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

Assessment.

Planning.

Evaluation.

Implementation.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Assessment Assessment is the first step of the nursing process, where the nurse collects data about the patient's condition. While this step is crucial for understanding the patient's needs, it does not involve formulating goals for a positive outcome. Therefore, it is not the correct choice in this context.

Choice B rationale:

Planning Planning is the step of the nursing process where the nurse formulates goals and develops a care plan to achieve those goals. This includes setting objectives for the patient's care and determining the best course of action. In this case, the nurse is formulating goals for a positive outcome, making choice B the correct answer.

Choice C rationale:

Evaluation Evaluation is the step where the nurse assesses the patient's response to the care provided and determines whether the goals have been met. While important, it does not involve the initial formulation of goals, so it is not the correct choice for this question.

Choice D rationale:

Implementation Implementation involves carrying out the plan of care, putting the planned interventions into action. It doesn't focus on goal formulation, so it is not the correct answer in this context.

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Correct Answer is D

Explanation

Choice A rationale:

There are actually five rights of delegation: right task, right circumstance, right person, right direction/communication, and right supervision/evaluation. This statement is not accurate.

Choice B rationale:

It is not the duty of the delegatee to perform a task without asking questions. Effective delegation involves clear communication, including the opportunity for the delegatee to ask questions and seek clarification as needed.

Choice C rationale:

While the nurse manager plays a role in delegation, the responsibility for delegation does not solely rest on the nurse manager. Delegation is a shared responsibility among all nurses, and the person delegating the task must ensure it is appropriate and clear.

A. Health promotion. B. Holistic health. C. Health education. D. Primary prevention.

Correct Answer is A

Explanation

Choice A rationale:

Health promotion is the correct concept demonstrated by the nurse. Health promotion refers to activities and strategies that aim to enhance an individual's overall health and well-being. Educating the client with heart disease about the importance of eating a heart-healthy diet is a proactive step towards improving their health.

Choice B rationale:

Holistic health is a broader approach that considers the whole person, including physical, mental, and social aspects. While it is an important concept, the nurse, in this scenario, is primarily focused on educating the client about a specific aspect of their health, which is heart disease management.

Choice C rationale:

Health education is a component of health promotion, but it specifically refers to the process of providing individuals with knowledge and skills to make informed decisions about their health. In this case, the nurse is providing education as a means of promoting the client's health.

Choice D rationale:

Primary prevention involves measures to prevent the development of a disease or condition before it occurs. While promoting a heart-healthy diet is a form of prevention, it does not specifically align with the concept of primary prevention, which typically involves actions taken to avoid the initial occurrence of a health problem.

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A nurse is admitting a new client.Which of the following 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 teaching about delegation with a newly licensed nurse.Which of the following statements if made by the newly licensed nurse indicates understanding?

Correct Answer is D

Explanation

A nurse is instructing a client who has heart disease about ways to improve their health such as eating a heart-healthy diet.Which of the following concepts is the nurse demonstrating to the client?

Correct Answer is A

Explanation

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