Author Question: When evaluating the client's progress toward goal achievement, the nurse should ask which of the ... (Read 78 times)

D2AR0N · **on:** Jul 8, 2018

When evaluating the client's progress toward goal achievement, the nurse should ask which of the following questions?

a. Did the client tell the truth?
b. Were the goals realistic?
c. Did the physician diagnose the client's condition correctly?
d. Was the length of stay too short?

Question 2

The nurse is teaching a client who is alert and oriented about the drug warfarin. When teaching the client about this drug, the nurse emphasizes the need to be consistent with Vitamin K intake, which is found primarily in green leafy vegetables.

When the client's spouse comes to visit, the client states, I can no longer consume green leafy vegetables. This is an example of what type of failure caused by a communication problem?

a. System failure
b. Reception failure
c. Transmission failure
d. Global aphasia

akpaschal · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

ANS: B
The goals need to be realistic and achievable in the time frame allotted for the interventions to be effective. Validation of information occurs in the assessment phase. Medical diagnosis is not part of the nursing process. The nurse needs to work within the time frame allotted.

Answer to Question 2

ANS: B
Communication problems occur when there are failures in one or more categories: the system, the transmission, or in the reception. Reception failures occur when channels exist and necessary information is sent, but the recipient misinterprets the message. System failures occur when the necessary channels of communication are absent or not functioning. Transmission failures occur when the channels exist but the message is never sent or is not clearly sent.