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pn 143 ch 10 & 14

book anderson

QuestionAnswer
what are the communication principles process, types & methods, strategies, blocks, male-female & cultural influences, client experience, staff, electronic
communication principles: what is the process the sender and the receiver
communication principles: what are the types verbal, nonverbal, affect (emotion)
communication principles: types- what is affect your emotions
communication principles: what are the two methods 1 way and 2 way
communication principles: methods: what is 1 way talking to someone (barking orders)
communication principles: methods- what is 2 way talking back and forth
communication principles: strategies for good communication (2 types) listen and question
communication principles: what is a communication block anything that interferes w/ an effective outcome
communication principles: examples of communication blocks language, preconceived idea, body language, not listening, edu. level, assumptionm
communication principles: what is the difference in males and females males are task driven and females and relational
communication principles: what is involved in the client experience where are they coming from (what is their past medical experience)(ex: second childbirth- was it rough or easy)
communication principles: what is important in communication with the staff teamwork
communication principles: what is the issue for the electronic forms they are sometimes bad b/c they are sometimes not organized, and this can affect reimbursement
communication: what is it the effective use of words to share ideas, words, emotion and the ability to think critically and put together thoughts and make meaningful message for others
communication: process- what is the sender ; who person sending the message, they are conveying the idea; doctor, manager, client, peer to peer
communication: process- what isthe message content intended for the receiver it is designed by the sender
communication: process- message- it is often a what a request, order or feedback
communication: process- message- what is the problem with the message often not perceived as sender meant it
communication: process- what is the receiver person receiving the message
communication: process- receiver- many factors influence how the message is ________ understood
communication: types- what is verbal spoken word
communication: types- why is verbal powerful b/c why hear it
communication: types- verbal- what are limits in your role legally in what we can discuss
communication: types- when speaking verbal what types of words shouldn't you use poor grammer and slang
communication: types- non-verbal- body language what is it expressions and physical appearance
communication: types- what is affect mood or emotions, a physiologic energy response with each thought
communication: methods- what is one way command w/ no feedback
communication: methods- one way- when is it used in emergencies, when something is needed right away
communication: methods- what is two way usual form of communication, feedback is expected and respected
communication: methods- how can one way become a two way by repeating the info back (ex: an order by doc)
communication strategies- what is active listening it is disciplined attention
communication strategies- what is the most important in therapeutic communicaiton active listening
communication strategies- what is the purpose of active listening for data collection
communication strategies- with active listening you do not want to assume but ________- clarify meaning
communication strategies- how to focus with active listening use all of your senses
communication strategies- questions- what are the 3 types open ended, closed ended, focused
communication strategies- what is a focused question ; give example they are specific; ex pain rating
communication blocks: what is false reassurance saying you'll be fine
communication blocks: what is probing invasion of privacy, beyond need to know
communication blocks: what is chiding scolding behavior (ex bothering someone who smokes)
communication blocks: what is belittling making fun of client (ex: with pain meds)
communication blocks: giving advice when not asked
communication blocks:what is giving pat answers ignoring their feelings
communication gender and culteral differences- characteristics of men show agreement or show head arrect, independent, assertive, few questions asked, smiles may mask an emotion
communication gender and culteral differences- characteristics of women relationship oriented, tilt head to show they are listening, they like intamacy and relationships, they smile when they are unhappy
communication gender and culteral differences- characteristics of white americans distance preferred, time valued
communication gender and culteral differences- characteristics of african americans louder speech, touch common, eye contact conveys respect
communication gender and culteral differences- characteristics of mexican americcans louder speech, touch by stranger, may be disrespectful, may avoid direct eye contact
communication: client experience- what position do they move in once they are a pt dependent position, they go through a role change
communication: client experience- why should you not use nursing jorgon it is confusing
communication: client experience- what are pt fearful of the unknown (ex: needles, pain, death)
communication: client experience- how can nurses help with the fear of the unknown ask if we can help or if they have any questions
communication: client experience- what are personal factors for pt individual needs outside of hospital (ex: finances and childcare)
communication: client experience- what are environmental factors lack of privacy, sleep, noisy neighbor, interrrupting
staff communication: why should you respect others to set out everyday to do the best that you can
