Author Question: A new nurse is applying the nursing process in the care of a client who is newly admitted to the ... (Read 28 times)

danielfitts88 · **on:** Jul 19, 2018

A new nurse is applying the nursing process in the care of a client who is newly admitted to the facility. Which of the following principles should the nurse use as a guideline for selecting interventions?

A) The intervention should be psychoeducational and consistent with the care plan data.
B) The intervention should be evidence based and be consistent with the care plan data.
C) The intervention should be behavioral and consistent with the care plan data.
D) The intervention should be biological and consistent with the care plan data.

Question 2

A nurse has collaborated with a client who has schizophrenia and identified outcomes relevant to the client's care. Which of the following represents a realistic and measurable outcome for the client?

A) The client will feel better 1 month after initiating therapy.
B) The client will participate in milieu activities.
C) The client will wash daily and come to the dining hall at dinnertime.
D) The client will gain insight into his mental health issues.

angrybirds13579 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: B
Feedback:
After establishing behavioral outcomes, the nurse selects appropriate nursing actions or interventions needed to help the client achieve these outcomes. A wide array of nursing interventions, many of them evidence based, exist and psychiatricmental health nurses select interventions according to their levels of practice.

Answer to Question 2

Ans: C
Feedback:
Besides being patient focused, outcomes identified by the nurse are realistic and measurable. Outcomes are expected as a result of care and contain a realistic time line for their accomplishment. Feeling better is not measureable and the other listed outcomes lack a time frame.