Which of the following nursing actions should be initiated first when

Which of the following nursing actions should be initiated first when dealing with the following unmet client goal: “Client will lose 10 pounds in 3 months?”

1. Interview the client to identify reasons why the goal was not met.
2. Assess the client for possible physical reasons for failure to lose the weight.
3. Discuss with the client whether they were truly motivated to lose the weight.
4. Re-evaluate whether it was realistic for the client to lose 10 pounds in 3 months.

ANSWER

ANS: 1
When goals are not met, the nurse should identify the factors that interfere with goal achieve-ment. The remaining options reflect actions to be taken after the interview to further determine how the care plan will be modified.