A nurse who has been caring for a patient determines that the ...

[cartlidgeashley]

A nurse who has been caring for a patient determines that the plan has been successful based on which of the following?
 
  A) Expected outcomes are accomplished.
  B) Patient does not experience anxiety during therapy.
  C) Patient is better able to communicate with the nurse.
  D) Subjective and objective data are successfully obtained.

Question 2

A nurse is assigned to care for a patient with a cardiac disorder. During assessment, which of the following would be most appropriate to do when obtaining objective data related to the patient's condition?
 
  A) Review the patient's health history.
  B) Auscultate heart and lung sounds.
  C) Review the patient's family history.
  D) Inquire about the patient's eating habits.

[canderson530]

Answer to Question 1

Ans: A
Feedback:
The evaluation is complete and successful if the expected outcomes are accomplished or if progress occurs. If the outcomes are not accomplished, different interventions are needed. If the patient does not experience anxiety during therapy, then the nurse is better able to implement the care planned for the patient and expect maximum effectiveness during evaluation, but evaluation of the care plan is not considered complete just because the patient does not experience anxiety during therapy, although it facilitates receiving a positive response during evaluation. Similarly, if the patient is able to effectively communicate his or her feelings to the nurse, the nurse can implement the care plan in a better way to yield maximum therapeutic results for the patient, but good communication alone should not be considered a factor that completes the evaluation for the patient. Obtaining subjective and objective data is important for accurate drug administration and therapy implementation. Evaluation for a patient cannot be considered complete only on the basis of subjective and objective data.

Answer to Question 2

Ans: B
Feedback:
To obtain objective data from the patient, the nurse would auscultate heart and lung sounds. Objective data includes the facts obtained through physical assessment or physical examination. Reviewing the patient's health and family history and inquiring about the patient's eating habits will help the nurse in obtaining subjective data, which includes facts supplied by the patient and the patient's family.