Of the following nursing goals, which is the most appropriate for ...

[LCritchfi]

Of the following nursing goals, which is the most appropriate for a patient who has had a total hip replacement?
 
  a. The patient will walk 1000 feet using her walker by the time of discharge.
  b. The patient will ambulate by the time of discharge.
  c. The patient will ambulate briskly on the treadmill by the time of discharge.
  d. The nurse will assist the patient to ambulate in the hall.

Question 2

To best improve the bathing care provided by a student nurse, what should the nurse-teacher do?
 
  a. Tell the student how to correctly give baths to clients.
  b. Provide the student with good resources to read on bathing clients.
  c. Ask another student nurse to provide the bathing care on the next shift.
  d. Assist and observe the student in the bathing care of the client.

[wergv]

Answer to Question 1

A
The patient will walk 1000 feet using her walker by the time of discharge is individualized, realistic, and measurable. The patient will ambulate by the time of discharge is not measurable because it does not specify the distance. Even though we can see that the patient will ambulate, this does not quantify how far. Ambulating briskly on a treadmill is not realistic for this patient. The last option focuses on the nurse, not the patient, and is not measurable.

Answer to Question 2

D
Assisting the student nurse in bathing the client gives the nurse-teacher the opportunity to model caring behaviour. In order for the value of caring to be internalized by the student nurse, there is a critical need for demonstration of caring behaviours and clinical opportunities to practice these behaviours. Caring models are essential to help in the development of a student nurse's capacity to care.
Telling the student how to bath clients correctly is less apt to change the behaviour.
Providing the student nurse with resources does not ensure that the student will read them and change the behaviour.
Asking another student nurse to provide bathing does not address caring behaviours with the first student nurse.

[LCritchfi]

Excellent

[shewald78]

Thanks for the timely response, appreciate it