Chapter 11 - Fundamentals of Patient Care Flashcards Preview

NAVEDTRA 14295B: HM Manual > Chapter 11 - Fundamentals of Patient Care > Flashcards

Flashcards in Chapter 11 - Fundamentals of Patient Care Deck (61):

What concept refers to the mental, physical, and emotional state of being which enables the proper performance of one's vital functions and is considered to be the absence of disease or disability?



What concept is considered a state of soundness of mind, body and spirit free of pain or discomfort?



Who's one common objective is to respond to those healthcare needs by assisting the patient in maintaining, restoring, rehabilitating, and then sustaining the physical or psychological well being of the patient?

Navy Healthcare Team including Corpsmen


Who is the most important part of Navy Medicine's healthcare team and without them the healthcare team has little reason for existence?

The Patient


Patient rights and responsibilities are standards addressed by _________, who's goal is to promote excellence in providing healthcare services?

The Joint Commission (TJC)


What is the instruction for Patient's Bill of Rights and Responsibilities?

BUMEDINST 6300.10: Chapter 10 "Healthcare Administration"


What mechanisms contribute to the HM's continued growth in both healthcare knowledge and skills?

On-the-job training, in service classes and continuing education programs


The _______ insignia of the HM marks the person as a member of a prestigious Corps worthy of respect?



The standard of practice limitations imposed upon a healthcare provider are based on local regulations and?

The provider's training and experience


In the healthcare field, ________ means that providers are held responsible for their actions, must continue their education in the healthcare field, and provide the best healthcare possible?



What term is used when an individual delivers improper care because of negligence or practicing outside of the standard of practice?



HM's are governed legally by the Navy Regulations and BUMED policies and can only perform those assignments and duties while under the authority and direction of who?

The United States Government


A patient requests an HM's advice concerning the care they are undergoing. What is the best response for the HM to give?

Refer the patient to the nurse or physician responsible for the care.


What is the one element making healthcare ethics different from general ethics and is considered the moral rule that distinguished the U.S. Navy Hospital Corps?

"Do your duty"


The information HMs process in the performance of their duties falls under the category of?

"Priviledged Communication"


Upholding patient confidentiality and the obligation to never abuse any medications that HMs have access to or tolerate abuse by others is demonstrating what personal traits?



The following describes what personal trait: excellent personal hygiene, neat hair styles, and spotless, proper uniforms areas entail for installing confidence as competent healthcare providers?

Personal appearance


The understanding of the individual not only as a biological being, but also as a thinking, feeling person is the key to developing good __________ ____________. It is also described as "How one responds and regards others".

Interpersonal relations


_______ is defined as a group of socially learned, shared standards (perceptions, values, beliefs and goals) and behavior patterns (apparel, eating habits, and personal hygiene). Understanding of this enhances the quality and often the quantity of service a provider is able to make available.



What can affect the interpersonal relations between the patient and their healthcare providers?

Culture, race, religion, sex and age.


The term _____ is a classification assigned to a group of people who share inherited physical characteristics which can assist the provider in assessing the patient's needs, planning, and carrying out direct-care activities, and implementing patient education programs when identified.



Which interpersonal relation has the potential to create a negative environment in the healthcare setting when factors such as differences in skin color motivate prejudicial segregation behaviors which the Navy Medicine Department will not tolerate?



Which interpersonal relation guides patient's life decisions and turn to them in times of distress, help give meaning to suffering and illness, and may also be helpful in the acceptance of future accidents or death? Give some examples of how HMs can help these types of patients.


Provide chaplain referrals, inform staff of patient's beliefs and condition.


What instruction is Provisions of Standbys During Medical Examinations?



The following guidelines are describing what personal traits:

-A standby must be present when examining or treating a member of the opposite sex.
-When caring for a patient, sensitivity to both verbal and nonverbal communication is paramount.
-Explanations and reassurances will go far preventing misunderstandings of actions or intentions.



Who communicates their feelings in positive and negative ways such as: crying, kicking, or grabbing at the area of pain and also usually responds quickly and positively to cuddling, rocking, touching and soothing sounds?



Who displays the same feelings as an adult would when they feel ill; fear, anger, worry, and/or denial and will also need emotional support?



