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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.
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Human responses to health conditions and life processes that may develop in a vulnerable individual family or community are known as a(n) ____ patient problem.
Correct Answer: risk
Rationale: A risk patient problem is defined as the human responses to health conditions/life processes that may develop in a vulnerable individual, family, or community.
NANDA International meets to reorganize diagnosis labels and language every 2 ____
Correct Answer: years
Rationale: NANDA International meets every two years to revise language, form, and diagnosis labels.
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.
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.
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.