A client has the goal statement "Client will be able to state two positive aspects of rehab therapy by the end of the week." One of the following statements demonstrates that the nurse appropriately evaluated this goal.

Outcome not met. The client is able to state one positive aspect by the end of the week.

Outcome met. The client is able to state two positive aspects of therapy by week's end.

Outcome incomplete. The client is not able to positively state anything about rehab.

Outcome met. The client is able to state one positive aspect by the end of the week.

Answer and Explanation

The Correct Answer is B

This statement demonstrates that the nurse appropriately evaluated the goal because it shows that the client was able to meet the goal of stating two positive aspects of rehab therapy by the end of the week. The other statements indicate that the outcome was either not met, incomplete, or only partially met.

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Correct Answer is D

Explanation

Developmental testing for kindergarten through third-grade students is an example of primary prevention. Primary prevention aims to prevent disease or injury before it occurs by promoting healthy behaviors and reducing exposure to risk factors.

A. The client will need sterile dressing changes B. The client and family lack knowledge of the treatment regimen C. The client will be discharged with a feeding tube D. The client will be receiving IV medications by home health nurses

Correct Answer is B

Explanation

The nurse would question the discharge of a client to be cared for by the family if the client and family lack knowledge of the treatment regimen. It is important for the client and family to have a good understanding of the treatment regimen in order to provide safe and eﬀective care at home. The other options (The client will need sterile dressing changes, The client will be discharged with a feeding tube, and The client will be receiving IV medications by home health nurses) are not situations that would necessarily prevent discharge to be cared for by the family.

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A client has the goal statement "Client will be able to state two positive aspects of rehab therapy by the end of the week." One of the following statements demonstrates that the nurse appropriately evaluated this goal.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse educator provides developmental testing for kindergarten through third-grade students. Which level of prevention is the nurse performing?

Correct Answer is D

Explanation

The nurse has performed an assessment of a client scheduled for discharge to be cared for by the family. Which situation would the nurse question regarding discharge of this client to be cared for by the family?

Correct Answer is B

Explanation

When a labor and delivery nurse tells a co-worker that a client of Asian descent probably did not want any pain medication because "Asian women typically are stoic," the nurse is expressing a belief known as what?

A nurse enters a client's room and sees that ashes from a cigarette are beginning to ignite trash in the wastebasket. What actions should the nurse take first?

A nurse is conducting a lung assessment on a client suspected of having pneumonia. Which finding should the nurse report to the physician immediately?

A client with an upper respiratory infection (common cold) tells the nurse, "I am so angry because the nurse practitioner would not give me an antibiotic." What would be the most appropriate response by the nurse?

A young man who has had a traumatic mid-thigh amputation of his right leg refuses to look at the wound during dressing changes. Which response by the nurse is appropriate?

The client who has sleep apnoea reports falling asleep while driving, almost being involved in an accident, and frequent episodes of sleepwalking. What nursing diagnosis should be a priority for this client?

A client needs a test to determine the amount of residual urine. The nurse realizes that this assessment is used for which reason(s)? Select all that apply.

The nurse has been caring for a client for several days and has assessed that he has been eating poorly during his hospitalization. Which nursing measure should the nurse implement to assist the client in improving his nutritional intake?