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.
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Related Questions
Correct Answer is D
Explanation
A. Coercive power over other team members improves client outcomes: Coercive power is not conducive to a collaborative environment and can negatively impact team dynamics and patient care.
B. Lack of training facilitates participation with other team members: Lack of training hinders effective collaboration and can lead to misunderstandings and errors in patient care.
C. Confrontation encourages interaction with other team members: Confrontation can create conflict and is not a constructive approach to collaboration.
D. Communication with other team members improves client outcomes: Effective communication is crucial for successful interprofessional collaboration, leading to improved patient outcomes.
Correct Answer is C
Explanation
A. Vomiting: Vomiting is objective data because it can be observed and measured by the nurse.
B. Auscultation of heart murmur: This is objective data obtained through physical examination techniques.
C. Client's complaint of nausea: Subjective data is information reported by the client about their experience, feelings, or symptoms, which cannot be directly observed by others.
D. Blood pressure reading: This is objective data obtained through measurement.
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