The following statement appears on the nursing care plan for an immunosuppressed client: The client will remain free from infection throughout hospitalization. This statement is an example of a (an):

Correct Answer: B

Rationale: The statement 'The client will remain free from infection throughout hospitalization' is an example of a short-term goal. Short-term goals are specific, measurable, and achievable objectives that are intended to be accomplished within a short period of time, usually during the client's hospitalization. In this case, the goal is to prevent the immunosuppressed client from developing any infections while they are in the hospital. This goal is specific and can be measured by monitoring the client's vital signs, laboratory results, and any signs or symptoms of infection. It is also achievable within the timeframe of the hospital stay.

Correct Answer: A

Rationale: Reporting the length of time the current treatment has been in place gives the consulting nurse facts that will influence a new plan, providing critical context for evaluating treatment efficacy.

Correct Answer: B

Rationale: Interpersonal communication occurs between two or more people, such as the nurse and the family, addressing their concerns directly.

Correct Answer: B

Rationale: The patient’s movement away suggests discomfort with the nurse’s proximity, indicating a breach of personal space.

Correct Answer: C

Rationale: The helping relationship aims to empower the patient to set and reach personal health goals, fostering independence and well-being.