A nurse is developing pain management goals to a post-operative client. Which of the following steps of the nursing process is the nurse performing?

Planning

Assessment

Implementation

Evaluation

Answer and Explanation

The Correct Answer is A

A. Planning: Developing goals is part of the planning phase, where the nurse sets objectives and outcomes for the patient’s care.
B. Assessment: Assessment involves collecting data about the patient’s condition.
C. Implementation: Implementation involves putting the care plan into action.
D. Evaluation: Evaluation involves determining whether the patient has met the goals and outcomes set during the planning phase.

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Correct Answer is A

Explanation

A. Assessment: Assessment involves collecting data about the client's condition. Noting the heart rate before administering medication is part of the assessment.
B. Analysis: Analysis involves interpreting the collected data to make decisions about the client's care. While the nurse is analyzing the data (the heart rate), this step follows the initial assessment.
C. Planning: Planning involves setting goals and deciding on interventions based on the assessment and analysis. Holding the medication could be considered part of planning but comes after assessing the heart rate.
D. Evaluation: Evaluation involves determining the effectiveness of interventions. This is not applicable in this situation.

A. Verbal communication is often an accurate reflection of what the client really feels. B. Nonverbal communication accurately reflects what the client is saying C. an example of nonverbal communication body posture D. Facial expressions are an example of verbal communication

Correct Answer is C

Explanation

A. Verbal communication is often an accurate reflection of what the client really feels: Verbal communication may not always accurately reflect true feelings, especially if the client is trying to mask their emotions.
B. Nonverbal communication accurately reflects what the client is saying: Nonverbal communication can sometimes contradict what the client is verbally expressing, providing additional context or revealing hidden emotions.
C. An example of nonverbal communication body posture: Body posture is a significant form of nonverbal communication, providing insights into a client’s comfort, confidence, and emotional state.
D. Facial expressions are an example of verbal communication: Facial expressions are a form of nonverbal communication, conveying emotions and reactions without words.

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A nurse is developing pain management goals to a post-operative client. Which of the following steps of the nursing process is the nurse performing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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