The nurse has completed the initial assessment of a client and has analyzed and clustered the data. The nurse’s next step in the diagnostic process is to:
1. Formulate a diagnosis.
2. Verify the data.
3. Research collaborative and nursing-related interventions.
4. Identify the client’s problem, health risks, and strengths.
ANSWER
Correct Answer: 4
Rationale 1: There are steps in the process that precedes the formulation of diagnostic statements.
Rationale 2: Verifying the data should be done at the end of the assessment/interview phase.
Rationale 3: Researching collaborative and nursing-related interventions comes after setting goals or outcomes and is not part of the diagnostic process, rather part of the implementation phase.
Rationale 4: The step that follows data analysis is identification of the client’s health problems, health risks, and strengths.
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