staff communication: how does trust begin w/ confidence and being prepared
staff communication: how is trust communicated in your preparedness
staff communication: how should you be honest truth no matter what the consequence
staff communication: what is empathy understand others' feelings w/ out experiencing them
staff communication: when does empathy become sympathy it is when you begin to experience their feelings
staff communication: what is sensitivity person is aware of all forms of communication
staff communication: why is humor used to lighten things up for the pt
staff communication: rules with humor appropriate @ their level and never offensive
staff communication: knowledge should be what evidenced based
staff communication: why is patience important to slow down wit clients especially when teaching
staff communication: commitment- why is this important show that you want to be there
staff communication: whatis self worth earned sense that praise is OK
communication in electronics: how is faxing helpful it shortens the time for sending between agencies
communication in electronics: what does computerized charting provide multiple access to one chart from various locations
communication in electronics:computerized charting- it adds _______ and shortens time for _______ convenience; decisions
communication in electronics: computerized charting- it is really not a big time saver for ______ nurses
communication in electronics: email- what etiquette issues are there spelling in all chaps, be specific, humor
communication in electronics: email- when should one respond to email ASAP
communication in electronics: email- you always should include what a subject in the subject line (one may think that it is a virus)
supportive communication: what is it collaboration with pt, open and honest, non-judgemental, use of empathy, be equal w/ all pt, flexibility
passive communication: it is ineffective to do this for ________ long term
passive communication: you are a victim to ______ wishes others
passive communication: it causes _______ feelings negative
passive communication: it only keeps ____- peace temporary
passive communication: does it resolve problems no
passive communication:ex spousal abuse situation
passive communication: suppressed feelings lead to what aggressive behavior
defensive communication: it is the same as what other communication agressive
defensive communication: the majority of what comes out of ones mouth is ________ critical
defensive communication: it is malipuative; what is it strategizing for my own way
defensive communication: what is it critical, controlling, manipulative, deceptive, superiority, inflexable
passive-agressive communication: it is common among whom nurses
passive-agressive communication: what are the three theories for why this occurs it is a learned behavior, a female reaction, the reaction to suppression imposed on nurses
passive-agressive communication: what behaviors occur with this you complain to the wrong person, talking about others when they are not present, it is unkind, uncaring
asertive communication: what is it the ability to express self and protect rights
asertive communication: it is not natural for whom ; why females and LPNs; b/c they are afraid to hurt ppls feelings
asertive communication: it is a crucial skill for whom managers
asertive communication: honest -open-responsible- what is this the use of I messages ("Ifeel_________" "When you_________" "b/c ___________"and finish with "here is what I expect_____")
communication application: what is staffing based on the client # and acuity when possible
communication application: assignments are assigned and based on what skill level
communication application: we should empower assigned person to do what carry out tasks
communication application: how is report given verbal, written or taped (give info, problems, needs and change in condition, only need to know info)
communication applications: what is coaching positive reinforcement, formal and informal (one on one or honor)
communication application: what is a non punitive approach to errors counseling
communication application: what is disciplinary focused on improving behavior
communication application: what are common mistakes in administrating discipline ignoring, too nice in discipline talk, too general (addressed to whole team), premature discipline
performance evaluation: what is it it is a tool based on performance standards (your job description)
performance evaluation: what is its focus on improvement
performance evaluation: what is inherently subjective the halo and horn effect
performance evaluation: what are the elements of it self, peer, supervisory
difficult employees: expectations should be given ___________ clearly communicated
difficult employees: frequent _______ to discuss _______ meetings to discuss progress
difficult employees: try to understand their _______ needs (there is a reason that they are difficult)
difficult employees: find their ____ strenths
collaboration: what is it joint problem solving with other disciplines (b/ we are all in it for the same reason: the outcome of the pt_
collaboration: what is standards of excellence to match the standards of the community
collaboration: respect is needed for other's ________ & _______ skills and differences
collaboration: nurse is always what for pt advocate
collaboration: be sure to include clients_______ in collaboration family
documentation: written orders: how is it written; give example time, order detail (drug, dose), reason; 10-04-07, 1630, lasix 40 mg po BID, HTN
documentation: written orders: what is unacceptable unaccepted abreviations
documentation: telephone orders: what are they you the nurse call the docter and write it in the chart and it is then later signed by the doctor
documentation: telephone orders: how it order written doc name/nurse name and title; T.O. dr. Smith/ M.burns RN
documentation: telephone orders: what is the abreviation for telephone orders T.O.
