A nurse is evaluating the effectiveness of the plan of care for a patient with suicidal ideation. What action should the nurse take during the evaluation phase?
Modify the plan of care based on the patient's current status.
Compare the patient's current status with baseline data only.
Disregard the patient's feedback about their care.
Document outcomes without assessing the patient's response.
The Correct Answer is A
Choice A rationale:
Modifying the plan of care based on the patient's current status is a fundamental aspect of the evaluation phase. Patients' conditions can change, and the plan of care should be flexible enough to adapt to their evolving needs. By making necessary adjustments, the nurse ensures that the patient continues to receive appropriate and effective care.
Choice B rationale:
Comparing the patient's current status with baseline data only is insufficient for a comprehensive evaluation. Baseline data is useful for establishing a starting point, but it doesn't account for changes that may have occurred since then. Effective evaluation involves considering both baseline data and the patient's current condition.
Choice C rationale:
Disregarding the patient's feedback about their care is not appropriate during the evaluation phase. Patient feedback provides valuable insights into their experience, concerns, and whether the current plan of care is meeting their needs. Ignoring their feedback can lead to unaddressed issues and a lack of patient-centered care.
Choice D rationale:
Documenting outcomes without assessing the patient's response undermines the purpose of the evaluation phase. Evaluation involves not only documenting outcomes but also assessing how the patient has responded to interventions. This assessment informs whether the outcomes are positive, need adjustment, or require a different approach.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D"]
Explanation
Choice B:
Encouraging active patient involvement.
Choice D:
Reflecting the patient's feelings and thoughts.
Choice A rationale:
Closed-ended questions often limit conversation and do not encourage deeper exploration of feelings or thoughts. In a therapeutic relationship with a patient at risk for suicide, the focus should be on open communication and building trust, which is not achieved through the use of closed-ended questions. Therefore, this choice is not suitable for building rapport and trust.
Choice B rationale:
Encouraging active patient involvement is crucial for establishing a therapeutic relationship. It empowers the patient to share their thoughts, concerns, and feelings openly. This choice promotes a sense of collaboration and trust between the nurse and the patient, creating a safe space for discussing sensitive topics like suicidal thoughts.
Choice C rationale:
Imposing personal opinions can create a power imbalance and hinder the therapeutic relationship. Patients should feel that their thoughts and feelings are respected and valued. Imposing personal opinions could alienate the patient and undermine the trust-building process.
Choice D rationale:
Reflecting the patient's feelings and thoughts involves active listening and showing empathy. This technique validates the patient's emotions and experiences, fostering a sense of understanding and trust. Reflecting feelings and thoughts demonstrates that the nurse is genuinely engaged and interested in the patient's perspective.
Choice E rationale:
Disregarding the patient's preferences goes against the principles of patient-centered care and building a therapeutic relationship. The patient's preferences and needs should be acknowledged and respected to establish trust and rapport. Disregarding preferences can lead to feelings of invalidation and hinder the development of a meaningful connection.
Correct Answer is C
Explanation
Choice C rationale:
Collaborating with the client to develop a comprehensive aftercare plan is a priority nursing goal for a client who has recently attempted suicide and is now stabilized. Aftercare planning involves creating a structured plan that addresses the client's ongoing psychological, emotional, and social needs. This includes arranging follow-up therapy sessions, connecting with appropriate community resources, and involving the client in decisions regarding their care. Developing an aftercare plan aims to prevent further episodes of suicidal ideation and support the client's overall well-being. Isolating the client from friends and family, as mentioned in choice A, would be counterproductive. Isolation can exacerbate feelings of loneliness and hopelessness, potentially increasing the risk of further emotional distress. Encouraging the client to keep their feelings and experiences private, as suggested in choice B, is not in line with therapeutic practice. Open communication and sharing emotions with appropriate support systems are crucial for the client's healing process. Discharging the client home as soon as possible, as mentioned in choice D, without addressing the underlying issues and providing a comprehensive aftercare plan, could lead to a recurrence of suicidal thoughts and behaviors. It is essential to ensure the client's safety and well-being before considering discharge.
.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.