Which of the following client-centered goals best rest reflects singular focus?
1. Client will cough and deep breathe every hour while awake.
2. Client will be free of shoulder and elbow pain by discharge.
3. Client will adhere to a low-fat diet and lose 3 pounds in 30 days.
4. Client will ambulate to the bathroom for the purpose of showering daily.
ANS: 4
Each goal and outcome addresses only one behavior or response. In this case the client will walk to the shower daily. Although coughing and deep breathing are usually done as a unit, they are really two separate actions. The client being free of shoulder and elbow pain by discharge relates to two different anatomical locations. Adhering to a diet and losing 3 pounds are two different actions.
You might also like to view...
An elderly patient with multi-infarct dementia is striking out with her arms and kicking at people who walk past in the hall. The nurse determines that the patient believes she is at home and that the other patients have broken into her home
The clinical nurse specialist suggests that staff use validation. Which of the following responses reflect this intervention? a. "I'm a nurse who has come to check on you. Tell me about your home.". b. "You are in a nursing home. The others here are patients, just like you are.". c. "I wish you could be home, but you have been sick and are in a nursing home.". d. "You are not at home. This is a nursing home. It is September 10th, 2010.".
The nurse is conducting a physical examination of a patient who is lying down. Which body area can be assessed while the patient is in this position?
A) Range of motion of the spine B) Posterior chest excursion C) Head and neck range of motion D) Jugular vein distention
A nurse manager attends a conference on leadership skills and contemplates how he can become a better leader
One of the staff members on the unit recently stated that he did not empower the members of his staff and he was extremely picky about everything. What would be the criteria for effective leadership listed in the text that deals with empowerment? A) Is the leader aware of issues encountered by nurses engaged in client-care activities? B) Does the leader effectively delegate tasks to others, or does he or she micromanage everything? C) Does the leader provide the needed resources to provide quality nursing services? D) Does the leader demonstrate sensitivity to the impact of self on others, leading to effective use of self?
The nurse assessing a child who is undergoing chemotherapy finds the child to be suffering from mucositis. Which of the following interventions would be most helpful?
a. good oral care to clean the oral cavity of food particles and debris b. sips of ice and lubricating oil to the lips c. a room humidifier with a eucalyptus oil added to the water d. six to eight glasses of water every day