Which activity does the nurse perform during the evaluating stage? Select all that apply
A) Validates with the client the problem of constipation.
B) Collects data to determine the number of catheter-associated infections on the nursing unit.
C) Increases the frequency of repositioning from every two hours to every one hour.
D) Sets a goal of ambulating from bed to room door and back to bed.
E) Identifies smoking and sedentary lifestyle as risk factors for hypertension.
Ans: B, C
During the evaluation stage, the nurse modifies the plan of care if desired outcomes are not achieved (increased frequency of repositioning) and collects data, such as number of infections, to monitor quality and effectiveness of nursing practice. During the diagnosis stage, the nurse identifies factors contributing to the client's health problem, such as smoking and sedentary lifestyle, and validates the identified health problems (such as constipation) with the clients. The nurse establishes plan priorities and sets goals with the client and family during the outcome identification and planning.
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