NURS100 WEEK 2 CH 11 QUESTIONS
AND ANSWERS
A group of nursing students is reviewing information about assessment and sources of information. The
students demonstrate a need for additional review when they identify which of the following as a
secondary source?
a. investigation reports
b. family members
c. the client
d. client records - ANSWER-c. the client is the primary source of data. Secondary sources of info include
family members, significant others, other health care professionals, health records, investigation reports,
and literature review.
The nurse is interviewing a client and is focusing on avoiding comments and questions that will impede
communication. Which sentence demonstrates the appropriate use of communication techniques?
a. When did you first notice the rash on your legs?
b. why do you feel that way about your cancer diagnosis?
c. Do you have any additional questions for me?
d. Have you ever heard the saying no pain no gain? - ANSWER-a. when did you first notice the rash on
your leg?
this is an example of appropriate comm because it is a direct question that can be asked to validate info
and clarify info. The others demonstrate poor comm techniques.
**AVOID
-cliches
-yes or no questioned ANSWERs
-intimidating why and how Q's
-probing questions and using judgmental comments
The nurse is reviewing info about a client and notes the following assessment data. Which of the
following data cues does the nurse recognize as subjective data?
a. pain rating is 7
b. pupils equal and accommodate and react to light
c. wheezing throughout lung fields
d. bilateral pedal edema 2+ - ANSWER-a. pain rating is 7
subjective is info perceived by affected person. only the person experiencing pain can assign rating to it.
lung sounds, pupils, and presence of edema are all objective
A nurse who provides care on a postsurgical unit is expecting 3 patients to be admitted to the unit from
postanesthetic recovery within a short time span. The admission assessment document that is used on
the unit is extensive and requires a significant amount of time to complete. which of the following
principles should guide the nurses assessment?
a. enlist another nurse to do the documentation while the nurse performs the assessments.
b. collect as much patient information as possible within the time available.
c.collect data that are helpful when planning and delivering care.
d. delegate some assessments to nursing assistive personnel - ANSWER-c. collect data that are helpful
when planning and delivering care.
AND ANSWERS
A group of nursing students is reviewing information about assessment and sources of information. The
students demonstrate a need for additional review when they identify which of the following as a
secondary source?
a. investigation reports
b. family members
c. the client
d. client records - ANSWER-c. the client is the primary source of data. Secondary sources of info include
family members, significant others, other health care professionals, health records, investigation reports,
and literature review.
The nurse is interviewing a client and is focusing on avoiding comments and questions that will impede
communication. Which sentence demonstrates the appropriate use of communication techniques?
a. When did you first notice the rash on your legs?
b. why do you feel that way about your cancer diagnosis?
c. Do you have any additional questions for me?
d. Have you ever heard the saying no pain no gain? - ANSWER-a. when did you first notice the rash on
your leg?
this is an example of appropriate comm because it is a direct question that can be asked to validate info
and clarify info. The others demonstrate poor comm techniques.
**AVOID
-cliches
-yes or no questioned ANSWERs
-intimidating why and how Q's
-probing questions and using judgmental comments
The nurse is reviewing info about a client and notes the following assessment data. Which of the
following data cues does the nurse recognize as subjective data?
a. pain rating is 7
b. pupils equal and accommodate and react to light
c. wheezing throughout lung fields
d. bilateral pedal edema 2+ - ANSWER-a. pain rating is 7
subjective is info perceived by affected person. only the person experiencing pain can assign rating to it.
lung sounds, pupils, and presence of edema are all objective
A nurse who provides care on a postsurgical unit is expecting 3 patients to be admitted to the unit from
postanesthetic recovery within a short time span. The admission assessment document that is used on
the unit is extensive and requires a significant amount of time to complete. which of the following
principles should guide the nurses assessment?
a. enlist another nurse to do the documentation while the nurse performs the assessments.
b. collect as much patient information as possible within the time available.
c.collect data that are helpful when planning and delivering care.
d. delegate some assessments to nursing assistive personnel - ANSWER-c. collect data that are helpful
when planning and delivering care.
