Nokea
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.
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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.
Any health care condition that requires diagnostic therapeutic or educational actions is known as a ____
Correct Answer: Problem
Rationale: A problem is any health care condition that requires diagnostic, therapeutic, or educational actions.
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.'
What subjective data does the nurse record following a head-to-toe examination?
- A. Rash on back
- B. Prolonged nausea
- C. Blood pressure of 190/100
- D. White blood cell count of 19000
Correct Answer: B
Rationale: Another term for subjective data is symptoms, which cannot be observed or measured. This data must come from the patient.
The human responses to health conditions/life processes that exist in an individual family or community are known as a(n) ____ patient problem.
Correct Answer: actual
Rationale: An actual patient problem is described as the human responses to health conditions/life processes that exist in an individual, family, or community.