ACCURATE CORRECT
ANSWERS
What is a comprehensive assessment? - correct answer ✔✔Covers all bases. EX: First time
patient interview.
What is a focused assessment? - correct answer ✔✔Based around an immediate problem. EX:
Info about foot injury.
What is a functional assessment? - correct answer ✔✔Evaluating client's functional status in
day to day life.
Behaviors that denote active listening - correct answer ✔✔- touch
- eye contact
- free of distractions
What is a cue? - correct answer ✔✔Significant data about a patient. EX: Smoker with a 110BPM
What is a cluster of cues? - correct answer ✔✔Cues that are closely related to each other.
Care priorities? - correct answer ✔✔1st: ABC
2nd: MAAUAR
3rd: Other problems
, NANDA diagnosis structure example - correct answer ✔✔PROBLEM that is RELATED TO and is
EVIDENCED BY
Types of NANDA diagnoses - correct answer ✔✔1. Problem focused
2. Risk diagnosis
3. Health promotion
What is the purpose of NANDA stem? - correct answer ✔✔For nursing diagnoses.
Actual NANDA diagnosis - correct answer ✔✔Acute pain, problem focused.
Risk NANDA diagnosis - correct answer ✔✔What a patient is at risk for. EX: Risk for Fall as
evidenced by muscle weakness.
What can you delegate to a PCA? - correct answer ✔✔Vital signs, pain reports, glucose levels,
baths, etc. RN MUST complete actual assessments and validate data of PCA's.
Nursing Process (AAPIE) - correct answer ✔✔Assessment, Analysis, Planning, Implementation,
and Evaluation
Protective isolation - correct answer ✔✔equipment disinfected BEFORE entering room
Transmission-based isolation - correct answer ✔✔equipment disinfected AFTER LEAVING the
room
nosocomial infection - correct answer ✔✔hospital acquired infection
hospital acquired infection - correct answer ✔✔same thing as a nosocomial infection