A nurse is collecting information from a client with dementia. ...

[nummyann]

A nurse is collecting information from a client with dementia. The client's daughter accompanies the client. Which of the following statements by the nurse would recognize the client's value as an individual?
 
  A) Can you tell me how long your father has been this way?
  B) Sarah, I have to go and read your father's old charts before we talk.
  C) Mr. Koeppe, tell me what you do to take care of yourself.
  D) Mr. Koeppe, I know you can't answer my questions, but it's okay.

Question 2

A nurse in the emergency department is completing an emergency assessment for a teenager just admitted from a car crash. Which of the following is objective data?
 
  A) My leg hurts so bad. I can't stand it.
  B) Appears anxious and frightened.
  C) I am so sick; I am about to throw up.
  D) Unable to palpate femoral pulse in left leg.

[diana chang]

Answer to Question 1

Ans: C

Clients such as older adults with dementia, and their children, cannot be relied on to report accurately. However, they should be encouraged to respond to interview questions as best as they can. Bypassing the client communicates that the nurse does not have time or has doubts in the client's ability to communicate.

Answer to Question 2

Ans: D

Objective data are observable and measurable data that can be seen, heard, or felt by someone other than the person experiencing them. Objective data observed by one person can be verified by another person observing the same client. Objective data are also called signs or overt data. The only objective data in this question would be that the nurse is unable to palpate a femoral pulse.

[nummyann]

Thanks for the timely response, appreciate it

[aliotak]

Gracias!