The goal statement for a client's care plan read as follows: ...

[Garrulous]

The goal statement for a client's care plan read as follows: Client will be able to state two positive aspects of rehab therapy by the end of the week. Which of the following is an appropriately written evaluation statement?
 
  1. Goal not met, client able to state one positive aspect by the end of the week.
  2. Goal met, client able to state one positive aspect by the end of the week.
  3. Goal met, client able to state two positive aspects of therapy by week's end.
  4. Goal incomplete, client not able to positively state anything about rehab.

Question 2

In order to differentiate between evaluation and assessment, the student should remember that:
 
  1. Assessment is done at the beginning of the process.
  2. Evaluation is completed at the end of the process.
  3. They are the same and there is no need to differentiate.
  4. The difference is in how the data are used.

[blfontai]

Answer to Question 1

Correct Answer: 3
Rationale 1: If the client can only state one or it takes longer than a week, then the goal could be partially met.
Rationale 2: If the client can only state one or it takes longer than a week, then the goal could be partially met.
Rationale 3: An evaluation statement consists of two parts: a conclusion and supporting data. The conclusion is a statement that the goal/desired outcome was met, partially met, or not met. The supporting data are the list of the client responses that support the conclusion. In this situation, the goal was met if the client was able to state two positive aspects of rehab by the end of the week and the evaluation statement should reveal that.
Rationale 4: Using the word incomplete is not appropriate for the evaluation statement.

Answer to Question 2

Correct Answer: 4
Rationale 1: Though assessment is the first phase of the nursing process it is carried out during all phases.
Rationale 2: Evaluation is carried out the process.
Rationale 3: Though the two processes overlap, there is a difference between the data collected.
Rationale 4: Though the two processes overlap, there is a difference between the data collected. Assessment data are collected for the nurse to make a diagnosis and evaluate desired outcomes. Evaluation data are collected for the purpose of comparing them to prescribed goals and judging the effectiveness of the nursing care.