A nurse is working with a social worker and a physical therapist in preparing a discharge projection for a client who is postoperative. Which of the following steps of the nursing process is the nurse engaging in?

Data collection

Evaluation

Planning

Implementation

Answer and Explanation

The Correct Answer is C

Explanation:

A. Data collection:

Data collection is the initial step of the nursing process where the nurse gathers information about the client's health status, including physical, psychological, social, and environmental factors. This involves conducting assessments, obtaining medical histories, performing physical exams, reviewing diagnostic tests, and gathering information from the client, family members, and other healthcare providers. In the scenario, data collection would involve gathering information about the client's postoperative condition, recovery progress, functional abilities, support system, home environment, and any other relevant factors that would influence the discharge planning process.

B. Evaluation:

Evaluation is the step of the nursing process where the nurse assesses the client's response to interventions, measures progress toward goals, and determines the effectiveness of the care provided. It involves comparing the client's actual outcomes with expected outcomes, identifying any deviations or areas needing improvement, and making adjustments to the care plan as necessary. In the scenario, evaluation would occur after the implementation of the discharge plan to assess the client's readiness for discharge, the achievement of goals, and the overall success of the interventions implemented.

C. Planning:

Planning is the phase of the nursing process where the nurse, in collaboration with the client, family, and healthcare team members, develops a comprehensive plan of care based on the collected data and identified needs. This includes setting priorities, establishing expected outcomes and goals, determining appropriate interventions, creating a timeline for implementation, and coordinating resources and services. In the scenario, planning involves working with the social worker and physical therapist to develop a discharge plan that addresses the client's postoperative needs, ensures continuity of care, promotes recovery, and supports a smooth transition from the healthcare facility to the home or next level of care.

D. Implementation:

Implementation is the phase of the nursing process where the nurse carries out the interventions outlined in the care plan. This involves putting the plan into action, providing direct care, educating the client and family, coordinating services, monitoring progress, and advocating for the client's needs. In the scenario, implementation would occur as the nurse, along with the social worker and physical therapist, initiates the discharge plan, arranges for services and resources, provides education and instructions to the client and family, and ensures that all necessary preparations are made for the client's transition from the hospital.

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Correct Answer is C

Explanation

Explanation:

A. "I will keep my walker at the end of my bed."

Keeping the walker at the end of the bed is generally a good practice for accessibility and mobility support, especially for clients who use walkers to assist with walking. However, this statement alone does not directly address falls prevention strategies or indicate a comprehensive understanding of home safety measures related to falls.

B. "I will place an area rug at the entry of my bathroom."

Placing an area rug at the entry of the bathroom can actually increase the risk of falls rather than prevent them. Area rugs are common tripping hazards, especially in areas where water or moisture may be present (like bathrooms). This statement indicates a potential misunderstanding of falls prevention strategies because it suggests an action that could contribute to falls rather than prevent them.

C. "I will place a bath seat in my shower to use when I bathe."

This statement demonstrates a clear understanding of falls prevention strategies. Placing a bath seat in the shower is a proactive measure to enhance safety during bathing, as it provides stability and reduces the risk of slipping and falling on wet surfaces. Using assistive devices like a bath seat is recommended for individuals with a history of falls or balance issues.

D. "I will keep the fluorescent ceiling light on in my room at night."

Keeping the room well-lit at night is beneficial for falls prevention, as adequate lighting can help individuals see potential hazards and navigate their environment safely. While this statement reflects a general awareness of falls prevention principles related to lighting, it is not as specific or directly related to falls prevention during activities like bathing (as mentioned in option C).

A. Open access peer-reviewed articles must be purchased by the user. B. Peer-reviewed articles are not considered scholarly sources of evidence. C. Editorial opinion articles by journalists can be as relevant as peer-reviewed articles. D. Peer-reviewed articles have been through laborious review by other professionals.

Correct Answer is D

Explanation

Explanation:

A. Open access peer-reviewed articles must be purchased by the user.

This statement is not accurate. Open access peer-reviewed articles are freely available to users without the need for purchase. They are published under an open access model, making them accessible to anyone with an internet connection.

B. Peer-reviewed articles are not considered scholarly sources of evidence.

This statement is incorrect. Peer-reviewed articles are indeed considered scholarly sources of evidence. They undergo a rigorous peer-review process where experts in the field review the content for accuracy, validity, and reliability before publication.

C. Editorial opinion articles by journalists can be as relevant as peer-reviewed articles.

This statement is generally not accurate in the context of evidence-based practice. While editorial opinion articles may offer valuable insights and perspectives, they are not subjected to the same level of scrutiny and review as peer-reviewed articles. Peer-reviewed articles are typically considered more reliable and credible sources of evidence in healthcare and academic settings.

D. Peer-reviewed articles have been through laborious review by other professionals.

This statement is correct. Peer-reviewed articles undergo a thorough review process by other professionals in the same field before they are accepted for publication. This review process ensures that the research and information presented in the article meet high standards of quality, accuracy, and validity.

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A nurse is working with a social worker and a physical therapist in preparing a discharge projection for a client who is postoperative. Which of the following steps of the nursing process is the nurse engaging in?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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