Nokea
Subjective components of an initial assessment database would include which of the following?
- A. Level of consciousness
- B. Pupillary reaction to light
- C. Whether or not the patient uses illicit drugs
- D. The patient's use of sleep aids, cigarettes, alcohol, and laxatives
- E. The patient's complaints of fatigue, dizziness, and insomnia
Correct Answer: C,D,E
Rationale: Subjective data includes patient-reported information like drug use, lifestyle habits, and symptoms. Level of consciousness and pupillary reaction are objective, as they are observed by the nurse.
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Ways to reduce separation anxiety in an older adult might include which of the following?
- A. Providing the patient with a brief but factual explanation of his or her diagnosis and why he or she must be in the hospital.
- B. Explaining that visiting hours do not allow someone to stay with an adult.
- C. Reassuring the patient whenever possible without giving false reassurance.
- D. Allowing a spouse or family member to stay with the patient.
Correct Answer: A,C,D
Rationale: Clear explanations, reassurance, and family presence help alleviate anxiety in older adults. Restrictive visiting hours may increase anxiety, so option B is incorrect.
In an effort to decrease the patient's feelings of loss of control, which of the following would be appropriate without compromising provision of appropriate care?
- A. Ask if the patient would prefer to wear a hospital gown or personal sleepwear.
- B. Provide a menu, allowing the patient to select food choices from those available on the prescribed diet.
- C. Ask the patient if he or she prefers to have the IV started in the right or left hand.
- D. Ask the patient if he or she prefers to be NPO or to be on a special diet.
- E. Allow the patient to decide if he or she prefers vital signs to be assessed just once daily or every 4 hours.
- F. Give the patient the choice of taking a shower in the morning or at bedtime.
- G. Allow the nonsurgical female patient to determine whether or not you leave her underwear in place.
Correct Answer: A,B,F,G
Rationale: Choices like clothing, food, shower timing, and underwear (for nonsurgical patients) promote autonomy without compromising care. IV placement, NPO status, and vital sign frequency are clinical decisions.
Which of the following data would not be appropriate to include on a transfer summary form?
- A. A list of patient's discharge medications
- B. A note describing how difficult it is to get the patient to take medications
- C. Current diet order and activity restrictions
- D. Patient teaching that has been done and the patient's response
- E. Follow-up appointments
Correct Answer: B
Rationale: Subjective opinions about patient behavior are inappropriate. Objective data like medications, diet, teaching, and appointments are relevant.
Which of the following may contribute to a patient's loss of identity?
- A. The patient may feel that he or she is just another patient out of many patients.
- B. The patient does not have identification bands on.
- C. The patient may feel like he or she is just another patient number.
- D. The patient is separated from familiar family members.
- E. The patient may feel that he or she is just another diagnosis.
- F. The patient is of a different culture than the majority of the health-care providers.
Correct Answer: A,C,D,E,F
Rationale: Feeling like a number, diagnosis, or one of many, along with family separation and cultural differences, can contribute to loss of identity. ID bands prevent this.
A patient is being admitted from the health-care provider's office to the hospital. Who will the health-care provider contact at the admitting hospital?
- A. Nurse
- B. Physician's assistant
- C. Nurse practitioner
- D. Hospitalist
Correct Answer: D
Rationale: The health-care provider typically contacts the hospitalist, who manages inpatient care.