A nurse is developing pain management goals to a post-operative client. Which of the following steps of the nursing process is the nurse performing?
Planning
Assessment
Implementation
Evaluation
The Correct Answer is A
A. Planning: Developing goals is part of the planning phase, where the nurse sets objectives and outcomes for the patient’s care.
B. Assessment: Assessment involves collecting data about the patient’s condition.
C. Implementation: Implementation involves putting the care plan into action.
D. Evaluation: Evaluation involves determining whether the patient has met the goals and outcomes set during the planning phase.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "You will be okay. Your surgeon will talk to you in the morning.": This statement is reassuring but does not encourage the patient to express their feelings or concerns. It is not considered therapeutic.
B. "Tell me how you care for your colostomy at home." This statement encourages the patient to share information and express concerns about their care, which is a therapeutic communication technique.
C. "I understand how you feel; the same thing happened to me last year." This shifts the focus to the nurse’s experience rather than the patient's feelings, which is nontherapeutic.
D. "Don't worry, you are in good hands." This is a reassuring statement that does not encourage the patient to express their feelings or concerns, making it nontherapeutic.
Correct Answer is C
Explanation
A. Physical therapist: The physical therapist does not refer themselves but receives referrals from other team members.
B. The pharmacist: The pharmacist is involved in medication management and does not typically make referrals to physical therapy.
C. The case manager: The case manager coordinates overall patient care and is responsible for making referrals to various services, including physical therapy.
D. Occupational therapist: The occupational therapist provides a different type of therapy focused on daily living skills and would not typically make referrals to a physical therapist.
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