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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
A. This task can be delegated to AP as it involves physical assistance and does not require nursing judgment.
B. Feeding a client who has regained swallowing ability can be delegated to AP. However, the nurse should assess the client's ability to swallow safely before delegation.
C. This task requires patient education and assessment, which are within the scope of nursing practice and cannot be delegated.
D. Patient education requires nursing judgment and cannot be delegated to AP.
E. Bathing a client is a routine task that can be delegated to AP, as long as the AP has received appropriate training and the client's condition is stable.
Correct Answer is ["A","C","D","E"]
Explanation
A. Synthesis involves combining different pieces of information and knowledge to form a coherent whole. In nursing, this means integrating data from various sources (e.g., patient history, physical examination, lab results) to create a comprehensive understanding of the patient's condition and develop appropriate care plans.
B. Intuition refers to the ability to understand or know something without the need for conscious reasoning. While intuition can play a role in clinical practice, especially with experienced nurses who have developed a strong sense of clinical judgment, it is not considered a formal critical thinking skill.
C. Evaluation involves assessing the credibility and significance of information, including the effectiveness of interventions and the accuracy of assessments. In nursing, evaluation is crucial for determining whether the care provided is achieving the desired outcomes and for making necessary adjustments
D. Interpretation involves understanding and explaining the meaning of data or information. In nursing, this means making sense of clinical findings, patient symptoms, and diagnostic results to guide decision- making. Effective interpretation helps nurses accurately understand patient conditions and plan appropriate interventions.
E. Analysis involves breaking down complex information into smaller, manageable parts to understand it better. In nursing, this skill is used to evaluate and understand patient data, identify patterns, and assess the relevance of information to make informed decisions.
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