The nurse and client had set the following expected outcome: "At the next clinic visit, the client will report participation in three activities to increase self-esteem." At today's visit, the client is unable to meet the stated outcome
What should be the nurse's next action?
1. Explore the possible reasons for not meeting the outcome.
2. Reevaluate the accuracy of the outcome statement.
3. Collaborate with the client to write a new expected outcome.
4. Identify new interventions to help the client achieve the outcome.
Correct Answer: 1
Rationale 1: The nurse's first action should be to explore possible reasons the outcome was not met.
Rationale 2: Reevaluating the accuracy of the outcome statement would be the second step.
Rationale 3: Collaborating with the client to write a new expected outcome would not be the nurse's next step.
Rationale 4: Identifying new interventions to help the client achieve the outcome would not be the nurse's first step.
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