When asking a patient if a pain medication provided a few hours ago has been effective, the nurse is performing which step of the nursing process?
1. Planning
2. Implementation
3. Evaluation
4. Assessment
3
Rationale 1: Planning consists of prioritizing among the chosen nursing diagnoses and determining interventions to move the patient to optimal health.
Rationale 2: Implementation is the actual "doing" step of the nursing process. In this case, implementation occurred when the medication was administered.
Rationale 3: Evaluation focuses on a patient's behavioral changes and compares them with the criteria stated in the objectives. It consists of both the patient's status and the effectiveness of the nursing care. Both must be evaluated continuously, with the care plan modified as needed.
Rationale 4: Assessment comprises examining the patient and identifying cues, collecting and analyzing data, and reaching conclusions. In this situation, assessment occurred when the nurse identified that the patient was in pain.
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