In what step of the nursing process do the client and the nurse develop the goals? (Select all that apply)

Identify outcomes

Planning

A “risk for” nursing diagnosis

Implementation

Answer and Explanation

Correct Answer : A

Choice A reason: Identify outcomes is a step of the nursing process that involves setting measurable and realistic goals for the client’s health improvement or maintenance. The goals are based on the client’s needs, preferences, and values, and they are developed in collaboration with the client and the nurse. Therefore, this choice is correct.

Choice B reason: Planning is a step of the nursing process that involves designing a plan of care that outlines the interventions and activities that will help the client achieve the desired outcomes. The plan of care is also developed in collaboration with the client and the nurse, and it reﬂects the client’s priorities and resources. Therefore, this choice is correct.

Choice C reason: A “risk for” nursing diagnosis is a type of nursing diagnosis that identifies a potential problem or complication that the client may develop if preventive measures are not taken. It is not a step of the nursing process,

but rather a component of the assessment step, which involves collecting and analyzing data about the client’s health status. Therefore, this choice is incorrect.

Choice D reason: Implementation is a step of the nursing process that involves carrying out the plan of care and performing the interventions and activities that were planned. It also involves monitoring the client’s response and progress, and documenting the outcomes. It is not a step where the goals are developed, but rather where they are executed. Therefore, this choice is incorrect.

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Correct Answer is ["A","C","D"]

Explanation

Choice A reason: This is correct because it is an approved nursing diagnosis that describes a lack of cognitive information related to a specific topic.

Choice B reason: This is incorrect because it is not an approved nursing diagnosis, but rather a data or assessment finding that describes the condition of the client’s pupils.

Choice C reason: This is correct because it is an approved nursing diagnosis that describes an unpleasant sensory and emotional experience associated with actual or potential tissue damage.

Choice D reason: This is correct because it is an approved nursing diagnosis that describes a decrease in oxygenation and/or elimination of carbon dioxide at the alveolar-capillary membrane.

Choice E reason: This is incorrect because it is not an approved nursing diagnosis, but rather a medical diagnosis that describes a malignant neoplasm of any body part.

Choice F reason: This is incorrect because it is not an approved nursing diagnosis, but rather a medical diagnosis that describes a dysfunction of the kidneys.

A. Goals that the patient and his family ask the nursing staﬀ to accomplish. B. Goals that are set slightly higher than the patient can achieve C. Goal statements that are observable and measurable D. Goals that the patient should reach as a result of planned nursing interventions

Correct Answer is ["A"]

Explanation

Choice A reason: A desired patient outcome or expected outcome is a goal that the patient and his family ask the nursing staﬀ to accomplish. This ensures that the patient’s needs and preferences are respected and met.

Choice B reason: A desired patient outcome or expected outcome is not a goal that is set slightly higher than the patient can achieve. This would be unrealistic and demotivating for the patient.

Choice C reason: A desired patient outcome or expected outcome is not a goal statement that is observable and measurable. This is a characteristic of a well-writen goal statement, but not a definition of a desired patient outcome or expected outcome.

Choice D reason: A desired patient outcome or expected outcome is a goal that the patient should reach as a result of planned nursing interventions. This shows the link between the nursing process and the patient’s progress.

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In what step of the nursing process do the client and the nurse develop the goals? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following are approved nursing diagnoses? (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

Which statements describe a desired patient outcome or expected outcome? (Select all that apply)

Correct Answer is ["A"]

Explanation

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