documentation: guidelines for documenting care provided clear, accurate and complete
electronic communication: what is data discrete entries (why- b/c it is pulled from evidenced based practice)
electronic communication: what is information the data interpreted
electronic communication: what is knowledge the information combined
electronic communication: where is bedside charting done in acute care
electronic communication: MDS- where is this done; what is it LTC; info that is collected on pt to drive the care for pt
electronic communication: managed care companies: where is this done; what is it doc office, labs, hospitals; it manages and prevents disease
other forms of communication: guidelines for memos and letters use proper english and formatting, they should be specific and to the point
other forms of communication: guidelines for meetings agendas and minutes, keep on time, record facts
Health professional recovery program: what is it was esstablished in 1993, this is designed to encourage health professionals to seek tx for substance use/ mental health disorders before their impairment harns a pt or damages their careers through disciplinary action
Health professional recovery program: what professions can be in the program only liscenced professions
Health professional recovery program: is it confidential yes
Health professional recovery program: if there is no readmission to the program, records of the participant is destroed with in _____ years 5
Health professional recovery program: the names of those how report suspected violations are kept___ confidential
Health professional recovery program: what are the 5 steps of the program referral, evaluation, Tx, monitoring, completion
Health professional recovery program: potential signs of impairment for nurses always volunteers to give meds, pt complain of no s/s of relief after given meds, IM PRNS are always given at max dosage, unabserved wastage, volenteers for additional shifts and on unit where not usually assignedlower job efficiency, blames others for pr
communincation: manny companies use a __________ for communication; give example worksheet; SBAR
communication worksheet: SBAR- what does this stand for Situation, Background, Assessment, Recommendation
communication worksheet: SBAR- what is the situation pertinent situation
communication worksheet: SBAR- what is the background the pertinent Hx
communication worksheet: SBAR- waht is the assessment summarize the facts and give best assessment
communication worksheet: SBAR- what is recommendation what actions are you asking for
conflict: what is it method of dynamic interpersonal relationships
conflict: it is not always_____ negative, can be two different opposing view, can be good
conflict: destructive stimmulates _____ and reduces _________ unhealthy competition and distrust between pt and staff ; productivity
conflict: there is an opportunity for ________ & ________ growth and learning
conflict: goal is to _____ conflict welcome
conflict: not a skill that most ppl _________ have
conflict: what are the three categories competitive, mental struggle, hostile encounter
conflict: types- what is competitive; give example opposing actions of incompatibles, common in life; divorce
conflict: types- what is mental struggle; give example resulting from incopatible or opposing needs, drives wishes or demands, focuses on distribution of scarce resources; scholorship
conflict: types- what is hostile encounter; give example aka collision, it is passive agressive, agressive behavior; two competing for the same job
causes of conflict: what is unclear roles unsure of what your job is
causes of conflict: what is desire for scarce resources ex: two ppl fighting for the same job
causes of conflict: what is distance mechanisms ppl who keep others @ a distance; ex no teamwork
causes of conflict: what is unifying mechanisms behaviors that bring ppl too close together, looks unprofessional
causes of conflict: what is perceived or felt conflict feeling that someone is upset w/ you but don't know why
causes of conflict: what is unresolved conflict from prior conflict no i messages, occurs when someone is aggresive to someone who is passive
causes of conflict: what is the the greatest cause of conflict unresolved conflict from prior conflict
Roles of the LPN in conflict learn to work with conflict effectively, keep conflict from esculatiing, develop conflict resolution skills, report problems if too complex, obtain advice/consultation from manager and integrate with own knowledge
transactional approach to conflict management: what is it it provides a framework for thinking about life in a positive manner , teaches you to develop a positive mindset
transactional approach to conflict management:what are the 4 approaches to conflict management win-lose, win-yield, lose-lose, win-win
transactional approach to conflict management: what is win-lose destructive to employees and facilities, boss always wins
transactional approach to conflict management: what is win-yield employees are so beaten down and discouraged, a neg. environement and they never even try, it is oppresive and destructive
transactional approach to conflict management: what is lose-lose there is no winner, conflict is there, both sides are angry, nothing resolved
