Which of these is an example of a goal rather than an outcome?
The client will ambulate 50 feet with a walker by day 3.
The client will maintain fluid balance as evidenced by stable weight and urine output.
The client will have improved gas exchange as indicated by oxygen saturation above 92%.
The client will have normal bowel function.
The Correct Answer is A
Choice A reason:
The client will ambulate 50 feet with a walker by day 3. This is an example of a goal rather than an outcome because it is a specific action that the client intends to achieve within a certain time frame. It is also a process goal because it is a step or sub-goal towards a more significant and overarching goal, such as improving mobility or preventing complications. Process goals are more controllable and measurable than outcome goals.
Choice B reason:
The client will maintain fluid balance as evidenced by stable weight and urine output. This is an example of an outcome rather than a goal because it is the overarching result that the client intends to achieve. It is also an outcome goal because it enables the client to assess their present and intended performance results while developing an outline that guides the steps to realize it. Outcome goals are more general and less controllable than process goals.
Choice C reason:
The client will have improved gas exchange as indicated by oxygen saturation above 92%. This is an example of an outcome rather than a goal because it is the overarching result that the client intends to achieve. It is also an outcome goal because it enables the client to assess their present and intended performance results while developing an outline that guides the steps to realize it. Outcome goals are more general and less controllable than process goals.
Choice D reason:
The client will have normal bowel function. This is an example of an outcome rather than a goal because it is the overarching result that the client intends to achieve. It is also an outcome goal because it enables the client to assess their present and intended performance results while developing an outline that guides the steps to realize it. Outcome goals are more general and less controllable than process goals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
The PES format (problem, etiology, signs and symptoms) is the most comprehensive and accurate way to write a nursing diagnostic statement. It identifies the nursing problem, the cause or contributing factors, and the evidence or manifestations of the problem. For example, a possible PES statement for the client with COPD and shortness of breath and fatigue with minimal exertion is: Ineffective breathing pattern related to chronic airway obstruction as evidenced by dyspnea, tachypnea, and use of accessory muscles.
Choice B reason:
The PE format (problem, etiology) is a two-part diagnostic statement that omits the signs and symptoms of the problem. It is less specific and does not provide enough information to guide the nursing interventions and outcomes. For example, a possible PE statement for the client with COPD and shortness of breath and fatigue with minimal exertion is: Ineffective breathing pattern related to chronic airway obstruction. This statement does not indicate how the problem is manifested or measured.
Choice C reason:
The PS format (problem, signs and symptoms) is a two-part diagnostic statement that omits the etiology or cause of the problem. It is less precise and does not identify the factors that contribute to or influence the problem. For example, a possible PS statement for the client with COPD and shortness of breath and fatigue with minimal exertion is: Ineffective breathing pattern as evidenced by dyspnea, tachypnea, and use of accessory muscles. This statement does not indicate why the problem exists or what can be done to address it.
Choice D reason:
The ES format (etiology, signs and symptoms) is a two-part diagnostic statement that omits the problem or nursing diagnosis. It is incomplete and does not state what the actual or potential health issue is. For example, a possible ES statement for the client with COPD and shortness of breath and fatigue with minimal exertion is: Chronic airway obstruction as evidenced by dyspnea, tachypnea, and use of accessory muscles. This statement does not indicate what the nursing problem is or what the desired outcome is.
Correct Answer is ["A","B","C","D"]
Explanation
Choice A reason:
A well-written outcome should be specific, meaning it should clearly state what is expected to be achieved, by whom, and under what conditions. A specific outcome helps to focus the actions and resources needed to accomplish it. For example, an outcome that states "Students will improve their writing skills”. is too vague and does not specify how the improvement will be measured or what level of improvement is expected. A more specific outcome would be "Students will demonstrate an increase in their average writing score by 10% on the final exam.".
Choice B reason:
A well-written outcome should also be measurable, meaning it should have a quantifiable indicator that can be used to assess the progress and achievement of the outcome. A measurable outcome helps to determine whether the outcome has been met or not, and to what extent. For example, an outcome that states "Students will enjoy the course”. is not measurable because it does not have a clear criterion for evaluating the students' satisfaction. A more measurable outcome would be "At least 80% of the students will rate the course as satisfactory or higher on the course evaluation survey.".
Choice C reason:
Another characteristic of a well-written outcome is that it should be realistic, meaning it should be achievable within the given time frame, resources, and constraints. A realistic outcome helps to set reasonable expectations and avoid frustration or disappointment. For example, an outcome that states "Students will master all the topics covered in the course”. is not realistic because it is too ambitious and unrealistic for a single course. A more realistic outcome would be "Students will demonstrate proficiency in at least 75% of the topics covered in the course.".
Choice D reason:
Finally, a well-written outcome should be time-bound, meaning it should have a specific deadline or target date for completion. A time-bound outcome helps to create a sense of urgency and motivation, and to monitor the progress and results of the outcome. For example, an outcome that states "Students will apply their knowledge to real-world problems”. is not time-bound because it does not indicate when or how often the students will do so. A more time-bound outcome would be "By the end of the semester, students will complete at least two projects that require them to apply their knowledge to real-world problems.".
Choice E reason:
A well-written outcome should not be broad, meaning it should not be too general or vague that it does not provide any guidance or direction for action. A broad outcome makes it difficult to plan, implement, and evaluate the outcome. For example,.
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