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Click to highlight the timed components of the SMART outcome goals. To deselect a finding, click on the finding again.

A. The client will teach back information about safe crutch walking on day 1.

B. The client will demonstrate safe crutch walking.

C. The client will not lean on the crutches to support their body weight.

D. The client will ambulate 5 feet in one day.

E. The client will walk 10 feet by day 2.

F. The client will walk 20 feet by day 3.

G. The client will explain 4 principles of crutch safety.

H. The client will explain how to keep crutches in safe condition.

The client will teach back information about safe crutch walking on day 1.

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.

Answer and Explanation

The Correct Answer is ["A","D","E","F"]

A. The client will teach back information about safe crutch walking on day 1: This goal includes a specific time frame ("on day 1") which makes it a timed component. It establishes when the client is expected to demonstrate understanding, aligning with the SMART criteria for setting time-specific goals.

B. The client will demonstrate safe crutch walking: While this goal describes a desired outcome, it does not include a time frame, so it lacks the timing component needed for SMART criteria.

C. The client will not lean on the crutches to support their body weight: This goal focuses on the behavior change but does not specify when this should be achieved, missing the timed element of SMART goals.

D. The client will ambulate 5 feet in one day: This goal has a specific time frame ("in one day"), indicating when the client should achieve the goal, which is a critical aspect of SMART outcomes.

E. The client will walk 10 feet by day 2: This goal includes a specific time frame ("by day 2"), providing a clear deadline for achieving the goal, which is essential for SMART objectives.

F. The client will walk 20 feet by day 3: This goal includes a specific time frame ("by day 3"), which provides a deadline for reaching the goal, meeting the criteria for SMART goals.

G. The client will explain 4 principles of crutch safety: This goal describes an outcome but does not include a time frame, so it lacks the timed aspect necessary for SMART goals.

H. The client will explain how to keep crutches in safe condition: This goal focuses on an outcome without specifying a deadline, thus missing the timed component required for SMART goal setting.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Ask the client to demonstrate walking with the cane: Correct. Evaluation involves assessing the client’s ability to perform the learned skill, which is done by asking the client to demonstrate walking with the cane.
B. Show the client a video about walking with a cane: This is part of the teaching process, not evaluation. It is used to provide information but does not assess the client's understanding or ability.
C. Identify short-term goals for the client: This is part of the planning stage, where goals are set to guide the teaching and learning process, not part of evaluation.
D. Determine the client's readiness to learn: This is an initial assessment step before teaching begins, not part of the evaluation process after teaching has occurred.

A. Tell the client there is nobody else in the room. B. Turn the client on their side. C. Place a fan to blow lightly toward the client. D. Administer an opioid narcotic to the client. E. Provide deep nasotracheal suctioning for the client.

Correct Answer is ["B","C","D"]

Explanation

A. Tell the client there is nobody else in the room: This action is not appropriate as it does not address the immediate clinical needs of the client. Providing comfort and managing symptoms is a priority at the end of life.
B. Turn the client on their side: This action helps in relieving pressure, preventing aspiration, and improving respiratory function, which is particularly beneficial when a client is experiencing irregular and shallow breathing.
C. Place a fan to blow lightly toward the client: A fan can help alleviate discomfort from labored breathing and provide a cooling effect, which can be soothing for the client and improve their comfort.
D. Administer an opioid narcotic to the client: Opioids can help manage pain and dyspnea in end-of-life care, improving the client's comfort and quality of life by relieving symptoms of distress.
E. Provide deep nasotracheal suctioning for the client: This action is typically not recommended at the end of life as it can cause discomfort and distress without significant benefit. Gentle suctioning, if necessary, should be performed cautiously and with attention to the client's comfort.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a teaching plan for a client who is learning to walk with a cane. The nurse should identify that which of the following actions is a evaluation step of the teaching plan?

Correct Answer is A

Explanation

Correct Answer is ["B","C","D"]

Explanation

A nurse is teaching a class about stress. The nurse should include that which of the following is a manifestation of prolonged stress

A nurse is preparing to transfer a client who has left-sided weakness from a sitting position in bed to a chair. Which of the following actions should the nurse take?

A nurse is teaching a client about the benefits of exercise. Which of the following information should the nurse include?

The nurse is reviewing interventions written for a client. Which of the following should the nurse consider as being independent?

A nurse is teaching a client about using a cane for ambulation. Which of the following statements should the nurse make?

nurse is caring for a client who has Clostridium difficile (C. difficile). Which of the following actions should the nurse take?

A hospice nurse tells another nurse that they are feeling overwhelmed after caring for multiple clients who are dying and reports having difficulty feeling sympathy for their clients. The nurse has manifestations of which of the following conditions?

46: A nurse is teaching a newly licensed nurse about palliative care. Which of the following information should the nurse include?