A nurse is admitting a new client. Which of the followings steps of the nursing process is the nurse performing when formulating goals for a positive outcome?

Assessment

Evaluation

implementation

Planning

Answer and Explanation

The Correct Answer is D

A.   Assessment involves collecting and analyzing data about the client's health status, including their medical history, physical examination findings, and any other relevant information. This step is crucial for understanding the client's current condition and needs, but it precedes goal setting.
B.   Evaluation is the step where the nurse determines whether the goals and outcomes established in the planning phase have been achieved. It involves assessing the effectiveness of interventions and making adjustments as needed. Evaluation occurs after goals have been set and interventions have been implemented, so it is not the step where goals are initially formulated.
C.   Implementation involves carrying out the interventions and actions planned to achieve the goals established for the client. This step follows the formulation of goals and involves executing the planned care. While critical to achieving positive outcomes, implementation does not include the initial formulation of goals.
D.   Planning is the step of the nursing process where the nurse formulates goals and develops a plan of care based on the assessment data. This includes setting specific, measurable, achievable, relevant, and time-bound (SMART) goals to guide the care provided and achieve positive client outcomes. Planning is where goals are established to address the client’s identified needs and guide subsequent interventions.

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Correct Answer is A

Explanation

A. This client should be assessed first. Chest pain is a serious symptom that could indicate a cardiac event. The new onset of indigestion, even if unrelated, warrants immediate assessment to rule out any cardiac complications.
B. While hypoglycemia is a serious condition, the client's blood glucose is now within a normal range after treatment. This client can be assessed after the client with chest pain.
C. Pneumonia is a serious condition, but the client's temperature has been managed, and there is no indication of immediate instability. This client can be assessed after the first two.
D. While the IV catheter needs to be replaced, this is not an emergent situation. The client can receive the famotidine orally until the IV is replaced.

A. Decision-making B. Autonomy C. Shared governance D. Values and ethics

Correct Answer is D

Explanation

A. Decision-making is a crucial aspect of clinical practice and interprofessional collaboration, as it involves making choices based on evidence and team input. However, it is not specifically listed as one of the core competencies of the IPEC. While decision-making is a key part of collaborative work, IPEC competencies focus more broadly on collaboration, communication, and shared values.
B. Autonomy refers to the ability of an individual to make independent decisions and act according to their professional judgment. While autonomy is important in healthcare practice, especially for individual professionals, it is not one of the core competencies identified by IPEC. IPEC emphasizes interprofessional collaboration rather than individual autonomy.
C. Shared governance is a concept related to organizational management and decision-making within healthcare institutions. It involves a collaborative approach to decision-making and policy development, allowing staff to have a voice in organizational matters. While shared governance is valuable for promoting collaboration, it is not one of the core competencies outlined by IPEC.
D. Values and ethics are indeed core competencies of the Interprofessional Education Collaborative (IPEC). This competency emphasizes the importance of understanding and respecting the values and ethics of different professions, and integrating these into collaborative practice.

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A nurse is admitting a new client. Which of the followings steps of the nursing process is the nurse performing when formulating goals for a positive outcome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse has received change-of-shift report on a group of clients and is preparing her assignment. Which of the following clients should the nurse assess first?

Correct Answer is A

Explanation

A nurse is discussing interprofessional collaboration with a group of nurses. The nurse should include that which of the following is a core competency of the Interprofessional Education Collaborative (IPEC)?

Correct Answer is D

Explanation

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