Flashcard Set Preview
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| 1 |
therapeutic communication
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goal directed communication, promotes understanding
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| 2 |
objective data
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"signs" can be detected by an observer
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| 3 |
subjective data
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what client states or claims
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| 4 |
leading questions
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directs the client's response and suggests what answer is expected
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| 5 |
cephalocaudal
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head to toes examination
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| 6 |
screening examination
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review of all the systems
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| 7 |
SOAPIER
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Subjective data, Objective data, Assessment, Planning, Interventions, Evaluate, Re- evaluate
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| 8 |
PIE charting
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Problems, Interventions, Evaluating of nursing care
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| 9 |
charting by exception
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only significant findings or exceptions to norms are recorded
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| 10 |
inspection
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visual examination
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| 11 |
palpation
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sense of touch to examine the body
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| 12 |
percussion
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striking the body surface to elicit sounds that can be heard or vibrations felt
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| 13 |
auscultation
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process of listening to sounds produced within the body (direct- ear, indirect- stethoscope)
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| 14 |
visual acuity
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the degree an eye can see detail of an image
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| 15 |
visual field
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the area an individual can see when looking straight ahead
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