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Nursing Fundamentals for Finals Mod A

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Term
Definition
American Nurses Association (ANA)   the protection, promotion, and optimization of health and abilities  
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Florence NIghtingale   developed the first organized training program for nurses  
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Clara Barton   founder of the American Red Cross  
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Harriet Tubman   underground railroad  
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Licensed Practical Nurse (LPN)   a nurse who completes a practical nursing program and passes a licensure exam. Practices under the supervision of an RN or other licensed person.  
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Registered Nurse (RN)   completion of an associates degree, diploma/baccalaureate degree program in nursing  
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In-service education   programs that are instructed/training by a healthcare agency or institution designed to increase knowledge, skills, and competencies of nurses and other HCP's  
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Code of Ethics   formal statement that delineates a profession's guidelines for ethical behavior; sets standards or expectations for the professional to achieve  
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3 essential nursing components   1. Cure 2. Cure 3. Coordination  
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Nurse Practice Act (NPA)   regulates the scope of nursing practice for the state and protects public health, safety, and welfare  
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Caregiver   helps patients maintain and regain health, manage disease & symptoms and maintain a maximal level of function and independence through the healing process  
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Patient Advocate   protect your patient's human and legal rights and will provide assistance in asserting these rights if the need arises (acting on behalf of your patient)  
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Advanced Practice Registered Nurse (APRN)   independently functioning nurse  
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Clinical Nurse Specialist (CNS)   APRN who is an expert clinician in a specialized area of practice  
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Nurse Practitioner (NP)   APRN who provides healthcare to a group of patients , usually in an outpatient, ambulatory care, or community-based setting  
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Certified Nurse-Midwife (CNM)   APRN who is educated in midwifery  
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Certified Registered Nurse Anesthetist (CRNA)   APRN with advanced education in anesthesia accredited program  
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Nurse Educator   works in schools of nursing; staff development departments of health care agencies, and patient education departments  
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Nurse Administrator   manages patient care and the delivery of specific nursing services within a facility  
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Nurse Researcher   investigates problems to improve nursing care and further define and expand the scope of nursing practice  
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Professional Organization   deals with issues of concern to those practicing in the profession  
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National League for Nursing (NLN)   advances excellence in nursing education to prepare nurses to meet the needs of a diverse population in a changing health care environment  
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American Nurse Association (ANA)   the protection, promotion, and optimization of health and abilities  
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International Council of Nurses (ICN)   promoting national associations of nurses, improving standards of nursing practice, seeking a higher status for nurses, and providing an international power base for nurses  
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Genomics   the study of all the genes in a person and interactions of the genes with on another and with at person's environment  
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Health   a state of being that people define in relation to their own values, personality, and lifestyle  
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Health beliefs   a peron's ideas, convictions, and attitudes about health and illness  
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Health Belief Model   addresses the relationship between a person's beliefs/behaviors  
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Health Promotion Model   describes the multidimensional nature of people as they interact within their environment to pursue health  
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Maslow's Hierarchy of Needs   a model developed by Abram Maslow; used to explain human motivation (basic needs)  
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Holistic Model   comprehensive view of a person as a biopsychosocial/spiritual being. Health maintenance  
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Passive strategies of health promotion   individuals gain from the activities of others w/out acting themselves  
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Active strategies of health promotion   individuals adopt specific health programs  
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Health Promotion   activities such as routine exercise and good nutrition; motivate to act positively  
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Wellness Education   teaches people how to care for themselves in a healthy way  
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Illness Prevention   activities such as immunization programs protect pt's from actual or potential threats to health  
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3 Levels of Health Prevention   1. Primary Prevention (meds, change in diet) 2. Secondary Prevention (going for check-ups) 3. Tertiary Prevention (preventative care)  
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Risk Factor   any situation, habit, environmental condition, physiological condition, or other variable that increases an individual/group vulnerability to an illness/accident  
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Illness   a state in which a person's physical, emotional, intellectual, social, developmental, or spiritual functioning is diminished/impaired  
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Acute illness   short term and severe  
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Chronic illness   longer than 6 months and sometimes life threatening  
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Illness behaviors   cognitive, affective and behavioral reactions; how a person interprets their symptoms, take remedial action and use health care system  
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Internal Variables   perception of symptoms and nature (acute or chronic) way a patient behaves when ill  
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External Variables   visibility of symptoms, social group, cultural background, etc  
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Professional Standards Review Organizations (PSRO)   review the quantity, quality, and cost of health care services provided through Medicare/Medicaid  
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Utilization Review Committees (UR)   review admissions, diagnostic testing and treatments provided by HCP's  
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Prospective Payment System (PPS)   eliminated cost-based reimbursements  
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Diagnostic-Related Groups (DRGs)   fixed reimbursement amount w/ adjustments for cost severity (set dollar amount)  
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Capitation   payment mechanism in which provider's receive a fix amount per month per patient or enrollee of a health care plan  
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Managed Care   systems in which a payer has control over primary health care srvs.  
