Which selection most accurately depicts the nursing process?

The nurse assesses that the patient is not independently repositioning herself in the bed and has a slightly reddened area on her coccyx that improves when pressure is relieved. The nurse determines that the patient is at risk for pressure ulcer. The nurse creates a plan of care that includes repositioning the patient off the pressure points every two hours. The nurse communicates the plan of care with the nursing assistant. The two reposition the patient every two hours through the shift. The nurse reassesses the patient's coccyx every four hours and documents the assessment in the medical record.

Explanation

•The proper sequence of events in the nursing process is assessment, diagnosis, planning, implementing, and evaluating.

•The nurse's assessment gives the nurse the information needed to identify problems affecting the patient or problems the patient is at risk for developing.

•The nurse can then develop his or her nursing diagnosis and plan appropriate interventions to prevent or resolve problems. The nurse should involve other members of the interdisciplinary team as necessary to implement the plan of care.

•After implementation, the nurse must reassess the problem to identify whether the interventions were effective.

•The other choices do not include the five steps of the nursing process. Additionally, the nurse cannot delegate an assessment or reassessment to the nursing assistant.

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