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Which is an example of a medical diagnosis?
- A. Pain
- B. Anxiety
- C. Pneumonia
- D. Impaired skin integrity
Correct Answer: C
Rationale: Pneumonia is the only example of a medical diagnosis; all other options are examples of patient problems.
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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.
When the nurse is prioritizing care during the planning phase of the nursing process what is the guiding framework?
- A. Primary
- B. Secondary
- C. Unreliable
- D. Biased
Correct Answer: B
Rationale: Secondary sources include family members.
During an admission assessment the nurse collects objective and subjective data. What is an example of subjective data?
- A. The patient is coughing.
- B. The patient has cyanosis of the lips.
- C. The patient experiences tachypnea.
- D. The patient complains of generalized discomfort.
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. Complaining of generalized discomfort is an example of subjective data. All other options are examples of objective 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.
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.