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Chapter 4

Communicating With The Health Team

QuestionAnswer
Health team members must ______________________ with each other to give coordinated and effective care. Communicate
You communicate with the health team to determine what was ____________ for the person. Done
You communicate with the person to determine what _____________ to be done for the person. Needs
You communicate with the person to determine the person's ___________________ to treatment. Response
_________________________ is the exchange of information - a message sent is received and correctly interpreted by the intended person. Communication
You should use avoid words with more than __________________ meaning. One
When communicating with a person you should use familiar ______________. Words
When communicating with a person you should be ______________ and concise. Brief
When communicating with a person you should give information in a _____________________ and orderly manner. Logical
When communicating with a person you should give ______________ and be specific. Facts
You should always _______________ at the person you are communicating with. Look
When communicating with a person you should speak _____________ in a normal tone of voice. Clearly
You should always ask questions if you do not ___________________ what is said. Understand
What is a written or electronic account of a person's condition and response to treatment and care? Chart
The health team uses the ______________________ _______________ to share information about the person. Medical record
The medical record is a __________________ document. Legal
You have an _______________ and legal duty to keep the person's information confidential. Ethical
The resident has a right to see their chart, who should you report these requests to? Nurse
What document has the person's identifying information such as legal name, date of birth, gender, address and marital status Admission sheet
The activities of daily living flow sheet is used to record a person's ability to _________________ ADLs. Perform
What document summarizes information found in the medical record including medications, treatments, diagnoses and routine care measures. Kardex
The oral account of care and observations. Reporting
The written account of care and observations. Recording
You should report to the nurse at once whenever there is a change from normal or a change in the person's ______________________. Condition
You should report to the nurse whenever she _____________ you to do so. Ask
You should report to the nurse when you _____________ the unit for meals, breaks, or other reasons. Leave
You should report to the nurse ____________ the end-of-shift report. Before
Anyone who reads your ________________ should know what you observed, what you did, the person's response. Charting
Report only what __________ observed or did yourself. You
Never chart a procedure, treatment, or care measure until ______________ it is completed. After
Sign all entries with your name and _____ as required by center policy. Title
When charting you never ________________ your mistakes. Erase
When correcting errors, you should draw a _______________ through the incorrect parts and date and initial the mistake. Line
A clash between apposing interests or ideas is called _____________. Conflict
When dealing with conflict it is important to give ______________ and specific examples. Facts
When dealing with conflict you should talk in a ________________ setting. Private
When dealing with conflict you should focus on the _____________. Problem
When using the center's computer __________________ information can be retrieved by authorized staff. Deleted
Do not use email for information or messages that require __________________ reporting. Immediate
Do not put callers with an _________________________ on hold. Emergency
Created by: na3