Which is an example of objective data?
Pain
Headache
Lightheadedness
Temperature
The Correct Answer is D
A. Pain:
Explanation: Pain is a subjective experience because it is based on the patient's feelings and emotions. It varies from person to person and can't be precisely measured or observed by others. Patients often describe their pain based on personal sensations, making it subjective information.
B. Headache:
Explanation: Like pain, a headache is a subjective symptom. Patients report their experience of a headache based on personal sensations, such as throbbing or pressure. It can't be directly measured or observed by healthcare providers; instead, it relies on the patient's description.
C. Lightheadedness:
Explanation: Lightheadedness is another subjective symptom. Patients may feel dizzy or unsteady, but this sensation can't be quantified objectively. It is based on the patient's perception of feeling lightheaded, making it subjective information.
D. Temperature:
Explanation: Temperature is objective data because it can be precisely measured using a thermometer. It provides a specific numerical value, such as 98.6°F (37°C). Objective data is observable and measurable, making temperature a clear example of objective information obtained through examination or assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Help the patient understand the objectives of care:
This is a part of the admission process, where the nurse educates the patient about what to expect during their stay, their treatment plan, and the objectives of their care. While important, it's not the primary goal of the admission interview, which is more focused on building rapport and understanding the patient's needs and concerns.
B. Initiate nursing care plan forms:
This task occurs after the admission interview and is based on the information gathered during the interview. Nursing care plans are developed to address the patient's specific needs and concerns, but the initiation of these plans is not the primary goal of the admission interview.
C. Identify the patient's major complaints:
Identifying the patient's concerns and complaints is indeed a part of the admission interview. However, the primary goal of the interview is broader: it's about establishing a connection, ensuring the patient feels heard and understood, and initiating a therapeutic relationship. While identifying complaints is important for addressing immediate concerns, the overall goal is to build trust and rapport.
D. Establish rapport:
Establishing rapport is the fundamental goal of the admission interview. It involves creating a positive and respectful relationship with the patient, which in turn fosters open communication. When rapport is established, patients are more likely to share important information about their health, which is vital for delivering effective and patient-centered care. Building rapport helps in making the patient comfortable, easing anxiety, and creating an environment where the patient feels valued and understood.
Correct Answer is B
Explanation
A. Evaluation:
Evaluation involves the assessment of a patient's response to nursing interventions and the effectiveness of the care plan. In this scenario, the nurse is not evaluating the patient's response to previous interventions but is rather in the process of conducting a new assessment.
B. Assessment:
This statement is correct. The nurse is in the assessment phase of the nursing process. She is collecting data by checking the patient's record, performing a physical examination (digital rectal exam), and noting the patient's complaint and signs of constipation (no bowel movement for three days, hard stool). Assessment is the first step of the nursing process and involves data collection to identify health problems and needs.
C. Nursing Diagnosis:
Nursing diagnosis involves analyzing the data collected during the assessment to identify actual or potential health problems. The nurse has not reached the stage of formulating a nursing diagnosis in this scenario; she is still gathering data.
D. Implementation:
Implementation is the phase of the nursing process where nursing interventions are carried out based on the nursing care plan. The nurse is not implementing interventions yet but is still in the process of data collection.
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