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
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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 D
Explanation
A. Obtain a bedside commode for the client's use: While helpful, this might not address the client's fear of walking in a dark room, and it requires transferring, which could still pose a fall risk.
B. Limit the client's fluid intake in the evening: This can prevent nocturnal trips to the bathroom but doesn't directly address safety if the client needs to get up at night.
C. Put the side rails up and tell the client to call the nurse before voiding: Side rails can sometimes increase fall risk if the client attempts to climb over them. It's more beneficial to ensure a safe environment.
D. Leave a nightlight on in the client's room: This provides adequate lighting, reducing the risk of tripping or falling in the dark, which directly addresses the client's concern about safety while walking to the bathroom.
Correct Answer is D
Explanation
A. Set client-centered, measurable and realistic goals: This occurs during the planning stage, after data collection and analysis.
B. Critically analyze client data to determine priorities: This step happens after data collection during the diagnosis phase.
C. Determine effectiveness of interventions: This is part of the evaluation stage, which comes after planning and implementation.
D. Collect and organize client data: This is the first step in the nursing process, where the nurse gathers comprehensive information about the client's physical, psychological, sociocultural, developmental, and spiritual needs.
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