Author Question: The nurse is formulating a plan of care for a patient. In this phase of the nursing process, the ... (Read 100 times)

eruditmonkey@yahoo.com · **on:** Jul 23, 2018

The nurse is formulating a plan of care for a patient. In this phase of the nursing process, the nurse: (Select all that apply.)

a. prioritizes nursing diagnoses.
b. determines short and long-term goals.
c. identifies outcome indicators.
d. lists nursing interventions.
e. gathers assessment data.

Question 2

Measurable goals are: (Select all that apply.)

a. specific
b. concrete
c. vague
d. easy to judge
e. non-specific

jomama · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A, B, C, D
Planning is the third step of the nursing process. During the planning phase, the professional nurse prioritizes the patient's nursing diagnoses, determines short- and long-term goals, identifies outcome indicators, and lists nursing interventions for patient-centered care. Each of these actions requires careful consideration of assessment data (collected earlier) and a thorough understanding of the relationship among nursing diagnoses, goals, and evidence-based interventions.

Answer to Question 2

ANS: A, B, D
Measurable goals are specific, with numeric parameters or other concrete methods of judging whether the goal was met. When writing a goal statement with a patient, the nurse needs to clearly identify how achievement of the goal will be evaluated. When terms such as acceptable or normal are used in a goal statement, goal attainment is difficult to judge because they are not measurable terms, unless they refer to laboratory values or diagnostic test findings.