transactional approach to conflict management: what is win-win brings out the best in ppl, based on maslows (values other ppl & their ideas), no struggle, need high energy awareness and ability to resolve conflict on both sides,
transactional approach to conflict management: what is the best approach win-win
problem solving process: what is it a series of steps used to solve problems, a conscious growth-producing method of dealing with challenges in life
problem solving process: what are the 6 steps; these steps are similar to what other process define the problem, decide on the goals, choose alternatives, try out the alternatives, eval effectiveness of applroach, repeat preocess if solution is not effective; the nursing process
Conflict resolution w/ nursing process: what are the steps 5 data collection, state the problem (where i messafe comes in), interventions, implementation, eval
Conflict resolution w/ nursing process: how do you data collect listen to all the facts
Conflict resolution w/ nursing process: how do you state the problem with the i message
Conflict resolution w/ nursing process: when finding interventions how should this be dome involve all parties to find solution
the art of negotiation: why is it necessary to find a win-win situation, it is critical for repeated conflict
the art of negotiation: what are the 3 rules of it dont take what is said personally, dont do what comes naturally, identify the need being expressed, both parties will need to give up something
managing anger: how to do this use problem solving process, use assertive communication, take conflict seriously, create a respectful work environment and white out
managing anger: what is white out do not respond to anger when someone is angry, listen politely, promote pos. reaction
management: what is it doing things right, organization of all care required of pt in a health care setting for a specific period
management: it is personal traits necessary for what to plan, organize, motivate, and manage the personnel and material resources of an organization
management: what is the focus on planning and dierecting to meet pts goals, not interpersonal relationships
management: what is the formal role a broad understanding of organization and how it works
management process: it is similar to what the nursing process
management process: what are the four steps planning, organizing, directing, controlling
management process: what is the planning step abjective and interventions to reach goal
management process: what is the organizing step establishing priorities
management process: what is the directing step sharing work as appropriate, supervising
management process: what is controlling looking to see if processes that we use are being followed, ensuring to rule
management skills: what are the three problem solving, communication, assignments
management skills: assignment- when giving assignement you need to have ___ & _______ knowledge and judgement
management skills: guidelines for assignments letting go, clearly identify expectations, empower to carry out, hold accoutable- requires reporting
mcgregors management theory: what is it there is x and y theory, the focus is on the manager's attitude about ppl, it is two opposite attitudes that a manager can possess
mcgregors management theory: what is theory X based on the belief that ppl dislike work, they need control, and force to make them work, lacks ambition, oppressive, punish as motivation
mcgregors management theory: what is theory y based on belief that ppl like to work, can be self directed & accept responsibility, recognizes comlex ppl and creativity, view work as part of life
LPN in management: what are the traits advocate for pt, interact w/ health team, provide direct care, assist staff members, maintain a safe and comfortable environment, promote excellence in pt care, advocate for self and staff
leadership: what is it the personal traits necessary to establish vision and goals for an organization and the ability to execute them, how they get along with coworker
leadership: what is the focus on to produce changes in the workplace that will meet goals of agency
leadership: is it formal or informal informal
management: is it informal or formal formal
leadership traits: what are they skill set (vision, competency, commnication, problem-solving, self-evaluation), charisma (inpires, motivates)
leadership skills: what are the three occupational skills (solid nursing skills), organizational skills (time managment, assertive), human relationship skills (good verbal and nonverbal communication)
supervision and charge nurse leadership responsibilities: assigning tasks- what is the right task is this the right task to ask person to do, policies- are we allowed to sk them to do this
leadership responsibilities: assigning tasks- what is the right person what is their level of competence, what aere their strengths
leadership responsibilities: assigning tasks: what is the right communication clear concise directions, please thank
