chapter 8 vocab
chapter 8 vocab
chapter 8 vocab
chapter 9 vocab
chapter 9 vocab
100
Another term for medical record is....
Chart
100
_______ is the written account of care and observations.
Recording
100
_______ describes the care given and the persons resopnse and progress.
Progress note
100
An _____ is a shortened form of a word or phase.
Abberviaiton
100
A ______ is a word of element placed AFTER a root; it changes the meaning of the word.
Suffix
200
The medical record is also called the _______.
Clilnical Record
200
Another name for objecting data is...
Signs
200
The oral account of care and observations is...
Reporting
200
A worde element palced BEFORE a root is the _____. It changes the meaning of the word.
Prefix
200
_____ is at or toward the back of the body or body parts; posterior.
Dorsal
300
The legal account of a persons condition and response to treatment and care is the ____________; also reffered to as the chart or clinical record.
Medical record
300
_________ is to perform or carry out measures in the care plan; a step pin the nursin process.
Implmentation
300
________ is collecting informaiton about the person; a step in the nursing process.
Nursing Diagnosis
300
At the side of the body or body parts is...
Lateral
300
At or toward the front of the body or body parts is ventral or...
Anterior
400
An electronic version of a person medical records is the ________ ; also called electronic medical record.
Electronic health record (EHR)
400
Another name for an electronic health record is ________.
Electronic Medical Record (EMR)
400
A step in the nurisng porcess that is used to measure if goals in the planning step were met is called...
Evaluation
400
______ is the part farthest from the center or fffrom the point of attachment.
Distal
400
Another word for dorsal is...
Posterior
500
A _________ is an action or measure taken by the nursing team to help the person reach a goal.
Nursing intervention
500
__________ are things a person tells you about that you cannot observe through your senses; symtoms.
Subjective Data
500
The _______ describes a health problem that can be treated by nrusing measures; a stepin the nursing process.
Planning
500
_____ is at or near the middle or mid-line of the body or body parts.
Medial
500
Teh nearest to the center of the point of origin is...
Proximal