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Nursing Ch 3

QuestionAnswer
Active listening a way of communication that involves giving a person one's full attention while he is speaking and encouraging him to give information and clarify ideas.
adverse event an unexpected event that causes serious injury or death; also called sentinel event
barrier a block or and obstacle
body language all of the conscious or unconscious messages a person's body sends as she communicates; facial expressions, gestures and postures are examples
Care conference a meting to share and gather info about a resident in order to make a care plan
Car plan a plan for each resident that outlines what the care team must do to help the resident reach her goals of care.
charting the act of noting care and observation; documenting
code in health care, an emergent medical situation in which specially trained responders provide the necessary care.
Code status Formal documentation of the type and scope of care the should be provided to a particular resident in the event of a cardiac arrest, other catastrophic organ failure, or terminal illness
critical thinking the process of reasoning and analyzing in order to solve problems; for the nursing assistant, critical thinking means making careful observations and promplty reporting all potential problems.
culture a set of learned beliefs, values, traditions, and behaviors shared by a social or ethnic group.
edema swelling in body tissues caused by excess fluid
incident an accident, problem, or unexpected event during the course of care
incident report a report documenting an incident and the response to the incident also called an occurrence, accident, accident/incident, or event report
medical chart legal record of all medical care a patient, resident, or client receives
Minimum Data Set (MDS) a detailed form with guidelinnes for assessing residents in long term facilities; also details what to do if resident problems are identified.
nonverbal communication communication without using words, such as through gestures and facial expressions
nursing process Organized method used by nurses to determine residents needs; plan the appropriate car to meet those needs, and evaluate how well the plan of care is working; the five steps are assessment, diagnosis, planning, implementation, and evaluation
objective information factual information collected using the senses of sight, hearing, smell, and touch; also called signs
orientation a person's awareness of a person, place, and time
prefix a word part that comes before the root to help form a new term
prioritize to place things in order of importance
root the main part of a word that contains its basic meaning or definition
rounds scheduled visits to each resident's room to assess the resident's condition and needs and to discuss the care plan with participating staff.
sentinel event an unexpected event that causes serious injury or death; also called adverse event
subjective information information collected from residents, their family members and their friends; information may not be true, but is what the person reported; also called symptoms
suffix a word part added at the end of a root or a prefix to create a new word
verbal communication communication involving the use of spoken or written words or sounds; also called oral communication
vital signs measurements--temperature, pulse, respiration, and blood pressure--that monitor the functioning of the vital organs of the body
Created by: DahH
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