leadership responsibilities: assigning tasks- what is the legal aspect of assigning michigan's practice act does not allow us to, to delegate so itis called assigning, no list of what you can assignout and what you can't, we are responsible for the outcome of any tasks
leadership behaviors- what are they fairness, consistency, assumption/acceptance of responsibility, critical thinking, sensitivity, objectivitiy, establishment of standards, supportive of talents and differences, sense of humor
leadership styles: what are the 4 typs autocratic, democratic, laissex-faire, multicratic, participative
leadership styles: what is autocratic does not share respons. tell employees what to do, doesn't seek imput, follows rules
leadership styles: what is democratic shares imput from everyone, best for daily nursing situations
leadership styles: what is laissex- faire gives away responsibility to employees, put employees b4 policies, best when not bound by policies
leadership styles: what is multicratic/participative leader compromise between autocratic and democratic
what is the role of the follower: competence and experience, willingness to work together, attitudes competence and experience, willingness to work together, attitudes towards duties and others, particiaption in communication and decisions, acceptance of assignemnts, adneres to guidelines, search for growth and opportunities
maxwell laws of leadership: what are the laws law of lid, influence, navigaiton, ef huutton, solid ground, intuition, connection
maxwell laws of leadership: what are the law of the lid lid on the orgainizaiton ( organization will not rise above the level of leadership
maxwell laws of leadership: what are the law of influence influencing ppl
maxwell laws of leadership: what are the law of navigation anyone can steer the ship, but it takes a leader to chart the course (they have vision
maxwell laws of leadership: what are the law of EF Hutton most influencial person in stock morket, when real leader speaks ppl listem
maxwell laws of leadership: what are the law of solid ground trust is in the foundation
maxwell laws of leadership: what are the law of intuition leaders eval everyting w/ a leadership bias (can read ppl and see trends)
maxwell laws of leadership: what are the law of connection have to touch the heart of ppl for them to follow
debono's thinking hats: what is the theory quick, simple and powerful technique to improve thinking by using 6 different hats
debono's thinking hats: what is the white hat facts, figures, no emotions, neutral
debono's thinking hats: what is the red hat angry, listen to emotions and intuitions
debono's thinking hats: what is the black hat gloomy negative, looking at why it might fail
debono's thinking hats: what is the yellow hat hopeful and optomistic
debono's thinking hats: what is the green hat cultivate new ideas
debono's thinking hats: what is the blue hat looking at every, and all possibilities
motivation: what is it a drive that causes individuals to set personal goals and behave in a way that will allow them to reach those goals
motivation: what are intrinsic factors internal from w/ in
motivation: what are influences- the internal and external internal: forces-search for feelings of accomplishment; external: attractiveness of the effort, rewards and recognition
maslow's hierarchy of needs: what is this focuses on what motivates ppl in terms of their desire to meet their needs, pyramid to clarify levels of needs
maslow's hierarchy of needs: what are the 5 levels survival, safety, belonging, self-esteem, self-actualization
howlett style of nursing leadership: what is it hierarchy of work motivators, based on maslow's hierarchy of needs, all levels considered to be needs of employees and as needs are met they can move up
howlett style of nursing leadership: how many levels are there 5
howlett style of nursing leadership: what is level 1 salary, work condition
howlett style of nursing leadership: what is level 2 safety, job security
howlett style of nursing leadership: what is level 3 respect, relationships
howlett style of nursing leadership: what is level 4 growth, responsibility changes
howlett style of nursing leadership: what is level 5 advance in job
herzberg's 2 factor theory: what is this; what are the 2 factors based on belief that there are two types of factors that play into the motivation of ppl, saying job satisfaction and dissatisfactor play into it; job hygeine and job motivation
herzberg's 2 factor theory: what is job hygeine factors; ex attractors and maintainers of a job; benefits, salaries, relationships
herzberg's 2 factor theory: what is job motivation factors; ex managerial behaviors that bring out the best in ppl; autonomy and growth; wok itself
power: what is this the ability to influence others through the use of energy and strength, must to be developed as a skill to be used and understood
power: it is neither ____ or ______ good nor bad
power: sharing it does not take the power away from who the giver
power: positive if used how on behlf of others
power: negative if used how if used just for the use of power
what are characteristics of powerless groups threatened by the competence of others, protecting own turf, worry over small things, want predictable, group behavior, horizantal hostility
