The nurse is preparing a care plan for a client with a nursing diagnosis of Disturbed Sensory Perception. What would be appropriate goals for this diagnosis? Select all that apply
A) The client will demonstrate an understanding of contributing factors to disturbed sensory perceptions by reducing or eliminating them during the hospital stay.
B) The client will not fall during the hospital stay.
C) The client will develop an effective communication mechanism during the hospital stay.
D) The nurse will use a communication board when speaking with the client.
E) The nurse will assist the client with ADLs as needed during the hospital stay.
Ans: A, B, C
Feedback:
Goals are client-directed statements, not nurse directed. Examples of appropriate client goals for Disturbed Sensory Perception may include the following: the client will remain safe, the client will demonstrate an understanding of contributing factors to disturbed sensory perceptions by reducing or eliminating them, the client will maintain the functioning of existing senses, or the client will develop an effective communication mechanism.
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