Term
| What does OBRA stand for? |
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Definition
| Omnibus Budget Reconciliation Act |
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Term
| What does HIPPA stand for? |
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Definition
| Health Insurance Portability and Accountability Act |
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Term
| What are Soap Notes (S-O-A-P) ? |
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Definition
| The subjective, objective assessment and plan of the Pt. |
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Term
| What factors can affect a temperature reading? |
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Definition
| Location, Room temp. , Caffeine, Meds, Emotions, Age |
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Term
| What factors can affect a Blood Pressure reading? |
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Definition
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Term
| What is the most common site for measuring a Pulse? |
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Definition
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Term
| What is the most accurate site for measuring a temperature? |
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Definition
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Term
| What is the definition of Pulse? |
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Definition
| The rhythmic expansion and contraction of the arteries cause by the beating of the heart. |
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Term
| How would you make a correction on a medical document? |
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Definition
| Strike a line through the information and place your initials near the line |
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Term
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Definition
| A light that flashes at the nurse station and on top of Pt door |
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Term
| Why is the call bell important? |
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Definition
| It lets you know that Pt needs help or assistance. |
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Term
| Which department creates the law? |
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Definition
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Term
| Which department enforces the law? |
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Definition
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Term
| Which department interprets the law? |
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Definition
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Term
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Definition
| A federal form of government is one in which power is divided between a central government and smaller regional government. |
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Term
| What is the purpose of check and balances? |
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Definition
| The purpose is that no branch has more power over the other branch. It was a separation between the three branches. |
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Term
| What are the various components to the medical record? |
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Definition
| Legal documents, assessment, objective, plan transcription, subjective. |
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Term
| What instruments would you use to record the temperature? |
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Definition
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Term
| What instruments would you use to record a pulse? |
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Definition
| Watch and index and middle finger. |
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Term
| What instruments would you use to record respiration? |
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Definition
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Term
| What instruments would you use to record blood pressure? |
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Definition
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Term
| What is the normal/average temperature for Rectal? |
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Definition
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Term
| What is the normal/average temperature for Oral? |
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Definition
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Term
| What is the normal/average temperature for Auxiliary? |
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Definition
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Term
| How would you abbreviate the temperature for Oral? |
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Definition
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Term
| How would you abbreviate the temperature for Rectal? |
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Definition
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Term
| How would you abbreviate the temperature for Axiliary? |
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Definition
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Term
| How would you abbreviate the temperature for Tympanic? |
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Definition
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Term
| How would you abbreviate the temperature for Temporal? |
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Definition
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Term
| What are the 5 Rights of Delegation? |
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Definition
| Right task, right communication and direction, right circumstances, right person, right of evaluation. |
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Term
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Definition
| Protects the public as a whole from harmful acts of others; Do time in jail. |
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Term
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Definition
| Protects contracts between individuals vs individuals and individuals vs government; pay the fine. |
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Term
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Definition
| Civil injury or wrongful act that is committed against another person or property resulting in harm, and is compensated by money damages. |
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Term
| What is required in order to sue for a tort? |
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Definition
| The patient must have suffered a mental or physical injury and the tort has to be tried by a judge or jury. |
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Term
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Definition
| An action that intentionally harms or injures another person. |
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Term
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Definition
| Disregard or a failure to perform some tasks or functions. |
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Term
| What is Defamation of Character? |
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Definition
| Making written or spoken false or damaging statements or misrepresentations about another that harms that person's reputation. |
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Term
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Definition
| A spoken untrue statement ; gossip. |
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Term
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Definition
| A false statement made in writing form or through a picture, cartoon, or drawing. |
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Term
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Definition
| A system consisting of principles which guide morals as acceptable conduct in medical care. |
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Term
| What is Medical Etiquette? |
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Definition
| Implicit code governing socially acceptable behavior for medical practitioners. |
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Term
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Definition
| Measurements reflecting the patient's physical well being and condition. |
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Term
| What is the average body temperature? |
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Definition
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Term
| What is the average blood pressure? |
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Definition
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Term
| Which blood pressure is considered to be prehypertension? |
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Definition
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Term
| What is the normal respiratory range? |
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Definition
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Term
| What is the normal pulse range? |
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Definition
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Term
| What are the five sites for temperature? |
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Definition
| Ear Sub bilingual, mouth, armpit, forehead, and rectum. |
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Term
| What are the five regions for temperature? |
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Definition
| Tympanic, oral, axiliary, temporal, and rectal. |
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Term
| What does the color green on a thermometer mean? |
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Definition
| It can be used for oral or axiliary. |
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Term
| What does the color red on a thermometer mean? |
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Definition
| It is only used for rectal. |
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Term
| What does the color blue on a thermometer mean? |
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Definition
| It can only be used as Tympanic or Ear sub bilingual. |
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Term
| What are the the 7 pulse sites called? |
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Definition
| Radial, apical, pedal, carotid, femoral, brachial, temporal. |
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Term
| Where is the radial pulse located? |
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Definition
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Term
| Where is the apical pulse located? |
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Definition
| Over the apex on patient's chest. |
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Term
| Where is the pedal pulse located? |
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Definition
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Term
| Where is the carotid pulse located? |
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Definition
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Term
| Where is the femoral pulse located? |
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Definition
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Term
| Where is the brachial pulse located? |
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Definition
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Term
| Where is the temporal pulse located? |
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Definition
| Side of forehead (Temple). |
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Term
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Definition
| The top number recorded on Blood pressure. |
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Term
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Definition
| The lower number recorded on Blood pressure. |
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Term
| What is the purpose of the medical record? |
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Definition
| To keep track of important clinical information that any future medical professional may find useful. |
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Term
