Question

1. which is an objective observation?

a. you report to the nurse the resident has pain in her back.
b. you report to the nurse the patients skin is cold and moist.
c. you report to the nurse the patient is fearful to get out of bed.
d. you report to the nurse the resident is anxious.

1. which of the following techniques should be used for good communication?

a. be brief and concise.
b. use words with multiple meanings.
c. use medical terminology.
d. be nonspecific with facts.

1. the nurse asks the patient about signs and symptoms when conducting which history?

a. social history
b. family health history
c. life - style history
d. health history

1. which of the following is used to document care given at 7:00 pm, using the 24 - hour clock?

a. 7:00
b. 1900
c. 19:00
d. 7:00 pm

1. which of the following rules are observed when reporting information to the nurse?

a. report before your next scheduled shift.
b. report for your co - worker if he or she is busy.
c. report using the persons room number.
d. report changes as soon as they occur.

1. how many steps are in the nursing process?

a. 2
b. 3
c. 4
d. 5

1. which of the following is an example of subjective data?

a. pain level
b. urine color
c. pulse rate
d. temperature

1. which of the following is an example of objective data?

a. pain level
b. nausea level
c. pulse rate
d. anxiety level

Explanation:

• Question 9: Un objective observation est basé sur des faits mesurables. La peau froide et humide est observable. Les autres options (douleur, peur, anxiété) sont subjectives.
• Question 10: Être bref et concis améliore la communication. Utiliser des mots ambigu, de la terminologie médicale ou être non spécifique peut causer des malentendus.
• Question 11: Lors de l'histoire de santé, on s'intéresse aux signes et symptômes. L'histoire sociale, familiale ou du style de vie porte sur d'autres aspects.
• Question 12: En horloge 24 heures, 7:00 PM devient 19:00. 1900 est incorrect (format HHMM), 7:00 est AM, et 7:00 PM n'est pas en 24 heures.
• Question 13: Rapporter les changements dès qu'ils se produisent est essentiel. Ne pas attendre la prochaine période de travail, ne pas reporter pour un collègue et utiliser le nom plutôt que le numéro de chambre (sauf si spécifié).
• Question 14: Le processus d'infirmière comporte 5 étapes : évaluation, diagnostic, planification, intervention, évaluation.
• Question 15: La douleur est subjective (ressentie par le patient). La couleur de l'urine, le rythme pulmonaire et la température sont objectifs.
• Question 16: Le rythme pulmonaire est mesurable (objectif). La douleur, la nausée et l'anxiété sont subjectives.

Answer:

1. B. You report to the nurse the patient’s skin is cold and moist.
2. A. Be brief and concise.
3. D. Health history
4. C. 19:00
5. D. Report changes as soon as they occur.
6. D. 5
7. A. Pain level
8. C. Pulse rate