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1. A nurse observes a patient lying rigidly in bed taking shallow breaths. The
patient reports a 4 out of 5 on the pain scale and says "my leg hurts." The
nurse determines that together, the objective and subjective data are: -
Correct Answer: congruent and support that the patient is in pain
2. A nurse manager tells you, "I am here for you anytime you need me, just
stop by" but her door is always closed. Is this congruent or incongruent? -
Correct Answer: incongruent
3. Describe the nursing process. - Correct Answer: a process used to
identify and solve patient problems
4. The nurse is admitting a patient for surgery. The patient is twisting a
handkerchief over and over while saying, "I'm going to have a little mole
removed. I am not worried. I've never been sick, so I'll be fine." The nurse
finds the following during her physical assessment: BP is 150/90,
temperature is 98.6, pulse is 88, respiration rate is 20, and there are red
pigmented pea sized areas on her shoulder. Which of the following is
OBJECTIVE data? (SATA) - Correct Answer: 1. Twisting handkerchief
2. BP, pulse, temperature, respiration rate, pigmented pea sized areas on
her shoulder
, 5. The nurse is admitting a patient for surgery. The patient is twisting a
handkerchief over and over while saying, "I'm going to have a little mole
removed. I am not worried. I've never been sick, so I'll be fine." The nurse
finds the following during her physical assessment: BP is 150/90,
temperature is 98.6, pulse is 88, respiration rate is 20, and there are red
pigmented pea sized areas on her shoulder. Which of the following is
SUBJECTIVE data? - Correct Answer: "I'm going to have a little mole
removed. I am not worried. I've never been sick, so I'll be fine."
6. If you're taking BP on a patient and it is very high, and the physician calls
you and asks about the BP and you say it is high, why is this an issue? -
Correct Answer: It is an interpretation - you need to give an objective
measure.
(even though your interpretation is correct)
7. A well cultivated critical thinker is an individual who does which of the
following? (SATA) - Correct Answer: raises questions
recognizes alternative ways to see problems
8. The nurse and patient may experience sadness during the termination
phase. how can a nurse help the patient be successful during this phase? -
Correct Answer: emphasize the achievements the patient has made,
including the ability for self-care
(no gifts, no visits, no contact info)
9. SATA: Kelly's Characteristics of a Profession (8) - Correct Answer: - The
services provided are vital to humanity and the welfare of society
- There is a special body of knowledge that is continually enlarged
through research