Medical-Surgical Nursing:Assessment and Managementof Clinical Problems 9th Edition by Sharon Lewis,Shannon Ruff Dirksen,Margaret McLean Heitkemper,Linda Bucher

Exercise 5

A patient with a seizure disorder is admitted to the hospital after a sustained seizure.When she tells the nurse that she has not taken her medication regularly, the nurse makes a nursing diagnosis of ineffective self-health management related to lack of knowledge regarding medication regimen and identifies the Nursing Outcomes Classification (NOC) outcome of Compliance behavior, with the indicator Performs treatment regimen as prescribed, at a target rate of 3 (sometimes demonstrated).When the nurse tries to teach the patient about the medication regimen, the patient tells the nurse that she knows about the medication but she does not always have the money to refill the prescription.Where was the mistake made in the nursing process with this patient?
A) Planning
B) Diagnosis
C) Evaluation
D) Assessment
E) Implementation