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In which step of the nursing process do nurses look at outcomes?

Evaluation

Assessment

Implementation

Planning

Answer and Explanation

The Correct Answer is A

A. Evaluation: Evaluation is the phase where nurses assess whether patient goals and expected outcomes were met.

B. Assessment: Assessment is the first step, where data is collected to identify patient needs.

C. Implementation: Implementation involves carrying out nursing interventions, not reviewing outcomes.

D. Planning: Planning is where goals and interventions are developed, not evaluated.

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Correct Answer is ["D","E"]

Explanation

A. Wait until the end of the shift to document: Documentation should be done promptly after care is provided to ensure accuracy and completeness. Delaying documentation increases the risk of errors or omissions.

B. Cover errors with correction fluid, and write in the correct information: Errors should never be covered with correction fluid. Instead, a single line should be drawn through the mistake, followed by the correction and the nurse’s initials.

C. Use as many abbreviations as possible to save space: Only approved abbreviations should be used to avoid misinterpretation and increase clarity. Overuse of abbreviations can lead to confusion.

D. Document objective data, leaving out opinions: Documentation should be factual and objective (e.g., "Patient grimaced when moving" instead of "Patient appears to be in pain"). Subjective or opinion-based language should be avoided.

E. The date and time should be included with each entry: Every entry must have a date and time to provide an accurate timeline of care, ensuring legal protection and continuity of care.

A. use a Nursing Diagnosis from a source other than NANDA-I B. limit the number of interventions C. select interventions which will be easy to implement D. involve the patient in the process

Correct Answer is D

Explanation

A. Use a Nursing Diagnosis from a source other than NANDA-I: NANDA-I provides standardized nursing diagnoses that ensure accurate problem identification and care planning.

B. Limit the number of interventions: Interventions should be appropriate and sufficient rather than arbitrarily limited.

C. Select interventions which will be easy to implement: Interventions should be effective and individualized, not just easy.

D. Involve the patient in the process: Patient involvement ensures better adherence, understanding, and personalized care.

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In which step of the nursing process do nurses look at outcomes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is reviewing documentation with a group of newly hired nurses. Which of the following guidelines should be followed when documenting in a patient record? (select all that apply)

Correct Answer is ["D","E"]

Explanation

A patient with edema has a problem of fluid overload. The nurse is developing a care plan and selecting interventions that will assist the patient in reducing the fluid. An important consideration when developing the care plan is to:

Correct Answer is D

Explanation

Who should document care in the patient record?

The nurse is trying to decide what interventions will assist the patient with dyspnea to meet needs demonstrated by the patient. This phase of the nursing process is:

The nurse administered the stat insulin dose as ordered, in the presence of the nurse's aide and the dietary aide, however, the nurse failed to chart the medication on the MAR. During a legal deposition regarding charges of professional malpractice, it was determined that:

Documenting the type of interventions carried out, the time care was given, and the signature of the care giver results in recording:

Identify the person responsible for analyzing and interpreting data to arrive at a nursing diagnosis:

When discovering subjective data, recognize that they relate to:

The patient is confined to bed rest. This contributes to immobility of the patient. How should bed rest be indicated on the nursing care plan?