative reinforcement criticism or punishment- generally ineffective
patient education the process of influencing the patient's behavior to effect changes in knowledge, attitudes, and skills needed to maintain and improve health
pedagogy the teaching of children and adolescents
positive reinforcement to affirm the effort of patients who have mastered new knowledge attitudes or skills
psychomotor learning learning a physical skill involving the integration of mental and muscular activity. ex. patient demonstrates how to change dressing using clean techniques
situational crisis occurs when a patient faces an event or situation that causes a disruption in life
teaching- learning process aids nurses in developing their own teaching and learning skills
agnostic one who holds that nothing can be known about the existence of God
atheist a person who denies the existence of God
faith confident belief in something for which there is no proof or material evidence
religion an organized system of beliefs about a higher power
spiritual beliefs associated with all aspects of a persons life including health and illness
spiritual distress spiritual pain, alienation, anxiety, guilt, anger, loss, and despair
spirituality anything that pertains to a persons relationship with a nonmaterial life force or higher power
spiritual needs three,underlying all religious traditions and common to all people: need for meaning and purpose, need for love and relatedness, need for forgiveness
aerobic bacteria required oxygen to live and grow
anaerobic can live without oxygen
antibody what the body produces in response to an antigen
antigen foreign material
antimicrobial antibacterial ingredient
asepsis all activities to prevent infection or break the chain or infection
bacteria the most significant and most commonly observed infection causing agents in healthcare institutions, can be categorized in various ways
disinfection destroys all pathogenic organisms except spores
endogenous causative organism comes from microbial life harbored in the person
exogenous causative organism is acquired from other people
fungi plantlike organisms (molds and yeasts) that also can cause infection, are present in the air, soil, and water
health care-associated infection infections developed during the course of treatment for other conditions
host a source that is acceptable
iatrogenic results form treatment or diagnostic procedure
infection a disease state that results from the presence of pathogens in or on the body
isolation protective procedure that limits the spread of infection
medical asepsis clean technique, involves procedures and practices that reduce the number and transfer of pathogens
nosocomial something originated or taking place in a hospital
pathogens disease-producing microorganisms
reservoir natural habitat for the organism for growth and multiplication of microorganisms
standard precautions precautions used in the care of all hospitalized individuals regardless of their diagnosis or possible infection status
sterilization destroys all microorganisms including spores
surgical asepsis sterile technique, practices used to render and keep objects and areas free from microorganisms
vector nonhuman carriers that transmit organisms from one host to another
virulence ability to cause disease
virus the smallest of all microorganisms, visible only with an electron microscope
transmission based precautions precautions used in addition to standard for patients in hospitals with suspected infection with pathogens that can be transmitted by airborne droplet or contact routes
asphyxiation suffocation, air does not reach the lungs and breathing stops
bioterrorism involves the deliberate spread of pathogenic organisms into a community
chemical terrorism deliberate release of a chemical compound for the purpose of causing mass destruction
disaster an event of greater magnitude that requires the response of people outside the involve community
ground connection from an electricity source to the earth through which electric current leakage can be harmlessly conducted
incident report a confidential document that objectively describes the circumstances of the accident
intimate partner violence (IPV) domestic violence or battering caused by a spouse, boyfriend or girlfriend
nuclear terrorism involves intentional dispersal if radioactive materials into the environment for the purpose of causing injury or death
poison control center provide checklists for poison proofing a home and provide lists of toxic household items
sentinel event an unexpected occurrence involving death or serious physical or psychological injury, or the risk of death or injury
active exercises patient independently moves joint through their full range of motion
ankylosis consolidation and immobilization of a joint
atrophy decrease muscle size
body mechanics efficient use of the body as a machine and as a means of locomotion
cartilage hard nonvascular connective tissue found in the joints as well as in the nose, ears, thorax, trachea, and larynx
contractors permanent contraction of muscles
dangling the position in which the person sits on the edge of the bed wth leds and feet over he side of the bed
exercise active exertion of muscles involving the contraction and relaxation of muscle groups
flaccidity decreased tone, hypotonicity
footdrop foot is unable to maintain itself in the perpendicular position, heel-toe gait is impossible and the patient experiences extreme difficulty walking
isokinetic exercise involves muscle contractions with resistance ex. leg lifts with weights
isometric exercise involves muscle contraction without shortening ex.quad drills, pushing palms against chair or wall
isotonic exercise involves muscle shortening and active movement ex. Active ROM, swimming, walking, bicycling, ADLs
ligaments tough fibrous bands of connecting tissue that bind joints together and connect bones to cartilage
negative nitrogen balance muscle wasting and decrease physical energy for movement and work
neurons nerve cells that conduct impulses from one part of the body to another
orthopedics refers to the correction or prevention of disorders of body structures in locomotion
osteoporosis process of bone demineralization
paralysis the absence of strength secondary to nervous impairment
paresis impaired muscle strength or weakness
range of motion complete extent of movement of which a joint is normally capable
passive exercise patient is unable to move independently and the nurse moves each joint thought its range of motion
spasticity increased tone that interferes with movement
tendons strong flexible inelastic fibrous bands and flattened sheets of connective tissue that attach muscle to bone
tonus terms used to describe the state of slight contraction--the usual state of skeletal muscles
actual nursing diagnosis represents a problem that has been validated by the presence of major defining characteristics
