A nurse is admitting a new client. Which of the followings steps of the nursing process is the nurse performing when formulating goals for a positive outcome?

Assessment

Evaluation

implementation

Planning

Answer and Explanation

The Correct Answer is D

A.   Assessment involves collecting and analyzing data about the client's health status, including their medical history, physical examination findings, and any other relevant information. This step is crucial for understanding the client's current condition and needs, but it precedes goal setting.
B.   Evaluation is the step where the nurse determines whether the goals and outcomes established in the planning phase have been achieved. It involves assessing the effectiveness of interventions and making adjustments as needed. Evaluation occurs after goals have been set and interventions have been implemented, so it is not the step where goals are initially formulated.
C.   Implementation involves carrying out the interventions and actions planned to achieve the goals established for the client. This step follows the formulation of goals and involves executing the planned care. While critical to achieving positive outcomes, implementation does not include the initial formulation of goals.
D.   Planning is the step of the nursing process where the nurse formulates goals and develops a plan of care based on the assessment data. This includes setting specific, measurable, achievable, relevant, and time-bound (SMART) goals to guide the care provided and achieve positive client outcomes. Planning is where goals are established to address the client’s identified needs and guide subsequent interventions.

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Correct Answer is B

Explanation

A. Playing a video game with an adolescent does not typically involve medical or technical procedures that require specialized training. This assignment focuses on providing companionship and support, which is appropriate for a volunteer, especially if the activity is aimed at providing comfort and distraction.
B. Transporting a patient who is in traction requires specific training and knowledge to ensure the patient’s safety and proper handling of the traction equipment. Volunteers typically do not have the necessary training to safely manage such tasks, and improper handling could lead to complications or injury.
C. Reading a book to a preschool-aged child is a non-medical, supportive activity that does not involve any clinical procedures or risks. It is an appropriate way for a volunteer to provide comfort and engagement to a child in a non-invasive manner.
D. Rocking an infant is a comforting and supportive activity that does not require medical expertise. Volunteers can safely provide physical comfort and emotional support to infants, as long as they follow any specific guidelines or protocols provided by the healthcare facility.

A. Clinical judgement B. Critical thinking C. Concept mapping D. Clinical reasoning

Correct Answer is D

Explanation

A. While clinical judgment is essential in decision-making, it is based on experience and intuition. While valuable, it alone is not sufficient for evidence-based decision-making.
B. Critical thinking is a vital component of clinical decision-making, but it focuses on analyzing information and evaluating options. It's part of the process but doesn't encompass the entire evidence- based decision-making framework.
C. This is a visual tool used to organize information and identify relationships. It's a helpful aid in decision-making but not the core component.
D. This involves using critical thinking, knowledge, and experience to analyze patient data, consider options, and make decisions. It is the process of applying evidence to patient care and is therefore the most accurate answer.

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A nurse is admitting a new client. Which of the followings steps of the nursing process is the nurse performing when formulating goals for a positive outcome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A volunteer assigned to the pediatric unit reports to the charge nurse for an assignment. Which of the following assignments is unsafe for the volunteer?

Correct Answer is B

Explanation

Which of the following is a component of clinical decision-making that the nurse should use to make an evidence-based decision?

Correct Answer is D

Explanation

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