Questions And Answers
2025-2026 GRADED A +
Maslow's Hierarchy of Needs - ANS-(level 1) Physiological Needs, (level 2) Safety
and Security, (level 3) Relationships, Love and Affection, (level 4) Self Esteem,
(level 5) Self Actualization
Assessment of Comfort Level - ANS-ask patient if they are comfortable
If they have physcial discomfort, assess level of pain and plan intervention
if it's mental discomfort, have them describe the nature of the stress
Interventions to prevent impaired comfort - ANS-anticipate which patient may
experience them and provide preplanned interventions
pain - ANS-5th vital sign
cutaneous pain - ANS-superficial pain usually involving the skin or subcutaneous
tissue
visceral pain - ANS-pain originating in the internal organs and is non localized
deep somatic pain - ANS-ligaments, tendons, bones, blood vessels, nerves
radiating pain - ANS-starts at an origin but spreads to other locations
referred pain - ANS-pain that is felt in a location other than where the pain
originates
, phantom pain - ANS-pain or discomfort felt in an amputated limb
Assessment of Elimination - ANS--take patient history
-monitor frequency, amount , and consistency
Interventions to prevent changes in elimination - ANS-adequate nutrition and
hydration
Interventions for patients with changes in elimination - ANS--Monitor pt for signs
of fluid and electrolyte imbalance
-adults experiencing urinary incontinence require frequent toileting
-Patients with short term urinary retention require one or more catherization
stress incontinence - ANS-involuntary urine loss with physical strain, sneezing, or
coughing
urge incontinence - ANS-loss of large amounts of urine accompanied with a
strong urge to urinate
overflow incontinence - ANS-small amounts of urine leak from a full bladder
functional incontinence - ANS-the person has bladder control but cannot use the
toilet in time
unconscious incontinence - ANS-loss of urine when the person does not realize
the bladder is full and has no urge to void
intake - ANS--measured in mLs
-everything liquid
output - ANS-stools and urine
Assessment of Fluid Balance - ANS--health hx
-monitor vitals especially pulse rate and quality