what are characteristics of powerless groups: what is group behavior obediance to others w/o question (aka grou think)
what are characteristics of powerless groups: what is horizontal hostility lack of support for eachother, passive agressive behavior, codependent
types of power: what is institutional (aka legitimate) name tag "boss" they have the abilites
types of power: what is connectional aka referent, way they live their life and willing to share w/ others
types of power: what is expert based on knowledge (most powerful for nurses)
types of power: what is information person w/ most info has power
types of power: what is reward someone w/ ability to reward, this can be manipulative (ex: parent and child)
types of power: what is coercive manipulative turns into this
what are strategies for developing a powerful image develop a pos. self image, learn to control situations, refuse to be a victim, value yourself and others, show initiative, resolve conflict
influence: what is it ; ex the process of using power through energy and strength; coaching a new CENA, education of pt
empowerment: what is it the process by which you encourgae the particioation of others in deicision- making
empowerment: what are the 2 types self empowerment and empowerment of thers
empowerment: what is self empowerment begins w/ you feeling self confident
empowerment: what is empowerment of others responsibility to support and empower others, provide them opportunities to give them self confidence
empowerment: whatis the result increased moral and effeiciency
what is change the opportunity to alter the flow of events in your life, the lives of pts or an organization
what are the two common ways change occurs planned change, and accidental change
planned change: what is the change agent someone w/ experience and skill in the change process
planned change: comes from whom a committee or an administrative group
planeed change: what is it a well thought out and deliberate effort to make a change
accidental change: aka; what is it change by drift; unplanned change that occurs b/c of an imbalance in the system
accidental change: it is worse or better than planned worse
kurt lemin's change theory: what is unfreezing the ability to get ppl or an organization to recognize that a change is needed for progress
kurt lemin's change theory: what are the two important rulles in unfreezing do not try to implement chagne until unfreezing takes place, provide psych. safety for ppl involved in change
kurt lemin's change theory: unfreezing is essential b4 implementing ________ change
transistion: what is it a pasage or change from one place, state or set of circumstances to another
transistion: what are the four features experienced in transistion a phase of turmoil, disturbances in bodily functions, mood and cognitive chagnes, an altered time perspective
transistion: what are the three kinds developmental, situational, organizational
transistion: they are charecterized by what a sense of uncertainty, disconnectedness, loss, incongruity between past expectations & present perceptions, and a lack of unfamiliar reference points
what are the 3 responsibilities of a nurse managers in supporting the successful completion of excellent holistic nursing care goals identify goals that are realistic and achievable, coordinate the activities that will achieve the goal, establish a system of accountability to be sure the actions are taken and the goals are achieved
making assignments: what is delegation the skill of letting go of some responsiblity and gaining the cooperation of others in meeting them
making assignments: 4 things that make effective delegation tasks delagated are clear, pt has thorough needs assessed, staff person is capable to carry out tasks, a system of accountability is in place to monitor staff performance
what does minimum data set do to assess resident needs, including their functional abilities and deficits
postive feedback: what is informal; what is formal saying good work; formal recognization program of good work
counseling sessions: how shoukld they be brief, and nonconfrontational, private, no negative information
what is non verbal communication it is nonspecific communication that transmits information
what is a proactive person a person who anticipates what could happen mentally in a situation and and prepares to deal with potential outcomes
what is the opposite of a proactive person a reactive one
what is a reactive person one who reacts to whatever happens in lfie
what is failed ocmmunication is an interaction in which the communication that was planned did not occur
what is feedback a steo in the communication process that assists in preventing or correcting failed communication
what is assertive communication the ability to express yourself and protect your rights w/o violating the rights of anotherperson
what are the three catagories that causative factors are placed in conflict competitive or opposing actions of incompatibles, mental strgies resulting from incompatable needs, hostile encounter
what are the 2 truths about conflict itis inevitable, the result can be a complete analysis of the conflict b4 its escalationg to unmanageable proportions
Created by: jmkettel
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