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    Ati nur 3150 med surg Proctored exam (CC1) ICHS college

    What is the most important consideration when developing the care plan?

    Explanation & Rationale

    A. Patient-centered care requires that the client is an active participant in the nursing process to ensure that the plan is realistic and culturally appropriate. Involvement increases the likelihood of adherence to the proposed interventions and respects the patient's autonomy and personal health goals. Collaborative planning facilitates a therapeutic alliance between the nurse and the recipient of care. B. While feasibility is a practical consideration, selecting interventions solely based on ease of implementation ignores the complexity of individualized patient needs. Interventions must be evidence-based and specifically targeted to the nursing diagnosis, regardless of their difficulty. Prioritizing ease over efficacy can lead to suboptimal clinical outcomes and a failure to address the actual underlying pathophysiology. C. Limiting the number of interventions arbitrarily may result in an incomplete plan of care that fails to address all identified nursing diagnoses. The number of interventions should be determined by the severity of the patient's condition and the comprehensive nature of their needs. A holistic approach often requires multiple, concurrent strategies to achieve a stable and healthy patient state. D. Although evaluation is a critical final step in the nursing process, it is the measurement of goal attainment rather than the development of the plan itself. Diagnoses are not evaluated; rather, the patient's progress toward specific expected outcomes is evaluated to determine intervention success. Measurability is important, but the foundational priority remains the partnership and involvement of the patient.

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