collaborative problems certain physiologic complication that nurses monitor to detect onset or changes in status
cue significant information that is helpful in making decisions
data cluster a grouping of patient data or cues that points to the existence of a patient health problem
diagnosing identify how an individual group or community responds to actual or potential health and life processes
diagnostic error erroneously labeling selected patient health patterns as unhealthy
health problems condition that necessitates intervention to prevent or resolve disease or illness or to promote coping and wellness
medical diagnosis identify diseases
nursing diagnosis actual or potential health problems that can be prevented or resolved by independent nursing intervention
possible nursing diagnoses statements describing a suspected problem or which additional data are needed
risk/high-risk nursing diagnoses clinical judgement that an individual, family or community is more vulnerable to develop the problem that others in the same or similar situation
standard norm, a generally accepted rule, measure, pattern or model to which data can be compared in the same category
syndrome nursing diagnoses comprise a cluster of actual or risk nursing diagnosis that are predicted to be present because of a certain event or situation
wellness diagnoses clinical judgements about an individual, group, or community in transition from a specific level of wellness to a higher level of wellness
clinical pathways (critical pathways CareMaps) case management tools used to communicate the standardized, interdisiplinary plan of care for a particular group of patients; care guidelines and outcomes are specified for each day of a patients stay
computerized plans of nursing care plans of patient care developed by computer software programs that enable the nurse to call up screens listing causes, goals and related nursing interventions for nursing diagnoses and medical diagnoses
criteria specified behavior
discharge planning systematic process for preparing the patient to leave and for maintaining continuity of care
expected outcome specific, measurable criteria used to evaluate whether the patient goal has been met
goal an aim or an end
initial planning planning that addresses each problem listed in the prioritized nursing diagnosis and identifies appropriate patient goals and the related nursing care
Kardex care plan trade name for a care plan documentation system that encompasses 1 prescriptions 2 nursing diagnoses and related patient goals and nursing orders 3 the nursing care related to diagnostic measures and the medical regimen
nursing intervention independent nursing actions that involve carrying out nurse-prescribed interventions written on the nursing plan of care, as well as any other actions the nurse initiates without direction or supervision of a healthcare provider
ongoing planning planning carried out by any nurse who interacts with a patient to keep the plan up to date. Used to facilitate the resolution of health problems, to manage risk factors and to promote function
outcome identification observation of the patient to demonstrate the resolution of the problems identified by the nursing diagnoses and general problems list, along with the time frame for accomplishing there outcomes
patient outcome an expected conclusion to a patient health problem, or in the event of a wellness diagnosis and expected conclusion to a a patients health expectation
plan of nursing care written guide that directs the efforts of the nursing team as the nurses work with patients to meet health goals
planning establish pateint goals to prevent reduce or resolve the problems identified in the nursing diagnoses and determination of related nursing interventions
standardized care plans prepared plan of care that identifies the nursing diagnoses, patient goals, and related nursing orders common to a specific population or problem
concurrent evaluation direct observation of nursing care, patient interviews and chart review to determine whether the specified evaluative criteria are met
criteria measurable qualities, attributes or characteristics that specify skills, knowledge or health status
evaluating fifth step of the nursing process, nursing and patient together measure how well the patient has achieved the outcomes specified in the plan of care
evidence based practice designed and delivered nursing care that evidence supports as likely to produce the expected outcome
nursing audit a method of evaluating nursing care that involves reviewing patient records to assess the outcomes of nursing care or process by which these outcome were achieved
outcome evaluation focuses on measurable changes in the health status of the patient or the end or results of nursing care
peer review the evaluation of one staff member by another on the same level in hierarchy
performance improvement nurses commit to healthier patients, quality care, reduced costs and the personal satisfaction of knowing they are actually making a difference
process evaluation nature and sequence of activities carried out by nurses implementing the nursing process
quality-assurance program specially designed programs that promote excellence in nursing
quality improvement commitment and approach used to continuously improve every process in every part of an organization with the intent of meeting and exceeding customer expectations and outcomes
retrospective evaluation post discharge questionnaires, patient interviews or chart review
standards levels of performance accepted and expected by the nursing staff or other health team members
structure evaluation audit, focuses on the environment in which care is provided
collaborative interviews interdependent nursing actions, performed jointly by nurses and other members of the healthcare team
delegation the transfer of responsibility for the performance of an activity to another individual while retaining accountability for the outcome
evidence-based practices be sure that each nursing intervention is supported by a sound scientific rational
implementing nursing actions planned are carried out
nurse-initiated intervention independent nursing actions
nursing interventions any treatment based on clinical judgement and knowledge that a nurse performs to enhance patient outcomes
physician-initiated interventions dependent nursing actions, involve carrying out physician-prescribed orders
protocols written plans that detail nursing activities to be executed in specific situations
standing orders empower the nurse to initiate actions that ordinarily require the order or supervision of a physician
unlicensed assistive personnel (UAP) individuals trained to function in an assistive role to the RN in the provision of patient activities as delegated by and under the supervision of the RN
Created by: jaed008
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