Psw exam nacc amy(Evaluations and solutions),Edition 1 ,GUARENTED ,Mid-course tests and end-course tests

Care planning 5 steps - Assessment, nursing, diagnosis, planning, implementation, evaluation Nursing diagnosis - describes a health problem that can be treated by nursing measures; a step in the nursing process medical diagnosis - the identification of a disease or condition by a doctor Planning involves... - Setting priorities and goals and developing measures or actions to help the client meet these goals Intervention - Action or measure taken by the nursing team to help the client reach a goal ADL - activities of daily living BDL - Behaviours of daily living CCL - Continency care level ( size of depends) Cognitive level - Memory and orientation CCAC - Community Care Access Centre, arrange for community in home supports as well as admission into LTC facilities Care plan - Document that details the care and services the client must receive each shift Evaluation - To measure and assess the clients progress toward meeting goals that are outlined in the care plan Objective data - information that is seen, heard, felt, or smelled by an observer; signs Subjective data - things a person tells you about that you cannot observe through your senses; symptoms Graphic sheets - are used to record measurements and observations made daily, every shift , or 3-4 times a day Kardex - A type of card file that summarizes information found in the medical record-drugs, treatments, diagnoses, routine care measures, equipment, and special needs Charts - A written account of the clients condition, illness, the care and treatment given to a client and the clients response to care SOAP - subjective, objective, assessment, plan PIE - Problem, intervention, evaluation Restorative care - Maintaining the current level of functioning while preventing decline Rehabilitation - Restore function to former levels ABI - acquired brain injury Acute care - Hospital, less than 6 months Transition - Moving a client from one area to another Admission - The official entry of a client into any health care facility where the client will be staying for any period of time, from overnight to indefinitely Discharge - The official departure of a client from a hospital or other health care facility Lithotomy - Feet up in stirups Preoperative period - Time period before surgery Anaesthesia - Loss of feeling or sensation produced by a medication 3 types of anaesthesia - General, regional, local 4 vital signs - temperature, pulse, respiration, blood pressure Body temperature - Amount of heat in the body Tympanic temperature - Temperature taken in the ear Axillary temperature - Underarm Rectal temperature - Rectum , rarely used Electronic thermometers - Battery operated, measure in 20-50 seconds Digital thermometers - Used more in home care than facilities Dot matrix thermometer - Used only once, used for oral or axillary temperatures, within 3 minutes Temperature sensitive tape - Changes colour in response to body heat, forehead or abdomen Pulse - Best of the heart is felt at an artery as a wave of blood passes through the artery Which site used most often - Radial Which pulse uses a stethoscope - Apical pulse Pulse rate - Number of heartbeats or pulses felt in 1 minute Adult pulse rate - 60-100 Tachycardia - rapid heart rate Bradycardia - slow heart rate dysrhythmia - Abnormal heart rhythm What's a radial pulse used for - Taking routine vital signs Respiration - Act of breathing air into the lungs and out of the lungs Adult respiration's - 12-20 When are respiration's counted - When persons at rest, eighth after taking pulse so client is unaware your counting respirations Blood pressure - Amount of force exerted against the walls of an artery by the blood Systole - Contraction of the heart Diastole - Relaxation of the heart Average adult blood pressure - 120/80