A nurse is writing a teaching plan using the Specific, Measurable, Attainable, Relevant, and Timed outcome (SMART) goals for a client who is learning to walk with crutches.
Client Education
Click to highlight the timed components of the SMART outcome goals. To deselect a finding, click on the finding again.
The client will teach back information about safe crutch walking.
The client will demonstrate safe crutch walking.
The client will not lean on the crutches to support their body weight.
The client will ambulate 5 feet in one day.
The client will walk 10 feet by day 2.
The client will walk 20 feet by day 3.
The client will explain 4 principles of crutch safety.
The client will explain how to keep crutches in safe condition.
The client will teach back information about safe crutch walking.
The client will demonstrate safe crutch walking.
The client will not lean on the crutches to support their body weight.
The client will ambulate 5 feet in one day.
The client will walk 10 feet by day 2.
The client will walk 20 feet by day 3.
The client will explain 4 principles of crutch safety.
The client will explain how to keep crutches in safe condition.
The Correct Answer is ["D","E","F"]
A. The client will teach back information about safe crutch walking. This is an essential component of client education and ensures that the client understands how to use crutches safely. However, this statement does not include a specific time frame, making it not a timed SMART goal.
B. The client will demonstrate safe crutch walking. Demonstration of skills ensures the client can safely perform crutch walking techniques. However, without a specific deadline, it does not qualify as a timed component.
C. The client will not lean on the crutches to support their body weight. This statement reinforces proper crutch technique to prevent nerve damage (e.g., axillary nerve compression). However, it lacks a specific timeframe, so it is not a timed SMART goal.
D. The client will ambulate 5 feet in one day. This goal is specific, measurable, and time-bound as it defines both the distance (5 feet) and the timeframe (one day), making it a timed SMART goal.
E. The client will walk 10 feet by day 2. This goal provides clear progression, stating that the client should ambulate 10 feet within two days, making it specific, measurable, and time-limited.
F. The client will walk 20 feet by day 3. This builds on the previous goals, ensuring incremental progress in crutch walking and clear expectations within a set timeframe.
G. The client will explain 4 principles of crutch safety. This is a knowledge-based goal that ensures the client understands the fundamentals of crutch safety. However, no specific timeframe is provided, so it is not a timed component.
H. The client will explain how to keep crutches in safe condition. This supports long-term safety and maintenance of crutches but does not specify when the client should demonstrate this knowledge, making it not a timed SMART goal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Has both older and younger siblings: This does not specifically relate to the "sandwich generation" concept.
B. Cares for children and aging parents at the same time: The term "sandwich generation" refers to individuals who are simultaneously caring for their own children and their aging parents.
C. There is a role reversal between parents and self: While this may occur in caregiving situations, it doesn't define the "sandwich generation."
D. Assists own parents and spouse's parents: This is similar to option B but specifically refers to assisting one's own parents and the spouse's parents, not necessarily at the same time.
Correct Answer is B
Explanation
A. Administer oxygen at 2 L/min: Administering oxygen is important but should be done after positioning the client to improve natural ventilation.
B. Raise the head of the bed: Raising the head of the bed is the first action to take as it facilitates better lung expansion and improves ventilation. This can help increase the oxygen saturation more immediately and effectively.
C. Encourage coughing and deep breathing: Encouraging coughing and deep breathing is also beneficial to help clear secretions and improve lung function, but positioning the client for optimal breathing should be prioritized first.
D. Administer prescribed analgesic medication. Administering analgesics may be necessary for pain management, but it does not directly address the immediate need to improve oxygen saturation.
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