Question

a client is administered an anxiolytic. which nursing action demonstrates the nurse evaluating the client?

developing a plan for the client to practice anti-anxiety exercises at home
assigning the client a new nursing diagnosis based on the clients controlled anxiety
asking whether the client feels less anxious 30 minutes after administering the medicine
collecting data about the clients history with anxiety

Explanation:

Identify the target nursing phase

Using the Nursing Process Phases knowledge point
The question asks which action demonstrates the nurse evaluating the client after administering an anxiolytic. The nursing process consists of five sequential phases: Assessment, Diagnosis, Planning, Implementation, and Evaluation (ADPIE). Evaluation involves measuring the client's response to a therapeutic intervention (such as medication administration) to determine its effectiveness.

Analyze the options using nursing process definitions

Using the Assessment vs Evaluation knowledge point

• developing a plan for the client to practice anti-anxiety exercises at home: This represents the Planning phase of the nursing process.
• assigning the client a new nursing diagnosis based on the client's controlled anxiety: This represents the Diagnosis phase of the nursing process.
• asking whether the client feels less anxious 30 minutes after administering the medicine: This represents the Evaluation phase, as it directly assesses the therapeutic outcome and effectiveness of the administered medication (the intervention).
• collecting data about the client's history with anxiety: This represents the baseline Assessment phase of the nursing process.

Answer:

• (A) developing a plan for the client to practice anti-anxiety exercises at home
• (B) assigning the client a new nursing diagnosis based on the client's controlled anxiety
• (C) asking whether the client feels less anxious 30 minutes after administering the medicine (Correct answer)
• (D) collecting data about the client's history with anxiety