ComplEtE solUtions | alrEady GradEd a+ |
latEst UpdatE 2025 | sUrE to pass!!
1. 5 steps in noticing - ANSWER ✔ 1. Identifying signs and systems
Gathering complete and accurate data
Assessing systemically and comprehensively
Predicting and managing potential complications
Identifying assumptions
2. Patient cues - ANSWER ✔ A sign--something you see with the
patient
(smell of stool, feel sweaty skin, patient yelling for help)
3. Inference - ANSWER ✔ A conclusion reached based on the cue given
Cue is shuffling gait, so the inference would be fall risk
Cue is wheezing, so the inference would be airway compromised
, Cue is warm skin, so inference would be a fever
4. The nurse sees a large hematoma on the patients abdomen.
Cue or inference? - ANSWER ✔ Cue
5. The nurse interprets that the patient suffered trauma to the site
(bruise).
Cue or inference? - ANSWER ✔ Inference
6. Who is the primary source for receiving data? - ANSWER ✔ The
patient
7. Who is the secondary source for data? - ANSWER ✔
Family/caregivers
Medical records
Other healthcare professionals
8. 4 C's for effective communication - ANSWER ✔ Comfort
Courteous
Connection
Confirmation
9. 3 phases of the interview - ANSWER ✔ 1. Orientation and setting an
agenda