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During an admission assessment the nurse collects objective and subjective data. What is an example of objective data?
- A. The patient complains of chest pain.
- B. The patient states "I feel nauseous."
- C. The patient complains of feeling faint.
- D. The patient is short of breath on exertion.
Correct Answer: D
Rationale: Objective data are observable and measurable signs. Objective data can be recorded. A camera can record a rash, a skin lesion, or puffy eyes. A tape recorder can give evidence of crying or slurred speech. A thermometer can record a temperature elevation. Other terms for objective data are signs and objective cues. Shortness of breath on exertion is an example of objective data. All other options are examples of subjective data.
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Which is an example of a patient problem?
- A. Pneumonia
- B. Diabetes mellitus
- C. Impaired skin integrity
- D. Congestive heart failure
Correct Answer: C
Rationale: Impaired skin integrity is the only example of a patient problem; all other options are examples of medical diagnoses.
A clinical judgment concerning a human response to health conditions/life processes or a vulnerability for that response by an individual family group or community is known as a nursing ____
Correct Answer: diagnosis
Rationale: A patient problem is a clinical judgment concerning a human response to health conditions/life processes, or a vulnerability for that response, by an individual, family, group or community.
What type of assessment is performed continuously throughout nurse-patient contact?
- A. Complete
- B. Body systems
- C. Focused
- D. Subjective
Correct Answer: C
Rationale: Focused assessments are performed continuously throughout nurse-patient contact based on the nursing care plan.
Who is the person responsible for analyzing and interpreting data to arrive at a patient problem?
- A. Health care provider
- B. LPN/LVN
- C. RN
- D. Technician
Correct Answer: C
Rationale: The RN is responsible for analyzing and interpreting data.
What are the two primary methods used to collect data?
- A. Written report by patient and family
- B. Review of the chart and the nurse's notes
- C. Interview and physical examination
- D. Review of the health care provider's orders and the Kardex
Correct Answer: C
Rationale: The two primary methods of collecting data are interviewing and physical examination.