Family of a client demonstrating confusion state that this is not the client's usual behavior. How should the nurse document this data?
1. Inference
2. Subjective data
3. Objective data
4. Secondary subjective data
Correct Answer: 3
Rationale 1: Inference is making a judgment, and that is not what is described in the question.
Rationale 2: The information provided by the spouse is not subjective because it is an observation by someone familiar with the client's usual behavior.
Rationale 3: Information supplied by family members, significant others, or other health professionals are considered subjective if it is not based on fact. Because this information is factual, in that the spouse is able to provide the nurse with information about the client's routine behavior and patterns, this is objective data.
Rationale 4: The information provided by the spouse is not subjective because it is an observation by someone familiar with the client's usual behavior.
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