• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off

Card Range To Study



Play button


Play button




Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

50 Cards in this Set

  • Front
  • Back

Long-term care (LTC)

24-hour skilled care for people who need a high level of care for ongoing conditions

Terminal illness

The illness will eventually cause death

Chronic condition

A condition that lasts a long time, even a lifetime

Home Health Care

Care that is provided in a person's home

Adult Day services

Are for people who need some help and supervision during certain hours but who do not live in the facility where care is provided

Assisted Living

Are for people who need some help with daily tasks but do not need 24-hour skilled care

Outpatient Care

Is usually given to people who have had treatments, procedures, or surgeries and need short-term skilled care.


Is care given by specialists to help restore or improve function after an illness or injury.

Hospice care

Is given in facilities or homes for people who have about six months or less to live. Hospice workers give physical and emotional care and comfort until a person dies.

Activities of daily living (ADLs)

Also called personal care, these activities include bathing; skin, nail, and hair care; mouth care; and assistance with walking, eating and drinking, dressing, transferring, and elimination.

Person centered care

Emphasizes the individuality of the person who needs care. Person centered care revolves around the residence and promotes his or her individual preferences, choices, dignity, and interest. Each person's background, culture, language, beliefs, and traditions are respected.


Is a federal health insurance program that was established in 1965 for people aged 65 or older. It also covers people of any age with permanent kidney failure or certain disabilities. Medicare has four parts. Part A helps pay for care in a hospital or Skilled Nursing Facility or for care from a home health agency or hospice. Part B helps pay for Doctor services and other medical services and equipment. Part C allows Private health insurance companies to provide Medicare benefits. Part D helps pay for medications prescribed for treatment. Medicare will only pay for care it determines to be medically necessary.


Is a medical assistance program for people who have a low income, as well as for people with disabilities. It is funded by both the federal government and each state. Eligibility is determined by income and special circumstances.

Nursing assistant (NA)

Nursing assistants are the eyes and ears of the healthcare team. Observing changes in a resident's condition and reporting them is a very important duty of the NA. Another duty of the NA is noting important information about the resident. A nursing assistant helps with all aspects of daily living. This includes transferring residents from a bed to a chair or wheelchair, elimination, bathing, dressing, feeding, mouth care, measuring vital signs (temperature, pulse rate, respiratory rate, and blood pressure), assisting with range of motion exercises and ambulation (walking), making and changing beds, keeping residents' living areas neat and clean, and caring for supplies and equipment.

What tasks can a nursing assistant not do?

Nursing assistants are not allowed to insert or remove tubes, give tube feedings, or change sterile dressings. And, unless they have completed an additional, specialized course for medications, nursing assistants are also prohibited from administering medication.


The act of noting or documenting important information about the resident. Always document care after it is performed. If it was not documented, it did not legally happen. Medical charts can be used in the court of law as evidence and must be precise.

Care team

A team of healthcare professionals, including doctors, nurses, social workers, therapists, dietitians, and specialists. The resident and resident's family are part of the team too. Everyone, including the resident, works closely together to meet health care goals involving the resident.

Chain of command

Describes the line of authority. The chain of command also protects employees and employers from liability.

Licensed Practical Nurse (LPN)

A Licensed Practical Nurse or Licensed Vocational Nurse gives medications and treatments. An LPN or LVN Is a licensed professional who has completed one to two years of education and has passed a national licensure examination.

Registered Nurse (RN)

In a LTC facility, a RN coordinates, manages, and provides skilled nursing care. This includes giving medications and treatments prescribed by a doctor. A RN also assigns tasks and supervises daily care of residents by NAs. A registered nurse Is a licensed professional who has graduated from a 2 to 4 year Associate's or Bachelor's nursing program. They have passed a national licensure examination. Registered nurses they have additional academic degrees or education in specialty areas.

Physician or doctor (MD Medical Doctor or DO Doctor of Osteopathy)

A doctor diagnoses disease or disability and prescribes treatment. Doctors of graduated from four-year medical schools, which they attend after receiving bachelor's degrees. Many doctors also attend specialized training programs after medical school.

