What type of database is most appropriate when the rapid collection of data is required and
often compiled concurrently with lifesaving measures?
a. Complete
b. Focused
c. Follow-up
d. Emergency - CORRECT ANSWER -d. Emergency
An emergency database includes the rapid collection of data often obtained concurrently
with lifesaving measures. A focused database is for a limited or short-term problem; this
database concerns mainly one problem, one cue complex, or one body system. A follow-up
database is used to follow up on short-term or chronic health problems; the statuses of
identified problems are evaluated at regular and appropriate intervals. A complete database
includes a complete health history and a full physical examination; it describes the current
and past health state and forms a baseline against which all future changes can be
measured.
A nurse precepting a student nurse asks, "What's the most important step in the critical-
thinking process?"
a. Clustering subjective and objective data
b. Analyzing health data
c. Using evidence-based assessment techniques
d. Prioritizing health concerns - CORRECT ANSWER -c. Using evidence-based assessment
techniques
,Evidence-based techniques are supported by research showing effectiveness of the
technique that provides the safest and most current techniques to promote the health of
patients. Clustering subjective and objective data is a step in the critical-thinking process,
but is not the most important step. Analyzing health data is a step in the critical-thinking
process, but is not the most important step. Prioritizing health concerns is a step in the
critical-thinking process, but is not the most important step.
What type of database is most appropriate for an individual who is admitted to a long-term
care facility?
a. Focused
b. Complete
c. Emergency
d. Follow-up - CORRECT ANSWER -b. Complete
A complete database includes a complete health history and a full physical examination; it
describes the current and past health state and forms a baseline against which all future
changes can be measured. A focused database is for a limited or short-term problem; this
database concerns mainly one problem, one cue complex, or one body system. A follow-up
database is used to follow up on short-term or chronic health problems; the statuses of
identified problems are evaluated at regular and appropriate intervals. An emergency
database includes a rapid collection of data often obtained concurrently with lifesaving
measures.
Which of the following is an example of objective data?
a. A sore throat
b. An earache
c. Alert and oriented
d. Dizziness - CORRECT ANSWER -c. Alert and oriented
,Objective data is what the health professional observes; level of consciousness and
orientation are observations. Subjective data is what the person says about himself or
herself during history taking.
Which of the following is an example of subjective data?
a. Blood glucose 126 md/dL
b. Pain rated at 7 out of 10
c. Heart rate of 76 bpm
d. Bruising on lower leg - CORRECT ANSWER -b. Pain rated at 7 out of 10
Subjective data is what the patient says about himself or herself during history taking.
Objective data is what the health professional observes by inspecting, percussing, palpating,
and auscultating during the physical examination. Blood glucose is measured by using a drop
of blood placed on a test strip in a glucometer. Bruising is assessed by inspection. Heart rate
is assessed by palpation of the radial artery or auscultated with a stethoscope when listening
to heart sounds.
A complete database is
a. used to collect data rapidly and is often compiled concurrently with lifesaving measures.
b. used to evaluate the cause or etiology of disease.
c. used for a limited or short-term problem usually consisting of one problem, one cue
complex, or one body system.
d. used to perform a thorough or comprehensive health history and physical examination. -
CORRECT ANSWER -d. used to perform a thorough or comprehensive health history and
physical examination.
A complete database includes a complete health history and a full physical examination; it
describes the current and past health state and forms a baseline against which all future
changes can be measured. An emergency database is a rapid collection of data often
obtained concurrently with lifesaving measures. A focused database is for a limited or short-
, term problem; this database concerns mainly one problem, one cue complex, or one body
system. Medical diagnoses are used to evaluate the cause or etiology of the disease.
A patient admitted to the hospital with asthma has the following problems identified based
on an admission health history and physical assessment. Which problem is a first-level
priority?
a. Ineffective self-health management
b. Impaired gas exchange
c. Readiness for enhanced spiritual well-being
d. Risk for infection - CORRECT ANSWER -b. Impaired gas exchange
First-level priority problems are problems that are emergent, life-threatening, and
immediate. Impaired gas exchange is an emergent and immediate problem. Third-level
priority problems are problems that are important to the patient's health but can be
addressed after more urgent health problems are addressed. Ineffective self-health
management is an example of a third-level priority. Second-level priority problems are
problems that are next in urgency; these problems require prompt intervention to forestall
further deterioration. Risk for infection is an example of a second-level priority. Third-level
priority problems are problems that are important to the patient's health but can be
addressed after more urgent health problems are addressed. Wellness diagnoses are third-
level priority problems.
Which of the following actions/behaviors in the critical-thinking process are important for
the novice nurse to remember? (Select all that apply.)
a. Disregard initial cues
b. Approach assessment with a nonjudgmental attitude
c. Cluster associated assessment data
d. Perform assessment in whatever manner works for you.
e. Avoid making assumptions - CORRECT ANSWER -b, c, e