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 ["C"]

Explanation

A. While burnout can certainly impact communication, it's more of a consequence of poor communication and teamwork rather than a direct barrier to it. Addressing communication issues can help mitigate burnout.
B. Privacy laws are essential to protect patient information but are not inherently barriers to communication. Effective communication can occur while maintaining patient privacy.
C. This is a direct barrier to interprofessional communication. If team members don't understand each other's responsibilities, it can lead to confusion, duplication of efforts, and a breakdown in communication.
D. While understanding scope of practice is crucial for effective collaboration, it's not a barrier to communication itself. In fact, clear role definitions can enhance communication.

A. Competent B. Expert C. Proficient D. Advanced beginner

Correct Answer is D

Explanation

A. A nurse at the competent stage typically has 2-3 years of experience and is able to handle more complex situations. Competent nurses have developed a level of efficiency and are able to plan and organize their work more effectively. They usually require less support from mentors and are able to function independently, although they may still seek guidance for complex or unusual cases.
B. Expert nurses have extensive experience (usually more than 5 years) and demonstrate a high level of intuitive understanding and clinical decision-making. They do not require significant support from mentors as they have developed the ability to handle complex and unexpected situations autonomously. Experts often serve as mentors themselves due to their depth of experience.
C. Proficient nurses have a deeper understanding of patient care than competent nurses, often with 3-5 years of experience. They can see situations holistically and are able to make decisions based on a broader context. While they might still seek occasional guidance, they generally require less support compared to novice or advanced beginner nurses.
D. Advanced beginner nurses are typically in the early stages of their career, having recently graduated or gained initial clinical experience. They are characterized by a need for guidance and support as they are still developing their clinical skills and understanding of various situations. They often benefit significantly from mentoring and support to help them build their skills and confidence.

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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 is discussing advancing interprofessional communication on the unit. Which of the following should the nurse identify as a barrier to this advancement?

Correct Answer is ["C"]

Explanation

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Correct Answer is D

Explanation

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