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."
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.
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