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Nursing Ch 3
Question | Answer |
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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 |