The nurse admits an adult client who has cancer of the colon and the nurse prepares the client for colostomy surgery tomorrow. Which should the nurse use as a cognitive goal for the client?
1. Uses clean technique for care of colostomy appliance
2. Expresses less anxiety about surgical procedure by 6 PM
3. Describes rationale for reporting fevers to the provider
4. Irrigates colostomy independently before discharge
3
3. A cognitive goal for the client is to describe rationales for reporting fever because it is a goal involving thought processes, memory, and reasoning. The client must present a reason for reporting fevers and justify the reason with supporting information.
1 and 4. Using clean technique and irrigating the colostomy are psychomotor skills.
2. Expressing less anxiety is a psychosocial goal.
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