The client smokes two packs of cigarettes per day. The nurse works wit

The client smokes two packs of cigarettes per day. The nurse works with the client, and they agree that he will smoke one cigarette less each week until he is down to one pack per day.

In 3 weeks, the client is smoking two and a half packs of cigarettes per day. This is an example of:
1. A realistic goal
2. A compliant client
3. A negative evaluation
4. A nonmeasurable goal

ANSWER

ANS: 3
This is an example of a negative evaluation. During evaluation, the nurse is able to determine that the client has not met the expected outcome of decreasing smoking by one cigarette each week but rather has increased his smoking. This is not an example of a realistic goal. It is an example of the evaluation step of the nursing process. The client is noncompliant. The goal is measurable. During evaluation, the nurse determines if expected outcomes are met in order to judge if goals have been met.