The nurse is reviewing the plan of care for a client and notes that the following goal has not been met: "Client will verbalize three positive things about himself." The nurse would correctly choose to do which of the following?
1. Tell the client three things that he does well.
2. Ask other clients to tell the client what he does well.
3. Determine barriers to achieving the goal.
4. Do nothing as long as the client appears better.
3
Rationale 1: Telling the client things that he does well will not aid in the achievement of the goal.
Rationale 2: Involving other clients in the plan of care may be a violation of the client's privacy and is not appropriate.
Rationale 3: The nursing process must be approached in a cyclic and systematic fashion in order to best meet the identified needs of clients. When goals are not met within established time frames, the nurse must examine potential reasons for this and develop new interventions and time frames for goal achievement.
Rationale 4: Ignoring the absence of progression toward the established goal will not aid the client in improving.
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