Nokea
Which are acceptable secondary sources for data?
- A. Patient
- B. Family members
- C. Other health professionals
- D. Diagnostic reports
- E. Textbooks
Correct Answer: B,C,D,E
Rationale: A patient is not a secondary source. The patient is the primary data source.
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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.
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.
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 is a patient problem considered when a problem is suspected but data to support it are lacking?
- A. A syndrome patient problem
- B. An actual patient problem
- C. A "risk for" diagnosis
- D. A possible patient problem
Correct Answer: D
Rationale: A possible patient problem requires additional data to confirm a problem or to complete a data cluster so that it can be related to a NANDA-I label.
Which is an example of a medical diagnosis?
- A. Constipation
- B. Diabetes mellitus
- C. Impaired skin integrity
- D. Altered nutrition: less than body requirements
Correct Answer: B
Rationale: Diabetes mellitus is the only example of a medical diagnosis; all other options are examples of patient problems.