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Integrated Deliver Networks (IDNs)   a set of providers and services organized to deliver a coordinated continuum of care to the population of patients in a specific market or geographic area  
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6 Levels of Care   1. Preventive 2. Primary 3. Secondary 4. Tertiary 5. Restorative 6. Continuing Care  
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Acute Care   patient's who have signs and symptoms of disease are diagnosed and treated  
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Restorative Care   settings and services in which pt's who are recovering from illness or disability receive rehab and supportive care  
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Primary Care   -prenatal, well-baby, nutrition counseling, family planning, exercise  
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Secondary Care   -emergency care, acute med-surg., radiological procedures  
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Tertiary Care   -intensive care, psychiatric  
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Restorative Care   -cardiovascular/pulmonary, sports medicine, home care  
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Continuing Care   -assisted living, psychiatric /older-adult day care  
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Discharge Planning   centralized, coordinated, multidisciplinary process that ensures that a pt. has a plan for care after leaving hospital  
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REMEMBER!!! When does discharge begin?????   The moment a patient is admitted!!!!!  
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Intensive Care   ICU/CCU unstable/critically ill close monitoring most expensive  
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Mental Health Facilities   pt's w/ emotional/behavioral problems voluntary/involuntary Inpatient/Outpatient services  
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Rural Hospitals   CAH hospital in rural area 24 E.R. care 25 patient's or less stabilization before transfer  
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Restorative Care   pt's recoving from acute/chronic illness or disabilities  
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Home Care   provision of medically related professional services/equipment to patients and families in their home  
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Rehabilitation   P.T./O.T./S.T., psychological, social services; use of multiple therapies  
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Extended Care Facilities   intermediate care, skilled care, long-term care, assisted living  
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The Omnibus Budget Reconciliation Act of 1987   nursing home reform act  
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Minimum Data Set (MDS)   required by omnibus; uniform data set established by Dept. of Health (DHS), framework for any state-specified assessment instruments used to develop a written/comprehensive plan of care  
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Respite Care   short-term relief for people providing home care  
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Adult Day Care   health/social services to specific patient populations who live alone or w/ family  
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Hospice   family-centered care that allows patients to live and remain at home w/ comfort and dignity caused by terminal illness  
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Patient-Centered Care   concept to improve/work efficiently by changing the way patient care is delivered  
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Magnet Recognition Program   to recognize health care organizations that achieve excellence in nursing practice  
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Case Manager   makes an appropriate plan of care based on assessment  
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Epidemiologist   a person who studies in the branch of medicine and deals with the incidence, distribution, and possible control of diseases  
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Common Law   judicial decisions or case law precedent  
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Statutory law   rules codified by legislative bodies of government  
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Nurse Practice Acts (NPA)   define the scope of nursing practice and expanded nursing care  
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Due Process   required State Board to notify nurse of charges, conduct hearing, offer defense with or without legal counsel  
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Criminal Laws   federal/state laws; crime certain actions that inflict/threaten substantial harm to individuals  
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Tort   wrongful act/acts against a person/persons property that are compensated by awarding monetary damages to the individual violated  
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Intentional Tort   deliberate act of wrongful conduct (assault/battery)  
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Assault   intentional threat toward another person that places that person in harmful, imminent , or unwelcome contact  
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Battery   intentional offensive touching w/o consent  
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Negligence   failure to use degree of care  
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Malpractice   failure to use the degree of care that a reasonable nurse would use under the same circumstances  
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Standards of Care   legal guidelines for minimally safe and adequate nursing practice  
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Risk Management   identifying possible risks, analyzing them, acting to reduce them and evaluating the measures taken to reduce them (occurrence report)  
