General Survey

These flashcards cover key vocabulary and concepts essential for understanding core components of nursing practice, ethical principles, safety protocols, and communication strategies in healthcare.

Ethical Principles

Fundamental guidelines that nurses follow to make ethical choices and deliver patient care.

Nonmaleficence

An ethical principle stating that a nurse must do no harm to patients.

Beneficence

The ethical principle of acting to promote the good of the client.

Autonomy

The client's right to make decisions about their own health care.

Justice

The ethical principle of treating all clients fairly regardless of their background.

Confidentiality

The obligation to protect the privacy of client information.

HIPAA

Health Insurance Portability and Accountability Act, which protects personal health information.

Safety in Nursing

Ensuring the well-being of clients and healthcare teams through proper assessment and intervention.

Infection Control

Practices to prevent the spread of infections in healthcare settings.

Personal Protective Equipment (PPE)

Equipment designed to protect healthcare workers from exposure to infectious agents.

Hand Hygiene

The practice of washing hands to prevent the spread of illness and infections.

Auscultation

The assessment technique of listening to internal body sounds, typically using a stethoscope.

Palpation

The technique of using one's hands to feel for abnormalities in the body.

Percussion

A technique used to determine the density of a body part by tapping on it.

What tools and techniques are used to perform assessment on the eyes

Penlight inspect palpate

What tools do you use with auscultation ?

Stethoscope Doppler

What type of information our clients direct statements EX “ I have dry cough every morning”

Subjective

What is objective data?

Findings that the nurse observed directly

Which of the following entries displayed proper documentation?

The clients abdomen is soft and non-distended

a nurse is assisting a client with ambulating. What step of the nursing process is she performing

Implementation

A nurse is preparing to perform palpation what finding is a nurse assessing

Skin temperature moisture unexpected findings

What is a nurse assessing during percussion?

Unexpected sounds bouncing off of the tissues and organs.

What is a nurse assessing during? Auscultation

Heart sounds lung sounds bowel sounds

tools and techniques used to perform chest assessment

Stethoscope inspect auscultate

Tools and techniques used to perform assessment on abdomen

Inspect stethoscope, palpate tape measure Ausculate

Tools and techniques used to perform assessment on the feet

Doppler palate inspect

What does HIPAA stand for?

Health insurance, portability, and accountability act

What technique is used with palpation?

Use palm side of hands or pads of the fingers

Documentation

The act of recording client care activities and observations in a medical record.

Therapeutic Communication

An interactive process between a nurse and client that seeks to enhance patient well-being.

Cultural Competence

The ability to understand, communicate with, and effectively interact with people across cultures.

Mandated Reporting

The legal requirement for professionals to report suspected abuse or neglect.

Active Listening

The practice of fully concentrating, understanding, and responding to a speaker.

Privacy

The right of clients to keep their personal health information away from unauthorized persons.

Client Bill of Rights

A list that ensures clients are informed of their rights in a healthcare setting.

Mental Capacity

The ability of a client to make informed decisions concerning their health care.

Sexual Health

A critical aspect of a client's health that may need sensitive communication.

Self-Awareness

The ability to recognize one's own biases and opinions in the context of patient care.

Reflective Practice

The process of self-reflection by healthcare providers to improve their care and interactions.

Nonverbal Communication

Conveying messages without the use of words, often through body language.

Inclusive Terminology

Using language that is respectful and acknowledges diverse identities.

Assessment Techniques

Various methods used to gather information about a patient's health status.

Environment Safety

Ensuring a safe physical setting for the assessment and care of clients.

Medical Record

A document that contains comprehensive information on a patient's health history and care.

Client Identification

Protocols used to confirm the accurate identity of a client.

Gender Identity

A person's deeply held sense of their gender, which may not correspond to their sex at birth.

Subjective Data

Information reported by the client about their condition that cannot be measured directly.

Objective Data

Information obtained through observation, examination, or testing of the patient's condition.

N95 Masks

Respiratory protective equipment designed to fit tightly and filter airborne particles.

Pillow and Drapes

Items used to maintain a client's comfort and privacy during an assessment.

Documentation Standards

Guidelines that healthcare providers must follow to ensure accurate and effective record-keeping.

Client Comfort

Consideration of a patient’s emotional and physical well-being during care and assessments.

Cognitive Impairment

A reduction in cognitive abilities, affecting a person's capacity for understanding.

Therapeutic Touch

A form of communication that involves safe, respectful touching to enhance client comfort.

Sensitivity in Communication

The ability to approach discussions with clients in a caring, nonjudgmental manner.

Reporting Findings

The obligation to accurately relay observed symptoms or client statements to healthcare providers.

Physical Privacy

Creating a secure environment for the client during assessments to ensure their comfort.

Bodily Privacy

Restrictions placed on bodily exposure during medical examinations to protect client dignity.

Family Involvement

The role of family members in providing support during therapeutic interactions.

Doppler Device

An ultrasound technology used to assess blood flow through vessels.

Shortening Documentation Time

The practice of recording observations and actions promptly to enhance care efficiency.

Health Promotion

The process of enabling individuals to increase control over and improve their health.