A nurse is documenting in a client's health record using the subjective, objective, assessment, and plan (SOAP) charting model. Which of the following information should be included in the subjective component?
Client's skin is pale and diaphoretic
Client reports chest pain after mowing lawn this morning
Client administered nitroglycerin 0.3 mg SL for chest pain
Client's blood pressure is 182/98 mm Hg
The Correct Answer is B
Choice A reason: Client's skin is pale and diaphoretic is not included in the subjective component, but in the objective component. The objective component records the measurable and observable data that the nurse collects from the client, such as vital signs, physical examination findings, and laboratory results.
Choice B reason: Client reports chest pain after mowing lawn this morning is included in the subjective component. The subjective component records the data that the client verbalizes or expresses, such as symptoms, feelings, preferences, and beliefs.
Choice C reason: Client administered nitroglycerin 0.3 mg SL for chest pain is not included in the subjective component, but in the plan component. The plan component records the interventions and actions that the nurse implements or plans to implement for the client, such as medications, treatments, referrals, and education.
Choice D reason: Client's blood pressure is 182/98 mm Hg is not included in the subjective component, but in the objective component. The objective component records the measurable and observable data that the nurse collects from the client, such as vital signs, physical examination findings, and laboratory results.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E","F"]
Explanation
Choice A reason: Quality education is a value that is part of the NSNA code of ethics. According to the NSNA Core Values and Interpretative Statements, quality education is an act or process of imparting or acquiring general knowledge, developing the powers of reasoning and judgment, and generally of preparing oneself or others intellectually for a profession. NSNA informs, prepares, and inspires members to develop continuous, lifelong learning and ethics of the profession.
Choice B reason: Safety is not a value that is part of the NSNA code of ethics, but a responsibility that is part of the NSNA Code of Academic and Clinical Conduct. According to this code, nursing students have a responsibility to promote the safety of clients, self, and others in academic and clinical settings. Safety is also a core value of nursing practice, but it is not explicitly stated in the NSNA code of ethics.
Choice C reason: Diversity is not a value that is part of the NSNA code of ethics, but a goal that is part of the NSNA Mission Statement. According to this statement, NSNA is committed to fostering the professional development of nursing students with a focus on diversity and inclusion. Diversity is also a principle that guides the NSNA Code of Professional Conduct, which states that nursing students should respect the diversity of clients, colleagues, faculty, and staff.
Choice D reason: Professionalism is a value that is part of the NSNA code of ethics. According to the NSNA Core Values and Interpretative Statements, professionalism is the characteristics that describe an individual striving to maintain the highest standards for one’s chosen path – honesty, integrity, responsibility and conducting oneself with responsibility, integrity, accountability, and excellence. As NSNA members, it is important to create a culture of professionalism in our organization and to uphold the values of professionalism in order to conduct ourselves and our organization in the most respectful, honest way.
Choice E reason: Advocacy is a value that is part of the NSNA code of ethics. According to the NSNA Core Values and Interpretative Statements, advocacy is an activity or process to work on behalf of self and/or others to raise awareness of a concern and to promote solutions to the issue. The nursing profession is based on advocating for patients and families in order to help facilitate the healing process; NSNA serves as an advocate for nursing students by representing them as one united voice.
Choice F reason: Confidentiality is a value that is part of the NSNA code of ethics. According to the NSNA Code of Professional Conduct, nursing students should protect the privacy and confidentiality of clients, colleagues, faculty, and staff. Confidentiality is also a principle that guides the NSNA Code of Academic and Clinical Conduct, which states that nursing students should maintain client confidentiality in verbal, written, and electronic forms.
Correct Answer is D
Explanation
Choice A reason: Identifying viruses across the world is not information that the nurse should include in the in-service on the Healthy People 2030 framework. This is not a function or a goal of the framework, but a task of other organizations, such as the World Health Organization or the Centers for Disease Control and Prevention.
Choice B reason: Monitoring nonmodifiable risk factors is not information that the nurse should include in the in-service on the Healthy People 2030 framework. This is not a focus or a priority of the framework, but a part of the assessment and evaluation of the health status and needs of the population. The framework emphasizes the social determinants of health, which are modifiable factors that affect the health and wellbeing of people and communities.
Choice C reason: Utilizing health data from the past 20 years is not information that the nurse should include in the in-service on the Healthy People 2030 framework. This is not a characteristic or a feature of the framework, but a method of developing and updating the framework. The framework is based on the best available evidence and data from various sources, including the previous iterations of the Healthy People initiative.
Choice D reason: Establishing health objectives for Americans is an information that the nurse should include in the in-service on the Healthy People 2030 framework. This is the main purpose and function of the framework, which sets data driven national objectives to improve the health and wellbeing of all people over the next decade. The framework also provides evidence-based resources, strategies, and interventions to help achieve the objectives.
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