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Never Events   preventable errors (falls, UTI's) that should never happen in a hospital setting  
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Good Samaritan Laws   laws that limit liability and offer legal immunity if a nurse helps at a scene of an accident  
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Consent   signed consent by a patient for admission to a health care facility  
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Informed Consent   patient's agreement to allow something such as surgery to happen based on full disclosure  
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Restraint   manual method, physical, or mechanical device/material/equipment that immobilizes  
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2 standards to determine death   1. Cardio-pulmonary- lack of circulatory/respiratory function 2. irreversible failure of all functions of the entire brain/stem  
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Advanced Directives   written statement of a person's wishes regarding medical treatment, living will  
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Living Will   instructing a provider to withhold/withdraw life-sustaining procedures  
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Durable Power of Attorney/Health Care Proxy   designates an individual to give consent when a patient is no longer able  
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Confidentiality   HIPAA, patients rights to consent to use and disclose protected health information  
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Ethics   standards of conduct, right/wrong behavior  
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Morals   the judgement about behavior  
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Value   a personal belief about the worth of a person  
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Bioethics   the study of ethics  
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Autonomy   person's independence; (nurse makes decision to give treatment w/o order due to pt's symptoms)  
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Justice   fairness; fair treatment  
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Fidelity   agreement to keep promises  
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Beneficence   promotes taking "positive/good" steps to help others  
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Non-maleficence   to do harm  
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Accountability   ability to answer for you own actions  
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Deontology   right/wrong based on "right making characteristics" such as truth and justice  
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Ethics of Care   health care workers resolve ethical dilemmas by paying attention to relationships and stories of the participants and by the promoting of fundamental act of caring  
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Evidence-Based Practice (EBP)   a problem-solving approach to clinical practice that combines the conscientious use of best evidence w/ clinicians exptertise; making decisions about patient care  
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PICO (PICOT)   P = patient of interest I = intervention of interest C = comparison of interest O = outcome (achieve) T = Time (how long)  
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Sentinel Event   unexpected occurrence involving death/serious physical/psychological injury of a patient  
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Critical Thinking   continuous process characterized by open-mindedness, willing to look at each unique patient situation and determine which identified assumptions are true/relevant  
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3 Levels of Critical Thinking   1. Basic 2. Complex 3. Commitment  
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Scientific Method   a way to solve problems using reasoning  
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Problem-Solving   information obtained and applying it together with what you already know  
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Intrapersonal Communication   "self-talk", powerful form of communication within a person  
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Interpersonal Communication   interaction that occurs between two people/small group  
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Denotative Meaning   individuals that use a common language  
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Connotative Meaning   shade/interpretation of the meaning of a word  
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Pacing   talking rapidly  
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Therapeutic Communication   verbal/nonverbal exchanges between the nurse and the patient  
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SBAR (sit back and assess the recommendation)   standard communication between health care providers S = situation B = background A = assessment R = recommendation  
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Language   assess the patient's understanding of ALL communication  
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Empathy   ability to understand and accept another person's perspective  
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Clarifying   validates whether the person interpreted the message correctly  
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Focusing   directs conversation to a specific topic/issue when a discussion becomes unclear  
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Paraphrasing   restating a sender's msg. in your own words  
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Summarizing   concise review of main ideas from a discussion  
