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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Correct Answer is D
Explanation
The correct answer is choiced. Location of blood pressure cuff.
Choice A rationale:The systolic blood pressure of 102 mm Hg is within a normal range and does not require clarification.
Choice B rationale:The position of the client, “sitting up in a chair,” is clearly documented and does not need further clarification.
Choice C rationale:The unit of measurement, “mm Hg,” is the standard unit for blood pressure and is correctly documented.
Choice D rationale:The location of the blood pressure cuff is not specified in the documentation. It is important to document whether the blood pressure was taken on the left or right arm, or another location, to ensure accuracy and consistency in future measurements.
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