During an admission assessment, a male client states that he has been having auditory hallucinations and difficulty concentrating at work. This type of data is referred to as:
Measured
Objective
Shared
Subjective
The Correct Answer is D
Choice A rationale: Measured data involves quantitative information obtained through measurement and observation, not the client's self-report.
Choice B rationale: Objective data is observable and measurable, often obtained through physical examination or direct observation.
Choice C rationale: Shared data is not a commonly used term in the context of describing information provided by a client. However, it could refer to information that is communicated or exchanged between the nurse and healthcare professionals.
Choice D rationale: Subjective data refers to information provided by the client based on their own feelings, perceptions, or experiences. In this case, the client's statement about auditory hallucinations and difficulty concentrating represents subjective data.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: Akathisia refers to restlessness and agitation and is a common side effect of antipsychotic medications. This condition can be reversed by reducing the dose of antipsychotic medication taken by the client.
Choice B rationale: Tardive dyskinesia refers to the involuntary movement of body parts such as the limbs, face, jaw, and tongue and is a common side effect of long-term use of first-generation antipsychotic medications which work by blocking dopamine receptors. This condition is irreversible, especially when not detected early.
Choice C rationale: Dystonia which refers to muscle spasms affecting the jaw, eyes, and limbs can be reversed by the use of anticholinergic medications or botulin toxin.
Choice D: Akinesia refers to the absence of movement and can be managed by adjusting the dosage of the antipsychotic medications being taken by the patient.
Correct Answer is D
Explanation
Choice A rationale: Clozapine has no effect on a patient’s blood pressure levels. However, blood pressure monitoring for all patients is crucial but the temperature is more relevant for a patient on clozapine.
Choice B rationale: Clozapine has no effect on an individual’s respiratory rate hence in this case it is not the priority vital sign to monitor.
Choice C rationale: Clozapine use does not cause pain. Furthermore, pain is not a vital sign.
Choice D rationale: One of the side effects of clozapine is agranulocytosis hence this predisposes the patient to infections which may manifest with fever. Therefore, it is important to monitor the patient’s temperature while on treatment.
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