Answer to Question 1
Correct Answer: 2
Rationale: Objective data includes information gathered through assessment, and not necessarily what the patient says or perceives. The most reliable and objective assessment by the nurse is to check the patient's prescription medication bottles. A list of medications provided by the patient and the patient's wife is subjective, not objective data. Asking the physician what medication the patient was receiving is subjective data, and the physician may not remember all the medication the patient was receiving.
Answer to Question 2
Correct Answer: 3
Rationale: The patient not committing any acts of self-harm relates to the problem statement in the nursing diagnosis and is measurable. Listing five reasons why the patient should not harm himself will not prevent him from committing an act of self-harm. Taking antidepressant medication will not prevent the patient from committing an act of self-harm. Discussion of feelings will not prevent the patient from committing an act of self-harm.