1
Q
PHIPA acronym meaning?
A
Personal Health Information Protection Act
2
Q
How to redirect a rambling client?
A
Use active listen, validate their message, and then use calm, positive redirection with a change of topic, a simple request, or a planned activity.
3
Q
What does PHI stand for?
A
Personal Health Information
4
Q
What is are some examples of PHI?
A
•Donor information
•Health Card
•Family medical history
•Long term health care services
5
Q
What does HIC stand for and who are they?
A
Health Information Custodians. They are:
•Doctors
•Nurses/PSW
•Hospitals
•Dentists
•Medical Students
•Pharmacists
6
Q
What are the patients rights?
A
- Know the purpose of the collection.
- Refuse the collection
- Withdrawal concent
- Place a breaching complaint
- Request PHI access
- Request PHI corrections
- Request all or part of PHI to become private
7
Q
What is express concent?
A
Verbal or written concent
8
Q
What is implied concent?
A
Concent assumed given based on condition
9
Q
What is cultural competence?
A
Being able to interact with other cultures (respect others beliefs)
10
Q
Culture definition
A
Characteristics from an individual:
•Language
•Customs
•Values
•Religion
•Beliefs
11
Q
Define Blended family
A
2 parents living together with a biological child and a child from one partner and another child all living together (parent 1, parent 2, child 1, step child 2)
12
Q
Define a Nuclear family
A
2 parents living together raising a child(ren). “Traditional”
13
Q
Define prejudice
A
preconceived opinion that is not based on reason or actual experience
14
Q
Define ethnicity
A
Ones sharing of common history
15
Q
Define bias
A
Treating an individual unjustly
16
Q
What is a stereotype
A
When you judge someone based off of something another group has actionafied
17
Q
What is cultural safety?
A
Giving someone an area to express their cultural beliefs
18
Q
What effects culture
A
Race
Religion
Age
Gender
Sexual orientation
Education
Life events
Geographical location
19
Q
What is a cultural conflict
A
When someone tries to dictate how an individual should identify in their culture
20
Q
What are some effects on communication from cultures?
A
- Some words have shared meanings
- Touch
- Body language
- Personal space
- Eye contact
- Facial expressions
- Silence
21
Q
How do some individuals precieve health issues in other cultures?
A
Some beliefs in illness is caused by supernatural forces.
Charms, rituals, herbal medicine.
22
Q
What is an alternative medicine
A
Acupuncture, yoga, meditation
23
Q
6 types of communication?
A
- Body language
- Touch
- Facial expressions
- Space
- Eye contact
- Silence
24
Q
What is interpersonal communication?
A
Exchange of information- face to face
25
List some Factors affecting communication
1. Experience/confidence
2. Mood/emotions
3. Values
4. Culture
5. Age
6. Gender
7. Electronic (media)
26
List some examples of positive verbal communication
• choosing words carefully
• Speak slow and consise
• respectable tone/volume
• dont pretend to understand
• beief and concise
• visual cues
27
List some Communication tecniques
•humor
•body language
•paraphrasing
•asking close ended questions
•asking open ended questions
•silence
•touch
28
Steps to explaining a procedure
Who is doing it
What role they may play
Why is it being done
How will it ge done
29
Define an open ended questions (and give example)
Giving client time to express how they feel. (What do you want for breakfast today?)
30
Define and give example of close ended questions
Getting fast and precise responses. (Did you want peanut butter or jam on your toast?)
31
What is active listening?
Paying close attention and using verbal and non verbal communication techniques
32
Define listening
Listening is just facing and taking in information
33
Define paraphrasing
Repeating what someone says in your own words.
34
Define empathetic listening
Taking in and trying to understand one's feelings
35
What are some good perfessional communication techniques?
•Avoiding slang terms
•address clients formally
• respect work etiquette
•follow confidentiality
36
List some types of defense mechanisms
Denial: (refusal of whats happening)
Fantasizing: (false reality to distr
Suppressing: (knowingly putting down feelings)
Repressing: (unknowingly pushing down feelings)
Displacement: (putting feelings onto something else)
Reaction formative: (opposite of how one actually feels)
Projection: (cast feelings onto others)
37
What are the aspects of psychological health? "SEIS"
Social
Emotional
Intellectual
And spiritual wellbeing
38
Define slang word
A term used to mean something else, short formed in an informal manner
39
How to make a client feel safe and secure?
Build trust and consistency, encourage open communication, promote independence, non-judgemental
40
What happens when you remove a clients independents?
Their self esteem gets hurt
41
Who is effected by respite care?
The patients CAREGIVER
42
What is respite care?
Caring for a client for a duration of time for a family member so they can have time away from the client to decompress.
43
Define sympathy
Feeling compassion for an individuals feelints
44
Define pity
Feeling sorry for someone (more or less the feelings of superiority)
45
What is holism
The individuals well being in Social, emotional, intellectual and spiritual being.
46
What is a non-judgemental care approach? (Example)
Active listening.
Mary: I dont like the rain.
Psw: why dont you like the rain?
Mary: the rain makes me sad
Psw: what about the rain makes you sad?
Mary: I cant go outside when it rains, I like doing things outside
Psw: I understand where youre coming from, would you like to try and put on a rain jacket and go for a walk?
47
Expressed concent definition
Concent given other than verbally.
48
Types of translators
ASL
Foreign language
Perfessionals - 3rd party
Medical devices
Informal - family/friends
49
Competent employee standards
•Right uniform (clean, free of stains, scrubs)
•On time
•good communication
•reliable
•patients
•empathy
50
Interdependence
Independence
Dependence
Meanings
Interdependence: doing stuff together (I do one thing and you help with next).
