Chapter 1-4 Study Guide Flashcards (Vocabulary)

A set of vocabulary flashcards covering key terms from the provided lecture notes on long-term care, patient rights, abuse types, and communication in healthcare.

Long term care

Skilled care provided in long-term care facilities for people with ongoing conditions.

Chronic care

Care for physical disabilities, heart disease, and recovery from stroke.

Acute care

Hospital-based 24-hour skilled care; higher level care for a limited time.

Ambulatory surgical centers

Facilities where same-day surgeries are performed; often less intensive than hospitals.

Chain of command

Line of authority within a facility.

Director of Nursing (DON)

Person who manages the nursing staff and overall nursing care.

Nursing supervisor

Person who supervises and supports nursing staff across the facility.

Charge nurse

Nurse who supervises nursing staff on a specific unit.

Licensed Practical Nurse (LPN)

Nurse who provides basic nursing care under supervision.

Certified Nursing Assistant (CNA)

Assists with daily care tasks under supervision; performs assigned nursing tasks.

Hospice care

Care for people with about six months or less to live; focuses on comfort and quality of life; provided in facilities or homes.

Activities of Daily Living (ADL)

Daily personal care tasks aided by CNA: bathing, skin care, nails, hair, oral care, dressing, walking, transferring, eliminating, communicating.

Military time

24-hour clock used to schedule and document care.

Joint Commission

Independent, non-profit organization that accredits and improves quality and safety of healthcare facilities.

Electronic Health Record (EHR)

Electronic form of a resident's health data used to manage and coordinate care.

HITECH

Health Information Technology for Economic and Clinical Health Act; expanded use of EHR.

Ombudsman

Legal advocate for residents who visits facilities, advocates rights, investigates complaints, and may work with police or health departments.

HIPAA

Federal law protecting the privacy of patients' health information.

PHI

Protected Health Information: information that can identify a person and relates to health care.

Abuse

Mistreatment causing physical, mental, emotional, or financial harm.

Physical abuse

Any treatment that harms a person’s body; e.g., slapping, hitting, kicking.

Psychological abuse

Emotional harm from threats, frightening, isolating, intimidating, humiliating, or insulting.

Verbal abuse

Use of language or gestures that threaten, embarrass, or insult.

Sexual abuse

Nonconsensual sexual contact of any type.

Financial abuse

Improper or illegal use of a person’s money or assets.

Assault

Threat to harm a person, resulting in fear.

Battery

Intentional touching of a person without consent.

Domestic violence / IPV

Abuse by spouses, intimate partners, or family members.

Workplace violence

Abuse of staff by other staff, residents, or visitors; verbal, physical, or sexual.

False imprisonment

Unlawful restraint affecting a person’s freedom of movement.

Involuntary seclusion

Separation of a person from others against the person’s will.

Sexual harassment

Unwelcome sexual advances or behavior creating an intimidating or hostile environment.

Substance abuse

Repeated use of legal or illegal substances in a way harmful to self or others.

Defamation

Untrue statements that harm a person’s reputation or ability to earn a living.

Libel

Written defamation.

Slander

Oral defamation.

Neglect

Failure to provide necessary care or services resulting in harm.

Negligence

Actions or failure to act, resulting in unintended injury.

Malpractice

Negligent or improper act by a professional resulting in damage or injury.

Mandated reporters

People required to report suspected abuse or neglect due to regular contact with vulnerable populations.

Resident council

Group of residents who meet regularly to discuss long-term care facility issues.

OBRA

Omnibus Budget Reconciliation Act (1987); federal law addressing poor care and abuse; requires NATCEP and sets standards.

NATCEP

Nurse Aide Training and Competency Evaluation Program; 75 hours of training covering basic nursing skills, personal care, restorative care, mental health, residents’ rights, safety and emergency care, cognitive impairment.

MDS

Minimum Data Set; assessment tool for long-term care facilities to standardize care.

Nonverbal communication

Body language: posture, movements, facial expressions, gestures.

Active listening

Giving a person one's full attention.

Incident report

Documenting an incident and the response; factual, objective account of what happened.

Adverse event

An unexpected event that causes serious injury or death.

Orientation

Awareness of person, place, time, and situation.

Subjective information

Information based on opinions or feelings (e.g., a resident says they have a headache).

Objective information

Information based on observable signs and measurable data.

Defense mechanism

Unconscious behaviors used to release tension and cope with stress.

Denial

Blocking reality; refusing to acknowledge the truth.

Displacement

Transferring a strong feeling to a less threatening object.

Projection

Attributing one's own feelings to others.

Rationalization

Justifying actions with excuses.

Repression

Blocking painful events or feelings from the mind.

Regression

Returning to past behaviors for comfort.

Beginning tasks

1. Wash hands

2. Assemble equipment

3. Knock and pause before entering

4. Introduce self and check identification band

5. Ask visitors to leave

6. Provide privacy

7. Explain procedure and answer questions

Completion tasks

1. Position the resident comfortably

2. Remove and discard gloves/PPE

3. Wash hands

4. Return bed to lowest position

5. Call light/water/phone within reach

6. General safety check

7. Open curtains

8. Care for equipment

9. Wash hands

10. Let visitors reenter

11. Report completion of task

12. Document actions and observations

Cardi

Heart

Cerebr

Brain

Crani

Skull

Cyst

Bladder

Dermat

Skin

Gastr

Stomach

Geront

Elderly

Glyc

Sugar

Hydr

Water

Nephr

Kidney

Neur

Nerve

Oste

Bone

Pneum

Lung

Psych

Mind

Pulm

Lung

Proct

Rectum