A patient begins a new program to assist with building social skills. In which part of the plan of care should a nurse record the item, "Encourage patient to attend one psychoeducational group daily"?
Explanation & Rationale
Choice A reason: Assessment is the initial phase of the nursing process where the nurse collects and analyzes data about the patient's health status, including physical, psychological, and social factors. Recording a specific action to be taken in the future does not fall under data collection or diagnosis. Choice B reason: Evaluation occurs after interventions have been performed. In this phase, the nurse compares the patient's current status with the goals and outcomes defined in the planning phase to determine the effectiveness of the nursing care. It is a retrospective look at the plan's success. Choice C reason: Implementation is the "doing" phase where the nurse actually carries out the planned interventions. While the nurse will eventually "encourage" the patient, the act of writing the instruction into the formal care plan as a future requirement is a step that precedes the actual performance. Choice D reason: The planning phase involves developing a strategy to provide nursing care and identifying specific nursing interventions to reach goals. Writing a directive such as "Encourage patient to attend..." is the act of formalizing an intervention within the care plan to address the patient's social skill deficits.