Independence: doing stuff alone
Dependance: relying on another individual.
51
How to make a client feel respected?
• formal greeting
• letting them choose
• independence
• active listening
52
Types of pain
Acute
Chronic
Phantom
Radiating
Referred
53
Comfort means?
No physical or emotional pain
54
REM vs NREM
Rapid Eye Movement
vs
Non Rapid Eye Movement
55
What to do when your client cant seem to sleep?
See if they need the basic following:
• Hunger/Thirst/Bowel
• Comfort Position
• Smell
• Clean/Dry bedding
• Quiet setting
• Comfortable position
• Offer to speak to loved ones
56
Define Rested
Calm, at ease, relaxed and free from stress/anxiety
57
What pain tool do we use to report pain?
PQRSTU:
P: Provoking causes
Q: Quality of pain (using scales)
R: Region (area)
S: Severity (how ouchie)
T: Timing (start/ended)
U: Understanding (do clients or you know why?)
58
What is "PQRSTU" used for?
Gather information on pain/discomfort from a client
59
What factors effects pain?
Past experiences
Anxiety
Rest/sleep
Attention
Meaning of pain
Support
Age
Culture
60
What helps others recover from pain faster?
Support from others
61
Define psychosocial health
Social, emotional, spiritual and intellectual well-being
62
What are some comfort effects (things that affect COMFORT)
• Tempature/ventilation
• Odors/scents
• Noise
• Lighting
• Feeling of safety
63
Factors that effect SLEEP
(Go to sleep or stay awake)
Illness
Nutrition
Exercise
Environment
Medicine
Alcohol
Stress/emotional/ change
Nocturia (sleep urination)
64
Nocturia meaning
The need to frequently urinate at night
65
What is insomnia
Persistent issues if cant stay asleep or cant get to sleep
66
What is sleep deprivation?
When you fall asleep and then continue to toss and turn the rest of the night
67
Define sundowning
Clients with dementia to create increased confusion and restlessness beginning in the late afternoon and early evening.
68
What is an abbreviation
A short term word used to save time
69
4 quadrant of abdomen
RUQ - right upper quad
LUQ - left upper quad
RLQ - right lower quad
LLQ - left lower quad
70
What is directional terms
The direction of the body part when facing forward
71
Where is anterior (ventral)
Towards the front of the body
72
Where is Distal
Part furthest from the center or point of attachment
73
Where is laterial?
Side of the body or part
74
Where is medial
Near the mid line
75
Where is posterior (dorsal)
At the back of the body
76
Where is proximital
Nearest to the trunk of the body or point of origin
77
What is a care plan?
A breakdown of care provided to a client throughout their time in the facility. Its always changing.
78
5 steps for care planning in a facility
• Assessment - collecting info
• Nurse diagnosis - make diagnosis and what to do
• Planning - set goals/plans
• Implementation - do the task
• Evaluation - reflect on what was done and make changes going forward if needed
79
Care planning steps in community settings
• Assessment - done by case managers
• Planning - all input information to make the next steps
• Implementation - provide care by dates and time arranged by case mananger
• Evaluation - ongoing and the case mananger reviews care and services
80
What is objective data?
Observed about the patient. Using your senses
81
What is subjective data?
Information provided by client.
"I feel cold"
"Pain is worse"
"I feel faint"
82
What observation skills are you to browse over when reporting?
Physical
Intellectual
Emotional
Social
Spiritual
83
What is a Kardex
A summery of information on clients
84
What visual cues would a non verbal patient give that they give?
Body language or abnormal acting (change of routine)
85
Phantom pain definition
Pain in limb that is no longer there
86
What is a Prefix?
Words added BEFORE a main word to make it more specific. Comes before a "-"
87
What is a suffex?
Describing a condition or an action to a body part. Comes after the "-"
88
What are root words?
Main elements "core meaning, main topic"
Card/i
Card/o
Cardi/io
Example: card/io-megaly
Megaly = enlargement
Card/io = heart
= large heart
(Pseudo)Appendicitis
Append = appendix
Itis =inflammation of...
Pseudo = false
89
Do the 24h clock
1am-11am = 1000-1100
12pm-12am = 1200-2400
90
Define sign
Define symptom
A sign is what we see
A symptom is what we are told by the client
91
Break the abbreviation of SOAP
Subjective - what client says
Objective - what you see
Assessment - whats happening
Plan - of action
92
What is phantom pain
Pain in limb that is no longer present on the body
93
What is radiating pain?
Pain that moves down nerves
94
What is chronic pain?
Ongoing/continuous pain
95
NPO abbreviation meaning
Nothing by mouth
(Nil per os)
96
"Artho" meaning
Joints
97
"Ht" abbreviation meaning
Height
98
"DYS" Meaning
Difficulty/Abnormal/impaired function
99
What is tachycardia?
When heart beats faster than normal in resting.
100
What does "stomy" mean
Incision/opening between body parts to allow for bodily draining.
101
What does BRP mean
Bathroom privileges
102
Define referred pain
Happens in one area, feels it in another. Kidney pain- felt in back
103
5 steps for care planning
Assessment - collect all info
Nursing diagnosis - what will change about care plan
Planning - what gonna do (set goals)
Implementing - putting it in play
Evaluation - did it work?
104
What is a Healthcare intervention
Action taken by Healthcare team to help a client meet a goal
105
2 basic needs of patient care are?
Psychological and Safety
106
Safety measures for electric reporting include:
•Confidentiality of client
•Locked tablets and log in credentials
