Which task is included in the assessment step of the nursing process?.
Measuring goal/outcome achievement.
Collecting and communicating data.
Establishing patient goals/outcomes.
Implementing the nursing care plan (NCP).
The Correct Answer is B
Choice A rationale:
Measuring goal/outcome achievement is part of the evaluation step of the nursing process, not the assessment step.
Choice B rationale:
Collecting and communicating data is indeed part of the assessment step of the nursing process. This step involves gathering information about the patient’s health.
Choice C rationale:
Establishing patient goals/outcomes is part of the planning step, not the assessment step.
Choice D rationale:
Implementing the nursing care plan (NCP) is part of the implementation step, not the assessment step.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale:
The term “Aged” generally refers to individuals who are in the late stages of life, often those over 652. This does not apply to a 40-year-old patient.
Choice B rationale:
“Elderly” is a term often used to refer to individuals who are 65 years of age or older. A 40-year-old patient does not fall into this category.
Choice C rationale:
A 40-year-old patient is considered an “Adult”. According to Erikson’s stages of development, the stage of “generativity vs. stagnation” begins at age 40 and lasts until age 653.
Choice D rationale:
“Older adult” typically refers to individuals who are in their late 60s and beyond. This does not apply to a 40-year-old patient.
Correct Answer is B
Explanation
Choice A rationale:
Medical diagnoses do not tend to vary depending on the patient’s rate of recovery. They are based on the disease or condition.
Choice B rationale:
Nursing diagnoses do refer to the patient’s ability to function in activities of daily living. They focus on the patient’s response to their health condition.
Choice C rationale:
Nursing diagnoses do not focus on alterations in the patient’s function and structures. This is more related to medical diagnoses.
Choice D rationale:
Nursing diagnoses do not result in diagnoses of disease that impairs normal physiologic function. This is the role of medical diagnoses.
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