A nurse is completing the evaluation phase of the nursing process. The part of the client care plan that is evaluated during this phase are the

interventions.

expected outcomes.

definitions.

diagnoses.

Answer and Explanation

The Correct Answer is B

B. Expected outcomes are specific, measurable criteria used to determine goal achievement. These outcomes are set during the planning phase of the nursing process in collaboration with the client. During evaluation, the nurse compares the client's actual progress with these expected outcomes. This assessment helps determine whether the goals were met, partially met, or not met, which guides further nursing actions.

A. During the evaluation phase, the nurse assesses the effectiveness of these interventions in achieving the desired outcomes rather than the interventions themselves. The focus is on determining whether the interventions were appropriate, timely, and effective in meeting the client's goals.

C Definitions typically refer to the meaning or understanding of terms used in the nursing process, such as nursing diagnoses or medical conditions. They provide clarity and context to ensure accurate assessment, planning, and intervention. However, definitions themselves are not directly evaluated in the evaluation phase of the nursing process.

D. In the evaluation phase, the nurse assesses the client's response to interventions aimed at addressing these diagnoses. The focus is on determining the effectiveness of the care provided rather than evaluating the diagnoses themselves.

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Correct Answer is C

Explanation

C. This entry is factual and avoids assumptions about how the client ended up on the floor, focusing instead on the sequence of events as discovered by the recorder. It is important to avoid speculation and to document only what is directly observed or verifiable.

A. This option provides a clear description of the situation: the client was found on the floor, and it attributes the fall to getting tangled in bed linens. However, it includes an assumption of how the client fell.

B. This option indicates that the client fell out of bed and did push the call button for assistance. While it acknowledges the fall and the use of the call button, it doesn't specify who found the client on the floor or the circumstances surrounding the discovery.

D. This option suggests that the client called for assistance after falling out of bed due to being tangled in bed linens. It mentions the sequence of events (tangled in bed linens first, then called for assistance), but it doesn't specify who found the client on the floor or the action taken thereafter.

A. "What are you using for birth control B. "Are you currently in a relationship?" C. "Is your wife a good cook? D. "What does your husband do?

Correct Answer is B

Explanation

B. This question is also inclusive as it does not assume the client's sexual orientation or relationship status. It allows the client to disclose their current relationship status, whether they are in a relationship with a partner of the same or different gender, or if they are single.

A. This question uses assumes the client's gender and sexual orientation.

C. This question assumes a heterosexual relationship and also implies traditional gender roles. It may not be inclusive as it assumes that the client has a wife and further stereotypes the role of a wife as a cook.

D. This question assumes a heterosexual relationship and may not be inclusive of clients who do not have husbands or who are in same-sex relationships. It also reinforces traditional gender roles by assuming that a husband is the primary breadwinner or has a defined occupation.

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A nurse is completing the evaluation phase of the nursing process. The part of the client care plan that is evaluated during this phase are the

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When responding to a call light, the nurse finds a client lying on the floor, with the bed linens around the legs. Which chart entry should the nurse document for this finding?

Correct Answer is C

Explanation

Which of these questions, used by the nurse, shows appropriate use of inclusive language?

Correct Answer is B

Explanation

The nurse recognizes that the client's energy has been depleted despite attempts to intervene and the client dies. This is a description of which phase of the General Adaptation Syndrome?

The phase of the nurse-client relationship that begins when the individuals first meet, and that is characterized by an agreement to continue meeting and assessing needs is the:

The nurse recognizes that the Rationale(s) for giving a client a bath is (are) to: (SELECT ALL THAT APPLY)

The nurse understands that motivation to learn is strongest when the client:

The nurse understands that which part(s) of an IV administration set must remain sterile? The: (SELECT ALL THAT APPLY)

Which example best illustrates the principle of the nurse "knowing" the client? The nurse:

The nurse is assessing a client who has a respiratory problem. Which clinical manifestation is most reflective of early hypoxia?