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CHAPTER 8: PLANNING AND OUTCOME IDENTIFICATION

Fundamentals of Nursing 4th ed By Delaune - Ladner

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CHAPTER 8: PLANNING AND OUTCOME IDENTIFICATION

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. The nurse is beginning the planning stage of the nursing process. Which of the following would NOT be done during this stage?
a. Interpretation of data
b. Establishing priorities
c. Setting goals and developing expected outcomes
d. Documenting the planned nursing approach

 

 

ANS:  A

There are four critical elements that the nurse should do when in the planning stage of the nursing process. These elements are: establish priorities, setting goals and developing expected outcomes, planning nursing interventions, and documenting. Interpretation of data is done during the assessment stage of the nursing process.

 

PTS:   1                    DIF:    Application    REF:   Purposes of Planning and Outcome Identification

 

  1. Which nursing diagnosis is likely to be of highest priority when developing a nursing care plan for a client?
a. Impaired memory c. Diarrhea
b. Ineffective denial d. Social isolation

 

 

ANS:  C

One method used to set priorities is to follow Maslow’s hierarchy of needs. Basic physiological needs are to be addressed first, followed by those that address the other levels of the hierarchy. In this situation, diarrhea should be addressed before the other nursing diagnoses.

 

PTS:   1                    DIF:    Application    REF:   Establishing Priorities

 

  1. Which of the following should the nurse keep in mind when writing goals and expected outcomes for a client?
a. A goal is a broad statement of desired changes that need not be written in behavioral terms.
b. Goals focus on long-term needs, and expected outcomes focus on short-term needs.
c. An expected outcome is a specific statement that describes the methods through which the goal will be achieved.
d. Long-term goals focus on the etiology component of the nursing diagnosis.

 

 

ANS:  C

A goal is an aim, an intent, or an end. Goals are either short term or long term. Goals should be written in behavioral terms. An expected outcome is a specific statement that describes the methods through which the goal will be achieved. Long-term goals do not focus on the etiology component of the nursing diagnosis.

 

PTS:   1                    DIF:    Application    REF:   Establishing Goals and Expected Outcomes

 

  1. Which of the following goals did the nurse write correctly?
a. The nurse will give the client a back rub to relieve pain.
b. The client will have less pain.
c. The client will plan a day’s meals for a 1000-mg sodium diet by Friday.
d. The nurse will assist the client with bathing.

 

 

ANS:  C

Appropriately written goals include the subject, the task statement, criteria, conditions, and a time frame. The choice that fulfills these expectations is “the client will plan a day’s meals for a 1000-mg sodium diet by Friday.” The choices that begin with “the nurse” are not client goals but nursing actions. The choice “the client will have less pain” does not include all of the necessary parts of a goal statement.

 

PTS:   1                    DIF:    Analysis         REF:   Establishing Goals and Expected Outcomes

 

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