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78 Cards in this Set

  • Front
  • Back

reflecting

repeating what they said to you, take the words and repeat them

focusing

bringing the conversation back to the topic at hand, ask very specific questions

looking at alternatives

making the patient think of all the options, helping them realize they have choices, and allow them to make their own choice

clarifying

asking for clarification, avoid judgement

culture

traditions, values, beliefs, attitudes, customs, and ways of life shared by a group of people


race

determined by how you look, usually based on physical characteristics and is self-determined

ethnicity

social characteristics, cultural heritage, ancestry, and language

acculturation

the process of adapting to and adopting a new culture

multiculturalism

occurs when an individual identifies equally with 2 or more cultures

assimilation

occurs when an individual gives up his or her ethnic identity in favor of the dominant culture

culture shock

patients who go from one cultural setting to another and have trouble adjusting

Competence, compassion, commitment, comportment, conscience, and confidence

what are the 6 Cs of caring at WCU

patient care summary

document that puts all orders in one easy to view location

admission history

documentation that is completed upon admission that includes medical history and extensive information

nursing notes/progress notes

narrative notes about the patient

flowsheet

essentially a preprinted checklist like form used for documentation

nursing care plan

a plan of care that identifies the problem, identifies interventions to help resolve the problem, and states goals and outcomes to assess if goals have been met

critical pathways/care maps

standardized orders for a patient; orders and charting that is imbedded on the same document

S = subjective data
O = objective data
A = assessement - problem identification
P = plan
I = implementation
E = evaluation
R = revision

Documentation in SOAP/SOAPIE/SOAPIER form

D = data - subjective and objective data
A = action - care provided
R = response - outcome of treatment

DAR documentation form

P = problem
I - intervention
E = evaluation

PIE documentation form

charting by exception

charting in which only abnormal findings are documented

narrative charting

detailed description of the daily events written in chronological order

S = situation
B = background
A = Assessment
R = Recommendation

SBAR form of reporting/documentation

nasogastric

enteral feeding that enters through the nose and ends in the stomach

orogastric

enteral feeding that enters through the mouth and ends in the stomach

gastrostomy

enteral feeding that is directly inserted into the stomach externally through the skin

PEG

enteral feeding that is inserted into the stomach or stomach and intestines through the percutaneous layer of the skin

Jejunostomy

enteral feeding that enters directly into the jejunum from external incision

salem pump

type of tube that can be used for both feeding and decrompression/suctioning

levin tube

single lumen NG tube that is used only for feeding, no suctioning

Dubhoff

small bore tube that is thinner than others, has a weighted end and is inserted through the use of a stylus.

continous

type of feeding that is constant over a period of time

bolus

single one time feeding that happens at that moment

intermittent

type of feeding in which bolus feedings are given at specific intervals in the day

cyclic

type of feeding that is given at certain time of the day to supplement normal nutrition

3.5 - 4.0 g/dl

normal range for albumin

Female: 11-15 g/dl


Male: 13-17 g/dl

Normal range for hemoglobin

Female: 33-45%


Male: 37-49%

Normal range for hematocrit

80-110 mg/dl

Normal range for blood glucose levels

asepsis

the absence of illness-producing microorganisms

medical asepsis

the use of precise practices to reduce the number, growth, and spread of microorganisms. Also known as a clean technique

surgical asepsis

the use of precise practices to eliminate all microorganisms from an object or area and prevent contamination; also known as a sterile technique

hand hygiene

single most important behavior in preventing infection

infection

occurs when the presence of a pathogen leads to a chain of events that results in a disease or condition

virulence

the ability of a pathogen to invade and injure a host

Herpes Zoster

a common viral infection that erupts years after exposure to chickenpox and invades a specific nerve tract

native immunity

immunity that restricts the entry or immediately responds to a foreign organism

passive immunity

antibodies are produced by an external source to fight a pathogen

specific adaptive immunity

immunity that allows the body to make antibodies in response to a foreign organism

active immunity

antibodies that are produced in response to an antigen

infectious agent
reservoir
portal of exit
mode of transmission
portal of entry
susceptible host

What are the steps to the chain of infection

incubation

interval between the pathogen entering the body and the presentation of the 1st symptom

prodromal stage

interval from onset of general symptpoms to more distinct symptoms; time of multiplicaiton of the pathogen

illness stage

interval when symptoms specific to the infection occur

convalescence

interval when acute symptoms disappear

HAI

infection that a client acquires while receiving care in a health care setting

iatrogenic infection

an infection that results from a diagnostic or therapeutic procedure

culture

a collection of learned, adaptive, and socially and intergenerationally transmitted behaviors, values, beliefs, and customs that form the context from which a group interprets the human experience

ethnicity

the shared identity, bond, or kinship people feel with their country of birth or place of ancestral origin

culturally sensitive

knowledgeable about the cultures prevalent in their areas of practice

culturally appropriate

applying knowledge of a client's culture to their care delivery

culturally competent

understands and addresses the entire cultural context of each client within the realm of the care they deliver

culturally responsive

nursing care that improves communication, fosters mutual respect, promotes sensitive and effective care, and increases adherence with treatment plans

cultural imposition

a key prerequisite to the delivery of culturally responsive nursing care, the nurses understanding and awareness of their own culture and any cultural biases that might affect care delivery

faith

a belief in something or a relationship with a higher power

hope

a concept that includes anticipation and optimism and provides comfort during times of crisis

religion

a system of beliefs practiced outwardly to express one's spirituality

communication

the complex process of sending, receiving, and comrpehending messages between 2 or more people

referent

the incentive or motivation for communication between 2 people

sender

the person who initiates and transmits the message

receiver

the person to whom the sender aims the message and who interprets the sender's messagae

message

the verbal and nonverbal information the sender expresses and intends for the receiver

channel

the method of transmitting and receiving a message; may be sight, hearing, touch, facial expression, or body language

environment

the emotional and physical climate in which the communication takes place

feedback

the message the receiver returns to the sender that indicates the receipt of the message; may be verbal, nonverbal, positive, or negative

therapeutic communication

the purposeful use of communication to build and maintain helping relationships with clients, families, and significant others

socialization

the process that involves learning theory and skills and internalizing an identity appropriate to a specific role