The nurse is evaluating outcomes for the patient with insomnia. Which key principle will the nurse consider during this process?

a. The patient is the best evaluator of sleep.
b. The nurse is the best evaluator of sleep.
c. Effective interventions are the best evaluators of sleep.
d. Observations of the patient are the best evaluators of sleep.


ANS: A
With regard to problems with sleep, the patient is the source for evaluating outcomes. The patient is the only one who knows whether sleep problems have improved and what has been successful. Interventions are not the best indicator; achievement of goals according to the patient is the best. Observations do provide needed data, but in the case of insomnia, the patient is the source for evaluating the restfulness of sleep.

Nursing

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The nurse documents in the progress notes: "Admitted to emergency department accompanied by wife. Patient is alert and oriented, blood pressure is 120/80 mm Hg, and pulse is 80 beats/min

The patient is anxious. He becomes nervous and when asked about his smoking history." Which statement from the nurse's note is the best example of an inference? a. Blood pressure reading 120/80 mm Hg b. Patient is accompanied by wife. c. Patient has a history of smoking. d. The patient is anxious.

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