A nurse is interpreting and summarizing the findings of an evaluation for a client with chronic obstructive pulmonary disease (COPD). Which of the following statements should the nurse make?

"The client has achieved partial resolution of the problem.”.

"The client has met all the goals and no longer needs nursing care.”.

"The client has not made any progress and requires a different approach.”.

"The client has shown improvement but needs more time to reach the goals.".

Answer and Explanation

The Correct Answer is D

Choice A reason:

The client has achieved partial resolution of the problem. This statement is not accurate because it implies that the client's problem is no longer present or significant, which is not the case for COPD. COPD is a chronic and progressive disease that causes irreversible lung damage and airflow limitation. The client may have improved symptoms or reduced exacerbations, but the problem is still present and requires ongoing management.

Choice B reason:

The client has met all the goals and no longer needs nursing care. This statement is not correct because it suggests that the client has fully recovered from COPD, which is not possible. COPD is a lifelong condition that cannot be cured, only managed. The client will always need nursing care to monitor their condition, prevent complications, educate them on self-care, and provide emotional support.

Choice C reason:

The client has not made any progress and requires a different approach. This statement is not valid because it indicates that the client has failed to respond to the current plan of care, which may not be true. COPD is a variable disease that can have periods of stability and exacerbation. The client may have made some progress in achieving their goals, such as improving their gas exchange, airway clearance, breathing pattern, activity tolerance, or quality of life. A different approach may not be necessary unless the client's condition worsens or does not improve despite optimal treatment.

Choice D reason:

The client has shown improvement but needs more time to reach the goals. This statement is the best one to make because it reflects the realistic and positive outcome of the evaluation for a client with COPD. COPD is a complex and chronic disease that requires long-term and individualized care. The client may have shown improvement in some aspects of their condition, such as reducing their dyspnea, cough, or sputum production, increasing their oxygen saturation, or enhancing their exercise capacity. However, they may still need more time to reach their full potential or maintain their progress. The nurse should acknowledge the client's improvement but also encourage them to continue with their plan of care and follow-up. I hope this answer helps you with your question. If you need more information on COPD or nursing care plans, you can check out these.

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Correct Answer is C

Explanation

Choice A reason:

This choice is incorrect because the problem is not resolved by the client's self-report of feeling happier and more hopeful. The nurse should assess other indicators of improvement, such as mood, affect, cognition, behavior, and functioning. Feeling happier and more hopeful may be a sign of progress, but it does not mean that the problem is completely resolved.

Choice B reason:

This choice is incorrect because the problem is not ongoing if the client has been receiving psychotherapy and antidepressant medication for 6 weeks. The nurse should expect some degree of improvement in the client's symptoms and functioning after this period of treatment. Suicidal thoughts and low self-esteem are serious concerns, but they may not reflect the current problem status of the client.

Choice C reason:

This choice is correct because the problem is improved if the client shows increased interest in social activities and hobbies. These are positive signs of recovery from depression, as they indicate that the client is experiencing more pleasure, motivation, and engagement in life. The nurse should acknowledge and reinforce these improvements, as well as monitor the client's response to treatment.

Choice D reason:

This choice is incorrect because the problem is not potential if the client has already been diagnosed with depression and is receiving treatment. The client is at risk for relapse and adverse effects of medication, but these are not problems that need to be addressed at this stage. The nurse should focus on evaluating the effectiveness of the current treatment plan and providing education and support to the client

A. Compare the client's blood pressure readings with the expected outcomes. B. Identify the factors that influenced the client's blood pressure control. C. Document the results of the evaluation in the client's chart. D. Modify the plan of care based on the evaluation findings.

Correct Answer is A

Explanation

Choice A reason:

The nurse should compare the client's blood pressure readings with the expected outcomes to evaluate the effectiveness of the plan of care. This is the first step in the evaluation process, according to the nursing process framework. Comparing the actual outcomes with the expected outcomes allows the nurse to determine if the plan of care was successful or if it needs to be modified.

Choice B reason:

The nurse should identify the factors that influenced the client's blood pressure control, such as medication adherence, lifestyle changes, stress levels, and comorbidities. This is an important step in the evaluation process, but it is not the first one. The nurse should first compare the outcomes before analyzing the factors that affected them.

Choice C reason:

The nurse should document the results of the evaluation in the client's chart to communicate the findings to other members of the health care team and to provide evidence of quality care. This is also an essential step in the evaluation process, but it is not the first one. The nurse should document after comparing and analyzing the outcomes.

Choice D reason:

The nurse should modify the plan of care based on the evaluation findings to improve the client's blood pressure control and prevent complications. This is the final step in the evaluation process, after comparing, analyzing, and documenting the outcomes. The nurse should revise the plan of care as needed to meet the client's changing needs and goals.

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