Which information would you include in an evaluation statement?

Which information would you include in an evaluation statement?

• A. Level of goal attainment
• B. Date of Admission
• C. Nurse's Initials
• D. Medication List

Answer: (A)

The main concept is that an evaluation statement captures how well the patient progressed toward the goals set in the care plan. It should clearly state the level of goal attainment—whether goals were fully met, partially met, or not met—and include evidence or data that support that judgment. This framing shows the effectiveness of the plan and informs what to do next, such as continuing, adjusting, or redefining goals and interventions. The date of admission belongs in the initial assessment or admission notes and does not reflect ongoing progress toward goals. The nurse's initials concern documentation authenticity and accountability but aren’t the focus of evaluating progress. The medication list is essential for current treatment and safety, but an evaluation statement emphasizes progress toward goals rather than listing every medication; med details belong in medication reconciliation and the plan section.

The main concept is that an evaluation statement captures how well the patient progressed toward the goals set in the care plan. It should clearly state the level of goal attainment—whether goals were fully met, partially met, or not met—and include evidence or data that support that judgment. This framing shows the effectiveness of the plan and informs what to do next, such as continuing, adjusting, or redefining goals and interventions.

The date of admission belongs in the initial assessment or admission notes and does not reflect ongoing progress toward goals. The nurse's initials concern documentation authenticity and accountability but aren’t the focus of evaluating progress. The medication list is essential for current treatment and safety, but an evaluation statement emphasizes progress toward goals rather than listing every medication; med details belong in medication reconciliation and the plan section.