Nokea
What is an example of an appropriate patient problem?
- A. Constipation
- B. Patient complains of constipation
- C. Need for laxatives
- D. Patient has a duodenal ulcer
Correct Answer: A
Rationale: Constipation is an example of a patient problem, a patient complaining of constipation is an example of a charting entry, a need for laxatives is an example of a patient need, and a patient has a duodenal ulcer is an example of a medical diagnosis.
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During an admission assessment the nurse collects objective and subjective data. What is an example of subjective data?
- A. The patient is asleep.
- B. The patient is tearful.
- C. The patient has facial grimacing.
- D. The patient states "I hurt all over."
Correct Answer: D
Rationale: Subjective data are the verbal statements provided by the patient. Statements about nausea and descriptions of pain, fatigue, and anxiety are examples of subjective data. Stating 'I hurt all over' is an example of subjective data. All other options are examples of objective data.
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.
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.
In which phase of the nursing process does the nurse select interventions to assist the patient to meet the needs demonstrated?
- A. Assessment
- B. Planning
- C. Implementation
- D. Evaluation
Correct Answer: B
Rationale: During the planning phase, the nurse connects nursing interventions to nursing orders.
From where are the "risk for" patient problems identified?
- A. The care plan
- B. The interventions
- C. The assessment
- D. The evaluation
Correct Answer: C
Rationale: Patient problems should be identified from the assessment.