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PACE CNA Quiz 1
Abbreviations and info needed for Quiz 1
| Question | Answer |
|---|---|
| Charlatans | people with no medical training that offered worthless "snake oil" cures |
| Family Doctor | 18th-early 20th century health care provider trainind in general healthcare skills who treated patients in their home |
| Holistic approach to healthcare | focuses on treating the whole person, physical and emotional needs are met |
| Hospital | type of HC organization, usually for acute care, can be general or specific - take care of patients |
| Sub-acute Care Units | Skilled nursing units, can be within a hospital, rehab facility - patients require recovered enough to leave the hospital but not enough to go home - take care of patients |
| Long-term Care Facility | Nursing home - for people unable to care for themselves at home - take care of residents |
| Assited Living Facility | Type of long-term care facility for people who need limited help - take care of residents |
| Home Health Care | Provide skilled care in a person's home - take care of clients |
| Hospice Organiztions | Provide care for people who are dying and their families. Receive services when 3-6 months to live |
| DON | Director of Nursing - supervises RN's, LPN's and CNA's |
| Who is the focus of the healthcare team? | the patient or resident |
| US Department of Health and Human Services | primary government agency responsible for protecting the nation's health - DHHS |
| OBRA | Omnibus Budget Reconcilliation Act of 1987 - law passed to protect people living in long term care facilities by ensuring a certain standard of care |
| FDA | Food and Drug Administration - ensures safety of the nation's drugs, medical devices, food and cosmetics |
| CDC | Centers for Disease Control |
| The Joint Commission | private independent agency that can certify (or accredidate) a facility's healthcare standards or quality |
| OSHA | Occupational Safety and Health Administration - government agency responsible for protecting workers ensuring their safety |
| Medicare | federally funded insurance for 65 and older or younger diabled people |
| Medicaid | federally funded state regulated insurance plan for low income people |
| CNA Training | OBRA requires minimum 75 hours of classroom training, hands on and clinical experience and a competency evaluation(test)and skills test |
| What does OBRA require each state to maintain? | OBRA requires states to maintain a registry of people who have successfully completed the training |
| y.o. | year old |
| Dx | diagnosis |
| CVA | cerebral vascular accident |
| Fx | fracture |
| ADL | activities of daily living |
| amb | ambulate |
| HOH | hard of hearing |
| gtt | drop |
| gtts | drops |
| r | right |
| l | left |
| bid | twice a day |
| prn | as needed or as necessary |
| Hx | history |
| DM | diabetes mellitus |
| FBS | fasting blood sugar |
| ac | before meals |
| q | every |
| HS | hour of sleep |
| c/o | complain of |
| b/p | blood pressure |
| ECG | electrocardiogram |
| wnl | within normal limits |
| HOB | head of bed |
| | with |
| bm | bowel movement |
| qd | every day/daily |
| LVN | licensed vocational nurse |
| LPN | licensed practical nurse |
| RN | registered nurse |
| Charge Nurse | RN or LPN/LVN who supervises other nurses on a shift |
| Scope of Practice | range of tasks a CNA is legally permitted to perform |
| Five Rights of Delegation | Right Task - is it legally allowed Right Circumstance - can it be performed safely Right Person - am I trained for this Right Direction - do I have clear directions Right Supervision - is the nurse available to supervise and answer questions |
| Patients' Rights | Respectful, information, decision power, specify wishes, privacy, confidentiality, ability review records, suggest alternatives, informed of business relationships, agree or decline studies, informed of otions, payment options |
| Residents' Rights | care decisions, privacy, free from abuse, visitors and share room w/spouse, personal pocessions, finances, informed Medicare-aid, facility compliance, stay in facility, join groups, advocacy groups, right to work or volunteer at the facility |
| Advanced Directive | Document that allows wishes regarding healthcare to be known |
| Durable Power of Attorney | transfers responsibility for healthcare decisions to someone else - healthcare agent to make decisions on the persons behalf |
| Living Will | allows person to give on end of life medical treatments - what they want and do not want done |
| Civil Law | laws concerned with relationships between individuals |
| Criminal Law | laws concerned with relationship between individual and society |
| Unintentional Tort | harm or injury occurs without intent - negligent |
| Tort | a wrong |
| Intentional Tort | harm or injury that is intentional - ex. defamation, assault, battery, fraud, larceny |
| Defamation | making untrue statements that hurt another's reputation - oral=slander, written=libel |
| Ethics | moral principals or standards that govern behavior |
| Communication | exchange of information |
| Describe the Process of Communication | Sender creates a message, sender delivers a message, receiver receives a message, receiver provides feedback |
| Verbal Communication | uses language - spoken, written or signed |
| Non-verbal Communication | uses facial expressions, gestures, body language, tone of voice - tends to be more subtle |
| Open ended questions | effective way to communicate to get people to talk and make sure that they understand you |
| Objective Data | information that you obtain directly through measurement or your 5 senses |
| Subjective Data | information that is a symptom told by the patient, cannot be measure directly or assessed |
| Reporting | required by nursing assistants - report - observations,patient/resident complaints of pain or discomfort, refusal of treatment or request for clergy |
| Recording/Charting | communicating about a patient/resident to their healthcare team members in written ruler |
| Steps of the Nursing Process | 1. Assessment 2. Diagnosis 3. Planning 4. Implementation 5. Evaluation |
| Steps to correct error in a medical report | Draw a line through the error, write error above, write correct data and initial |
| Acute Illness | condition characterized by rapid onset and short recovery time |
| Chronic Illness | ongoing condition that needs continuous treatment and or medication |
| Terminal Illness | illness or condition from which recovery is not expected |
| Stages of Growth and Development | infancy-birth to 1yr, toddler- 1 to 3yrs, preschool- 3 to 5yrs, school age-5 to 12yrs, adolescence- 12-20yrs, young adulthood- 20 to 40yrs, middle adulthood-40 to 65yrs, later adulthood-65 to 75yrs, old adulthood-75+yrs |
| Maslow's Hierarchy of Human Needs | visual hierarchy that low level needs must be met before higher level needs can be addressed |
| TB | Tuberculosis - airborne disease |
| TB Infection | person is infected but does not show signs of the disease - your immune system is protecting you from getting sick |
| TB Disease | immune system has failed, person needs treatment and medication |