| 2026 UPDATE WITH COMPLETE SOLUTION
P = Provocation/Palliation Answer - What were you doing when the pain
started? What caused it? What makes it better? Worse? What seems to trigger
it? Stress? Position? Certain activities?
What relieves it? Medications, massage, heat/cold, changing position, being
active, resting?
What aggravates it? Movement, bending, lying down, walking, standing?
Q = Quality/Quantity Answer - What does it feel like? Use words to describe
the pain such as sharp, dull, stabbing, burning, crushing, throbbing, nauseating,
shooting, twisting, or stretching.
R = Region/Radiation Answer - Where is the pain located? Does it radiate?
Where? Does it feel as if it travels/moves around? Did it start elsewhere and is
now localized to one spot?
S = Severity Scale Answer - How severe is the pain on a scale of 0 to 10, with
zero being no pain and 10 being the worst pain ever? Does it interfere with
activities? How bad is it at its worst? Does it force you to sit down, lie down,
slow down? How long does an episode last?
,T = Timing Answer - When/at what time did the pain start? How long did it
last? How often does it occur: hourly? daily? weekly? monthly? Is it sudden or
gradual? What were you doing when you first experienced it? When do you
usually experience it: daytime? night? early morning? Are you ever awakened
by it? Does it lead to anything else? Is it accompanied by other signs and
symptoms? Does it ever occur before, during, or after meals? Does it occur
seasonally?
PQRST Answer - P = Provocation/Palliation
Q = Quality/Quantity
R = Region/Radiation
S = Severity Scale
T = Timing
What are some different Federal statutory laws associated with health care
Answer - Patient self determination act of 1981
Health Insurance Portability & Accountability Act
Patient Protection and Affordable Care Act
Social Security Act of 1965 and 1983
Emergency Medical Treatment and Active Labor Act of 1986 (EMTALA)
What are a few State statutory laws? Answer - Licensing boards/practice acts
Immunizations
Public health and safety—disease surveillance, sanitation
Consent/statutory surrogates
Advance directives
Death with dignity or aid-in-dying
Good Samaritan acts
, CMS Conditions of Participation for Hospitals
Practice acts
Scope of practice
What is Tort in relation to health care laws? Answer - The area of law under
which cases of negligence are argued.
Negligence is??? Answer - The failure to use reasonably prudent care in the
same or similar circumstances. Also referred to as malpractice, negligence is
the most common tort holding nurses, physicians, and other health care
providers liable to patients for damages.
For tort liability to attach to negligent conduct, the individual actor must?
Answer - have done more than simply act in a negligent manner.
The four elements that must be satisfied to establish liability are? Answer - 1.
duty
2. breach (Dereliction)
3. injury (Damages)
4. causation (Direct cause)
The standard of care for nurses is?? Answer - the degree of care that would be
exercised by a "reasonably prudent nurse" acting under the same or similar
circumstances.
Duty Answer - When negligence is alleged the evidence must establish that the
nurse owed a professional duty to the person harmed beyond the duty to
exercise ordinary care. The evidence must also establish the standard of care,
which refers to an approved behavior or conduct established by the profession.