Which nursing actions will the nurse perform in the evaluation phase of the nursing process? (Select all that apply.)
a. Set priorities for patient care.
b. Determine whether outcomes or standards are met.
c. Ambulate patient 25 feet in the hallway.
d. Document results of goal achievement.
e. Use self-reflection and correct errors.
ANS: B, D, E
The expected outcomes established during planning are the standards against which you judge whether goals have been met and if care is successful. You evaluate whether the results of care match the expected outcomes and goals set for a patient. Documentation and reporting are important parts of evaluation because it is crucial to share information about a patient's progress and current status. Using self-reflection and correcting errors are indicators a nurse is performing evaluation. Setting priorities is part of planning, and ambulating with a patient in the hallway is an intervention, so it is included in the implementation step of the nursing process.
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