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Self-disclosure   personal statements intentionally revealed to the other person  
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Instilling Hope   "sense of possibility"  
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Overusing Medical Vocabulary   can cause confusion/anxiety  
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Sympathy   concern, sorrow  
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Health People 2020   key intervention strategy to improve health behaviors  
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Teaching   practice that results in an individuals learning knowledge, new behaviors or skills  
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Learning   purposeful acquisition of new knowledge  
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Referent   idea that initiates reason for communication  
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Domains of Learning   -cognitive - what a person knows -affective - person's feelings -psychomotor - person can do physically  
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Attention Set   the mental state that allows a learning to focus on and understand the material  
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Participating   you and the patient set objectives; participate in the learning process together  
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Entrusting   patient accepts responsibility and correctly performs a task while you observe  
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Reinforcement   using a stimulus that increases the probability of a response  
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Demonstration   showing patient what he/she needs to do  
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Return Demonstration   permits patient to perform skill as nurse observes  
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Analogies   two similar things  
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Caring   universal phenomenon influencing the way we think, feel and behave in relation to one another  
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5 steps of the nursing process   1. Assessment 2. Diagnosis 3. Planning 4. Implementation 5. Evaluation  
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Cue   information obtains through the senses (see)  
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Inference   your judgement/interpretation of cues  
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Gordon's 11 functional health patters   provides a holistic framework for assessment of a patients health history, from which you derive a broad range of nursing diagnosis  
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Subjective Data   patient's verbal description (what they tell you)  
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Objective Data   observations of a patients health status (what you see)  
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Open-ended questions   describes situation in more than 1 or 2 words; leads to discussion  
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Back-channeling   using words as "all right" "go on" or "uh huh"  
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Closed-ended questions   limit patients answers to 1 or 2 words such as "yes" or "no"  
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Validation   comparison of data with another source to confirm accuracy  
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Critical Thinking involves   logically analyzing and interpreting assessment data about a patient to form a clinical judgement  
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NANDA International (NANDA-I)   model for organizing nursing diagnosis for documentation, auditing, and communication process  
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Etiology   condition that responds to nursing intervention  
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PES Format   -Problem (problem) - Etiology (cause) -Symptoms (characteristics)  
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Patient-centered goal   broad statement that describes a desired change in a patients condition/behavior  
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3 steps in choosing a nursing intervention   1. know scientific rationale (reason) 2. possessing psychomotor/interpersonal skills 3. function within particular setting; using available resources  
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Independent Nursing   does not require a doctors order; take upon self  
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Dependent Nursing   requires a doctors order  
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Standard of Care   the minimum level of care accepted to ensure high quality of care to patients  
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RBC (red blood cells circulating)   Men: 4.7 - 6.1 Women: 4.2 - 5.4  
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Hgb (hemoglobin) the 14 yr. old goblin goes trick/treating while transporting candy)   red protein responsible for transporting O2 in the blood Men: 14 - 18 Women: 12 - 16  
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Hct (hematocrit) men (42) minus 5 for women (37)   volume of red blood cells : total blood volume Men: 42 - 52 Women: 37 - 47  
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ESR   non specific marker for inflammation  
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Cultures   blood, wound, urine, etc (collection of)  
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urinalysis (UA)   looks for presence of WBC's, bacteria, etc in urine  
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WBC (white blood count)   measures the % of each type of leukocyte present 5,000 - 10,000  
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WBC 4,000 and below   bone marrow failure, radiation, overwhelming infection, etc.  
