When caring for a client with a concussion, a nurse follows the ...

[tuffie]

When caring for a client with a concussion, a nurse follows the nursing care plan; however, the client is not progressing according to the plan. Which is the most appropriate therapeutic nursing intervention in this situation?
 
  A) Reassess, reevaluate, and revise the nursing care plan.
  B) Use the trial and error method with another plan.
  C) Care for the client symptomatically without a care plan.
  D) Experiment and observe the results.

Question 2

A nurse is assigned to assess the condition of a client with dementia. Which step of the nursing process should the nurse complete before identifying goals for care and possible therapeutic nursing interventions to meet them?
 
  A) Nursing diagnosis
  B) Planning
  C) Implementation
  D) Evaluation

[morrie123456]

Answer to Question 1

A
Feedback:
The nurse should reassess, reevaluate, and revise the nursing care plan if the client is not progressing. Effective use of the nursing process includes the ability to foresee problems and avert complications by reassessing, reevaluating, and revising the nursing care plan, as appropriate. Trial and error and experimentation can have possible harmful effects. The nurse should refer to the nursing care plan when providing care, rather than caring for the client symptomatically without a care plan.

Answer to Question 2

A
Feedback:
The nurse performs a diagnosis after systematic and continuous collection of data in the assessment phase. Planning is the development of goals for care; it is performed after the diagnosis. Implementation, when the nursing care is actually given to the client, occurs after planning. Evaluation or measurement of the effectiveness of nursing care occurs after the implementation stage.