I just can't seem to understand outcome identification in a test question

PaulBaxter · Sep 16, 2014

I'm just a student like you, but when I read it, what jumps out about the question is the word PRIORITY. Which outcome do you want to happen FIRST? Assuming your patient isn't facing some immediate threat to life, then pain management is the highest priority. Or at least compared to the other choices.

Esme12, ASN, BSN, RN · Sep 16, 2014

I would say pain management. Safe crutch walking is important but cannot be accomplished until pain is managed.

Mrs2016 · Sep 16, 2014

I'm not having a problem with picking the answer, it's understanding applying outcome identification in test questions.

Summer Days · Sep 17, 2014

Outcome identification includes establishing priorities when doing nursing interventions.

Rephrase the question: when a nurse notices the client is in pain and needs to learn to walk on crutches, which nursing intervention is the priority?

PaulBaxter · Sep 17, 2014

I'm not having a problem with picking the answer, it's understanding applying outcome identification in test questions.

Perhaps you could restate that differently, because I don't understand what your question is.

Esme12, ASN, BSN, RN · Sep 17, 2014

I'm not having a problem with picking the answer, it's understanding applying outcome identification in test questions.

Why do hey keep adding stuff that is already done and renaming it....Outcome Identification - (Was originally a part of the Planning phase, but has recently been added as a new step in the complete process).

Nurses use assessments and diagnoses to create measurable and achievable short- and long-term goals. The newest addition to the nursing process, outcome identification, provides individualized care, promotes client participation, plans care that is realistic and measurable, and allows for the involvement of support personnel. Nurses use their knowledge and skills to prioritize client outcomes. High priorities include life threatening situations like hemorrhaging, events that require immediate attention such as discharge planning, and issues that are extremely important to the client such as pain. Low priorities involve problems that usually resolve with little attention, such as discomfort from minor surgery.

Esme12, ASN, BSN, RN · Sep 17, 2014

When a nurse notices the client is in pain and needs to learn to walk on crutches, which outcome identification is the priority?
[TABLE=class: cms_table]
[TR]
[TD][/TD]
[TD][/TD]
[TD]Crutch walking
[/TD]
[/TR]
[TR]
[TD][/TD]
[TD][/TD]
[TD]Safe walking
[/TD]
[/TR]
[TR]
[TD][/TD]
[TD][/TD]
[TD]Pain management
[/TD]
[/TR]
[TR]
[TD][/TD]
[TD][/TD]
[TD]Capillary refill
[/TD]
[/TR]
[/TABLE]

So looking at this question...The nurse notices the patient is in pain and will not try to crutch walk. There is no mention of a cast so cap refill it out (IMHO). So the pateint needs to learn how to crutch walk to be safe so the nurse needs to control the pain so the patient will get up and learn to crutch walk with help available so the can be safe at home.

Does that make sense?

It is still prioritization according to Maslows/ABC's with a fancy name.

Mrs2016 · Sep 17, 2014

ok thank you everyone. So i guess outcome identification is a fancy word for goals/what is the highest priority in a situation?

Esme12, ASN, BSN, RN · Sep 17, 2014

from my understanding...yup.

Here.I.Stand, BSN, RN · Sep 17, 2014

I'm taking outcome identification to mean "what does the RN want to see happen for the pt" or something to that effect. Before the pt can walk safely on crutches, her pain needs to be under control.

tsm007 · Sep 18, 2014

When I read questions like this I look hard for keywords in the question and that usually helps me sort things out. I learned old fashioned diagramming sentences to learn grammar in school and I find taking apart NCLEX questions works kind of the same way if you look for keywords.

When a nurse notices the client is in pain and needs to learn to walk on crutches, which outcome identification is the priority?

The fact that they threw in the client is in pain is to me what helps you figure out this question. Just my two cents.