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123 Cards in this Set
- Front
- Back
What is the mnemonic saying for converting within the metric system?
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Kids Kilograms
Have Hectograms Dropped Dekagrams Over One's Unit Dead Decigram Converting Centigram Metrics Milligram |
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How many centimeters is one inch equal to?
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2.54 centimeters
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What is the conversion factor for Celsius to Farenheit?
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F= (9/5*C)+32
9/5= 1.8 |
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What is the conversion factor for Farenheit to Celsius?
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C=5/9(F-32)
5/9=0.555 |
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What is the conversion factor to convert grams to pounds?
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pounds= G/454
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How many pounds does one kilogram equal?
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2.2 pounds
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How many grams are in one ounce?
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28.41
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How do you convert from Celsius to Kelvin?
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K=C+273
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What is the AARC and what does it do?
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American Association for Respiratory Care
-promotes RT profession -Respiratory care & AARC magazines -Clinical Practice Guidelines (CPG's) -governmental representation |
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What is the FSRC and what does it do?
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Florida Society for Respiratory Care
-education -newsletters |
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What is the organization responsible for testing?(National exams accepted by most states for licensure)
-CRT & RRT |
National Board for Respiratory Care (NBRC)
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What is the organization responsible for the accreditation of RT schools?
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CoARC (Committee on Accreditation for Respiratory Care)
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What is the hierarchy or chain of command for the Respiratory Therapy Department organization?
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Medical Director
Administrative Director Supervisors (lead therapist) Secretary Equipment personnel Education coordinator Therapist/Registered & Certified |
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Who is responsible for the clinical function of the department?
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Medical Director
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Who falls within the Hospital administration?
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Board of Directors
Medical Director Department Directors & Managers |
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What is the Triage order of care?
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CPR (Cardio Pulmonary Resuscitation)
CMV (Continuous Mechanical Ventriculation) ICU Care ER Postoperative care O2 and aerosol therapy IPPB (Intermittant Positive Pressure Breathing) CPT (chest physiotherapy) & IS (Incentives barometer) Diagnostic studies |
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what is aerosol therapy?
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nebulizers and breathing treatments
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What is the difference between Diagnostic therapy & Clinical therapy?
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Diagnostic therapy is the testing phase and Clinical therapy is the treatment or prevention phase
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What is important to know regarding the principles of a Code Blue?
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ALWAYS follow the hospital protocol
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What are some examples of diagnostic studies?
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nitric oxide test
pulmonary function test Arteriole Blood Gasket (ABG) |
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bid
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twice a day (every 12 hours)
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BS
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breath sounds
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cc
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cubic centimeters (same as milliliters)
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gt
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drop
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HR
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heart rate
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Hx
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history
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p
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after
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prn
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as needed
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qh
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every hour
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q4h
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every four hours
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qid
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four times daily
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RR
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respiratory rate
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Rx
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prescription
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stat
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at once or immediately
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tid
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three times daily
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Tx
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treatment
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QD
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every day
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QOD
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every other day
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H.S.
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half-strength
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T.I.W.
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three times per week
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D/C
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discharge
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What is the Nuremberg Declaration?
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Patient has the right to informed consent
-reasons for therapy -consequences for refusing therapy |
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What are you liable for if therapy is administered without informed consent?
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assault
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What are some important things to know regarding accurate charting?
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-no white out
-one line through error, initial -if it isn't charted, it isn't done |
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How many feet are in one yard?
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3
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How many liters is one gallon equal to?
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3.8 liters
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What is one centimeter of H20 equal to?
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0.74mm Hg
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What is one mm of Hg equal to?
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1.36 cm H2O
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What type of law deals with definition, regulation, and enforcement of rights in cases between citizen and citizen or between citizen and organizations?
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Private Law
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What are the two types of private law?
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torts and contract law
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What is a legal wrong committed upon a person or property independent of a contract?
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tort
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What are the four types of intentional torts?
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assault
battery libel slander |
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What is intentional touching of another person without consent?
