A nurse is meeting with a client who has been treated at a substance use disorder clinic for three months. The client has had two follow up appointments at the clinic since their first visit, has attended a community-based peer support group twice weekly, and has taken their prescribed medication as directed. The nurse is discussing the effectiveness of these interventions with the client. The nurse is completing which of the following phases of the nursing process?
Analysis/diagnosis
Evaluation
Implementation
Planning
The Correct Answer is B
A. Analysis/diagnosis involves identifying health problems based on assessment data.
B. Evaluation involves assessing the effectiveness of the interventions and progress towards goals, which is what the nurse is doing.
C. Implementation refers to carrying out the plan of care.
D. Planning involves setting goals and determining the best interventions, which precedes implementation and evaluation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This option suggests negligence on the part of the nurse, attributing the complication to the nurse's actions. However, it doesn't consider the circumstances of providing emergency care under the Good Samaritan Act.
B. The nurse is protected by the Good Samaritan Act, which states that the nurse may give emergency care using good judgment. The development of compartment syndrome is a known complication of trauma and not necessarily indicative of negligence.
C. This option wrongly assumes that the nurse's actions were negligent and therefore not covered by the Good Samaritan Act. However, the Act protects healthcare providers who act in good faith during emergencies, even if outcomes are unfavorable.
D. Waiting for help might not have been appropriate depending on the severity of the situation, and the Good Samaritan Act encourages reasonable assistance in emergencies.
Correct Answer is B
Explanation
A. Confidentiality pertains to protecting client information.
B. Advocacy involves acting on behalf of the client's needs and ensuring they receive appropriate information and care.
C. Fidelity involves being faithful to commitments and promises, which could apply here, but advocacy is a more precise term.
D. Accountability involves being responsible for one's actions, which the nurse is demonstrating, but the primary principle in this situation is advocacy.
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