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Granulocyte   WBC containing bacteria combating granules  
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Agranulocyte   WBC = no granules  
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Never Let Moneys / Eat Bananas Granulocyte Agranulocyte   Neutrophils Lymphocytes Monocytes / Eosinphils Basophils Granulocyte Agranulocyte  
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Neutrophils (granulocyte)   55 - 70 % -form in 7 - 14 days stay for only 6 hours -kill bacteria -produced by acute infection/trauma -bands form (infection  
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Lymphocytes (granulocyte)   20 - 40% -fight bacteria and acute vial infections  
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Monocytes (granulocyte)   2 - 8% -are phagocytic, fight bacteria, remove necrotic debris and microorganisms from the blood -produce rapidly  
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Basophils (Agranulocyte)   0.5 - 1% -involved in allergic reactions -basos contain heparin, histamine, & serotonin, inflammatory response to allergic reaction increases -do not respond to bacterial/viral infection  
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Eosinophils (Agranulocyte)   1 - 4% -as the allergic response increases so the number of eosinophils -do not respond to bacteria  
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ILIA/OSIS   high, up  
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PENIA (pick the penia off the ground)   low, down  
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Adult blood pressure   120/80  
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Adult pulse   60 - 100  
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Adult respirations   12 - 20  
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Normal Body Temperature   96.8 - 100.4 F  
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5 parts of an examination   Inspect Palpation Percussion Auscultation Smell  
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Resolving an Ethical Dilemma   step 1: ASK step 2: GATHER step 3: CLARIFY step 4: VERBALIZE step 5: IDENTIFY step 6: NEGOTIATE PLAN step 7: EVAULATE  
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Crackles   fine bubbling sounds in the lungs  
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Atrophy   wasted or reduced size of tissue  
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Adventitious Lung Sounds   Abnormal lung sounds  
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Turgor   normal resiliency of the skin  
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Melena   dark stool  
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Phlebitis   inflammation of a vein  
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Petichiae   tiny red/purple spots; minute hemorrhages  
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Pallor   paleness/lack of color in the skin  
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Orthopnea   abnormal condition in which a person must sit up or stand to breathe confortably  
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Cerumen   yellowish waxy substance found in the ear canal  
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Jaundice   yellowish discoloration of the skin; caused by greater amounts of bilirubin in the blood  
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Erythema   Redness  
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Edema   abnormal accumulation of fluid in the interstitial spaces  
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Dyspnea   difficulty breathing  
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Dorsal   back  
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Cyanosis   bluish color of the skin  
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Indurated   skin hardening  
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OTO-   ear  
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Arthro-   joint  
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Pre-   before  
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-ology   science/study of  
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Post-   after  
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tachy-   fast  
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eryth-   red  
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-ostomy   to form an opening  
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adeno-   glandular  
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bi-   double, two, twice  
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nephron-   kidney  
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Broncho   bronchi  
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derma-   skin  
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-megaly   enlargement  
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cardio-   heart  
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neuro-   nerve  
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chole-   gall/bile  
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-ectomy   surgical removal of  
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-lysis   disintegration  
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-osis   disease/condition  
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costo-   rib  
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-plasty   repair/reconstruction  
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vaso-   a vessel  
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-algia   pain  
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cysto-   bladder  
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-lithiasis   presence of stones  
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mal-   bad/poor  
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dorso-   back  
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entero-   pertaining to intestines  
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glosso-   tongue  
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pan-   all  
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pneumo-   air  
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brachio-   arm  
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brady-   slow  
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ambi-   on both sides  
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hyper-   above, beyond, increased  
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gastro-   stomach  
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-rhage   hemorrage  
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ileo-   intestine  
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cholesysto-   gallbladder  
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- it is   inflammation of  
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-lith   stone/calculus  
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neo-   new  
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-genesis   origin/beginning  
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-rhea   excessive discharge  
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a- / an-   not/without  
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hemi-   half  
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-cele   tumor/swelling  
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auto-   self  
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hemo-   blood  
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gyneco-   female  
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extra-   outside of/in addition to  
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dys-   difficult/abnormal  
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ad-   to/toward  
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leuko-   white  
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hepato-   liver  
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-cide   kill/destroy  
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hemato-   blood  
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-emia   blood  
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osteo-   bone  
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histo-   tissue  
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Heat Loss   normal heat loss through radiation, conduction, convection, and evaporation  
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Diaphoresis   excessive sweating  
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Pyrexia   FEVER  
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Febrile   elevated body temperature FEVER  
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Afebrile   without fever  
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Sustained Fever   constant body temperature  
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Intermittent Fever   Fever spikes; returns to acceptable level in 24 hours  
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Remittent Fever   Fever spikes; falls w/o returning to normal temperature  
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Relapsing Fever   Fever mixed w/ normal temperature lasting longer than 24 hours  
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Antipyretics   medication that reduce fever  
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Hyperthermia   elevated body temperature due to inability to promote heat loss  
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Heat Stroke   prolonged exposure to the sun or high temperatures  
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Hypothermia   heat loss during prolonged exposure to cold  
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Oral Temp.   easy accessible; no patient position change  
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Tympanic Temp.   easy accessible; minimal patient repositioning/not waking pt.  
