The nurse recognizes which of the following as a barrier to achieving goals?
a. The effects of pain and/or clinical depression
b. Patient involvement in setting patient goals
c. Family involvement in setting patient goals
d. Realistic expectations of the patient's capabilities.
ANS: A
Useful and effective goals have certain characteristics. They are mutually acceptable to the nurse, patient, and family. They are appropriate in terms of nursing and medical diagnoses and therapy. The goals are realistic in terms of the patient's capabilities, time, energy, and resources, and they are specific enough to be understood clearly by the patient and other nurses. They can be measured to facilitate evaluation. The nurse creates goals with the patient and possibly with the family by discussing the patient's current condition, the condition to which the patient wants to progress, and the actions the patient and nurse undertake to accomplish the goal. The nurse must consider the effects of conditions, such as severe pain related to recent surgery or clinical depression or hopelessness, on the ability of the patient to reach goals in a timely manner. Other barriers to goal attainment may be related to economic issues or available resources.
You might also like to view...
The most critical nursing action when caring for a newborn immediately after birth is:
a. Drying the newborn and wrapping him or her in a blanket b. Fostering parent-infant attachment c. Administering eye prophylaxis and vitamin K d. Keeping the newborn's airway clear
The nurse is caring for a postpartum woman whose baby was delivered by cesarean birth because of abruptio placentae. The nurse recognizes that she must be alert for which sign(s) and/or symptom(s)? (Select all that apply.)
a. Bleeding gums b. Bleeding from injection sites c. Fatigue d. Epistaxis e. Dry skin f. Petechiae
A nurse is educating a home care client on how to do pursed-lip breathing. What is the therapeutic effect of this procedure?
A) Using upper chest muscles more effectively B) Replacing the use of incentive spirometry C) Reducing the need for p.r.n. pain medications D) Prolonging expiration to reduce airway resistance
Which of the following endocrine glands stores vasopressin (antidiuretic hormone)?
a. adrenal medulla c. posterior pituitary b. adrenal cortex d. anterior pituitary