Author Question: The nurse is participating in the planning phase of the nursing process for a new admission to a ... (Read 69 times)

joe · **on:** Jul 24, 2018

The nurse is participating in the planning phase of the nursing process for a new admission to a long-term care facility. When formulating a plan to meet the patient's needs, the nurse will take which action(s)? (Select all that apply.)

a. Formulate nursing interventions.
b. Collect data.
c. Make a clinical judgment about the patient.
d. Set priorities.
e. Develop measurable goals.

Question 2

Rank the patient needs according to Maslow's hierarchy, beginning with the lowest level need to the highest level need. (Enter your answer with a comma and space between each lettered option as follows: A, B, C, D, E.)

a. A patient would like to write a book.
b. A patient becomes frightened when no one answers the call light during the night.
c. A pediatric patient is worrying that school friends will forget him.
d. A patient needs to be repositioned in bed.
e. A chronically ill patient states that he feels worthless because he is unable to support his family.

mcarey591 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: A, D, E
Planning is the third phase of the five-step nursing process. Once the patient has been assessed and problems have been diagnosed, plans should be formulated to meet the patient's needs. Planning usually encompasses four phases: (1) priority setting, (2) development of measurable goal and outcome statements, (3) formulation of nursing interventions, and (4) formulation of anticipated therapeutic outcomes that can be used to evaluate the patient's status. Collecting data is part of the assessment phase of the nursing process. Making a clinical judgment about the patient takes place during the diagnosis phase.

Answer to Question 2

ANS:
D, B, C, E, A

The needs should be addressed in the following order: The patient's need for repositioning represents a basic need for comfort; the patient's alarm when the call light is not answered represents fear for safety; the patient's worry about his school friends forgetting him represents a threat to sense of love and belonging; the patient's feeling of worthlessness represents threatened self-esteem; and the patient's desire to write a book is related to self-actualization.