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    Ati Nur3010 Health Assessment (ICHS College) Proctored Exam

    A nurse is admitting a new client. Which of the followings steps of the nursing process is the nurse performing when formulating goals for a positive outcome?

    Explanation & Rationale

    Rationale: A. Assessment is the first step of the nursing process, in which the nurse gathers comprehensive information about the client’s physical health, psychological state, social circumstances, and health history. This step is critical for identifying actual or potential health problems. While assessment provides the foundation for formulating goals, it does not involve setting or planning the goals themselves. B. Implementation is the phase in which the nurse carries out the interventions developed during planning. During this step, the nurse administers medications, provides education, performs procedures, and collaborates with other healthcare providers. Formulating goals occurs before interventions are initiated, so this is not the correct step. C. Planning is the step in which the nurse prioritizes the client’s problems or nursing diagnoses, identifies measurable and realistic goals, and determines appropriate interventions to achieve positive outcomes. In this phase, the nurse considers the client’s preferences, available resources, and evidence-based practices. Planning ensures that care is organized, purposeful, and tailored to the client’s unique needs, making it the step in which goals are explicitly formulated. D. Evaluation is the final step of the nursing process, where the nurse determines whether the client has achieved the desired outcomes. It involves comparing actual results with expected outcomes and deciding whether to continue, modify, or discontinue the plan of care. Formulating goals occurs before evaluation, so this is not the correct step.

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