Author Question: Which is a well-written short-term goal for a socially withdrawn patient who tells a nurse of a wish ... (Read 103 times)

wenmo · **on:** Jul 19, 2018

Which is a well-written short-term goal for a socially withdrawn patient who tells a nurse of a wish to reduce social isolation? By day 2, the patient will:

a. express desire to go shopping.
b. participate in one unit activity.
c. become more independent.
d. be more outgoing.

Question 2

A nurse should plan to implement which action as part of the routine morning care for a hospitalized patient who has just returned from having ECT (electroconvulsive therapy) therapy?

a. Have a walker available for use if the patient is unsteady on their feet.
b. Measure and record all vital signs, including orientation, once per shift.
c. Check the gag reflex before administering medications and offering breakfast.
d. Wake the patient up every 30 minutes to assess and document neurological status.

heyhey123 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
Short-term goal statements should be specific, measurable, attainable, current, adequate, and mutually accepted. The correct option includes a timeframe as well as meeting the existing criteria for a short-term goal. More outgoing and more independent are not measurable. Expressing a desire to go shopping is a statement rather than an action.

Answer to Question 2

C
The nurse should check the gag reflex before offering medications and breakfast so that the patient does not aspirate because of the effects of general anesthesia. The nurse should use side rails and assist the patient to walk if unsteadiness is present. Vital signs should be measured every 15 minutes initially and then less often, but once per shift is insufficient after this procedure. Neurological status should be assessed every 30 minutes while the patient is awake, but the patient should not be awakened. It is thought that sleep helps return the patient to baseline more quickly.