Author Question: The goal identified in the nursing care plan is that the client will be able to wash himself after a ... (Read 66 times)

jenna1 · **on:** Jul 22, 2018

The goal identified in the nursing care plan is that the client will be able to wash himself after a 4-week therapy session. When should the nurse evaluate the client's progress toward this goal?

a. On an ongoing basis
b. At the end of four weeks
c. Weekly
d. Before the client's discharge

Question 2

The client is seen in the clinic for her first prenatal visit. The nurse formulates a nursing diagnosis of Knowledge deficit related to complications of pregnancy.

One outcome criterion is that the client can state five symptoms that indicate a possible problem that should be reported. The client is able to tell the nurse three symptoms. What would the nurse's evaluation statement be? a. Goal met; client able to state three symptoms.
b. Goal partially met; client able to state three symptoms.
c. Goal not met; client unable to list five symptoms.
d. Goal not met; client able to list three symptoms.

Danny Ewald · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Evaluation is ongoing whenever the nurse has contact with the client.
Evaluation should be ongoing. If the nurse waits four weeks to evaluate the effects of the nursing care, the condition could have deteriorated. Evaluating the client on an ongoing basis ensures that the nurse can adjust nursing care to his needs.
Evaluation should be ongoing. The nurse must evaluate more often than weekly in order to meet the needs of the client.
The nurse must evaluate on an ongoing basis to assess if the needs of the client are being met.

Answer to Question 2

B
The client is showing changes but does not yet meet criteria set; therefore, the goal is partially met.
The client's ability to state three symptoms does not meet or exceed the outcome criterion of the client's being able to state five symptoms.
If the client were showing no progress, then the goal would not be met. However, this client's response does indicate some change.
The client's ability to list three symptoms demonstrates some change. If the client were showing no progress, then the goal would be not met.