Author Question: Which are included in the evaluation step of the nursing process? (Select all that apply.) a. ... (Read 160 times)

jasdeep_brar · **on:** Jun 28, 2018

Which are included in the evaluation step of the nursing process? (Select all that apply.)

a. Determination if the outcome has been met
b. Ascertaining if the plan requires modification
c. Establish priorities and selecting expected patient goals
d. Selecting alternative interventions if the outcome has not been met
e. Determining if a risk or actual dysfunctional health problem exists

Question 2

The nurse is preparing to complete documentation on a patient's chart. Which should be included in documentation of nursing care? (Select all that apply.)

a. Reassessments
b. Incident reports
c. Initial assessments
d. Nursing care provided
e. Patient's response of care provided

AmberC1996 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A, B, D
Evaluation is the last step in the nursing process. The nurse gathers, sorts, and analyzes data to determine whether (1) the established outcome has been met, (2) the nursing interventions were appropriate, (3) the plan requires modification, or (4) other alternatives should be considered. Establishing priorities and selecting expected patient goals are done in the outcomes identification stage. Determining if a risk or actual dysfunctional health problem exists is done in the diagnosis stage of the nursing process.

Answer to Question 2

ANS: A, C, D, E
The patient's medical record should include: initial assessments, reassessments, nursing care provided, and the patient's response of care provided. Incident reports are not documented in the patient's chart.