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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","B","C","E"]

Explanation

A. This involves combining different pieces of information to form a new understanding or solution. Nurses often synthesize information from various sources to develop a comprehensive care plan.

B. This involves judging the value or worth of something. Nurses must constantly evaluate the effectiveness of interventions and patient outcomes.
C. This involves breaking down information into parts to understand its components. Nurses analyze patient data to identify problems and potential solutions.
D. While intuition can play a role in decision-making, it is not a reliable or consistent critical thinking skill. Critical thinking relies on evidence and reasoning, not solely on gut feelings.
E. This involves understanding the meaning of information. Nurses interpret patient cues, laboratory results, and other data to make informed decisions.

A. Confirming that a client appears competent to consent to a surgical procedure. B. Verifying that a client voluntarily gave consent to a surgical procedure. C. Witnessing a client consent for a surgical procedure. D. Explaining the steps of a surgical procedure to a client.

Correct Answer is D

Explanation

A. This is a professional and important action. Ensuring that a client is competent to consent means that the nurse is verifying that the client understands the nature, purpose, risks, and benefits of the procedure. Competence to consent is a legal and ethical requirement, and it is part of the nurse’s role to support and facilitate the informed consent process.
B. This is also a professional and necessary action. It involves checking that the client’s consent is given freely, without coercion or undue pressure. This step ensures that the consent is valid and ethical. It is part of the nurse's responsibility to ensure that the consent process respects the client's autonomy.
C. The nurse as a witness is there to observe that the consent is signed by the client and that the client understands what they are consenting to. However, the nurse should not be the one explaining the procedure or the risks involved unless they are specifically trained and authorized to do so.
D. This is generally not considered professional behavior for a nurse unless they have specific training and authorization to provide detailed information about surgical procedures. Typically, detailed explanations of the procedure are provided by the surgeon or a qualified healthcare provider.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 nurse manager is planning a presentation for staff nurses on improving critical thinking skills. Which of the following critical thinking skills should the nurse manager include in the presentation? (Select All that Apply.)

Correct Answer is ["A","B","C","E"]

Explanation

A nurse is teaching a newly licensed nurse about professionalism. The nurse should include that which of the following demonstrates unprofessional behavior by a nurse?

Correct Answer is D

Explanation

A nurse overhears two assistive personnel (APS) disagreeing about client care assignments. Which of the following actions by the nurse demonstrates conflict resolution?

A nurse is caring for a client who is 3 hr postoperative following abdominal surgery. Which of the following assessment data should the nurse report to the provider?

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

A nurse checks a client to evaluate the effectiveness of a pain medication. Which of the following components of professionalism is the nurse demonstrating?

A nurse is completing a SOAP note in a client's chart. In which of the following sections should the client's vital signs be documented?

A nurse is teaching a class about the transition from novice to expert nurse. The nurse should include that a nurse who requires support from a mentor is at which of the following stages?

A nurse is discussing advancing interprofessional communication on the unit. Which of the following should the nurse identify as a barrier to this advancement?

A nurse administers the wrong medication to a client. After assessing the client, the nurse contacts the provider and completes an incident report. Which of the following components of professionalism is the nurse demonstrating?