Question 1

The goal statement for a client's care plan reads as follows: Client will be able to state two positive aspects of rehab therapy by the end of the week.Which of the following is an appropriately written evaluation statement?

Accepted Answer

The evaluation statement should state whether or not the goal was met and provide specific details. Choice C is the correct answer because it states that the goal was met and that the client was able to state two positive aspects of therapy by week's end.

Question 2

Which of the following is a true statement about quality improvement?

Accepted Answer

The answer of Which of the following is a true...

Question 3

What is one of the main purposes of the evaluation phase of the nursing process?

Accepted Answer

The evaluation phase of the nursing process is primarily focused on relating nursing actions to client goals/outcomes to determine if those goals/outcomes have been achieved.

Question 4

Mrs.Wu,48,has terminal cancer and has this nursing diagnosis: Pain related to neuromuscular involvement of disease process.The goal statement is as follows: Client will be free of pain within 48 hours.As an intervention,the nurse will administer narcotic analgesics.What is the flaw in this plan?

Accepted Answer

The goal of being free of pain within 48 hours is unrealistic for a client with terminal cancer. Pain management should be a priority, but it may not be possible to eliminate all pain. A more realistic goal would be to manage the pain to the best of the client's ability. The intervention of administering narcotic analgesics is appropriate, but should be titrated to the client's pain level and monitored for adverse effects.

Question 5

When implementing a care plan,the nurse involves a client who is ready for discharge in the planning.One of the goals is that the client will have improved mobility.Which of the following might be an appropriate desired outcome statement for this goal?

Accepted Answer

The desired outcome statement should be specific, measurable, and time-bound. "Client will ambulate without a walker by 6 weeks" meets these criteria, making it an appropriate outcome statement.

Question 6

A client had an outcome goal stated as follows: Client will have a decrease in pain level (down to a 3)within 45 minutes of receiving oral analgesic.Which statement by the client will the nurse use to evaluate this goal?

Accepted Answer

The statement "I think my pain level is a 4" directly relates to the goal of decreasing pain level and provides a specific measure that can be used to evaluate the outcome, unlike the other options which do not provide a measurable pain level.

Question 7

Several types of audits (examination of records)are conducted in health care environments.Which of the following audits would be appropriately used to review a client's health while the client is still in hospital?

Accepted Answer

A concurrent audit is performed while the client is still in the hospital, with the aim of ensuring that care is being delivered effectively and efficiently in real time. The other types of audits listed, such as peer review, quality improvement, and retrospective audits, are typically conducted after the client has been discharged from the hospital.

Question 8

A client who has been in a wheelchair for several years is experiencing skin breakdown,urinary retention,as well as bouts of depression.When considering nursing diagnoses,an appropriate selection would be which of the following?

Accepted Answer

A syndrome diagnosis is appropriate as it addresses a cluster of problems that occur together, such as skin breakdown, urinary retention, and depression, which are related to the client's prolonged wheelchair use.

Quiz 23: The Nursing Process