A nurse is documenting assessment findings on a client. Which of the following entries should the nurse identify as subjective data?

(Select All that Apply.)

Client reports dull, aching pain in lower right calf.

Client reports nausea following administration of pain medication.

Client's oral temperature is 38.4° C (101.2° F).

Client reports the rash on their back is itchy.

Client has a vesicular rash on their upper back.

Answer and Explanation

Correct Answer : A,B,D

A.   This is subjective data. The description of pain as "dull" and "aching" is based on the client's personal experience and cannot be measured directly by the nurse. Pain is a subjective symptom because it varies from person to person and is reported by the patient.
B.   This is subjective data. Nausea is a feeling or sensation reported by the client and is based on their personal experience. The nurse relies on the client's report to assess this symptom, as it cannot be directly observed or measured.
C.   This is objective data. The temperature reading is a measurable, quantifiable fact that can be directly observed and recorded by the nurse using a thermometer. It provides concrete evidence of the client's condition.
D.   This is subjective data. Itchiness is a sensation reported by the client and is based on their personal experience. The nurse cannot measure itchiness directly; they rely on the client’s description to understand the symptom.
E.   This is objective data. The presence of a vesicular rash is an observable finding that the nurse can see and document. It is a physical characteristic that can be directly assessed and recorded.

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Correct Answer is ["A","B"]

Explanation

A. This is a characteristic of laissez-faire leaders. They tend to allow staff members to handle problems and make decisions independently without direct intervention or guidance. This style is characterized by minimal supervision and a high degree of autonomy for team members.
B. This is also a characteristic of laissez-faire leaders. By giving staff the freedom to make decisions, laissez-faire leaders empower their team members to take charge of their own work and decision- making processes. This approach is based on trust and a belief in the competence of the staff.
C. This is not a characteristic of laissez-faire leadership. Strict enforcement of rules is more aligned with a bureaucratic or authoritarian leadership style, where leaders impose and uphold strict guidelines and standards to ensure compliance. Laissez-faire leaders, in contrast, provide less oversight and are not focused on strict rule enforcement.
D. This is not a characteristic of laissez-faire leaders. Using rewards or punishments to encourage compliance is more characteristic of transactional leadership. Laissez-faire leaders typically avoid actively managing or intervening in the work of their staff, focusing instead on providing autonomy rather than using incentives or disciplinary actions to manage performance.
E. This is not a characteristic of laissez-faire leaders. While laissez-faire leaders give staff members the freedom to make decisions, they are often not involved in or responsible for the outcomes of those decisions. This leadership style involves delegating responsibility to team members and allowing them to manage their own work, which includes being accountable for their decisions.

A. A private room across from the exercise room. B. A semi-private room across from the snack area. C. A semi-private room across from the day room. D. A private room in a quiet location on the unit.

Correct Answer is D

Explanation

A. While exercise can be beneficial, a client in a manic phase may find it overstimulating, leading to increased agitation.
B. This option is not ideal as the client may be tempted to overeat or engage in impulsive behaviors related to food.
C. A day room is typically a high-traffic area with potential for noise and stimulation, which can exacerbate manic symptoms.
D. This is the best option for a client in the manic phase. A quiet environment can help reduce overstimulation, allowing for better management of symptoms.

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A nurse is documenting assessment findings on a client. Which of the following entries should the nurse identify as subjective data? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

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A nurse is documenting assessment findings on a client. Which of the following entries should the nurse identify as subjective data?

(Select All that Apply.)