Lippincott's Third Edition Nursing Assistant Examination 1 Review

Flashcards covering vocabulary and concepts from Lippincott's Third Edition Nursing Assistant chapters regarding health care organizations, nursing team structures, care planning, and human growth and development.

Hospice organization

A healthcare organization that provides care for people who are dying and their families; it exists in two forms: home or facility.

PPO (preferred provider organization)

A managed care system that contracts with an insurance company to accept a standard payment as total payment for services rendered; the insured person usually receives care at a reduced cost to herself by using the network.

HMO (health maintenance organization)

A managed care system that contracts with health care providers to provide health care services for a prepaid fee, and people seeking care agree to see only providers who are part of the network.

PPS (prospective payment system)

A system for controlling health care costs in which the length of a person's hospital stay, as well as payment for hospitalization, surgery, or other treatment is specified according to the person's diagnosis.

Medicare

A type of insurance plan that is federally funded by Social Security and which all people $65$ years or older, and some younger disabled people, are eligible to participate in.

Group insurance

An insurance that is purchased at a group rate by an employer or corporation.

Home Health Care Agency

An agency that provides skilled care in a persons home.

Residents

A person who is living in a long term care facility or assisted-living facility.

Hospital

A healthcare facility that provides treatment for people with acute medical or surgical conditions.

Mission

The officially stated purpose of a health care facility or organization.

The Joint Commission

An independent, non-profit organization that sets national standards for all types of health care organizations and officially recognizes organizations that meet these standards.

Long Term Care Facility

A health care facility that provides care for people who are unable to care for themselves at home, yet do not need to be hospitalized.

Sub Acute Care Unit

A unit within a hospital or a long term care facility, or a separate facility that provides care focused on rehab and helping the patient to move from hospital care to home care; typically takes longer for patient rehabilitation.

Medicaid

A federally funded and state regulated plan designed to help people with low incomes to pay for health care.

Omnibus Budget Reconciliation Act (OBRA)

An act passed in $1987$ to improve the quality of life for people who live in long term care facilities by making sure that residents receive a certain standard of care.

Occupational Safety and Health Administration (OSHA)

An agency in the Department of Labor that establishes safety and health standards for the workplace to protect the safety of the employees.

Acute Care Setting

A place where healthcare is provided for people who require a high level of care, severe illness or medically unstable.

Registered nurse (RN)

A specially trained person licensed by the state to develop nursing care plans and coordinate care; holds a baccalaureate degree ($4$ years) or an associates degree ($2$ years).

Functional/modular nurse

A model for organizing the nursing teams efforts in which each member of the nursing team carries out the same assigned task for all patients or residents.

Nurse aide competency evaluation

An exam consisting of a written portion and a skills portion that must be passed at the end of the nursing assistant training course to obtain certification.

Patient center/patient focused care

Cross functional teams consisting of groups of professionals and assistive personnel that work together as a unit based team to provide care to a given group of patients.

Unit manager/head nurse

A RN who is in charge of a department or section.

Team nursing

A model for organizing the nursing teams efforts in which one RN (team leader) determines all the care/needs for the patients and then assigns tasks according to each team members skills and level of responsibility.

Registry

An official record of people who have successfully completed the nursing assistant training program.

Charge Nurse

A RN, LPN or LVN who supervises the other nurses on that shift.

Scope of practice

The range of tasks that a nursing assistant is legally permitted to do.

Primary Nursing

A model for organizing the nursing team efforts in which one nurse is assigned several patients or residents, and is responsible for planning and carrying out all aspects of care for those people.

Delegate

To authorize another person to perform a task on your behalf.

Reciprocity

The principle by which one state recognizes the validity of a license or certification granted by another state.

Director of Nursing (DON)

An RN with multiple master's degrees who directs all of the nursing care in the facility.

Kardex

A card file that contains condensed versions of each patient's or resident's medical records.

Objective data

Information that you obtain directly, through measurements or by using one of your five senses (sight, smell, touch and hearing).

Interdisciplinary care plan

A specific plan of care for each patient or resident developed with the input from all members of the health care team.

Nursing care plan

A specific plan of care for each patient or resident developed by the nursing team; the RN is responsible for this.

Signs

Objective observations that you can see.

Symptoms

Subjective observations (e.g., patient complains of pain) that you cannot see.

Observation

Something that you notice about the patient or resident typically related to a change in the person's physical or mental condition.

Nursing diagnosis

A statement that describes a problem the person is having that can be identified and treated by the nursing staff independently.

Reporting

The spoken exchange of information between health care team members.

Recording

Communicating information about a patient or resident to other health care team members in written form (charting).

Conflict

Discord resulting from differences between people, which can occur when one person is unable to understand or accept another's ideas or beliefs.

Interventions

Actions that are taken by the nursing team to help the patient or resident.

Nursing Process

A process that allows the nursing team to communicate patient needs; consists of $5$ parts: assessment, diagnosis, planning, implementation and evaluation.

Adolescence

The period during which the secondary sex characteristics appear and the reproductive organs begin to function.

Menopause

The cessation of menstruation and fertility that women typically experience in their early $50s$.

Terminal illness

An illness or condition from which recovery is not expected.

Race/ethnicity

A general characterization that describes skin color, body stature, facial features, and hair texture.

Acute illness

An illness with a rapid onset and a relatively short recovery time, usually unexpected.

Need

Something that is essential for a person's physical and mental health.

Growth

Changes that occur physically as a person passes through life.

Sexuality

How a person perceives his or her maleness or femaleness.

Culture

The beliefs (including religious or spiritual beliefs), values, and traditions that are customary to a group of people.

Coitus

Sexual intercourse.

Tasks

Growth and development milestones that must be completed before a person can move on to the next stage of growth and development.

Intimacy

A feeling of emotional closeness to another human being.

Neonate

A newborn infant, $28$ days or younger.

Religion

A person's spiritual beliefs.