A nurse is determining the success of a client's plan of care by evaluating outcome indicators. A positive outcome for the client with schizophrenia who has been experiencing numerous hallucinations would be:
A) On the day of discharge, the client reports they are hearing only two voices today.
B) During the initial assessment, the nurse observes the client talking to themselves throughout the interview phase.
C) At the initial interview, the client is unable or unwilling to answer all questions, at times just staring off in space.
D) After some intense therapy sessions and medication readjustment, the client reports they are no longer hearing voices.
Ans: D
The nurse usually determines outcome indicators during the assessment process. Outcomes can be expressed in terms of the client's actual responses (no longer reports hearing voices) or the status of a nursing diagnosis at a point in time after implementation of nursing interventions.
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