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Rectal Temp.   Gold standard for core temp.; more reliable than oral; difficult/ impossible to obtain  
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Axilla   safe/inexpensive; used on newborns, children, or unconscious  
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Skin Temp.   inexpensive; continuous reading; safe/nonevasive  
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Temporal Artery   easy access; no position change; rapid measurement; no risk/injury  
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5 major parts of a stethescope   earpiece binaurals tubing bell chest piece diaphragm chest piece  
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Temporal Pulse   over temporal bone of head; above lateral eye  
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Carotid Pulse   along medial edge of sternocleidomastoid in neck  
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Apical Pulse   5th intercostal space at left mid-clavicular line  
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Brachial Pulse   groove between biceps/triceps muscles at antecubital fossa  
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Radial Pulse   radial/thumb side of forearm at the wrist  
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Ulnar Pulse   ulnar side of forearm at wrist  
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Femoral Pulse   below inguinal ligament; midway between symphysis pubis and anterior superior iliac spine  
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Popliteal Pulse   behind the knee  
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Posterior Tibial Pulse   inner side of ankle; below medial malleolus  
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Dorsalis Pedis Paulse   along top of the foot; between tendons of great and first toe  
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Pulse rate   speed of the heartbeat measured by the number of contractions of the heart per minute (bpm)  
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Tachycardia   elevated heart rate; more than 100 beats/min.  
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Bradycardia   slow heart rate; less than 60 beats/min.  
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Dysrhythmia   regular interval interrupted by an early/late/missed beat  
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Blood pressure   force EXERTED on the walls of an artery created by pulsing blood under pressure from the HEART  
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Systolic Pressure   PEAK pressure; top number (SBP)  
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Diastolic Pressure   MINIMAL pressure; bottom number (DBP)  
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Pulse Pressure   the difference between systolic/diastolic  
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Hypertension   persistently elevated blood pressure; systolic greater than 140 : diastolic greater than 90 -if measured high like this 2 times  
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Hypotension   low blood pressure; systolic less than 90 : diastolic less than 60  
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Auscultation   listening to sounds produced by the body w/ stethescope  
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Korotkoff Sound   clear, rhythmic tapping series that corresponds to the pulse rate and gradually increases in intensity  
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Auscultatory Gap   temporary disappearance of sound  
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Respiration   mechanism the body uses to exchange gases between the atmosphere, blood, and cells  
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Ventilation   movement of gases INTO and OUT of the lungs  
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Diffusion   movement of oxygen and carbon dioxide between the alveoli and the red blood cells  
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Perfusion   distribution of red blood cells to and from the pulmonary capillaries (e.g. capillary refill)  
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Eupnea   normal rate and depth of ventilation  
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Respiration rate   full inspiration and expiration = 1  
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Bradypnea   respiratory rate less than 12 / min. or lower  
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Tachypnea   respiratory rate more than 20 / minute or higher  
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Apnea   lack of respiratory movement  
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Pulse Oximetry   indirect measurement of oxygen in the blood (5th vital sign)  
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ETCO2 (end-tidal carbon dioxide)   measures the exhaled carbon dioxide  
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Chief Concern   why patient is seeking health care  
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Inspection   the use of vision to distinguish normal from abnormal findings  
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Percussion   tapping the body with the fingertips  
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Olfaction   SMELL  
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Integument   skin, hair, scalp, and nails  
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Documentation   a legal document used for malpractice issues; correct time of events, signing orders and billing  
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Electronic Health Record (EHR)   electronic record of patient health information generated by one or more encounters in any care delivery setting  
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Meaningful Use   level with which I.T. is available and used to support clinic decision to improve quality/safety  
