A client has chronic back pain from a work-related injury that occurred 5 years ago. Which patient goal meets the SMART criteria?
The client will be able to return to work.
The client will verbalize diminished pain at the conclusion of physical therapy.
The client will be able to perform self-care.
The client will engage in desired activities without the pain level increasing above a pain scale level of 3 out of 10 within one month.
The Correct Answer is D
Choice A reason: The client will be able to return to work is not a SMART goal. SMART stands for Specific, Measurable, Achievable, Relevant, and Time-bound. This goal is not specific, as it does not state what kind of work the client will do, or how the client's back pain will affect their work performance. It is also not measurable, as it does not state how the client's work ability will be assessed. It may not be achievable, as the client's work-related injury may prevent them from returning to their previous occupation. It may not be relevant, as the client may have other priorities or preferences than work. It is also not time-bound, as it does not state when the client will return to work.
Choice B reason: The client will verbalize diminished pain at the conclusion of physical therapy is not a SMART goal. This goal is not specific, as it does not state how much pain the client will experience, or what level of pain is acceptable for the client. It is also not measurable, as it relies on the client's subjective report of pain, which may vary depending on the client's mood, expectations, or coping skills. It may not be achievable, as the client's chronic back pain may not be fully resolved by physical therapy. It may not be relevant, as the client may have other outcomes or indicators of improvement than pain. It is also not time-bound, as it does not state how long the physical therapy will last, or when the client will verbalize their pain level.
Choice C reason: The client will be able to perform self-care is not a SMART goal. This goal is not specific, as it does not state what aspects of self-care the client will perform, or how the client's back pain will affect their self-care abilities. It is also not measurable, as it does not state how the client's self-care performance will be evaluated. It may not be achievable, as the client's chronic back pain may limit their range of motion, strength, or endurance for self-care tasks. It may not be relevant, as the client may have other goals or needs than self-care. It is also not time-bound, as it does not state when the client will achieve this goal.
Choice D reason: The client will engage in desired activities without the pain level increasing above a pain scale level of 3 out of 10 within one month is a SMART goal. This goal is specific, as it states what activities the client wants to do, and how the client's pain level will be monitored. It is measurable, as it uses a numeric pain scale that can be easily recorded and compared. It is achievable, as it sets a realistic and attainable pain threshold that allows the client to enjoy their activities. It is relevant, as it reflects the client's personal interests and values, and enhances their quality of life. It is time-bound, as it states a clear and reasonable deadline for achieving this goal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the correct answer because the RN as a teacher aims to promote health literacy, self-management, and shared decision-making among patients and their families. By helping people to become empowered to take care of their health, the RN can facilitate positive health outcomes and prevent complications.
Choice B reason: This is not the correct answer because the RN as a teacher does not focus on explaining what nurses do, but rather on educating patients about their health conditions, treatments, and self-care. While it is important for the patient to understand the role of the nurse, this is not the main goal of teaching.
Choice C reason: This is not the correct answer because the RN as a teacher does not limit teaching to discharge instructions. Teaching is an ongoing process that starts from admission and continues throughout the continuum of care. Discharge instructions are only one component of teaching that summarizes the key information and actions that the patient needs to follow after leaving the hospital.
Choice D reason: This is not the correct answer because the RN as a teacher does not aim to teach patients how to give themselves treatments to get them out of the hospital quicker, but rather to help them achieve optimal health and wellness. Teaching patients how to give themselves treatments is part of the skill development aspect of teaching, but it is not the main goal. The main goal is to help patients understand the rationale, benefits, and risks of their treatments, and to support them in adhering to their treatment plans.
Correct Answer is C
Explanation
Choice A reason: An open wound is a concern for a diabetic client, as it can increase the risk of infection and delay the healing process. However, it does not require an immediate focused assessment, unless it is bleeding profusely, infected, or showing signs of tissue damage.
Choice B reason: Depression is a common complication of diabetes, as it can affect the client's mood, self-care, and adherence to treatment. However, it does not require an immediate focused assessment, unless the client is suicidal, psychotic, or unable to function.
Choice C reason: Chest pain is a symptom that can indicate a life-threatening condition, such as a heart attack, pulmonary embolism, or aortic dissection. It requires an immediate focused assessment, as it can compromise the client's cardiac and respiratory function and lead to death.
Choice D reason: Diabetes is a chronic condition that affects the client's blood glucose levels and can cause various complications, such as neuropathy, nephropathy, and retinopathy. However, it does not require an immediate focused assessment, unless the client is experiencing a hyperglycemic or hypoglycemic crisis.
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