A discharge goal for a client is to have improved mobility. Which outcome statement did the nurse write appropriately?
Client will have freer movement in daily activities.
Client will ambulate without a walker by 6 weeks.
Client will not fall.
Client will ambulate frequently in the house.
The Correct Answer is B
An appropriate outcome statement for a client with a discharge goal of improved mobility should be specific, measurable, achievable, relevant, and time-bound. In this case, the outcome statement "Client will ambulate without a walker by 6 weeks" meets these criteria. It specifies the desired outcome (ambulating without a walker), provides a measurable goal (6 weeks), is achievable and relevant to the client's goal of improved mobility, and includes a time frame for achieving the goal. The other statements are not specific or measurable enough to be considered appropriate outcome statements.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
When selecting interventions for a care plan, the nurse should consider several principles. One important principle is that actions should address the underlying cause (etiology) of the nursing diagnosis. By addressing the root cause of the problem, interventions can be more effective in achieving the desired outcomes. There is not necessarily one "best" intervention for each goal or outcome, as different clients may have different needs and respond differently to interventions. Interventions can include both "doing" actions and monitoring, and both independent and collaborative interventions may be appropriate depending on the situation.
Correct Answer is A
Explanation
The nurse should document the client's condition as anorexia. Anorexia refers to the loss of appetite or desire to eat. In this case, the client is reporting a loss of appetite following a prolonged illness, which would be accurately described as anorexia.
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