Question

Which phase of the nursing process is the nurse demonstrating when administering pain medication to a client? Select one: Implementing b. Assessment c. Outcome Identification and Planning d. Evaluating The plan of care for a client was to ambulate ten feet independenty by the end of two weeks. The client only ambulatos six feet. Which step should the nurse text? Select one: a. Discontinue the plan of care because it is not effective. b. Re-evaluate the goal to determine if it is appropriate C. Increase the goal to help the client to be successful e d. Assume the client is lazy and trying to reach the goal. When writing goals and outcomes for patients, the nurse should ensure they are specific, measurable, attainable, realistic and time-bound. Select one: True False The primary purpose of the outcome identification and planning step of the nursing process is to design a plan of care with and for the patient that results in the prevention mouction, or patient health problems. Select one:

Answer 1

●The nursing process consists of

Assessment:the most important part to plan for a care consisting of subjective and objective data.

Nursing diagnosis:is the diagnosis made by the nurse to plan a care

Goal:the desired goal which has to be accomplished at the end of care

Outcomes: what steps are taken to do the goal

Implementation: the action done

Evaluation:identifying its benefits and drawbacks

Ans:a.Implementation

●Ambulation is the mobilizing of a patient which has to be slow ,steady and progressive.If a patient cannot walk first rule out why patient refuses walk and treat it on the grounds of physical and psychological support. It cannot be stopped abruptly because this can. lead to other complications of immobility Re evaluation can be done to check for appropriatebess in relation to time,result oriented and measurement. wheras the goal can be cannot be increased to achieve success in making patient walk

Ans:Re-evaluate if the goal is appropriate

●Each goal and outcomes should be based on what patient can do . In simple it is based on the measurement, achieving, directed towards result in the particular time frame

Ans:True

●The outcome should generally be based on what a patient can do from the goal planned in a systemic way,whether the problem stated in the nursing diagnosis is resolved, reduced, prevented or not

Ans:True