answers
4 level of personal space Ans✓✓✓ 1. intimate 0-1.5 ft
2. personal 1.5-4ft
3. social 4-12ft
4. public 12+ft
acute pain Ans✓✓✓ pain that is felt suddenly from injury, disease,
trauma, or surgery
Assessment: Gathering Data components Ans✓✓✓ Client
- client health history
- family health history
- living situation
- family, friend, and supports
- ADLs
- cultural and context
chronic pain Ans✓✓✓ A persistent or recurring pain that is often
difficult to treat. Includes any pain lasting longer than 3 months
, collaborative problem Ans✓✓✓ an actual or potential health problem
that may occur from complications of the disease, diagnostic studies, or
the treatment regimen; the nurse works together with other members
of the health care team toward its resolution
components of Assessment in ADPIE Ans✓✓✓ Supplement, confirm or
refute data obtained from history
confirm or identify nursing diagnosis
make judgements about health status and management
components of mobility Ans✓✓✓ gait, range of motion (ROM)-
passive/active,
activity tolerance and exercise
Documentation Ans✓✓✓ 24 hour flow sheet
nursing care plans
graphic sheets (vital signs)
medication administration records (MARs)
evaluation Ans✓✓✓ reassess, evaluate, continue, modify or terminate
plan of care (PoC)