In goal setting, the nurse is aware that the factor that is associated with available client resources and motivation is:
1. Realistic
2. Observable
3. Measurable
4. Client-centered
ANS: 1
The nurse sets realistic goals that can be achieved. This increases the client's motivation. The nurse also takes available resources into consideration in order to set realistic goals. Being ob-servable means the nurse must be able to determine through observation if change has taken place. Being measurable means the goal is written so the nurse has a standard against which to measure the client's response to nursing care. Being client-centered means the goal should reflect the client's behavior and responses expected as a result of nursing interventions.
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