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86 Cards in this Set
- Front
- Back
What is race? |
A group of people who share biologic and physical characteristics |
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Culture |
A set of learned values, beliefs, customs, and practices that are by a group and passed from one generation to another |
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Prejudice |
An unfair feeling of dislike for another person or group because of race, sex, or religion |
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Ethnocentrism |
A perception that the practices and beliefs of one's own culture are superior to those of other cultures |
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Ethnic stereotypes |
A fixed concept of how all members of an ethnic group act or think |
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Bias |
An inclination or outlook to present or hold a partial perspective, often accompanied by a refusal to consider the possible merits of alternative points of view |
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Culture competence |
Awareness by the nurse of their own cultural belief practices and understands the limitations that these beliefs put on a nurse when dealing those from other cultures |
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Culturally congruent care |
Care that is customized to fit with patient's own values, beliefs, traditions, practices, and lifestyle |
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Culturally imposition |
Forcing something upon a person or group without consent |
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Transcultural nursing |
An integration of the nurse's understanding of culture into all aspects of nursing care |
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Jaundice |
Yellowish discoloration of the skin, mucous membranes, and sclera caused greater than normal amounts of bilirubin in the blood |
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Ecchymosis |
Discoloration of an area of skin or mucous membrane caused by the extravasation of blood into the subcutaneous tissue (AKA bruise) |
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Cyanosis |
Slightly bluish, grat, slate like, or dark purple discoloration of the skin resulting from abnormally reduced amounts of oxygenated hemaglobin in the blood |
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Pallor |
An unnatural paleness or absence of color in the skin, decreased hemoglobin and erythrocytes (RBC) |
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Pruritis |
Itching |
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Sallow |
Pertaining to unhealthy yellow color, usuallly said of a complexion or skin |
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Sputum |
Secretion from the lungs, contains mucous, cellular debris, microorganisms, or some combination of these - sometimes contains blood or pus |
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Dyspnea |
SOB or difficulty breathing, may be caused by disturbances in the lungs, heart conditions, and hemoglobin deficiency |
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Chronic |
Disease develops slowly and persists over long period |
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Acute |
Begins abruptly with marked intensity of several S+S and then often subsides with treatment |
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Organic disease |
Results in a structural change in an organ that interferes with its functioning |
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Functional disease |
Often appears to be those of organic disease but careful examination fails to reveal evidence |
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Medical jargon |
Language or terminology particular to a specific field. EX: BP, JT, IM, K |
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Aggressive communication |
Interacting with another in an overpowering and forceful manner to meet one's own needs at the expense of others |
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Active listening |
Giving full attention and a concerted effort to understand the message being sent |
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Nonverbal therapeutic communication techniques |
- Active listening -Touch - Conveys warmth, caring, comfort, support, and understanding -Maintain silence -Minimal encouragement (eye contact, nodding, brief verbal comments) |
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Conveying acceptance |
Nurse acceptance and willingness to listen and respond to PT without passing judgement |
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Minimal encouragement |
Communicates to PT the nurse is interested (eye contact, nodding, comment) |
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Open/Closed Questioning |
Open - Allows PT to elaborate freely, does not require specific answer, cannot be answered by yes or no Closed - yes or no |
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Restating |
Lets the PT know whether the nurse heard what was said |
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Paraphrasing |
Verifies the nurse's interpretation of the message is correct |
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Clarifying |
Allows PT to verify that the message was received |
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Focusing |
Allows nurse to gather more specific info when PT is too vague |
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Reflecting |
Promotes independent decision making, allows PT to see ideas and thought are important |
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Stating |
Allows for clarification of intended message when verbal cues don't match nonverbal ones |
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Offering information |
Useful for PT teaching, promotes informed decision making |
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Summarizing |
Focuses on key issues and allows for additional info that perhaps was omitted, particularly useful when interaction has been lengthy or has covered several topics |
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Posture |
(Open) Relaxed, facing receiver, uncrossed arms, eye contact, smile |
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Zones of personal space |
Social space - 4-12 feet Public space - 12 feet |
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Environment |
Calm, relaxed atmosphere and privacy |
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Language barriers |
Keep message simple, avoid medical terminology, use gestures and pictures, comply with HIPAA if using family member |
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Appropriate time to administer pain medication if an activity is to be performed |
Before |
