To what does objective data refer when assessing a patient?

the provider's observed data

All of the answers are correct

the patient's perception of provided data

the patient's request for information

Answer and Explanation

The Correct Answer is A

A. The provider’s observed data: Objective data includes what the nurse or provider directly observes and measures, such as vital signs, lab results, and physical exam findings.

B. All of the answers are correct: Only option A is correct because C and D do not define objective data.

C. The patient’s perception of provided data: The patient’s perception is subjective data, not objective.

D. The patient’s request for information: A request for information is neither assessment data nor an objective finding.

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Correct Answer is A

Explanation

A. Pain: Pain is the most immediate concern in this scenario. Managing pain is critical for comfort and preventing further complications.

B. Skin integrity: While skin integrity may be a concern (e.g., pressure ulcers if immobile), it is not the most urgent issue at admission.

C. Fluid volume: There is no mention of dehydration or blood loss. Fluid volume is not the primary concern.

D. Knowledge deficit: While patient education is important, managing pain takes priority over knowledge deficits in acute injuries.

A. Incident reports must be recorded in the nurse's notes B. Institutions are only reimbursed for patient care that is documented C. Document only when not successful D. The patient record is a complete picture of individualized problems, treatments and responses to treatments

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

Explanation

A. Incident reports must be recorded in the nurse's notes: Incident reports should not be recorded in the patient’s chart. They are used internally to improve patient safety and should be kept separate from the medical record.

B. Institutions are only reimbursed for patient care that is documented: Insurance companies and government programs (e.g., Medicare, Medicaid) only reimburse for care that is documented, as documentation serves as proof that care was provided.

C. Document only when not successful: Documentation should be comprehensive, including both successful and unsuccessful interventions, to provide a full picture of patient care.

D. The patient record is a complete picture of individualized problems, treatments, and responses to treatments: A patient's medical record includes their health status, nursing interventions, and responses, making it a complete reference for continuity of care.

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To what does objective data refer when assessing a patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Your patient is admitted with a serious injury of the left hip after a fall at home. She is crying with severe pain in her left hip and leg. Which nursing diagnosis would apply to this patient's immediate needs?

Correct Answer is A

Explanation

Show that documentation of patient care by the nurse is very important by selecting from the following: (select all that apply)

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

Explanation

Which of the following is an example of good charting?

The primary source of assessment information is:

Identify the two primary methods used to collect data:

JCAHO regulates standards of care to:

The nurse is reviewing the patient's plan of care and ordered treatments. Which of the following is (are) independent nursing interventions? (select all that apply)

Which part of the medical record can be used as evidence in court?

The patient with a nursing diagnosis of airway clearance, ineffective, might have a desired patient outcome of:

The patient is confined to bed rest. This contributes to immobility of the patient. How should bed rest be indicated on the nursing care plan?