The unlicensed nursing assistive person (UAP) reports to the ...

[ereecah]

The unlicensed nursing assistive person (UAP) reports to the nurse that a patient is crying during a comedy show on television. The nurse's best response should be:
 
  a. Maybe the patient doesn't think the show is funny.
  b. Don't worry about it. Her daughter says this is normal.
  c. I will go visit her right away and see what is going on.
  d. Just document what you observe in your notes.

Question 2

The nurse is monitoring the blood sugar results of a patient receiving an intravenous nutritional supplement. The patient tells the nurse, I have never had sugar problems before. My doctor says it is because I am getting this sugar water.
 
  These types of data are considered:
  a.
  primary, objective data.
  b.
  primary, subjective data.
  c.
  secondary, objective data.
  d.
  secondary, subjective data.

[cloudre37]

Answer to Question 1

ANS: C
Validating data is making sure that the data are accurate. As patient information is collected, consistency between subjective and objective data must be confirmed. Confirming the validity of collected data often requires verbally checking with the patient to see whether assumptions or conclusions at which the nurse arrived are correct. Crying, a disheveled appearance, and lack of eye contact may be cues of depression. However, conclusions about the underlying cause of the patient's actions cannot be assumed. All cues need to be interpreted and validated to verify the data's accuracy. The nurse cannot assume that this is normal behavior nor ignore the problem by making a joke. The nurse has the responsibility to attempt to determine the real reason for the crying episode.

Answer to Question 2

ANS: B
Primary data come directly from the patient. Subjective data are spoken information or symptoms that cannot be authenticated. Subjective data usually are gathered during the interview process if patients are well enough to describe their symptoms. Family members, friends, and other members of the health care team can contribute valid secondary, subjective data. Objective data, also referred to as signs, can be measured or observed. The nurse's senses of sight, hearing, touch, and smell are used to collect objective data. Objective assessment data are acquired through observation, physical examination, and analysis of laboratory and diagnostic test results.

[ereecah]

Excellent

[shewald78]

TYSM