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The facts regarding communication while using eye contact |
- Extended eye contact sometimes implies aggression and arouses anxiety (longer than 6 seconds) - Eye contact communicates intention to interact - 2-6 seconds helps involve other people in what is being said without being threatening or intimidating - Absent - Shyness, lack of confidence, disinterest, embarrassment, hurt; or in contrast, respect |
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The principles of body mechanics |
- Maintain base of support - Don't twist - Bend at knee - Position yourself closer - Alignment - Use large muscle groups (arm + shoulder, hips + thigh) helps in performing a bigger workload more safely |
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Most common strain injury among healthcare workers |
Lumbar |
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Profession with the highest worker's compensation claim rates of any occupation |
Nurses/Healthcare personnel |
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Steps of nursing process |
ADPIE |
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Subjective vs objective data |
Subjective - what you can see Objective - What PT tells you, can't be seen |
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Types of range of motion |
Active Passive |
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Purpose of a transfer belt |
To promote safety |
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Body positions * |
Sutting, supine, dorsal recumbent, lithotomy, sims, prone, lateral, recumbent, knee chest |
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Head-to-toe assessment starts |
CNS, Neurologic |
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Timing: Capillary refill |
More than 3 seconds is considered sluggish - 5 seconds = abnormal |
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Focus assessments |
Highly specific assessment performed on PTS in the emergency department focusing on the system or systems involved in the PT's problem |
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Meaning/purpose of "The Interview" |
To establish a baseline database about the PT's level of wellness, health practicves, past illness, related experience, and healthcare goals |
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O-P-Q-R-S-T system is used for what? |
To get the most information out of your PT |
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O P Q R S T Stands for what? |
Onset - timing Precipitating - provocative - palliative Quality - quantity Region - radiation Severity Treatment |
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Origin of disease - diabetic patient |
Pancreas |
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Origin of disease - Hypothyroidism |
Not enough thyroid hormones |
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Origin of disease - Gigantism |
Oversecretion of growth hormone before the onset of puberty |
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Origin of disease - Cushing's Syndrome |
caused by excess corticosteroids, particularly glucocorticoids |
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Characteristics of Health Belief Systems: Biomedical |
Belief that health and illness are controlled by a series of biochemical processes that can be analyzed and manipulated by humans |
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Characteristics of Health Belief Systems: Folk |
Referred to as third-world beliefs and practices often called strange/weird |
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Characteristics of Health Belief Systems: Holistic |
Religious experiences are based on cultural beliefs and may include such things as blessings from spiritual leaders, apparitions of dead relatives, and even miracle cures |
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Diets: Muslim |
Avoidance of pork products like ham and bacon |
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Birth beliefs of the Jewish Religion |
Promotes the circumcision of infant boys 7 days after birth, religious ceremony by religious figure Babies named by father 8 days after birth when circumcision is done Females are named during the reading of the Holy Torah |
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Sleep deprivation |
Many PTS experience as a result of hospitalization Involves decreases in the amount, quality, and consistency of sleep |
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Physiologic signs and symptoms of sleep deprivation |
Hand tremors, decrease of reflexes, slowed response time, reduction in word memory, decreased reasoning and judgement, cardiac dysrhythmias |
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Psychological signs and symptoms of sleep deprivation |
Mood swings, disorientation, irritability, decreased motivation, fatigue, sleepiness, hyperexcitability |
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Interventions to promote sleep and what they are designed to do |
Provide quiet, undisturbed environment that causes least interference with sleep Provide comfort measures such as toiletting, back rub, comfortable bed Keep excessive noise from conversation or equipment to a minimum |
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Invasive |
Tending to spread prolifically and undesirably or harmfully |
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Exhibit |
Deliberately display |
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Exert |
Make a physical or mental effort |
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Expectorates |
Cough or spit out phlegm from throat or lungs |
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Integration |
When separate people or things are brought together |
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Implementation |
Putting a decision or plan into effect |
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Convey |
Communicate a message or information |
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Concept |
An abstract idea; a general notion |
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Rationale |
A set of reasons or a logical basis for a course of action or a particular belief |
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Diaphoresis |
The secretion of sweat, especially the profuse secretion of sweat |
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Cardia |
? |
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Tachy |
Fast |
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Brady |
Slow |
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Dys- |
Difficulty |
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-pnea |
Breathing, respirations |
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-osis |
Condition or state - usually abnormal or diseased |