Question

1. A nurse is completing a focused assessment evaluating bowel function. Which assessment by the nurse is considered objective data?

                a. The client passes flatus while the nurse is in the room.

                b. The client notes ‘’ I get really bloated when l eat beans

                c. The client recalls the amount of fruits and vegetables they eat in a day

                d. The client states they have a bowel movement everyday

2. A nurse is completing the assessment component of the nursing process for a client in a mild psychological crisis. What action will the nurse take?

                a. Develop goals ad outcomes

                b. Determine past stressors and coping strategies

                c. Reassess the client’s symptoms and compare to the outcomes

                d. Teach stress reduction techniques

3. Which question by the nurse is the most appropriate to assess client‘s mood?

                a. see that you are angry

                b. So, what’s going on with you?

                c. What do you need to make you feel better?

                d. How are you feeling today?

Answer 1

1. A nurse is completing a focused assessment evaluating bowel function. Which assessment by the nurse is considered objective data?

                a. The client passes flatus while the nurse is in the room.

                b. The client notes ‘’ I get really bloated when l eat beans

                c. The client recalls the amount of fruits and vegetables they eat in a day

                d. The client states they have a bowel movement everyday

Answer is a. The client passes flatus while the nurse is in the room. (Since Objective data are observable and measurable data / signs obtained through observation, physical examination, and laboratory and diagnostic testing.)

2. A nurse is completing the assessment component of the nursing process for a client in a mild psychological crisis. What action will the nurse take?

                a. Develop goals and outcomes

                b. Determine past stressors and coping strategies

                c. Reassess the client’s symptoms and compare to the outcomes

                d. Teach stress reduction techniques

Answer-    a. Develop goals and outcomes

The nursing process has 5 steps

Assessment- the nurse has already assessed the client and found that he has some psychological problems

Diagnosis - The diagnosis has been a established as mild psychological crisis

Planning - Once the diagnosis is establish the nurse need to set long term or short term goals and outcome,  plan nursing intervention to achieve those goals (eg various coping strategies)

Implementation - In this stage the nurse implements those coping strategies and observes client response

Evaluation - Reassessing the effectiveness of the care plan to meet the clients goals

3) Which question by the nurse is the most appropriate to assess client‘s mood?

                a. see that you are angry

                b. So, what’s going on with you?

                c. What do you need to make you feel better?

                d. How are you feeling today?

Answer is d. How are you feeling today?

This is the most appropriate and polite question to ask the client as it is a open ended and professional way of asking the client how he/she feels. It can also be used to ask how the client feels at the moment when compared to sometime back.