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Incident/Occurrence Report   when an actual/potential injury happens, but is not part of a patient record  
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Infection   the invasion of a susceptible host by potentially harmful microorganisms (bacteria, viruses, fungi, protozoa)  
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Colonization   the presence and growth of microorganisms within a host  
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Symptomatic   pathogens that multiply and cause clinical signs and symptoms are not present  
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Chain of Infection   Agent Reservoir Port of exit/entry mode of transmission susceptible host  
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Carrier   person that hosts a disease, but shows no symptoms  
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Flora   large number of microorganisms residing on the surface and deep layers of the skin, in the saliva, and on the oral mucosa and intestinal walls  
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Suprainfection   secondary infection  
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Fomites   inanimate surfaces (counter/desk)  
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Inflammation   protective vascular reaction that delivers fluid, blood products, and nutrients to interstitial tissues in an area of injury  
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Necrotic   of or pertaining to the death of tissue in response to disease/injury  
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Antigen   foreign material  
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Health-Care Aquired Infection (HAI)   patient develops an infection that was not present at the time of admission  
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Exogenous-Infection (OUT)   comes from microorganisms found OUTSIDE the body  
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Endogenous-Infection (IN)   occurs when part of a patients flora becomes altered INSIDE the body  
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Aseptic Technique   an effort to keep patients as free from exposure to infection-causing pathogens as possible  
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Asepsis   the absence of disease  
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Medical Asepsis   clean techniques includes procedures used to reduce the number and prevent the spread of microorganisms (handwashing/PPE)  
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Surgical Asepsis   sterile technique, includes procedures to eliminate all microorganisms from an area  
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Standard Precautions   good hand hygiene and use of barriers such as gloves/mask  
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Disinfection   eliminates all pathogenic organisms with the EXCEPTION of bacterial spores  
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Sterilization   eliminates/destroys ALL forms of microbial life  
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3 types of transmission   -airborne -droplet -contact precautions  
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Homeostasis   state of relative constancy in the internal environment of the body equilibrium; maintained naturally by physiological adaptive mechanisms  
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Carbon Monoxide   affects a person's oxygenation by binding strong with hemoglobin; reducing supply of oxygen delivered to tissues  
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Immunization   process by which RESISTANCE to an infectious disease is produced or increased  
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C.U.S.   I'm CONCERNED I'm UNCOMFORTABLE SAFE ("this is not safe, you should stop now")  
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RACE   Rescue Activate Confine Extinguish  
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Auditory   hearing  
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Tactile   touch  
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Gustatory   taste  
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Proprioception   body's ability to sense its position and movement in space  
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Sensory Deficits   LOW vision/blindness; problem w/ reception; rely on other senses  
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Sensory Deprivation   INADEQUATE quality/quantity of stimuli; impairs perception  
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Sensory Overload   MULTIPLE sensory stimuli; to much going on  
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Presbycusis   decreased hearing acuity, speech intelligibility, and pitch discrimination  
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Accommodation   reduced depth perception and reduced color discrimination  
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Ototoxic   analgesics, antibiotics affecting hearing acuity  
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Tinnitus   ringing in the ears  
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Presbyopia   gradual decline in ability of the lens to focus  
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Meniere's Disease   cause unknown (vertigo, tinnitus)  
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Gerontology   study of all aspects of the aging process  
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Geriatrics   dealing with physiology/psychology of aging in older adults  
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Alzheimers   form of dementia  
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Dementia   generalized impairment of intellectual functioning that interferes with social and occupational functioning; gradual; progressive  
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Ischemic Vascular Dementia   2nd form of dementia; reversible; stroke or onset gradual  
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