After Completing the Initial Head-To-Toe Shift Assessment, the Nurse Determines

question 22

Multiple Choice

After completing the initial head-to-toe shift assessment, the nurse determines that no changes are needed in the client's plan of care.Which evaluation process supports the nurse's decision?

• A)Using the knowledge that the client received a comprehensive health assessment
• B)Reviewing the effectiveness of previously initiated nursing interventions
• C)Referring to the facility's general plan of client care for the current shift
• D)Recognizing that the client may be discharged from the hospital during this shift

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Definitions:

Knowledge

Information, understanding, and skills that individuals acquire through experience or education.

Goal Setting

Determining goals that are clear, quantifiable, feasible, pertinent, and have a defined timeline.

Relevant Goals

Objectives that are pertinent and directly relate to the desired outcome or mission of an individual or organization.

Goal Commitment

The determination and persistence of an individual or group to achieve a set of objectives or targets.