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Which task is included in the assessment step of the nursing process?.

A.

Measuring goal/outcome achievement.

B.

Collecting and communicating data.

C.

Establishing patient goals/outcomes.

D.

Implementing the nursing care plan (NCP).

Answer and Explanation

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:
An increase in the amount of lipid-soluble drugs in the system can occur with decreased albumin and globulin levels, but it does not cause the most concern.
Choice B rationale:
Increased free protein-bound drugs available can lead to an increased potential for adverse drug reactions. This is because these drugs are usually more active and can lead to toxicity.
Choice C rationale:
Water-soluble drugs being absorbed more completely is not typically a concern with decreased albumin and globulin levels.
Choice D rationale:
While metabolism of protein-bound drugs may be decreased, leading to an increased potential for adverse reactions, this is not the primary concern with decreased albumin and globulin levels.

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