Which of the following is an example of good charting?

"No complaints of pain or discomfort."

The patient states, "It feels like a knife stabbing me."

"Lump diminished."

"Patient's condition much better today than yesterday."

Answer and Explanation

The Correct Answer is B

thoroughly. The patient may not have verbalized pain but could still be experiencing it.

B. The patient states, "It feels like a knife stabbing me.": This documents subjective data verbatim using the patient’s exact words, which is best practice for accuracy and clarity.

C. "Lump diminished.": This lacks specificity—the exact size, texture, or other changes should be documented using precise measurements (e.g., “Lump decreased from 3 cm to 2 cm”).

D. "Patient's condition much better today than yesterday.": This is too vague and lacks measurable indicators of improvement (e.g., vital signs, pain level, mobility).

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Correct Answer is B

Explanation

A. It serves as a reminder of human growth and development across the life span: Maslow’s hierarchy focuses on prioritizing needs, not general growth and development.

B. It helps in prioritizing nursing diagnoses and care: Maslow’s hierarchy is used to prioritize patient needs, ensuring physiological needs (oxygen, fluid, nutrition) come first before psychological and self-actualization needs.

C. It outlines the basic psychological needs that people have when they are hospitalized and feel anxiety: Maslow includes psychological needs, but its primary purpose is prioritizing all human needs, including physiological ones.

D. It is a framework for thinking critically: While it aids in clinical decision-making, critical thinking encompasses broader concepts beyond Maslow’s hierarchy.

A. Assistive personnel reports the patient walks with a limp B. Patient reports pain level as 3 on a scale of 1 to 10 C. Heart rate 72 beats per minute D. Respiratory rate 22 per minute with even unlabored respirations E. Coughed up 5 mL yellow sputum F. Headache in frontal area

Correct Answer is ["C","D","E"]

Explanation

A. Assistive personnel reports the patient walks with a limp: This is secondhand information (reported by UAP), not directly observed by the nurse.

B. Patient reports pain level as 3 on a scale of 1 to 10: Pain is subjective data because it is based on the patient's self-report.

C. Heart rate 72 beats per minute: Heart rate is measured by the nurse, making it objective data.

D. Respiratory rate 22 per minute with even unlabored respirations: The nurse directly observes and measures respiratory rate, making it objective data.

E. Coughed up 5 mL yellow sputum: The nurse can observe and quantify the sputum (color and volume), making it objective data.

F. Headache in frontal area: A headache is subjective data because only the patient can describe it.

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Which of the following is an example of good charting?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

How is Maslow's Hierarchy of Human Needs used by nurses in a clinical setting?

Correct Answer is B

Explanation

The nurse is documenting patient data. Which of the following should the nurse document under objective data? (select all that apply)

Correct Answer is ["C","D","E"]

Explanation

Select the proper order of the phases of the Nursing Process:

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