A patient is nauseated and vomited. She has a red rash on the face and neck, which she says is itchy. She complains of a headache and feels very irritable. Which piece of data is objective?
itching
headache
rash
nausea
The Correct Answer is C
A. itching:
This is a subjective symptom. Itching is a feeling experienced by the patient and cannot be directly observed by the nurse. The patient's report of itching is subjective until the nurse observes any visible signs of scratching or a rash.
B. headache:
Similar to itching, a headache is a subjective symptom. It is a feeling experienced by the patient and cannot be directly observed by others. The patient's report of a headache is subjective until the nurse observes signs such as the patient holding their head or wincing in pain.
C. rash:
In the given context, a red rash on the face and neck is objective data. Objective data refers to measurable and observable information about a patient's condition. In this case, the nurse can directly observe the rash, making it objective. Objective data is factual and can be verified by others.
D. nausea:
Nausea is also a subjective symptom. It is a feeling experienced by the patient and cannot be directly observed by others. The patient's report of nausea is subjective until the nurse observes signs such as the patient looking pale, sweating, or exhibiting other physical symptoms associated with nausea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Changing the subject:
Changing the subject refers to diverting the conversation away from the topic the patient wants to discuss. This can be seen as a blocking technique if used to avoid uncomfortable or challenging discussions. It's essential to stay focused on the patient's concerns to ensure effective communication.
B. Offering false reassurance:
Offering false reassurance occurs when a healthcare provider tries to comfort a patient by stating that everything will be fine, even if they cannot guarantee the outcome. While well-intentioned, this can hinder communication because it may discourage the patient from sharing their genuine concerns, fearing they won't be taken seriously.
C. Inattentive listening:
Inattentive listening happens when a healthcare provider is physically present but not mentally engaged in the conversation. This can occur due to distractions or preoccupation with other thoughts. It hampers effective communication because the patient may feel neglected or unheard, leading to dissatisfaction and misunderstandings.
D. Giving information:
Providing information is a fundamental aspect of healthcare communication. However, if done without actively listening to the patient's concerns or without considering their emotional state, it might not address the underlying issues. Effective communication involves both giving information and actively listening to the patient's thoughts, feelings, and questions.
Correct Answer is D
Explanation
A. Use open-ended questions:
Open-ended questions are typically avoided when communicating with aphasic patients. These questions require more complex responses, which might be difficult for someone with language impairments.
B. Not assume that the patient can understand what is heard:
This is a prudent approach. Assuming comprehension without confirmation can lead to misunderstandings. It's better to confirm understanding through non-verbal cues or other communication methods.
C. Talk to the family instead:
While involving family members is important, it doesn't replace direct communication with the patient. The nurse should attempt to communicate directly with the patient, using appropriate techniques.
D. Ask one question at a time:
This is the most suitable option. Asking one question at a time allows the patient to focus on a specific topic and respond more effectively, especially if they have difficulty processing complex information.
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