During the evaluation phase of the nursing process, the nurse realizes that the patient's short-term goals have not been met. The nurse should:
a. revise or adapt the plan of care.
b. assume that the patient did not want to achieve his goals.
c. understand that a plan of care is almost never changed.
d. reassess plans of care only after major patient-nurse interactions.
ANS: A
When a patient goal is unmet or only partially met, the plan of care may need to be revised or adapted to support goal attainment. Patients may develop complications (e.g., deep vein thrombosis) that limit the ability and make a goal unattainable. When complications arise or patient goals are only partially met, the nurse revises the plan of care in response to the evaluation findings. It is common for plans of care to change to meet evolving needs. Reassessment occurs with each patient-nurse interaction. As changes in a patient's condition occur, the plan of care should be revised.
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