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battery
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What is spoken form of defamation?
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slander
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What is the willful attempt or threat to inflict injury on another?
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assault
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What is false or malicious writing that is intended to defame or dishonor another?
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libel
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What is carelessness or failure to act with due care on the part of the professional?
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malpractice (negligent tort)
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What is the execution of an unlawful or improper act?
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malfeasance/maleficence
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What is the reckless disregard for the safety of another?
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negligence
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Which principle acknowledges the personal liberty of patients and their right to decide their own course of treatment and follow through a plan on which they freely agree? It is from this principle that rules of informed consent are derived.
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Principle of Autonomy
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What is the principle that binds health care workers to tell the truth?
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Principle of Veracity
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What is it called when the truth is withheld from the patient for their own good?
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benevolent deception
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What is the principle that obligates health care providers to avoid harming patients and to prevent harm actively where possible?
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non-malfeasance
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What is the principle that raises the "do no harm" requirement to an even higher level, requiring that health care providers go beyond doing no harm and contribute actively to the health and well-being of their patients?
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Principle of Beneficence
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What is POMR and what are the four basic parts?
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Problem Oriented Medical Record
-Database -Problem List -Plan -Progress Notes |
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What is contained in the Database within a POMR?
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-information of a routine nature
-general health history -physical exam results -results of diagnostic tests |
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What is in a problem list?
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something that interferes with a patient's physical or psychological health or ability to function
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What is in the plan?
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course of action to correct problems from problem list
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What type of information is found in the progress notes?
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contains findings (subjective & objective), assessment plans, and plans for orders
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What describes information obtained from the patient (symptoms), relatives, or similar source?
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subjective
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What describes information based on caregivers observations of the patient, physical exam, or diagnostic or laboratory tests?
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objective
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What word refers to the analysis of the patient's problem?
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assessment
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What is SOAP?
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a format used in charting
-Subjective -Objective -Assessment -Plan |
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What is a component of a chart that states the time and date that the patient was admitted to the facility as well as the patient's birthday, address, SSN, telephone number, next of kin, and insurance information?
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Admission Record
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What is important to know regarding Physician Orders?
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all orders must contain the date, time, and physician signatures
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What is important to know regarding Progress notes?
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every time the patient is visited by the doctor, the patient's progress is recorded
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Where is the patient's history obtained from?
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patient or relatives upon admission
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What is the initial physical and who is it performed by?
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head to toe assessment of the major organ systems performed by the attending physician
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What is included in nursing data
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nursing notes and nursing assessment records
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What type of record within a chart contains the pulse, temperature, respirations, blood pressure, urine output, oral intake, and daily weights
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graphic record
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What are the components of a patient's medical chart?
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admission record, physician orders, progress notes, patient history and physical examination, nursing data, graphic record, lab reports, radiology, operative data, medication administration record, ancillary services, discharge plan
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What is included in operative data?
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includes operative consents, operation reports, and anesthesia and post-anesthesia records
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What provides a chronology of the medication given to the patient, quantity, dosage, route, and date & time of administration?
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medication administration record
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Who are the ancillary services reserved for?
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RT, OT, PT, ST
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What information is found in the Discharge Plan?
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-patient condition and date and time of discharge
-any prescribed medication(s) and patient teaching for medication administration |
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What is the role of the RT in patient assessment?
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-assist physician in determining initial diagnosis
-assess patient's response to therapy |
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What are the stages of patient clinical interaction?
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-Preinteraction Stage
-Introductory Stage -Initial assessment Stage -Treatment & Monitoring Stage -Follow-up stage |
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What is the stage of clinical interaction in which the HCP reviews the patient's chart to identify important facts stated in medical history?
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Preinteraction Stage
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What are some reasons for looking at a patient's chart before entering?
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-to identify basic details such as name, age, gender, complaints, history, present illness and physicians' orders
-a good review acquaints the therapist with the patient's "case" and starts the clinician's mind "a-thinkin" about how to help |
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What happens during the Introductory stage?
