Exam 2025/2026 | Verified Questions and 100%Correct
Answers with Rationales | Graded A+ | Newest Edition
The nurse is caring for a patient with a fever. Which is a
well designed goal for this patient? "The patient will..."
1. Have a lower temperature
2. Be given aspirin every eight hours p.r.n
3. Be taught how to take an accurate temperature
4. Maintain fluid intake sufficient to prevent dehydration. -
ANSWER-4. This is a well written goal. Goals must be
patient centered, measurable, realistic and include a time
frame.
,During the evaluation step of the Nursing Process, the
nurse must:
1. Establish outcomes
2. Determine priorities
3. Take corrective action
4. Set the time frames for goals - ANSWER-3. Corrective
action takes place in the evaluation step of the NP. If
during an evaluation is it determined that a goal was not
met, the reasons for failure must be identified and the plan
modified.
Determine what nursing actions will be employed occurs
during which step of the nursing process?
1.Implementation
,2. Assessment
3. Diagnosis
4. Planning - ANSWER-4. The identification of nursing
actions designed to help a patient achieve a goal occurs
during the planning step of the NP.
The nurse understands that the appropriateness of a
Nursing diagnosis is supported by:
1. Defining characteristics
2. Planned interventions
3. Diagnostic statement
4. Related risk factors - ANSWER-1. The defining
characteristics are the major and minor cues that form a
cluster that support or validate a nursing diagnosis. At
, least one major defining characteristic must be present for
a nursing diagnosis to be considered appropriate for that
patient.
The nurse understands that the primary goal of the
assessment phase of the Nursing Process is to:
1. Build trust and rapport
2. Collect and cluster data
3. Establish goals and outcomes
4. Identify and validate the medical diagnosis. - ANSWER-
2. The primary purpose of assessment in the NP is to
collect data from various sources using a variety of
approaches. After data is collected, it should be clustered
into meaningful categories.