Question

a nurse has developed a plan of care with nursing interventions designed to meet specific client outcomes. the outcomes are not met by the time specified in the plan. which should the nurse do now in terms of evaluation?

• make recommendations for revising the plan of care.
• ask another health care professional to design a plan of care.
• state \goal will be met at a later date.\
• continue to follow the written plan of care.

Explanation:

Analyze the evaluation phase of the nursing process

Using the Nursing Process Phases knowledge point, when a client's outcomes are not met by the specified time, the nurse must evaluate the situation to determine why the goals were not achieved. The nursing process is dynamic and cyclical, meaning that evaluation directly feeds back into assessment and planning.

Determine the appropriate action for unmet goals

Using the Evaluative Statements knowledge point, if the outcomes are unmet, the nurse does not simply extend the deadline without investigation, nor do they continue an ineffective plan. Instead, the nurse must reassess the client, identify barriers to goal achievement, and make recommendations for revising the plan of care to better meet the client's current needs.

Answer:

• Make recommendations for revising the plan of care. (Correct answer)
• Ask another health care professional to design a plan of care.
• State "goal will be met at a later date."
• Continue to follow the written plan of care.