| What is a lab requisition form? |
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Definition
| A form used to request specific lab tests– for example; chemistry, hematology, microbiology, cytology, HIV, pathology, etc. |
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Term
Define this abbreviation:
ā |
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Definition
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Term
Define this abbreviation:
pc |
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Definition
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Term
Define this abbreviation:
ac |
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Definition
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Term
Define this abbreviation:
c/o |
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Definition
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Term
Define this abbreviation:
ASAP |
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Definition
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Term
Define this abbreviation:
as tol |
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Definition
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Term
Define this abbreviation:
BID |
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Definition
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Term
Define this abbreviation:
TID |
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Definition
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Term
Define this abbreviation:
BP |
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Definition
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Term
Define this abbreviation:
_
c |
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Definition
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Term
Define this abbreviation:
PCT |
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Definition
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Term
Define this abbreviation:
NPO |
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Definition
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Term
Define this abbreviation:
DNR |
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Definition
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Term
Define this abbreviation:
ER |
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Definition
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Term
Define this abbreviation:
T,P,R |
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Definition
| Temperature, Pulse, Respiration. |
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Term
Define this abbreviation:
ENT |
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Definition
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Term
Define this abbreviation:
prn |
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Definition
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Term
Define this abbreviation:
d/c |
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Definition
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Term
Define this abbreviation:
CNA |
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Definition
| Certified Nurse Assistant. |
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Term
Define this abbreviation:
SOB |
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Definition
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Term
Define this abbreviation:
HIPPA |
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Definition
| Health Insurance and Accountability Act. |
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Term
Define this abbreviation:
OBRA |
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Definition
| Omnibus Budget Reconciliation Act. |
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Term
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Definition
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Term
|
Definition
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Term
|
Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
| Abnormal condition of the stomach. |
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Term
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Definition
| Inflammation of the heart. |
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Term
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Definition
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Term
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Definition
| An opening into the stomach. |
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Term
| Rules or standards that govern knowledge of right vs wrong conduct or practice is known as what? |
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Definition
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Term
| To keep promises and do what you should do; follow the rules is known as what? |
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Definition
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Term
| Identifying a target or desired end and making an action plan to meet it is known as what? |
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Definition
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Term
| Law which governs patient privacy and confidentiality is what? |
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Definition
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Term
| Law which sets the training and certification standards for Nursing Assistants is what? |
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Definition
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Term
| Caring for all of the patient's needs: mental, physical, social, nutritional, etc. is what? |
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Definition
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Term
| A care delivery model in which care is centered on the individual needs of the patient is what? |
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Definition
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Term
| A team made up of both professionals and unlicensed staff from different disciplines in order to meet the care needs of the patient is what? |
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Definition
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Term
| A medical word part found at the beginning of the term which provides location, quantity, and status is called what? |
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Definition
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Term
| A medical word part found within every medical term which provides condition, disease, or procedure is called what? |
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Definition
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Term
| A medical word part which is made up of the word root/combining vowel is called what? |
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Definition
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Term
True or False:
The word root is the foundation of a medical term. |
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Definition
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Term
True or False:
Healthcare professionals have to be careful because some terms have the same beginning sound but are spelled differently. |
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Definition
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Term
True or False:
Using one's own abbreviations is a good way to save time. |
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Definition
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Term
True or False:
It is possible to build a medical term from only a prefix and a suffix. |
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Definition
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Term
True or False:
OBRA was created in 1996. |
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Definition
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Term
True or False:
HIPAA was created in 1987. |
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Definition
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Term
True or False:
Health care delivery systems may provide care for the ill or injured. |
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Definition
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Term
True or False:
Health care delivery systems function to promote individual and community health. |
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Definition
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Term
True or False:
A goal of HIPAA is to allow for the release of individual identifiable health information. |
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Definition
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Term
True or False:
A goal of HIPAA is to NOT allow for patient to have access to their medical records. |
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Definition
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Term
True or False:
A goal of HIPAA is to create safeguards and restriction regarding disclosure of record for certain public responsibilities. |
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Definition
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Term
| According to the Chain of command for a Long Term care Facility who would be considered the person of contact to communicate direct information about the patient's care status during the PCT's shift? |
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
|
Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
| Painful, difficult, abnormal. |
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Term
| What is the medical term for inflammation of the stomach? |
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Definition
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Term
| What is the medical term for abnormal discharge from the nose? |
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Definition
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Term
| What is the medical term for difficulty moving? |
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Definition
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Term
| What does the acronym SMART stand for? |
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Definition
| Specific Measurement Attainable Relevant Timed. |
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Term
| What is the fifth vital sign? |
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Definition
|
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Term
|
Definition
| Performing all the activities that has been done with the Pt. |
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Term
| What does the I/O Form stand for? |
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Definition
| Intake and Output on the Pt. |
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Term
| Why is it important to do rounds? |
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Definition
| The knowledge that you left Pt clean or dry for the next team member. |
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Term
| What is the Competency role? |
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Definition
| The quality of being competent or capable of performing an allotted function. |
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Term
| What is the Accountability role? |
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Definition
| The fact or condition of being accountable responsibility. |
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Term
| What is the Scope of Practice? |
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Definition
| Actions limited to those the law allow for specific education and experience and specific demonstrated competency. |
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Term
| What is the Ethics and Ethical Behavior? |
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Definition
| Work rules and instructions in writing or verbal communications. |
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Term
| What is the Ethics of Confidentiality? |
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Definition
|
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Term
| What is the Ethics of Accuracy? |
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Definition
| Follow facility policy cause to be taken given specific situations. |
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