While the child is under care in the hospital, who is considered as the substitute parent and must gain the child's confidence and trust by offering explanations of what is going to be done in ways the child will understand (i.e. using a stethoscope and BP cuff on a teddy bear)?



What must providers be alert to when providing care for the elderly patient's?

Mental and physical capabilities


What is one example that providers can do for elderly patient's to be able to reduce the patient's feelings of frustration, anger and resentment?

Self care


What consists of the four basic part: the sender of the message, the massage, the receiver of the message, and feedback (used to validate whether if the process works)?

Communication Process


What are the two basic modes of communication?

Verbal and nonverbal


Which mode of communication is either spoken or written?

Verbal Communication


Which mode of communication does not involve the use of words such as: dress, gestures, touching, body language, face and eye behavior, and even silence?

Nonverbal Communication


What occurs when obstacles or barriers interfere with the message, transmission, receipt and understanding of the message?

Ineffective Communication


Which communication barrier results from some kind of sensory dysfunction on the part of either the sender or the receiver such as: hearing impairments, speech defects and even vision problems?

Physiological Barrier


Which communication barrier results from one's inaccurate perception of self or others; presence of some defense mechanism employed to cope with some form of threatening anxiety; or the existence of factors such as age, education, nationality, culture, language, or a multitude of socioeconomic factors?

Psychosocial Barriers


Which communication barrier consists of elements in the environment, such as noise?

Physical Barrier


Which communication barrier is the most common cause of communication failure or breakdown and the most difficult obstacle to identify?

Psychological Barrier


An individual's true feelings are often communicated more accurately through ___________ communication than through ___________ communication.

Nonverbal: verbal


What skill can be improved and enhanced by developing the attitudes and skills:

Hear the speaker out.
Focus on ideas.
Remove or manage distractions.
Maintain objectivity.
Concentrate on the immediate interaction.



What is the physical location where patients experience their first communication encounter with a person representing, in some role, the healthcare facility? (i.e. central appointment desks, telephones, patient affairs offices, emergency rooms, pharmacies, laboratories, record desks, clinics, and gate guards)

Initial Contact Point


What is the place or event where the contact point person and the patient meet?

Contact Point


What term is used for the healthcare provider in any healthcare experience who is tasked by role and responsibility to provide a service to the patient?

Contact Point Person


What program is commonly known as the Patient Contact Program and it facilitates a two-way communication with patients so both complaints and complements are documented, tracked, and corrections made to improve the MTF/DTF experience?

Patient Contact Point Program


Helping the patient through trying experiences is the responsibility of who?

All contact point personnel


What is defined as the face-to-face process of interacting that focuses on advancing the physical and emotional well-being of a patient?

Therapeutic Communications


The following are the three general purposes of ___________ ______________: collecting information to determine illness, assessing and modifying behavior, and providing health education.

Therapeutic Communication


What is one of the most difficult skill to master?



What is defined as the process that informs, motivates, and helps people adapt and maintain healthful practices and life styles?

Patient Education


The following are goals of _______ ________: promote patient self-care, promote behavior modification, and influence patient's attitude toward health and disease.

Patient education


Patient education is the responsibility of whom?

All members of the healthcare team


What is considered a legal document and is admissible as evidence in a court of law in claims of negligence and malpractice?

Clinical record


What is included in the initial assessments and throughout the course of hospitalization?

Subjective and objective observations


Entries in the clinical record must include what?

Time, date, signature and rank of the HM who provided the care


What is the Navy Medical Department format note to standardize medical evaluation entries made in clinical records?

SOAP: Subjective, Objective, Assessment, and Plan


Symptoms verbally given to the HM by the patient or by a significant other is what part of the SOAP note format?



Signs the HM can actually see, hear, touch, feel, or smell is what part of the SOAP note format?



The preliminary diagnosis of the patient's condition is what part of the SOAP note format?



The laboratory and/or radiological tests ordered, medications, treatments performed, patient referrals, patient disposition, patient education, and follow-up guidelines for the patient are included in what part of the SOAP note format?



What technique prompts the HM to evaluate the patient from the general appearance to detailed signs and symptoms of injury or illness?

Self questioning