A nurse is working with an RN to admit a new client. Which of the following steps of the nursing process is the nurse using when assisting to formulate goals for a positive outcome?
Planning
Evaluation
Data collection
Implementation
The Correct Answer is A
Choice A reason: This statement is correct because planning is the step of the nursing process that involves formulating goals and outcomes for a positive outcome. The nurse and the RN should collaborate with the client and other members of the healthcare team to identify the client's needs, priorities, and preferences, and develop a plan of care that is realistic, measurable, and client centered.
Choice B reason: This statement is incorrect because evaluation is the step of the nursing process that involves measuring the effectiveness of the plan of care and the achievement of the goals and outcomes. The nurse and the RN should compare the actual results with the expected results, and determine if the plan of care needs to be modified, continued, or terminated.
Choice C reason: This statement is incorrect because data collection is the step of the nursing process that involves gathering information about the client's health status, history, and environment. The nurse and the RN should use various sources and methods of data collection, such as interviewing, observing, examining, and reviewing records, and organize and document the data in a systematic and accurate way.
Choice D reason: This statement is incorrect because implementation is the step of the nursing process that involves carrying out the plan of care and providing the interventions. The nurse and the RN should perform the actions that are necessary to achieve the goals and outcomes, such as administering medications, providing education, or coordinating referrals, and document the interventions and the client's response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Professional identity is not the correct answer, as it refers to the sense of belonging and alignment with the values and norms of the nursing profession. Joining a professional organization does not necessarily imply that the nurse has a strong professional identity, as they may have other motives or interests for doing so.
Choice B reason: Quality improvement is not the correct answer, as it refers to the systematic and continuous actions that lead to measurable improvement in health care services and outcomes. Joining a professional organization does not directly contribute to quality improvement, as it depends on the nurse's involvement and participation in the organization's activities and initiatives.
Choice C reason: Risk management is not the correct answer, as it refers to the process of identifying, analyzing, and reducing the potential for harm or loss in health care settings. Joining a professional organization does not affect risk management, as it does not change the nurse's responsibility or accountability for their practice.
Choice D reason: Professional commitment is the correct answer, as it refers to the degree of loyalty, dedication, and engagement that the nurse has towards the nursing profession. Joining a professional organization is an example of professional commitment, as it shows that the nurse is interested in advancing their knowledge, skills, and career, and in contributing to the development and improvement of the profession.
Correct Answer is A
Explanation
Choice A reason: This is the correct answer. Disease prevention involves activities and measures taken to reduce the occurrence and impact of specific diseases. In this scenario, the nurse is performing a blood pressure screening for a client with a family history of hypertension. This screening is a preventive measure aimed at detecting and preventing the development of hypertension, which falls under the category of disease prevention. By identifying clients at risk, healthcare providers can intervene early and implement strategies to prevent or manage the condition.
Choice B reason: This is incorrect. Health education involves providing information and knowledge to clients to help them make informed decisions about their health. It focuses on teaching individuals about health-related topics. In this scenario, the nurse is not engaged in health education but rather in blood pressure screening, which is a form of health assessment and monitoring.
Choice C reason: This is incorrect. Health promotion involves activities that encourage and empower individuals to take control of their health and well-being. It aims to enhance the overall health of the population. While blood pressure screening is a preventive measure, it does not encompass the broader concept of health promotion. It is more specific to early detection and monitoring of health conditions.
Choice D reason: This is incorrect. Holistic health refers to an approach that considers the physical, emotional, social, and spiritual aspects of an individual's well-being. It recognizes the interconnectedness of these aspects and seeks to address them in a comprehensive manner. Performing a blood pressure screening, while important, is a specific health assessment task and does not fully encompass the holistic health approach.
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