Fundamentals of Nursing: Chapter 5 exam with complete solution graded A+

What is subjective data? - Data obtained from the patient verbally. They are SYMPTOMS. Examples = headache, tingling in the feet, pain, nauseated What is objective data? - Info obtained through the senses and hands-on physical examination. They are SIGNS. Examples = vital signs, physical examination findings (bruises), results of diagnostic tests, patient inability to support themselves, number of visitors What is the initial goal of the patient interview? - Find out the patient's major complaints, performs a physical examination, and determine the patient's overall health status. When/how often do you assess patients during your shift? - After the admission assessment, each patient should be visited and assessed during the first hour of each shift. Perform a head-to-toe examination, which should take about 10 minutes. What is NANDA-I? - North American Nursing Diagnosis Association-International. Formulates diagnostic labels. The list of diagnostic labels is used to form the first part (stem) of the nursing diagnoses used in nursing care plans and is revised every 2 years. What does a nursing diagnosis consist of? - It is a statement that indicates the patient's actual health status or the risk of a problem developing, the causative or related factors, and specific defining characteristics (signs and symptoms). What is the construction of a nursing diagnosis? - Problem + Etiology (cause) + signs and symptoms What is an etiology factor? - Cause of the problem. What is a sign? - Abnormalities that can be verified by repeat examination and are objective data. Example = bruiseWhat is a symptom? - Factors the patient has said are occurring that cannot be verified by examination; they are subjective data. Example = headache