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Charting
Sign or Symptom?
Let's give em something to talk about.
Time
Culture
100
No this isn't General Hospital, you aren't about to watch Todd and Blair have a passionate yet misleading kiss, this is SOAP in regards to charting, what does it stand for?

Subjective Data, Objective Data, Analysis/assessment, Plan of care

100

A patient is experiencing hematuria, we know this to be a ?

Sign (objective)

100
Your client is doing their best impersonation of the Allman Brothers, they wont stop rambling, what communication technique can you use ?

Focusing

100

My partner told me to be home from the bar by 2200, I arrived home at 0100, I am sleeping on the couch tonight. What is 2200 in PM/AM?

10:00 pm

100

State of different individuals coexisting, is what?

Diversity

200

3.14159265359 , no that kind of PI, this PIE is a form of charting what does it stand for?

Problem Intervention Evaluation

200
Documenting the client's exact words using quotations would be considered?

Subjective data

200

Do you think your clinical instructor is the funniest person ever? YES or no?- this is an example of what type of communication technique?

Closed questions

200

Burger King starts selling Whoppers on Whopper Wednesday at 1100, which is what in AM/PM?

11:00 AM

200

An attitude toward or opinion of a person based on his or her membership in a group.  Is what?

Prejudice

300

Whenever I am having Thanksgiving dinner, I am always sure to add pie as a dessert. But for our Nursing Process what does ADPIE stand for?

Assessment Diagnosis Planning/Problem Intervention/Implementation Evaluation.

300

You can see Krystal's knees are weak (shaking), palms are sweaty, there is vomit on her shirt already, looks like their mom's spaghetti. What are these?

Signs (objective)

300

This communication technique reduces tension and promotes bonding, what is it?

Humor
300

Taco Bell is always a good idea at 5:00 PM for dinner but then 9:00 PM rolls around and the gastritis starts, what are 5:00 PM and 9:00 PM in 24 hour clock time?

1700    2100

300

The characteristics of a group of people that are shared and passed down from one generation to the next. Is what?

Culture

400
During the Nursing Process which step involves determining whether the goals were met?

Evaluation.

400

My spidey senses are tingling, a bad guy must be near. In health care we use our senses to notice issues with our clients, what senses do we use to collect objective data?

Seeing, hearing, feeling and smell.

400

This is ongoing, open two-way communication between two or more parties, it should be descriptive and non-judgmental, what is it?

Feedback

400

We know Masterchef starts at 8:00 PM every Wednesday during the summer, what is that in the 24 hour clock?

2000

400
  • The sharing of common history, language, geography, national origin, religion or identity ie: Irish, Inuit, Chinese. Is what?

Ethnicity.

500

Shot through the chart and you're not too late, don't give documenting a bad name. If you forget to document or chart an item of care for a client, what can you always do?

Put in a Late entry. Charting should always occur after care is given, if you forget to chart something just add it as a late entry.

500

The client has a Blood Pressure of 155/72, they are stating they are dizzy and feel light headed. Which is which?

BP (sign, objective)  Dizzy & light headed (Subjective, symptoms)

500

Fix this statement. NPO means nothing said by mouth so we use sign language for our non-verbal communication with the client.

NPO- nothing by mouth (eat or drink), Sign language is not non-verbal communication

500

Going for 2 4 1 chicken wings at the Liquid Library (located in west windsor, best wings in the city) usually starts at 4 PM, by the time the wings are eaten, the ale is drank it is 1930. What are these two times in their opposite form?

4 pm - 1600   1930- 730

500

Occurs when we are unable to impartially judge issues at hand because of this preformed point of view. This is?

Bias