Nokea
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.
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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.
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.
The standards that name and measure patient ____ are referred to as NOC (Nursing Outcome Classification).
Correct Answer: outcomes
Rationale: NOC sets up outcome criteria based on a patient problem.
Human responses to levels of wellness in an individual family or community that have a readiness for enhancement are known as a ____ patient problem
Correct Answer: wellness
Rationale: A wellness patient problem is defined as human responses to levels of wellness in an individual, family, or community that have a readiness for enhancement.