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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
This statement is measurable because it provides a specific timeframe (2 weeks after initial training) for the patient to be able to self-administer insulin injections.
Choice B rationale:
This statement is about the nurse’s actions, not a goal for the patient.
Choice C rationale:
While understanding how insulin works in the body is important, this statement is not measurable.
Choice D rationale:
Understanding a diabetic diet is important for a patient taking insulin, but this statement does not provide a measurable goal.
Correct Answer is D
Explanation
Choice A rationale:
Protein needs do not necessarily accentuate with age. In fact, they may decrease due to reduced physical activity and metabolic rate.
Choice B rationale:
Total fat content does not decrease with age. It’s common for fat distribution to change and increase in certain areas.
Choice C rationale:
Total body water does not increase with age. It usually decreases due to the loss of muscle mass and increase in fat content.
Choice D rationale:
Lean body mass decreases as a person ages. This is a common phenomenon due to changes in cells and tissues.
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