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HCC
HCC 2008 VOCAB Exam 2 (class 5-8)
Question | Answer |
---|---|
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 |