Which expected outcome demonstrates the effectiveness of a plan of care to promote rest and sleep?
The patient identifies factors that interfere with normal sleep patterns.
The patient verbalizes an ability to sleep without medications.
The patient engages in relaxing activities before bedtime.
The patient reports improved quality of rest and sleep.
The Correct Answer is D
Choice A rationale
Identifying factors that interfere with normal sleep patterns is a crucial step in addressing sleep disturbances, but it doesn't directly demonstrate the effectiveness of a plan of care to promote rest and sleep. While understanding these factors can lead to interventions, the actual outcome is reflected in the improvement of sleep quality.
Choice B rationale
Verbalizing an ability to sleep without medications is a positive outcome, but it doesn't solely indicate the effectiveness of a comprehensive plan of care. The quality and duration of sleep are also critical indicators of successful interventions aimed at promoting rest and sleep, beyond just medication independence.
Choice C rationale
Engaging in relaxing activities before bedtime is a helpful strategy to promote sleep, but it is an action taken by the patient, not a direct measure of the plan's effectiveness. The ultimate success of the plan is determined by whether these activities actually result in improved rest and sleep.
Choice D rationale
Reporting improved quality of rest and sleep directly indicates that the plan of care has been effective in achieving its goal. This subjective measure, when consistently reported by the patient, signifies that the interventions implemented have positively impacted their ability to rest and sleep well.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
A colleague who graduated at the same time lacks the experience and established professional network necessary to provide effective mentorship. Mentorship involves guidance based on practical experience and insights gained over time, which a recent graduate, regardless of academic achievements, would not possess. A mentor should offer a more seasoned perspective on navigating career challenges and professional development.
Choice B rationale
While a personal friendship might offer emotional support, a unit manager who is primarily a friend may not possess the objectivity and focus required for professional mentorship. The managerial role involves administrative and supervisory responsibilities that might overshadow the specific developmental needs of a novice nurse. Furthermore, personal relationships can sometimes blur professional boundaries, hindering effective guidance.
Choice C rationale
An experienced nurse who previously served as a preceptor has demonstrated an ability to guide and educate new nurses in a clinical setting. This individual is likely familiar with the challenges faced by novice nurses and possesses the practical knowledge and teaching skills necessary for effective mentorship. Their prior experience in a similar role makes them well-suited to provide targeted support and professional guidance.
Choice D rationale
A nurse educator primarily focuses on formal education and training programs within the hospital. While they possess valuable knowledge and expertise, their role typically involves broader educational responsibilities rather than individualized, long-term mentorship. A mentor relationship often involves a more personal and ongoing connection focused on the mentee's specific career trajectory and professional growth, which may fall outside the scope of a nurse educator's primary duties.
Correct Answer is B
Explanation
Choice A rationale
"If I could just live long enough to attend my son's graduation, I would be satisfied" represents bargaining, the third stage of grief according to Kübler-Ross. In this stage, the individual attempts to negotiate or make deals to postpone the inevitable.
Choice B rationale
"I believe there has been a mistake. I should have gotten a second opinion" is a classic example of denial, the first stage of grief. Denial is a defense mechanism where the individual refuses to accept the reality of the situation, often seeking alternative explanations or contradicting information.
Choice C rationale
"I know I am depressed and I can't stop crying" exemplifies depression, the fourth stage of grief. This stage is characterized by feelings of sadness, hopelessness, and withdrawal as the reality of the loss begins to sink in.
Choice D rationale
"I am very angry and mad. This is not fair" represents anger, the second stage of grief. In this stage, the individual expresses frustration, resentment, and outrage at the situation and may direct these feelings towards others. .
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