Care Manager Certification Practice Exam

At what stage of the nursing process is it crucial for the nurse to teach safety measures post-stroke?

1. Assessment

2. Planning

3. Intervention

4. Evaluation

The correct answer is: Intervention

Teaching safety measures post-stroke is most appropriately placed during the intervention stage of the nursing process. At this stage, the care manager actively implements the strategies that have been developed during the planning phase. The goal is to ensure that the patient and caregivers are informed about how to maintain safety and prevent further complications or injuries that may arise due to the effects of the stroke. During this time, it is essential to provide tailored education based on the individual needs of the patient, which includes specific safety measures like fall prevention, how to use assistive devices if necessary, and recognizing potential health changes that may require immediate attention. Effective education during this intervention phase enhances the patient's ability to engage in their own care and make informed decisions moving forward. In contrast, other stages, such as assessment, primarily focus on gathering information about the patient’s condition and needs. The planning stage involves setting goals and determining the best interventions, while evaluation occurs after interventions are implemented, assessing whether the teaching was effective and if the intended outcomes were achieved. Thus, the intervention stage is the most crucial for teaching safety measures after a stroke, as it is here that the nurse actively facilitates the learning process.