Answer to Question 1
ANS: D
A goal or outcome statement should be patient-centered; should address one patient response; should be observable, measurable, and time-limited; should be mutually set by nurse and patient; and should be realistic. The statement The patient will feed self at all mealtimes today without complaints of shortness of breath includes all seven criteria for goal writing. The patient will ambulate in hallways is missing a time limit. Administering pain medication and monitoring the patient's heart rhythm are nursing interventions; they do not reflect patient behaviors or actions.
Answer to Question 2
ANS: A
An expected outcome is a specific and measurable change that is expected as a result of nursing care. 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.
The patient interview often requires note taking.
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