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-patient is greeted using his or her formal name followed by an introduction of the RCP
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What should the RCP do after greeting the patient with his or her formal name?
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introduce oneself and discuss the purpose of the visit and your role in caring for the patient
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Which stage of patient clinical interaction is done to identify the current health status of the patient?
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Initial assessment stage
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What is the most important thing that needs to be done during the Introduction Stage?
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Confirm the patient's identity using his/her wrist ID bracelet
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What should be done in the initial assessment stage?
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a brief interview and physical examination are appropriate
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What should not be assumed during the initial assessment stage?
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should not be assumed that the patient's condition has changed since the initial workup by the physician at admission
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What should become apparent to the RCP during the Initial assessment stage?
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the patient's attitude and cooperativeness
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What happens during the Treatment and Monitoring stage?
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staff continues assessing the patient so as to evaluate the effects of the treatment
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What is important to watch for during the Treatment and Monitoring stage?
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important to watch for side effects
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What should be done during the Follow-up Stage?
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-take a minute to ask the patient about how he/she feels and if you can do anything else before you leave
-also let the patient know when you will return |
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What should be done to communicate the patient's assessment findings?
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details of the patient's encounter should be recorded in the chart
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What should the RCP do, in addition to charting, if the patient's complications are serious?
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verbally communicate the complications to the treatment to the patient's nurse and physician
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When a patient's condition takes a turn for the worse, what should the RCP do?
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Stay with the patient until help arrives
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This zone is useful for your staff introduction to the patient. At this distance, they can see the "big picture" and gain an appreciation for the whole patient and his environment
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the Social Space (12-14 ft)
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This zone is most useful for the interview, especially when more personal questions are to be asked. Pulling the bedside curtain may also make the patient feel more comfortable.
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The Personal Space (18in.-4 feet)
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At what point is the personal space best entered?
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only after a rapport with the patient has been established
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In most cases, when is invasion of the Intimate space done?
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only after a request for permission to do so and only after a rapport has been established.
-this communicates respect and lets the patient know that he has a say in the medical care |
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What is the proximity of the Intimate space?
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10-18 inches
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What is the intimate space reserved for?
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primarily for physical examination and for therapeutic procedures
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What should verbal communication be limited to during the intimate space?
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brief commands or simple questions
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What are some techniques for expressing genuine concern for a patient?
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-face the patient squarely
-use eye contact appropriately -maintain an open posture -appropriate use of touch -active listening |
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This simple maneuver tells the patient that he or she has your undivided attention
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facing the patient squarely
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This represents one of the most powerful techniques for demonstrating true concern for the patient. It conveys your interest in the patient and his or her comments. It is particularly important when the patient is speaking to you and when you are asking questions of the patient
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appropriate eye contact
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What is an open posture and what does it create?
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sitting or standing in a relaxed manner; creates a more comfortable setting for the patient and says that you accept the patient and want to help
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When should the appropriate use of touch happen?
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only after a solid rapport has been established
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What is active listening?
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Listening carefully to what the patient has to say with undivided attention
-should also repeat back what the patient says for clarification |
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What is important to take note of regarding territoriality in a patient's room?
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patient's often lay claim to items in their room that are placed bedside even though the items belong to the hospital
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What types of messages can say more than actual words?
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nonverbal messages
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What types of questions encourage patients to describe events as they see them and promote better understanding of their problem? (e.g., How have you been feeling today?)
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open-ended questions
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What types of questions are better for the brief interview such as when following up on the effects of therapy? (e.g., Did the oxygen help?)
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direct questions
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What types of questions are used to clarify issues? (e.g., Are you saying you can breathe better now that you are not taking the heart medication?)
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indirect questions
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What types of questions and phrases avoid leading the patient toward a desired answer?
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neutral questions
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What types of phrases show interest and let the patient know that you are listening?
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reflecting phrases
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What is an alternate source for a patient history that can be helpful in providing information that the patient does not know or remember?
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family members that are present during the interview
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