Author Question: The following statements are on a patient's nursing care plan. Which statement will the nurse use as ... (Read 37 times)

mspears3 · **on:** Jul 22, 2018

The following statements are on a patient's nursing care plan. Which statement will the nurse use as an outcome for a goal of care?

a. The patient will verbalize a decreased pain level less than 3 on a 0 to 10 scale by the end of this shift.
b. The patient will demonstrate increased tolerance to activity over the next month.
c. The patient will understand needed dietary changes by discharge.
d. The patient will demonstrate increased mobility in 2 days.

Question 2

A nurse is developing a care plan for a patient with a pelvic fracture on bed rest. Which goal statement is realistic for the nurse to assign to this patient?

a. Patient will increase activity level this shift.
b. Patient will turn side to back to side with assistance every 2 hours.
c. Patient will use the walker correctly to ambulate to the bathroom as needed.
d. Patient will use a sliding board correctly to transfer to the bedside commode as needed.

yasmina · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: A
An expected outcome is a specific and measurable change that is expected as a result of nursing care. Verbalizing decreased pain on a 0 to 10 scale is an outcome. The other three options in this question are goals. Demonstrating increased mobility in 2 days and understanding necessary dietary changes by discharge are short-term goals because they are expected to occur in less than a week. Demonstrating increased tolerance to activity over a month-long period is a long-term goal because it is expected to occur over a longer period of time.

Answer to Question 2

ANS: A
A goal is a broad statement of desired change; the patient will increase activity level is a broad statement. Turning is the expected outcome. When determining goals, the nurse needs to ensure that the goal is individualized and realistic for the patient. Since the patient is on bed rest, using a walker and bedside commode is contraindicated.