Question

Which nursing actions will the nurse perform in the evaluation phase of the nursing process? (Select all that apply.)

a. Set priorities for patient care.
b. Determine whether outcomes or standards are met.
c. Ambulate patient 25 feet in the hallway.
d. Document results of goal achievement.
e. Use self-reflection and correct errors.

Answer 1

In the evaluation phase, nurses determine if outcomes are met, document results, and self-reflect to improve care. Setting priorities is part of planning and direct patient care like ambulation is implementation.

Step-by-step explanation:

In the evaluation phase of the nursing process, nurses must perform several important tasks to ensure high-quality patient care and to determine if the desired patient outcomes have been achieved. These tasks include:

• Determine whether outcomes or standards are met: This involves assessing whether the goals set for patient care have been reached and if the quality standards have been upheld.
• Document results of goal achievement: It is crucial to record the patient's progress and whether the set targets for recovery or improvement have been attained.
• Use self-reflection and correct errors: The nurse should evaluate their own performance, reflect on the care provided, and make any necessary adjustments to improve future patient outcomes.

Actions such as setting priorities for patient care fall under the planning stage, whereas directly caring for a patient, such as ambulating them in the hallway, is part of the implementation phase.