Nokea
The client arrives at the clinic reports 'coughing, a sore throat, and running a fever for 2 days.' What are these feelings of discomfort called?
- A. Signs
- B. Objective data
- C. Symptoms
- D. Clinical signs
Correct Answer: C
Rationale: When clients report nausea, pain, fear, bloating, or other feelings of discomfort, they are providing subjective data. These feelings of discomfort are classed as symptoms. Signs are objective data that are abnormal, and objective data is what the nurses obtain through observation, physical examination, and diagnostic testing. Clinical signs are the same as signs.
You may also like to solve these questions
The nurse provides a comprehensive initial assessment on a newly admitted client. What is the benefit to establishing this database from the client?
- A. It will help determine wh
- B. It will inform the healthcare team about what medications are best for the client.
- C. It will give the healthcare team all of the information about the client.
- D. It will be a yardstick for measuring effectiveness of care.
Correct Answer: D
Rationale: Findings from this comprehensive initial assessment establish a database that gives all team members relevant client information and becomes a yardstick for measuring effectiveness of care. The physician will make the determination about what unit the client will require according to the acuity of care. The physician will determine what medications are best for the client. The information obtained will not be conclusive, and further assessment of the client's condition and information will be obtained during the hospital stay.
The nurse is assessing a client and determines that the vital signs are not within normal range for the client. With the results of the objective data being abnormal, what does the nurse document these findings as?
- A. Symptoms
- B. Subjective data
- C. Physical assessment
- D. Signs
Correct Answer: D
Rationale: When objective data are abnormal, they are called signs. Symptoms refer to feelings of discomfort felt by the client. Subjective data is what the client states to the nurse. Physical assessment is a general term used regarding the assessment of the client.
Which of the following are statements clients make about how they feel?
- A. Objective data
- B. Cultural data
- C. Cognitive data
- D. Subjective data
Correct Answer: D
Rationale: Subjective data include statements clients make about what they feel. Objective data are facts obtained through observation, physical examination, and diagnostic testing. Cultural data include cultural background and health beliefs.
The nurse has closed the interview with a client and observes that the client appears to have something else to say. What statement made by the nurse can provide an opportunity for the client to express concerns and ask questions?
- A. Use your call bell if you need anything.'
- B. I don't know what else I could tell you, this about covers all of it.'
- C. Well that is all I have for you. Let me know if you need anything.'
- D. Do you have any questions or concerns that we have not discussed?'
Correct Answer: D
Rationale: Asking if the client needs more information provides an opportunity for the client to express concerns and ask questions. Instructions about the call bell do not allow the client to ask questions. 'I don't know what else I could tell you' inhibits the client from asking the nurse anything further as well as 'Well that is all I have for you.'
The nurse is performing a functional assessment for a client who has had a mild stroke and will be discharged in 2 days from the hospital. What question would be important to ask when conducting this assessment?
- A. Do you have enough money to pay for the medications that you will be taking at home?'
- B. Do you have friends that will come and visit and take you out to socialize?'
- C. How will you obtain transportation to return to see the physician in 1 week?'
- D. Do you understand that your medication can cause bleeding tendencies?'
Correct Answer: C
Rationale: A functional assessment determines how well the client can manage activities of daily living (ADLs). ADLs include self-care activities, such as walking moderate distances, bathing, and toileting, and instrumental activities, such as preparing meals, obtaining transportation, and dialing the phone. This assessment component is particularly important when assessing older adults or physically challenged clients of any age. The ability to pay for medications or socialize and the side effects of the medication do not pertain to ADLs.