In the evaluation phase of the nursing process, what is a critical task for the nurse when using a holistic approach?
Discharge the client if minimal progress is observed.
Change the care plan independently when goals are unmet.
Review only the client's physical health progress.
Determine the effectiveness of interventions on all aspects of the client's health.
The Correct Answer is D
Choice A reason: Discharging a client prematurely ignores the need for reassessment and adjustment. Minimal progress requires evaluation, not termination of care.
Choice B reason: Changing the care plan independently without collaboration undermines interdisciplinary practice. Holistic care requires teamwork and client involvement.
Choice C reason: Reviewing only physical health is incomplete. Holistic evaluation must include emotional, social, and spiritual dimensions.
Choice D reason: Determining effectiveness across all aspects of health is the essence of holistic evaluation. It ensures interventions address the client’s full well-being, guiding comprehensive care planning.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Focusing exclusively on medical history is too narrow. While important, medical history alone does not capture psychosocial or emotional dimensions critical to mental health care.
Choice B reason: Collecting biological data first emphasizes objectivity but neglects the holistic nature of mental health. Biological data must be integrated with psychosocial and emotional factors to provide a complete picture.
Choice C reason: Integration of physical, emotional, and social data is the cornerstone of holistic assessment. Mental health is influenced by biological predispositions, emotional states, and social determinants. Prioritizing integration ensures comprehensive care planning.
Choice D reason: Financial and housing status are relevant but not primary in holistic assessment. They are part of social determinants but must be considered alongside emotional and physical health to avoid a fragmented approach.
Correct Answer is B
Explanation
Choice A reason: Standardized protocols fail to account for the unique experiences of prejudice-related stress, which vary depending on cultural background, personal history, and social context. Applying a one-size-fits-all approach risks overlooking the client’s specific needs and perpetuating inequities.
Choice B reason: Developing a personalized care plan is the most appropriate intervention. Prejudice-related stress is highly individualized, shaped by cultural identity, lived experiences, and systemic factors. A tailored plan allows the nurse to address specific triggers, coping mechanisms, and support systems, ensuring care is both effective and culturally sensitive.
Choice C reason: Ensuring complete avoidance of stressors is unrealistic and impractical. Stressors related to prejudice are often systemic and unavoidable. Instead, the nurse should focus on equipping the client with coping strategies and resilience-building interventions.
Choice D reason: Directing the client solely to family support limits resources and may not be effective if family members lack understanding of prejudice-related stress. While family support can be valuable, it should complement—not replace—professional and community-based interventions.
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