During which step of the nursing process would the
nurse review the patient's plan of care and
b. Evaluation
determine whether a goal was met?
Rationale: Evaluation involves the nurse
a. Assessment
reviewing the patient's achievement of goals
b. Evaluation
established in the patient's plan of care.
c. Implementation
d. Planning
Once a patient meets a goal, which acts would the
d. Decide whether to continue or discontinue the
nurse take?
goal
a. Discontinue the goal
Rationale: When a goal is met, the nurse
b. Discontinue the plan of care
decides whether the goal should be continued
c. Revise the entire plan of care
or discontinued basted on the patient's
d. Decide whether to continue or discontinue the
preference and the nurse's clinical judgment.
goal
Consider this goal: Patient will ambulate 50 feet
twice daily with assistance. The next three
questions deal with this goal and whether the goal
had been attained.
b. Goal is met
Patient consistently ambulates 50 feet twice daily.
a. Goal is partially met
b. Goal is met
c. Goal is unmet
Consider this goal: Patient will ambulate 50 feet
twice daily with assistance. What would be
documented if the patient is ambulating 20 to 50
feet twice daily?
a. Goal is partially met
a. Goal is partially met
b. Goal is met
c. Goal is unmet
Consider this goal: Patient will ambulate 50 feet
twice daily with assistance. What would be
documented if the patient is on bed rest due to the
development of a pulmonary embolus?
c. Goal is unmet
a. Goal is partially met
b. Goal is met
c. Goal is unmet
nurse review the patient's plan of care and
b. Evaluation
determine whether a goal was met?
Rationale: Evaluation involves the nurse
a. Assessment
reviewing the patient's achievement of goals
b. Evaluation
established in the patient's plan of care.
c. Implementation
d. Planning
Once a patient meets a goal, which acts would the
d. Decide whether to continue or discontinue the
nurse take?
goal
a. Discontinue the goal
Rationale: When a goal is met, the nurse
b. Discontinue the plan of care
decides whether the goal should be continued
c. Revise the entire plan of care
or discontinued basted on the patient's
d. Decide whether to continue or discontinue the
preference and the nurse's clinical judgment.
goal
Consider this goal: Patient will ambulate 50 feet
twice daily with assistance. The next three
questions deal with this goal and whether the goal
had been attained.
b. Goal is met
Patient consistently ambulates 50 feet twice daily.
a. Goal is partially met
b. Goal is met
c. Goal is unmet
Consider this goal: Patient will ambulate 50 feet
twice daily with assistance. What would be
documented if the patient is ambulating 20 to 50
feet twice daily?
a. Goal is partially met
a. Goal is partially met
b. Goal is met
c. Goal is unmet
Consider this goal: Patient will ambulate 50 feet
twice daily with assistance. What would be
documented if the patient is on bed rest due to the
development of a pulmonary embolus?
c. Goal is unmet
a. Goal is partially met
b. Goal is met
c. Goal is unmet
