Determine which of the following goals is a SMART goal

The client will be able to lift more than 50 pounds after abdominal surgery on post op day 1

The client will be able to describe ALL the sign and symptoms of COPD

The client will be able to tolerate 50% of his meal at lunch

The client states his wound is improving

Correct answer: C

Answer and Explanation

The Correct Answer is C

A. The client will be able to lift more than 50 pounds after abdominal surgery on post-op day 1. This goal is not realistic or safe for a client post-abdominal surgery on day 1.

B. The client will be able to describe ALL the signs and symptoms of COPD. This goal is not realistic or specific enough to be measurable and achievable.

C. The client will be able to tolerate 50% of his meal at lunch. This goal is Specific, Measurable, Achievable, Relevant, and Time-bound (SMART).

D. The client states his wound is improving. This goal is not measurable or specific.

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Correct Answer is B

Explanation

A. "You will be okay. Your surgeon will talk to you in the morning.": This statement is reassuring but does not encourage the patient to express their feelings or concerns. It is not considered therapeutic.
B. "Tell me how you care for your colostomy at home." This statement encourages the patient to share information and express concerns about their care, which is a therapeutic communication technique.
C. "I understand how you feel; the same thing happened to me last year." This shifts the focus to the nurse’s experience rather than the patient's feelings, which is nontherapeutic.
D. "Don't worry, you are in good hands." This is a reassuring statement that does not encourage the patient to express their feelings or concerns, making it nontherapeutic.

A. Give the client his blood pressure medication B. Measure the vital signs C. Report any unusual lung sounds. D. Teach the patient about a heart healthy diet.

Correct Answer is B

Explanation

A. Give the client his blood pressure medication: Administering medications is outside the scope of practice for UAPs and should be done by licensed nursing staff.
B. Measure the vital signs: Measuring vital signs is within the scope of practice for UAPs and can be safely assigned to them.
C. Report any unusual lung sounds: Assessing and interpreting lung sounds require the skills and training of a licensed nurse.
D. Teach the patient about a heart-healthy diet: Teaching requires assessment and evaluation, which are within the RN’s scope of practice, not the UAP’s.

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Determine which of the following goals is a SMART goal

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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