When evaluating the client’s progress toward goal achievement, the nur

QUESTION

When evaluating the client’s progress toward goal achievement, the nurse should ask which of the following questions?

a. “Did the client tell the truth?”
b. “Were the goals realistic?”
c. “Did the physician diagnose the client’s condition correctly?”
d. “Was the length of stay too short?”

ANSWER:

ANS: B
The goals need to be realistic and achievable in the time frame allotted for the interventions to be effective. Validation of information occurs in the assessment phase. Medical diagnosis is not part of the nursing process. The nurse needs to work within the time frame allotted.