Attainment of goals is associated with which phase of the nursing process?
a. Implementation
b. Planning
c. Assessment
d. Evaluation
ANS: D
The effectiveness of health teaching about drug therapy and the attainment of goals are associated with evaluation.
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The nurse is caring for a newborn who recently was circumcised. Which nursing intervention is appropriate following the procedure?
1. NPO for 4 hours following procedure 2. Observe for urine output. 3. Wrap dry gauze tightly around the penis. 4. Keep the newborn in the nursery for the next 4 hours.
A school child has an epistaxis. The school nurse appropriately intervenes by:
1. Tilting the child's head forward, squeezing the nares below the nasal bone, and apply-ing ice to the nose. 2. Tilting the child's head back, squeezing the bridge of the nose, and applying a warm, moist pack to the nose. 3. Lying the child down and applying no pressure or ice or warm pack. 4. Immediately packing the nares with a cotton ball soaked with Neo-Synephrine.
The student nurse is to perform Leopold's maneuvers on a laboring client. Which assessment requires intervention by the staff nurse?
1. The patient is assisted into supine position, and the position of the fetus is assessed. 2. The upper portion of the uterus is palpated, then the middle section. 3. After determining where the back is located, the cervix is assessed. 4. Following voiding, the patient's abdomen is palpated from top to bottom.
Denise is attending a grief support group that you are facilitating. She lost her son in Iraq 18 months ago. She confides in you that she went to her son's grave yesterday and broke down
She told you that she hurt as deeply as the day she found out that he had been killed and feels that she would never get through this feeling of intense grief. On listening to her you discover that yesterday would have been her son's twenty-first birthday. What is the best response to Denise? A. "It would be best to avoid the cemetery on dates that might trigger this type of reaction." B. "What happened to you yesterday is understandable and common in people who have lost loved ones." C. "Next time you go to the cemetery you should take someone with you." D. "Why don't you go home and take a bubble bath instead of attending the support group this evening."