Author Question: Which activity does the nurse engage in during evaluation? Select all that apply. A) Collect data ... (Read 221 times)

james9437 · **on:** Jul 23, 2018

Which activity does the nurse engage in during evaluation? Select all that apply.

A) Collect data to determine whether desired outcomes are met.
B) Assess the effectiveness of planned strategies.
C) Adjust the time frame to achieve the desired outcomes.
D) Involve the client and family in formulating desired outcomes.
E) Initiate activities to achieve the desired outcomes.

Question 2

Which activity does the nurse perform during the evaluating stage? Select all that apply.

A) Validates with the client the problem of constipation.
B) Collects data to determine the number of catheter-associated infections on the nursing unit.
C) Increases the frequency of repositioning from every two hours to every one hour.
D) Sets a goal of ambulating from bed to room door and back to bed.
E) Identifies smoking and sedentary lifestyle as risk factors for hypertension.

Chou · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: A, B, C

The nurse establishes desired outcomes with the client and family during the outcome identification and planning stage. The nurse initiates activities to achieve the desired outcomes during the implementation stage. During the evaluation stage, the nurse collects data to determine whether desired outcomes are met, assesses the effectiveness of planned strategies, and adjusts the time frame to achieve the desired outcomes.

Answer to Question 2

Ans: B, C

During the evaluation stage, the nurse modifies the plan of care if desired outcomes are not achieved (increased frequency of repositioning) and collects data, such as number of infections, to monitor quality and effectiveness of nursing practice. During the diagnosis stage, the nurse identifies factors contributing to the client's health problem, such as smoking and sedentary lifestyle, and validates the identified health problems (such as constipation) with the clients. The nurse establishes plan priorities and sets goals with the client and family during the outcome identification and planning.