HESI Registered Nurse EXIT Practice Exam

During the evaluation phase, which aspect should the nurse concentrate on?

1. Setting short and long-term goals

2. Ongoing re-evaluation and client's progress

3. All findings of stressors of the client and family

4. Select interventions within selected timeframes

The correct answer is: Ongoing re-evaluation and client's progress

In the evaluation phase of the nursing process, the primary focus is on assessing the progress the client is making toward the goals that were previously established. This involves a continuous evaluation of whether the interventions being implemented are effective and if the client is achieving the desired outcomes. The ongoing re-evaluation allows the nurse to determine if the goals are still relevant and if the client's condition has changed, which may require adjustments to the care plan. It involves comparing the client's current status against the expected outcomes and reassessing any barriers to progress. This reflection is crucial to ensure that care remains patient-centered and adjusted according to the client's evolving needs. While setting goals, identifying stressors, and selecting interventions are important components of the nursing process, they are more relevant to earlier phases, primarily the planning and assessment phases. The evaluation phase specifically hones in on the progress made, thus validating the effectiveness of care strategies, promoting continuous improvement, and enhancing overall patient outcomes.