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Author Question: The nurse and client have determined that goals established for health maintenance behaviors have ... (Read 65 times)

frankwu

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The nurse and client have determined that goals established for health maintenance behaviors have not been achieved. In which step of the nursing process are the nurse and client working at this time?
 
  1. Evaluation
  2. Assessment
  3. Planning
  4. Implementation

Question 2

The nurse is concerned that the spouse of a terminally ill client is experiencing Anticipatory Grieving when which of the following is assessed?
 
  1. Confidence in the ability to care for the ill client at home
  2. Expressing anger about the client's pending death and crying throughout the day
  3. Large social support system
  4. Knowledge of equipment function



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scikid

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Answer to Question 1

1
The nurse and client together measure how well the client has achieved the goals for health maintenance in the plan of care. Goals that have not been achieved are evaluated and adjusted. This is an activity done during the evaluation step of the nursing process. Evaluation of goals is not done during the assessment, planning, or implementation steps of the nursing process.

Answer to Question 2

2
Anticipatory grieving is the intellectual and emotional responses and behaviors by which individuals work through the process of modifying self-concept based on the perception of potential loss. Anger and crying about the client's pending death are signs of Anticipatory Grieving. The other assessment findings are evidence that the spouse is accepting the caregiver role.




scikid

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