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

Assessment.

Planning.

Evaluation.

Implementation.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Assessment Assessment is the first step of the nursing process, where the nurse collects data about the patient's condition. While this step is crucial for understanding the patient's needs, it does not involve formulating goals for a positive outcome. Therefore, it is not the correct choice in this context.

Choice B rationale:

Planning Planning is the step of the nursing process where the nurse formulates goals and develops a care plan to achieve those goals. This includes setting objectives for the patient's care and determining the best course of action. In this case, the nurse is formulating goals for a positive outcome, making choice B the correct answer.

Choice C rationale:

Evaluation Evaluation is the step where the nurse assesses the patient's response to the care provided and determines whether the goals have been met. While important, it does not involve the initial formulation of goals, so it is not the correct choice for this question.

Choice D rationale:

Implementation Implementation involves carrying out the plan of care, putting the planned interventions into action. It doesn't focus on goal formulation, so it is not the correct answer in this context.

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Correct Answer is D

Explanation

Atrial fibrillation with a rapid heart rate can lead to decreased cardiac output and compromised blood flow, which can have serious consequences, including stroke and heart failure. Therefore, this client requires immediate attention to assess and manage the cardiac rhythm.

While the other clients also have significant health concerns, they are not as acutely life-threatening as a new onset of atrial fibrillation with a high heart rate. Prioritizing care based on the urgency and severity of the condition is crucial in the emergency department setting.

A. Economic stability. B. Neighborhood environment. C. Education. D. Social and community context.

Correct Answer is A

Explanation

Choice A rationale:

Economic stability is one of the key factors of the social determinants of health (SDOH) that significantly impacts an individual's well-being. In this case, the client reporting unemployment indicates a lack of economic stability. Economic stability encompasses factors such as employment, income, and financial resources, and it can affect access to healthcare, nutrition, housing, and other social determinants of health. The client's unemployment is a challenge to their overall health.

Choice B rationale:

Neighborhood environment is another SDOH factor, which includes aspects like the quality of housing, safety, and access to parks and recreational areas. While neighborhood environment can impact health, the client's unemployment directly relates to economic stability and its challenges, making choice A the more appropriate answer.

Choice C rationale:

Education is a crucial SDOH factor, as it can influence employment opportunities, income, and health literacy. However, in this specific scenario, the client's primary concern is their unemployment. While education is a related factor, choice A (economic stability) is more directly applicable to the client's situation.

Choice D rationale:

Social and community context includes factors like social support, social norms, and community engagement. While this factor is important for overall health, the client's immediate challenge is economic stability due to unemployment. Social and community context may play a role in addressing unemployment, but it is not the factor that is currently challenging the client the most.

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A nurse is admitting a new client.Which of the following 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 in an emergency department is performing triage on a group of clients. Which of the following clients should the nurse see first?

Correct Answer is D

Explanation

A nurse is admitting a client who reports they are currently unemployed.Which of the following factors of the social determinants of health (SDOH) is challenging for the client?

Correct Answer is A

Explanation

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