Physical Therapist (PT or DPT)

A physical therapist evaluates a person and develops a treatment plan. Goals are to increase movement, improve circulation, promote healing, reduce pain, prevent disability, and regain or maintain Mobility. A PT gives therapy in the form of heat, cold, massage, ultrasound, electrical stimulation, and exercise to muscles, bones, and joints. A physical therapist has graduated from a 3 year doctoral degree program after receiving an undergraduate degree. PTs have to pass a national licensure examination before they can practice.

Occupational therapist (OT)

An occupational therapist helps residents learn to adapt to disabilities. An OT help train residents to perform activities of daily living. This often involves the use of equipment called assistive or adaptive devices. An OT evaluates the residents needs and plans a treatment program. OTs have earned a master's degree and must pass a national licensure examination before they can practice.

Speech language pathologist (SLP)

A speech language pathologist, or speech therapist, identifies communication disorders, addresses factors involved in recovery, and develops a plan of care to meet goals. An SLP also evaluates a person's ability to swallow food and drink. Speech language pathologist have earned a master's degree in speech-language pathology and are licensed or certified to work.

Registered dietitian (RD or RDN)

The registered dietitian evaluates a residence nutritional status and develops a treatment plan to improve health and manage illness. An RD Creates a diet to meet a resident's special needs. She will supervise the preparation and service of food and educate people about nutrition. Registered dietitians have completed a bachelor's degree. They must have completed postgraduate work. The states require that RDs be licensed or certified

Medical social worker (MSW)

A medical social worker determines residents needs and helps get them Support Services, such as counseling and financial assistance. An MSW may help residents obtain clothing and personal items If the family is not involved or does not visit often. Medical social worker may book appointments in transportation. MSWs have usually earned a master's degree in social work.


Means that someone could be held responsible for harming someone else.

Care plan

The care plan is individualized for each resident. It is developed to help achieve the goals of care. The care plan lists the tasks that team members must perform. It states how often these tests should be performed until they should be carried out.

Scope of practice

Defines the tasks that Healthcare Providers are legally allowed to do as permitted by state or federal law. It is important that NAs know which tasks are outside their scope of practice and not perform them.


A policy is a course of action that should be taken every time a certain situation occurs. For example, a very basic policy is that Healthcare information must remain confidential.


A procedure is a method, or way, of doing something. For example, a facility will have a procedure for reporting information about residents. The procedure explains what form to complete, when and how often to complete it, and to whom it is given.


Means having to do with work or a job.


Refers to life outside a job, such as family, friends, and home life.


Is behaving properly when on the job. It Includes dressing appropriately and speaking well. It also includes being on time, completing tasks, and reporting to the nurse. For an NA, professionalism is following the care plan, making careful observations, and Reporting accurately. Following policies and procedures is an important part of professionalism. Residents, co-workers, and supervisors respect employees who behave professionally.


Are the knowledge of right and wrong.


Are rules set by the government to help people live peacefully together and ensure order and safety.

Omnibus budget reconciliation Act (OBRA)

Was passed in 1987 in response to reports of poor care and abuse in long-term care facilities. Congress decided to set minimum standards of care, which included standardized training of nursing assistants. NAs must complete at least 75 hours of training and pass a competency evaluation before they can be employed. NAs must also attending regular in-service education (a minimum of 12 hours per year) to keep their skills updated. OBRA also requires that states keep a current list of nursing assistants in a state registry. OBRA sets guidelines for minimum staff requirements and specific services that long-term facilities must provide. The resident assessment requirements are another important part of OBRA. OBRA requires that complete assessments be done at every resident. OBRA also identifies important rights for residents in long-term care facilities.

