The nurse is revising the care plan. In which order will the nurse perform the tasks, beginning with the first step?
1) Revise specific interventions.
2) Revise the assessment column.
3) Choose the evaluation method.
4) Delete irrelevant nursing diagnoses.

A) 2, 4, 1, 3
B) 4, 2, 1, 3
C) 3, 4, 2, 1
D) 4, 2, 3, 1

Modification of an existing written care plan includes four steps:
1. Revise data in the assessment column to reflect the patient's current status. Date any new data to inform other members of the health care team of the time that the change occurred.
2. Revise the nursing diagnoses. Delete nursing diagnoses that are no longer relevant and add and date any new diagnoses. Revise related factors and the patient's goals, outcomes, and priorities. Date any revisions.
3. Revise specific interventions that correspond to the new nursing diagnoses and goals. Be sure that revisions reflect the patient's present status.
4. Choose the method of evaluation for determining whether you achieved patient outcomes.