BASIC NURSING FINALS

BASIC NURSING FINALS Long-Term Care - CORRECT ANSWER-Care given in long-term care facilities for people who need 24-hour skilled care. Assisted Living - CORRECT ANSWER-Residences for people who do not need skilled, 24-hour care, but do require some help with daily care. People that live in Assisted Living Facilities do not need 24 hour skilled care. Assisted Living is a more independent lifestyle in a home like environment, where as Long-Term Care the residents need a high level of care around the clock for chronic conditions. - CORRECT ANSWER-What is the difference between long term care and assisted living? Policy - CORRECT ANSWER-A course of action that should be taken every time a situation occurs. Procedure - CORRECT ANSWER-A method, or way, of doing something. A procedure is how you do something, and a policy is something that is written in place for every time a situation occurs. - CORRECT ANSWER-What is the difference in policy and procedure? The Eden Alternative - CORRECT ANSWER-The focus is to improve lives of elders and their caregivers by creating environments that support growth and development, while trying to eliminate problems of loneliness. helplessness, and boredom that many elderly people suffer. Sympathy - CORRECT ANSWER-Sharing in the feelings and difficulties of others. Empathy - CORRECT ANSWER-Identifying with the feelings of others. Sympathy is feeling compassion and sorrow for the other person. Empathy is putting yourself in that person's shoes. - CORRECT ANSWER-What is the difference between sympathy and empathy? Nursing assistants perform assigned tasks such as: -Taking a temp. -Provide persona care. -Making beds. -Giving baths. -Assisting in eating and drinking. -Mouth care. -Keeping areas of living neat and clean. -Helping residents move around safely. - CORRECT ANSWER-What is the nursing assistants role in the care of residents? Nursing Process - CORRECT ANSWER-A plan to communicate with other health care providers to evaluate the residents care and needs -Assessment. -Diagnosis. -Planning. -Implementation. -Evaluation. - CORRECT ANSWER-What are the *FIVE* steps involved in the nursing process? Assessment - CORRECT ANSWER-What step of the nursing process never ends? Getting information about the resident from many sources, including medical history, physical assessment, and environment and reviewing this information. - CORRECT ANSWER-What takes place in the assessment step of the nursing process? Once all nursing intervention actions have taken place, the nurse completes an evaluation to determine of the goals for patient wellness have been met. The possible patient outcomes are generally described under three terms: patient's condition improved, patient's condition stabilized, and patient's condition deteriorated, died, or discharged. In the event the condition of the patient has shown no improvement, or if the wellness goals were not met, the nursing process begins again from the first step. - CORRECT ANSWER-How is the evaluation step of the nursing process measured? OBRA - CORRECT ANSWER-Omnibus Budget Reconciliation Act To protect the elderly in long term care. - CORRECT ANSWER-What is the purpose of OBRA? Residents Rights - CORRECT ANSWER-Relate to how residents must be treated while living in a facility. They provide an ethical code for healthcare workers. Residents Rights (List) - CORRECT ANSWER--Quality of life. -Services and activities to maintain a high level of wellness. -The right to be fully informed about rights and services. -The right to participate in their own care. -The right to make independent choices. -The right to privacy and confidentiality. -The right to dignity, respect, and freedom. The right to security of possessions. -Rights durning transfer and discharges. -The right to complain. -The right to have visits. -Rights with social services. Ombudsman - CORRECT ANSWER-A legal advocate assigned by the law for residents. -Advocate for residents rights. -Educate consumers and care providers. -Investigate and resolve complaints. -Appear in court/legal hearings. -Work with investigators from the police. -Give information to the public. - CORRECT ANSWER-What is the job of an ombudsman? Health Insurance Portability and Accountability Act (HIPPA) - CORRECT ANSWERThis law was passed to help keep health information private and secure. Advance Directives - CORRECT ANSWER-Legal documents that allow people to choose what medical care they wish to have if they are unable to make those decisions themselves. Living Will - CORRECT ANSWER-A document that outlines the medical care a person wants, or does not want, in case he or she becomes unable to make those decisions. Do Not Resuscitate (DNR) - CORRECT ANSWER-A type of advance directive that instructs medical personnel not to perform CPR if a persons heartbeat or breathing stops. Communication - CORRECT ANSWER-The process of exchanging information with others. Verbal Communication - CORRECT ANSWER-Involves the use of words, *spoken or written*. Nonverbal Communication - CORRECT ANSWER-Communicating without using words. Communication Barriers - CORRECT ANSWER-Specific items that can distort or prevent communication within a community. Signs and Symptoms of a Heart Attack (CVA) - CORRECT ANSWER--Paralysis on one side of the body. (hemiplegia) -Weakness on one side of the body. (hemiparesis) -Slurred speech or inability to speak. (expressive aphasia) -Inability to understand written/spoken words. (receptive aphasia) -Loss of sensations such as temperature and touch. -Loss of bowel or bladder control. -Confusion. -Poor judgement. -Memory Loss. -Difficulty Swallowing. (dysphagia) Medical Asepsis - CORRECT ANSWER-The measures used to reduce and prevent the spread of pathogens. Surgical Asepsis - CORRECT ANSWER-The state of being free of all micro-organisms, not just pathogens. Localized Infection - CORRECT ANSWER-An infection that is limited to a specific location in the body. Systematic Infection - CORRECT ANSWER-An infection that affects the entire body by traveling through the blood stream. Health-Care Associated Infection (Nosocomial Infection) - CORRECT ANSWER-An infection acquired in a Health-Care setting during the delivery of medical care. Occupational Health and Safety Administration (OSHA) - CORRECT ANSWER-A federal government agency that makes rules to protect workers from hazards on the job. Personal Protective Equipment (PPE) - CORRECT ANSWER-Equipment that helps protect an employee from serious workplace injuries or illnesses resulting from contact with workplace hazards. Hand Hygiene - CORRECT ANSWER-Washing hands with either plain or antiseptic soap and water, or using alcohol-based hand rubs. Restraint - CORRECT ANSWER-A physical or chemical way to restrict voluntary movement or behavior. Physical Restraints - CORRECT ANSWER--Jacket and vest restraints. -Belt restraints. -Wrist and ankle restraints. -Mitt restraints. -Side rails on bed. -Geriatric chairs with tray table attachments. Chemical Restraints - CORRECT ANSWER-Medications given to control a person's behavior