List residents rights

1. Quality of life

2. Services and activities to maintain a high level of Wellness

3. The right to be fully informed about rights and services.

4. The right to participate in their own care

5. The right to make independent choices

6. The right to privacy and confidentiality

7. The right to dignity, respect, and freedom.

8. The right to security of possessions

9. Rights during transfers and discharges

10. The right to complain

11. The right to visits

12. Rights with regards to social services


Is purposeful mistreatment that causes physical, mental, or emotional pain or injury to someone there are many forms of abuse, including the following: physical abuse, psychological abuse, verbal abuse, sexual abuse, Financial abuse, assault, battery, domestic violence, false imprisonment, involuntary seclusion, workplace violence, sexual harassment, and substance abuse.


Is the failure to provide needed care that results in physical, mental, or emotional harm to a person. Neglect can be put into two categories: active neglect and passive neglect. Active neglect is the purposeful failure to provide needed care. Passive neglect is the unintentional failure to provide needed care. The caregiver may not know how to properly care for the resident, or may not understand the residents needs.


Means actions, or the failure to act or provide the proper care for a resident, resulting in unintended injury. An example of negligence is a nursing assistant forgetting to lock a resident's wheelchair before transferring her. The resident falls and is injured.


Occurs when a person is injured due to professional misconduct or negligence, carelessness, or lack of skill.


Is assigned by law as the legal advocate for residents. The Older Americans Act (OAA) is a federal law that requires all states to have in a ombudsman program.


To respect confidentiality means to keep private things private. Nursing assistants will learn confidential information about residents. They may learn about a resident's Health, finances, and relationships. Ethically and legally, they must protect this information. NAs should not share information about residents with anyone other than the care team.

Health insurance portability and accountability act (HIPAA)

Congress passed the health insurance portability and accountability act in 1996. One reason this song was past is to help keep health information private and secure. All Healthcare organizations must take special steps to protect health information. Their employees can be fined and/or imprisoned if they do not follow rules to protect patient privacy.

Protected health information (PHI)

Is information that can be used to identify a person and relates to the person's condition, any health care that the person has had, and payment for that Health Care. Examples of PHI include a person's name, address, telephone number, Social Security number, Email address, and medical record number. Only people who must have information to provide care or to process records should know a person's Private health information. Do not talk about residents in public. Use confidential rooms for reports to other care team members. Make sure nobody can see protected Health or personal information on your computer screen while you are working. Logout and exit the browser when finished with any computer work. Do not give confidential information in emails. Do not share resident information, photos, or videos on any social networking site. Make sure fax numbers are correct before faxing information. Use a cover sheet with a confidentiality statement. Do not leave documents for others can see them. All healthcare workers must follow HIPAA regulations no matter where they are or what they're doing. There are serious penalties for violating These rules, including the following: fines ranging from $100 to $1.5 million and prison sentences of up to 10 years.

Explain legal aspects of the residents medical record

The residents medical record or chart is a legal document. What is documented in the chart is considered in court to be what actually happened. In general, if something does not appear in a resident's chart, It did not legally happen.

Explain the guidelines for careful documentation.

Documentation gives an up-to-date record of the status and care of each resident. Document care immediately after it is given. This makes details easier to remember. Do not record any care before it has been done. Use Black Ink when documenting by hand. Write as neatly as you can. Use facts, not opinions. If you make a mistake, draw one line through it. Write the correct information. Put your initials on the date. Do not erase what you have written. Do not use correction fluid. Documentation done on a computer is time-stamped. It can only be changed by entering another notation. Sign your full name and title. Write the correct date.

Minimum Data Set (MDS)

The federal government developed a resident assessment system in 1990 and has revised it periodically. The minimum data set is a detailed form with guidelines for assessing residents. It also lists what to do if resident problems are identified. Nurses must complete the MDS for each resident within 14 days of admission and again each year. In addition, the MDS must be reviewed every 3 months. A new MDS must be done when there is any major change in the resident's condition. Nursing assistants contribute to the MDS by reporting changes in residents promptly and documenting accurately.


An incident is an accident, problem, or unexpected event during the course of care. A mistake in care, such as feeding a resident from the wrong meal tray, Is it incident. A resident fall or injury is another type of incident. Accusations made by residents against staff, as well as employee injuries, are other types of incidents. State and federal guidelines require that incidents be recorded in an incident report. An incident report is a report that documents the incident and the response to it.