A nurse is meeting with a client who has been treated at a substance use disorder clinic for three months. The client has had two follow up appointments at the clinic since their first visit, has attended a community-based peer support group twice weekly, and has taken their prescribed medication as directed. The nurse is discussing the effectiveness of these interventions with the client. The nurse is completing which of the following phases of the nursing process?
Analysis/diagnosis
Evaluation
Implementation
Planning
The Correct Answer is B
A. Analysis/diagnosis involves identifying health problems based on assessment data.
B. Evaluation involves assessing the effectiveness of the interventions and progress towards goals, which is what the nurse is doing.
C. Implementation refers to carrying out the plan of care.
D. Planning involves setting goals and determining the best interventions, which precedes implementation and evaluation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Inserting an indwelling urinary catheter requires specialized training and should only be performed by licensed personnel.
B. Taking an order over the telephone from a physician requires nursing judgment and should not be delegated to unlicensed personnel.
C. Bathing a combative client can be safely delegated to unlicensed assistive personnel (UAP) as it does not require specialized nursing knowledge.
D. Assessing a client's wound requires nursing assessment skills and should not be delegated to unlicensed personnel.
Correct Answer is C
Explanation
A. Battery involves actual physical contact without consent.
B. Negligence refers to failing to provide reasonable care, resulting in harm.
C. Assault is threatening to harm or perform a procedure without consent, which the nurse is doing by threatening to hold the client down.
D. Defamation involves damaging someone's reputation through false statements.
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