The client smokes two packs of cigarettes per day. The nurse ...

[AEWBW]

The client smokes two packs of cigarettes per day. The nurse works with the client, and they agree that the client will smoke one cigarette less each week, until he is down to one pack per day.
 
  In three weeks, the client is smoking two and a half packs of cigarettes per day. This is an example of which of the following? a. A realistic goal
  b. A compliant client
  c. An unmet outcome
  d. A nonmeasurable goal

Question 2

A client reports to the nurse that the room is too hot. Which of the following nursing actions best reflects the nurse's understanding of the therapeutic manipulation of the client's environ-ment?
 
  a. Bringing a portable fan into the room
  b. Assisting the client in the removal of excess clothing
  c. Offering to ambulate the client into the visiting lounge
  d. Closing the blinds to minimize the sunshine through the windows

[smrerig]

Answer to Question 1

C
The scenario is an example of an unmet outcome. During evaluation, the nurse is able to deter-mine that the client has not met the expected outcome of decreasing smoking by one cigarette each week, but rather has increased his smoking.
The goal may or may not have been realistic, but the nurse is evaluating whether the expected outcome was met, so this is an example of an unmet outcome.
The client is noncompliant.
The goal is measurable. During evaluation, the nurse determines whether expected outcomes are met to judge if certain goals have been met.

Answer to Question 2

A
Cooling the room by introducing the fan will not impact any other aspect of the environment.
It may not be appropriate for the client to remove clothing.
Leaving the room is only a temporary solution to the problem.
Closing the blinds may manipulate the environment to decrease the temperature from sunlight, but it will also impact the environment by reducing the light in the room.