The nurse decides to seek wound care alternatives for a client's stasis ulcer that is not healing after treatment for 2 weeks. In which phase of the nursing process is the nurse functioning?
1. Diagnosis
2. Implementation
3. Evaluation
4. Assessment
Correct Answer: 3
Rationale 1: Diagnosis is problem identification.
Rationale 2: Implementation is carrying out (or delegating) the planned nursing interventions. Wound care would be the implementation of this particular case.
Rationale 3: Evaluation is measuring the degree to which goals/outcomes have been achieved and identifying factors that positively or negatively influence goal achievement. Activities of evaluation include judging whether goals/outcomes have been achieved and making decisions about problem status. The client's wound is not healing and the nurse decides to modify the nursing interventions.
Rationale 4: Assessment is collecting and organizing data.
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