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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Professional identity refers to how an individual sees themselves within their profession and how they align with the values, ethics, and roles associated with their field. It is more directly related to engagement and commitment rather than identity formation.
B. Professional commitment involves dedication to the profession and a willingness to advance the field, adhere to ethical standards, and engage in ongoing learning and development. Joining a professional organization is a strong example of professional commitment, as it demonstrates a nurse’s dedication to staying informed, participating in professional development, and contributing to the advancement of their profession.
C. Risk management involves identifying, assessing, and mitigating risks to ensure safety and compliance within the healthcare setting. While professional organizations may provide resources and support related to risk management, joining such an organization is not primarily about managing risk.
D. Quality improvement focuses on enhancing patient care and healthcare processes through systematic efforts to improve outcomes and efficiency. Joining a professional organization can support quality improvement by providing access to best practices and research, but the primary purpose of membership is not specifically to engage in quality improvement activities.
Correct Answer is B
Explanation
A. Playing a video game with an adolescent does not typically involve medical or technical procedures that require specialized training. This assignment focuses on providing companionship and support, which is appropriate for a volunteer, especially if the activity is aimed at providing comfort and distraction.
B. Transporting a patient who is in traction requires specific training and knowledge to ensure the patient’s safety and proper handling of the traction equipment. Volunteers typically do not have the necessary training to safely manage such tasks, and improper handling could lead to complications or injury.
C. Reading a book to a preschool-aged child is a non-medical, supportive activity that does not involve any clinical procedures or risks. It is an appropriate way for a volunteer to provide comfort and engagement to a child in a non-invasive manner.
D. Rocking an infant is a comforting and supportive activity that does not require medical expertise. Volunteers can safely provide physical comfort and emotional support to infants, as long as they follow any specific guidelines or protocols provided by the healthcare facility.
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