A nurse is documenting data collection findings on a client. Which of the following entries should the nurse identify as subjective data? (Select All that Apply.)

Client reports the rash on their back is itchy

Client reports nausea following administration of pain medication.

Client has a raised, red rash on their upper back.

Client reports dull, aching pain in lower right calf.

Client's oral temperature is 38.4° C (101.2° F).

Answer and Explanation

Correct Answer : A,B,D

A.   This entry reflects the client’s personal experience and perception of the rash. It is not measurable and relies on the client’s description.

B.   This statement is also based on the client’s experience and feelings about their condition after taking medication. It is a personal report and not an observable finding.
C.   This is an observation made by the nurse. The description of the rash is measurable and can be documented as a physical finding.
D.   Similar to options A and B, this entry describes the client’s perception of pain. It is a personal
experience that cannot be directly measured.
E.   This is a measurable finding obtained through a thermometer. It provides concrete evidence of the
client’s condition and does not rely on the client’s report.

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Correct Answer is ["A","B","F"]

Explanation

A. This is indeed a fundamental aspect of nursing as per the ANA's definition. Nurses work to protect and promote health for their clients.
B. This statement accurately reflects the ANA's emphasis on the nursing process as a systematic approach to delivering care.
C. This does not align directly with the ANA's definition, which focuses more on the roles and responsibilities of nurses rather than assisting others in decision-making.
D. While knowledge of laws and regulations is essential for nurses, the ANA's definition does not state that nursing involves providing these laws.
E. While this is important in nursing, the ANA's definition specifically emphasizes protecting and promoting health rather than solely focusing on avoidance.
F. Advocacy is a key component of nursing practice and is explicitly recognized in the ANA's definition.

A. Lack of access to health care facilities B. Lack of access to public libraries C. Lack of access to transportation D. Lack of walking trails

Correct Answer is C

Explanation

A. While important for health, this choice is more about healthcare access rather than the social and community context that affects health outcomes.
B. This relates to educational resources but is not a primary example of the social context affecting health directly.
C. Access to transportation affects a person's ability to reach healthcare services, social support, and community resources. It plays a significant role in social interactions and overall well-being, highlighting how transportation availability impacts health outcomes within the community context.
D. While relevant to community health and encouraging physical activity, it focuses more on environmental factors rather than directly addressing social context.

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A nurse is documenting data collection findings on a client. Which of the following entries should the nurse identify as subjective data? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with an in-service to a group of newly licensed nurses about the definition of nursing developed by the American Nurses Association (ANA). Which of the following information should the nurse include in the teaching? (Select all that apply.)

Correct Answer is ["A","B","F"]

Explanation

A nurse at a clinic is discussing with a newly licensed nurse social determinants of health (SDOH). Which of the following should the newly licensed nurse identify as an example of the social and community context determinant of health?

Correct Answer is C

Explanation

A nurse is caring for a client who acquired a Staphylococcus aureus infection from touching a contaminated towel. Through which of the following modes of transmission did the client acquire the infection?

Which of the following is considered a social determinant of health?

A nurse is working with an RN to admit a new client. Which of the following steps of the nursing process is the nurse using when assisting to formulate goals for a positive outcome?

A nurse is preparing a poster presentation for a group of staff nurses about factors influencing communication. Which of the following factors should the nurse include when discussing cognitive factors?

A nurse is preparing an in-service about communication for a group of staff nurses. Which of the following techniques should the nurse include when discussing therapeutic communication?

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A nurse is assisting with planning a staff in-service on hospital-acquired infections (HAIs). The nurse should explain that which of the following portal for types of HAIS are included in the Hospital-Acquired Condition Reduction Program (HACRP)?(Select All that Apply.)

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