During an interdisciplinary treatment team meeting, a short-term outcome is established for a client with depressive symptoms. Which SMART goal is most appropriate?
The client will make statements that he feels less depressed by the end of the first day of admission.
The client will express and demonstrate increases in energy by the third day of admission.
The client will reduce self-rating on the depression scale by 10% by the second day of admission.
The client will demonstrate increased interaction with other clients by discharge.
The Correct Answer is C
Explanation: SMART is an acronym for Specific, Measurable, Achievable, Relevant, and Time-bound. A SMART goal should be specific, clear, well-defined, measurable, attainable or achievable, relevant, and time-bound.
Option (a) is not specific, measurable, or achievable. It does not provide a clear target or timeline for the client's improvement, and it may not be attainable for some clients to feel less depressed after only one day of admission.
Option (b) is specific and measurable, but it may not be achievable or relevant for all clients. Increases in energy are not always a direct indicator of improved depressive symptoms.
Option (c) is specific, measurable, achievable, and relevant. A 10% reduction in the self-rating of the depression scale is a clear and well-defined goal that can be easily measured. It is also achievable and relevant as it directly addresses the client's depressive symptoms.
Option (d) is specific, measurable, achievable, and relevant. However, it is not time-bound, which means there is no clear timeline for the client's improvement. It is also not as direct or measurable as option (c).
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
These terms could be used to describe and document a client’s motor activity on a mental health assessment. Tics are involuntary movements or vocalizations that are sudden, rapid, and repetitive. Restlessness refers to an inability to sit still or remain calm due to physical or emotional discomfort. Echopraxia is the involuntary repetition or imitation of another person’s movements. Flat and guilty are not terms used to describe motor activity.
Correct Answer is C
Explanation
Confidentiality is a critical aspect of the nurse-patient relationship. However, there are specific circumstances where confidentiality must be breached to ensure the patient's safety and well-being. For instance, if a patient is expressing suicidal ideation or harm to others, the nurse has an ethical and legal obligation to report it to the treatment team to prevent harm. It is essential to explain this to the client to establish trust and clarify the limitations of confidentiality.
Option (a) is incorrect because not all information can remain confidential.
Option (b) is incorrect because not all information requires the client's approval to share.
Option (d) is incorrect because the nurse has the responsibility to disclose certain information to other healthcare professionals for the patient's benefit.
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