Family of a client demonstrating confusion state that this is not the client's usual
behavior. How should the nurse document this data?
a. Inference
b. Subjective data
c. Objective data
d. Secondary subjective data
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d. Secondary subjective data
The nurse educator assigns students an activity to implement Socratic questioning in
their daily lives. Which question provided by a student demonstrates this reasoning
technique?
a. "What makes you think cramming for a test is an ineffective way to study?"
b. "What other ways of studying could you implement?"
,c. "If you didn't study for your test, what is the probability you will fail?
d. "If you study all the unit outcomes, what effect will that have?"
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a. "What makes you think cramming for a test is an ineffective way to
study?"
. Upon entering a room, a client and spouse are found crying. The nurse decides to sit
with both of them, offering presence and listening to their fears instead of providing
the planned education. What action did the nurse perform?
a. Implementing nursing intervention
b. Determining the nurse's need for assistance
c. Supervising delegated care
d. Reassessing the client
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d. Reassessing the client
The client had diminished wheezing in both lungs after receiving emergency
treatment for an acute asthma attack. When utilizing focus charting, in which section
should the nurse document this information?
a. Data (D)
b. Action (A)
c. Response (R)
d. Planning (P)
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, c. Response (R)
The nurse notes that a client has the outcome goal "Client will have a decrease in pain
level (down to a 3) within 45 minutes of receiving oral analgesic." Which client
statement should the nurse use to evaluate this goal?
a. "I'm getting really sleepy from that medication. I think I'll take a nap."
b. "My pain is a 4."
c. "I still have some pain."
d. "Will the pain ever go away?"
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b. "My pain is a 4."
The nurse is reviewing the difference between evaluation and assessment with a new
graduate nurse. What should the nurse emphasize as the major difference between
these two steps in the nursing process?
a. Assessment is done at the beginning of the process.
b. Evaluation is completed at the end of the process.
c. They are the same and there is no need to differentiate.
d. The difference is in how the data are used.
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d. The difference is in how the data are used.
A client who is being transferred to a rehabilitation center wants to take the medical
record to the new facility. How should the nurse respond to this client's request?
a. "You'll have to ask your doctor for permission to do that."
behavior. How should the nurse document this data?
a. Inference
b. Subjective data
c. Objective data
d. Secondary subjective data
Give this one a try later!
d. Secondary subjective data
The nurse educator assigns students an activity to implement Socratic questioning in
their daily lives. Which question provided by a student demonstrates this reasoning
technique?
a. "What makes you think cramming for a test is an ineffective way to study?"
b. "What other ways of studying could you implement?"
,c. "If you didn't study for your test, what is the probability you will fail?
d. "If you study all the unit outcomes, what effect will that have?"
Give this one a try later!
a. "What makes you think cramming for a test is an ineffective way to
study?"
. Upon entering a room, a client and spouse are found crying. The nurse decides to sit
with both of them, offering presence and listening to their fears instead of providing
the planned education. What action did the nurse perform?
a. Implementing nursing intervention
b. Determining the nurse's need for assistance
c. Supervising delegated care
d. Reassessing the client
Give this one a try later!
d. Reassessing the client
The client had diminished wheezing in both lungs after receiving emergency
treatment for an acute asthma attack. When utilizing focus charting, in which section
should the nurse document this information?
a. Data (D)
b. Action (A)
c. Response (R)
d. Planning (P)
Give this one a try later!
, c. Response (R)
The nurse notes that a client has the outcome goal "Client will have a decrease in pain
level (down to a 3) within 45 minutes of receiving oral analgesic." Which client
statement should the nurse use to evaluate this goal?
a. "I'm getting really sleepy from that medication. I think I'll take a nap."
b. "My pain is a 4."
c. "I still have some pain."
d. "Will the pain ever go away?"
Give this one a try later!
b. "My pain is a 4."
The nurse is reviewing the difference between evaluation and assessment with a new
graduate nurse. What should the nurse emphasize as the major difference between
these two steps in the nursing process?
a. Assessment is done at the beginning of the process.
b. Evaluation is completed at the end of the process.
c. They are the same and there is no need to differentiate.
d. The difference is in how the data are used.
Give this one a try later!
d. The difference is in how the data are used.
A client who is being transferred to a rehabilitation center wants to take the medical
record to the new facility. How should the nurse respond to this client's request?
a. "You'll have to ask your doctor for permission to do that."