The nursing process is a systematic approach that nurses use to provide patient-centered care.
It consists of five phases: assessment, diagnosis, planning, implementation, and evaluation.
Each phase has specific actions associated with it to ensure comprehensive care delivery.
Evaluation Phase:
Determining if Goals are Met
- The evaluation step is the final phase of the nursing process.
- It occurs after the interventions to determine if the objectives have been fulfilled.
Comparing Actual and Expected Outcomes
- The nurse will decide how to assess the achievement of the goals and treatments during the evaluation phase.
- The nurse will also compare the actual outcomes with the expected outcomes and identify any factors that may have influenced the results.
Modifying the Nursing Care Plan
- The evaluation phase helps the nurse to determine if the nursing care plan is effective or if it needs to be modified or discontinued.
Step by stepSolved in 3 steps
- A client diagnosed with pernicious anemia is to start cyanocobalamin (Nascobal) injections. Which of the following client statements demonstrates an understanding of the nurse’s teaching? (Select all that apply.) a. “I need to be careful to avoid infections.” b. “I will need to take this drug for the rest of my life.” c. “I should increase my intake of foods that contain vitamin B12.” d. “I need to take the liquid preparation through a straw.” e. “I may be able to switch over to nasal sprays once my vitamin B12 levels are normal.” Why letter b and e are the correct answer and explain why the remaining choices are incorrectarrow_forwardThe nurse is receiving an older adult client from the PACU. Part of the report had been passed on from the preoperative assessment where it was noted that the client has been agitated in the past following opioid administration. What principle should guide the nurse's management of the client's pain? a. The elderly may require lower doses of medication and are easily confused with new medications. b. The elderly may have altered absorption and metabolism, which prohibits the use of opioids. c. The elderly may be confused following surgery, which is an age-related phenomenon unrelated to the medication. d. The elderly may require a higher initial dose of pain medication followed by a tapered dose.arrow_forwardA patient returns to the clinic for follow-up after taking a newly prescribed medication for a month. The nurse recognizes medication teaching was successful when the patient makes which statement? Select all that apply. Select one or more 2 a "I switched all my medications to one pharmacy like you suggested b. Ive been taking my medication on an empty stomach like the prescription label said to. c "Did you say I need to take this medication with water or milk? d. I take my medication frst thing in the morning just like you said e Ihave been able to decrease my medication to every other day and that saves me some moneyarrow_forward
- Being prepared is a key factor in conducting a competent health assessment. The nurse must display well-developed cognitive, interpersonal, technical, and ethical skills. Describe what you would do to prepare the patient, the room, and the environment for an examination. How and why would you modify these preparations for the following patients? a. A patient who is comatose b. A patient who is uncooperative c. A patient who does not understand your language d. A small childarrow_forwardWhat action best matches the evaluation phase of the nursing process? Group of answer choices a. Counting the apical pulse before giving a dose of the medication b. Teaching the client about their cardiac medication c. Developing an outcome that the heart rate will be between 60-100 after giving the medication d. Counting the apical pulse and checking the blood pressure after giving the dose of medication e. Identifying "Decreased Cardiac Output" as a client problemarrow_forwardA nurse is caring for an older male patient in a long-term carefacility who has a spinal cord injury affecting his neurologicreflex arc. Based on this patient data, what would be a priorityintervention for this patient?a. Monitoring food and drink temperatures to prevent burnsb. Providing adequate pain relief measures to reduce stressc. Monitoring for depression related to social isolationd. Providing meals high in carbohydrates to promote healingarrow_forward
- Scenario: You are a certified rehabilitation counselor (CRC) and licensed professional counselor (LPC) employed at a Rehabilitation and Treatment Hospital. You are a member of an interdisciplinary team for the Cardiovascular Disorder Rehabilitation Unit. Presenting Issues: Steven is a 57-year-old Indian American. Steven has been working as a factory worker for Briggs and Stratton for the last 17 years. Steven has been diagnosed with congenital heart disease. Steven reports that he has lived with this condition all his life however symptoms are now exacerbated making his ADL’s and job duties difficult to complete. Steven reports that he is the head of his household and is not currently in a relationship of any kind. Moreover, Steven relocated to the Valley due to COVID-19 and has no natural supports. 4. What accommodations would be recommended for Steven in the workforce?arrow_forwardThe nurse has completed an initial assessment of a newly admitted client and is applying the nursing process to plan the clients care. What principle should the nurse apply when using then nursing process. A.Each step is independent to others B.It involves independent nursing actions C.It is ongoing and continuous D It is used primarily in acute care settings Explain why you choice the answer and why you didnt choose the laterarrow_forwardIdentifying the patient's personal circumstances about what they need to know and how they will best receive this information is the patient-centered approach that is advocated within medical circles. Group of answer choices A.True B.Falsearrow_forward
- An elderly patient is receiving antihistamine therapy. What interventions specific to this medication does the nurse implement? (Select all that apply). A. Assess the patient for delirium, confusion and dizziness. B. Auscultate the patient's breath sounds C. Provide a low residue diet. D. Encourage the patient to ambulate E. Monitor the patient's urine outputarrow_forwardPatient monitoring systems include: A Selection applications B Pharmacy applications C Social media applications D Fitness applicationsarrow_forwardStudent with a head injury: the student does not have any changes in LOC, no apparent swelling at initial assessment, the parent asks if the child should stay in school, your reply is? A. The student is ok and it's up to the parents. B. The student is ok and needs to go home. C. I'll assess your child and if there are any changes in LOC, I'll call 911 and notify you. D. I'll assess your child and if there are no changes in LOC, please arrange for your child to be picked up from school.arrow_forward
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