2024/2025
Behaviors that denote active listening - ANSWERS- touch
- eye contact
- free of distractions
What is a comprehensive assessment? - ANSWERSCovers all bases. EX: First time patient interview.
What is a focused assessment? - ANSWERSBased around an immediate problem. EX: Info about foot
injury.
What is a functional assessment? - ANSWERSEvaluating client's functional status in day to day life.
What is a cue? - ANSWERSSignificant data about a patient. EX: Smoker with a 110BPM
What is a cluster of cues? - ANSWERSCues that are closely related to each other.
Care priorities? - ANSWERS1st: ABC
2nd: MAAUAR
3rd: Other problems
NANDA diagnosis structure example - ANSWERSPROBLEM that is RELATED TO and is EVIDENCED BY
Types of NANDA diagnoses - ANSWERS1. Problem focused
2. Risk diagnosis
3. Health promotion
, What is the purpose of NANDA stem? - ANSWERSFor nursing diagnoses.
Actual NANDA diagnosis - ANSWERSAcute pain, problem focused.
Risk NANDA diagnosis - ANSWERSWhat a patient is at risk for. EX: Risk for Fall as evidenced by muscle
weakness.
What can you delegate to a PCA? - ANSWERSVital signs, pain reports, glucose levels, baths, etc. RN MUST
complete actual assessments and validate data of PCA's.
Nursing Process (AAPIE) - ANSWERSAssessment, Analysis, Planning, Implementation, and Evaluation
Protective isolation - ANSWERSequipment disinfected BEFORE entering room
Transmission-based isolation - ANSWERSequipment disinfected AFTER LEAVING the room
nosocomial infection - ANSWERShospital acquired infection
hospital acquired infection - ANSWERSsame thing as a nosocomial infection
signs and symptoms of inflammation - ANSWERSredness, swelling, heat, pain
Stages of infection - ANSWERSIncubation, Prodrome, Illness, Decline, Convalescence
Endogenous healthcare infection - ANSWERSoriginates inside the body, due to some form of treatment
Exogenous healthcare infection - ANSWERSoriginates outside the body IN the healthcare environment
PPE correct sequence - ANSWERSShoe coverings -> disposable mask -> face shield -> closed gloving ->
gown