data to identify nursing diagnoses. Which step will the nurse take next in thenursing process?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
ANS: C
After identifying a patient’s nursing diagnoses and collaborative problems, a nurseprioritizes the diagnoses, sets
patient-centered goals and expected outcomes, and chooses nursing interventions appropriate for each diagnosis.
This is the third stepof the nursing process, planning. The assessment phase of the nursing process involves
gathering data. The implementation phase involves carrying out appropriate nursing interventions. During the
evaluation phase, the nurse assesses the achievement of goals and effectiveness of interventions.
2. A patient’s plan of care includes the goal of increasing mobility this shift. Asthe patient is ambulating to
the bathroom at the beginning of the shift, the patient
suffers a fall. Which initial action will the nurse take next to revise the plan ofcare?
a. Consult physical therapy.
b. Establish a new plan of care.
c. Set new priorities for the patient.
d. Assess the patient.
ANS: D
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