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Nursing Fundamentals
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Legal and Ethical Aspects of Nursing Communication Vital Signs Nursing Process Documentation
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Final Question
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What are the 2 basic categories of law
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What are the 2 basic categories of law
Criminal and Civil
Which type of law affects society in general or as a whole
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Which type of law affects society in general or as a whole
Criminal
Spoken or written statements made maliciously and on purpose that may injure a person's reputation
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Spoken or written statements made maliciously and on purpose that may injure a person's reputation
Defamation
A malicious or untrue writing about a person brought to other's attention
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A malicious or untrue writing about a person brought to other's attention
Libel
Malicious or untrue spoken words about another person
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Malicious or untrue spoken words about another person
Slander
Voice, Eye Contact, Physical Appearance, Gestures and Posture are types of what kind of communication
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Voice, Eye Contact, Physical Appearance, Gestures and Posture are types of what kind of communication
Nonverbal
What are the 3 styles or types of communication
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What are the 3 styles or types of communication
Assertive, Unassertive and Aggressive
What is one of the most difficult therapeutic communication skill to master
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What is one of the most difficult therapeutic communication skill to master
Listening
Lip Reading, Sign Language, Word or Picture Cards and Communication Boards are all examples of what
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Lip Reading, Sign Language, Word or Picture Cards and Communication Boards are all examples of what
Alternative Methods of Communication
18 inches to 4 feet away from a person comprises what zone
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18 inches to 4 feet away from a person comprises what zone
The Personal Zone
Vital signs include what
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Vital signs include what
Temperature, Pulse, Respirations, BP and Pain Level
What is the normal/average rate of respiration for an older adult
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What is the normal/average rate of respiration for an older adult
12-18 per minute
When taking a temperature with a tympanic thermometer, where would it be placed
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When taking a temperature with a tympanic thermometer, where would it be placed
Ear
What is the normal/average pulse rate for an adult
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What is the normal/average pulse rate for an adult
60-100 per minute
What does the apical pulse represent
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What does the apical pulse represent
The actual beating of the heart
What are the 5 steps involved in the nursing process
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What are the 5 steps involved in the nursing process
Assess, Diagnose, Plan and Identify Outcomes, Implement and Evaluate
What is another term for subjective data
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What is another term for subjective data
Symptoms
What is another term for objective data
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What is another term for objective data
Signs
When performing an assessment, grouping related cues together is called
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When performing an assessment, grouping related cues together is called
Data Clustering
What are the 4 main types of nursing diagnoses
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What are the 4 main types of nursing diagnoses
Actual, Risk, Syndrome and Wellness
The form on the chart where the nurse records their observations, care given and patient's responses
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The form on the chart where the nurse records their observations, care given and patient's responses
Nursing Notes
Methods of Recording Data
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Methods of Recording Data
Traditional Charting, Problem-Oriented Medical Record (POMR), Focus Charting Format and Charting by Exception
In what year did Congress pass The Health Insurance Portability and Accountability Act (HIPAA)
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In what year did Congress pass The Health Insurance Portability and Accountability Act (HIPAA)
1996
Who owns the original copy of a patient's medical record
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Who owns the original copy of a patient's medical record
The physician or institution
Which accreditation agency specifies guidelines for documentation
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Which accreditation agency specifies guidelines for documentation
The Joint Commision (TJC)
Is everyone going to pass their Fundamentals final?
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Is everyone going to pass their Fundamentals final?
YES!




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