A nurse is writing a teaching plan using the Specific, Measurable, Attainable, Relevant, and Timed outcome (SMART) goals for a client who is learning to walk with crutches.
Client Education
Click to highlight the timed components of the SMART outcome goals. To deselect a finding, click on the finding again.
The client will teach back information about safe crutch walking.
The client will demonstrate safe crutch walking.
The client will not lean on the crutches to support their body weight.
The client will ambulate 5 feet in one day.
The client will walk 10 feet by day 2.
The client will walk 20 feet by day 3.
The client will explain 4 principles of crutch safety.
The client will explain how to keep crutches in safe condition.
The client will teach back information about safe crutch walking.
The client will demonstrate safe crutch walking.
The client will not lean on the crutches to support their body weight.
The client will ambulate 5 feet in one day.
The client will walk 10 feet by day 2.
The client will walk 20 feet by day 3.
The client will explain 4 principles of crutch safety.
The client will explain how to keep crutches in safe condition.
The Correct Answer is ["D","E","F"]
A. The client will teach back information about safe crutch walking. This is an essential component of client education and ensures that the client understands how to use crutches safely. However, this statement does not include a specific time frame, making it not a timed SMART goal.
B. The client will demonstrate safe crutch walking. Demonstration of skills ensures the client can safely perform crutch walking techniques. However, without a specific deadline, it does not qualify as a timed component.
C. The client will not lean on the crutches to support their body weight. This statement reinforces proper crutch technique to prevent nerve damage (e.g., axillary nerve compression). However, it lacks a specific timeframe, so it is not a timed SMART goal.
D. The client will ambulate 5 feet in one day. This goal is specific, measurable, and time-bound as it defines both the distance (5 feet) and the timeframe (one day), making it a timed SMART goal.
E. The client will walk 10 feet by day 2. This goal provides clear progression, stating that the client should ambulate 10 feet within two days, making it specific, measurable, and time-limited.
F. The client will walk 20 feet by day 3. This builds on the previous goals, ensuring incremental progress in crutch walking and clear expectations within a set timeframe.
G. The client will explain 4 principles of crutch safety. This is a knowledge-based goal that ensures the client understands the fundamentals of crutch safety. However, no specific timeframe is provided, so it is not a timed component.
H. The client will explain how to keep crutches in safe condition. This supports long-term safety and maintenance of crutches but does not specify when the client should demonstrate this knowledge, making it not a timed SMART goal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Concrete operational: This stage (7 to 11 years) is characterized by logical thinking about concrete events.
B. Sensorimotor: This stage (birth to about 2 years) is when infants learn about the world through their senses and actions. Object permanence—the understanding that objects continue to exist even when they cannot be seen, heard, or touched—develops in this stage.
C. Formal operational: This stage (12 years and up) involves abstract and moral reasoning.
D. Preoperational: This stage (2 to 7 years) is when children begin to engage in symbolic play and learn to manipulate symbols, but they don’t yet understand concrete logic.
Correct Answer is C
Explanation
A. Sheepskin heel pad: A sheepskin heel pad provides cushioning to prevent pressure ulcers but does not prevent plantar flexion contractures as it does not keep the foot in a neutral position.
B. Abduction pillow: An abduction pillow is used to maintain hip abduction and alignment, typically after hip surgery. It does not address foot positioning or prevent plantar flexion.
C. Footboard: A footboard helps maintain the feet in dorsiflexion, preventing plantar flexion contractures. It keeps the feet at a 90-degree angle to the legs, which is essential for preventing contractures.
D. Trochanter roll: A trochanter roll is used to maintain the alignment of the hips and prevent external rotation of the legs. It does not prevent plantar flexion contractures.
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