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The Nurse Is Reviewing the Care Plan for a Client

Question 13

Multiple Choice

The nurse is reviewing the care plan for a client with schizophrenia. Upon assessment the client admits to hearing voices that say, "Kill yourself." The nurse documents the client is at risk for injury and includes the following statement in the plan of care, "Client will not harm self during hospitalization." Which step of the nursing process is the nurse using?


A) Goal setting.
B) Implementation.
C) Diagnosis.
D) Evaluation.

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