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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 feeling depressed.
- B. The patient states "I hear voices in my head."
- C. The patient complains of auditory hallucinations.
- D. The patient is pacing back and forth while chanting.
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. Pacing back and forth while chanting is an example of objective data. All other options are examples of subjective data.
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What objective data should the nurse include after a patient assessment?
- A. Headache of 3 days' duration
- B. Severe stomach cramps
- C. Flatulence
- D. Anxiety
Correct Answer: C
Rationale: Objective data are observable and measurable by people other than the patient.
What is an important consideration when developing the care plan?
- A. Ensure the number of interventions is limited.
- B. Ensure the patient is involved in the process.
- C. Ensure interventions will be easy to implement.
- D. Ensure evaluation of the patient problems is possible.
Correct Answer: B
Rationale: Plans are more effective when the patient is involved in the process. The care plan is not limited in terms of the number of interventions, nor do they have to be easy. The patient problems are not evaluated; the patient's progress toward the outcome is.
What is the primary purpose of nursing interventions?
- A. To support health care provider's orders
- B. To provide direction for all caregivers
- C. To provide broad general statements
- D. To clarify nursing principles
Correct Answer: B
Rationale: Nursing orders are necessary to provide instructions for all caregivers.
A systemic dynamic way to collect and analyze data about a patient that includes physiologic data as well as psychological sociocultural spiritual economic and lifestyle factors is known as ____
Correct Answer: assessment
Rationale: The American Nurses Association (ANA) defines assessment as 'a systematic, dynamic way to collect and analyze data about a patient, the first step in delivering nursing care. Assessment includes not only physiologic data, but also psychological, sociocultural, spiritual, economic, and lifestyle factors as well.'
During an admission assessment the nurse collects objective and subjective data. What is an example of objective data?
- A. The patient is jaundiced.
- B. The patient states "I am nervous."
- C. The patient complains of palpitations.
- D. The patient denies dizziness when ambulating.
Correct Answer: A
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. The patient is jaundiced is an example of objective data. All other options are examples of subjective data.