Chapter 8 Planning And Outcome Identification

Chapter 8  Planning And Outcome Identification

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The nurse is beginning the planning stage of the nursing process. Which of the following would NOT be done during this stage?
a.
Interpretation of data
b.
Establishing priorities
c.
Setting goals and developing expected outcomes
d.
Documenting the planned nursing approach

ANS: A
There are four critical elements that the nurse should do when in the planning stage of the nursing process. These elements are: establish priorities, setting goals and developing expected outcomes, planning nursing interventions, and documenting. Interpretation of data is done during the assessment stage of the nursing process.

PTS: 1 DIF: Application REF: Purposes of Planning and Outcome Identification

2. Which nursing diagnosis is likely to be of highest priority when developing a nursing care plan for a client?
a.
Impaired memory
c.
Diarrhea
b.
Ineffective denial
d.
Social isolation

ANS: C
One method used to set priorities is to follow Maslow’s hierarchy of needs. Basic physiological needs are to be addressed first, followed by those that address the other levels of the hierarchy. In this situation, diarrhea should be addressed before the other nursing diagnoses.

PTS: 1 DIF: Application REF: Establishing Priorities

3. Which of the following should the nurse keep in mind when writing goals and expected outcomes for a client?
a.
A goal is a broad statement of desired changes that need not be written in behavioral terms.
b.
Goals focus on long-term needs, and expected outcomes focus on short-term needs.
c.
An expected outcome is a specific statement that describes the methods through which the goal will be achieved.
d.
Long-term goals focus on the etiology component of the nursing diagnosis.

ANS: C
A goal is an aim, an intent, or an end. Goals are either short term or long term. Goals should be written in behavioral terms. An expected outcome is a specific statement that describes the methods through which the goal will be achieved. Long-term goals do not focus on the etiology component of the nursing diagnosis.

PTS: 1 DIF: Application REF: Establishing Goals and Expected Outcomes

4. Which of the following goals did the nurse write correctly?
a.
The nurse will give the client a back rub to relieve pain.
b.
The client will have less pain.
c.
The client will plan a day’s meals for a 1000-mg sodium diet by Friday.
d.
The nurse will assist the client with bathing.

ANS: C
Appropriately written goals include the subject, the task statement, criteria, conditions, and a time frame. The choice that fulfills these expectations is “the client will plan a day’s meals for a 1000-mg sodium diet by Friday.” The choices that begin with “the nurse” are not client goals but nursing actions. The choice “the client will have less pain” does not include all of the necessary parts of a goal statement.

PTS: 1 DIF: Analysis REF: Establishing Goals and Expected Outcomes

5. The nurse has written goals to guide a client’s care. Which goal is most correctly stated?
a.
The client will take his medications as ordered.
b.
The client will be continent of urine for 24 hours within the next 2 weeks.
c.
The client states he feels better.
d.
The client understands his illness.

ANS: B
Appropriately written goals include the subject, the task statement, criteria, conditions, and a time frame. The choice that achieves these expectations is the goal “the client will be continent of urine for 24 hours within the next 2 weeks.” The choice “the client will take his medications as ordered” does not include all of the elements of a correctly written goal. The choices “the client states he feels better” and “the client understands his illness” are also incorrectly written goals.

PTS: 1 DIF: Analysis REF: Establishing Goals and Expected Outcomes