ch 17 Flashcards
Tell whether the following statement is true or false.
One of the advantages of using Nursing Intervention
Classifications in nursing practice is to ensure appropriate
reimbursement for nursing services
True
Rationale: One of the advantages of using Nursing
Intervention Classifications in nursing practice is to
ensure appropriate reimbursement for nursing services.
Which one of the following nursing interventions is an
indirect care intervention?
A. A nurse explains available birth control measures to a
young couple.
B. A nurse meets with the collaborative care team to plan
nursing measures for a patient.
C. A nurse prays with a patient prior to surgery.
D. A nurse administers pain medication to a patient with
end-stage renal cancer.
B. A nurse meets with the collaborative care
team to plan nursing measures for a patient.
Rationale: An indirect care intervention is treatment
performed away from the patient but on behalf of a
patient or group of patients, such as the example in
answer B, consulting with the collaborative care team.
The remaining answer options are direct care
interventions or treatment performed through interaction
with the patient.
Which example illustrates a nurse variable influencing
patient outcomes?
A. A patient in a nursing home refuses to take his
medications.
B. A low-income family is unable to afford formula for
their newborn infant.
C. An alcoholic patient is unwilling to participate in AA
meetings.
D. A rape victim does not receive counseling in the
emergency department because a counselor is not
available.
D. A rape victim does not receive counseling in
the emergency department because a counselor is not
available.
Rationale: Nurse variables that influence the care plan
include resources (answer D), current standards of care,
research findings, and ethical and legal guides to
practice. The remaining answer options are patient
variables, which include the patient’s changing ability and
willingness to participate in the care plan and personal
responses to the nursing interventions implemented.
When a patient fails to cooperate with the care plan
despite the nurse’s best efforts, it is time to reassign the
patient to another caretaker.
A. True
B. False
False
Rationale: When a patient fails to cooperate with the care
plan despite the nurse’s best efforts, it is time to reassess
the strategy.
Five Rights of Delegation
Right task
Right circumstances
Right person
Right directions and communication
Right supervision and evaluation
Staff who are trained to function in an assistive role to the registered nurse (RN) in the provision of patient activities, as delegated by and under the supervision of the RN, are called ___________ assistive personnel.
unlicensed
The Nursing Interventions Classification (NIC) report of research provides a ______________ structure of nursing interventions.
taxonomy
T/F: Standing orders empower the nurse to initiate actions that ordinarily require the order or supervision of a physician.
True
T/F: The Nursing Interventions Classification (NIC) project defines an indirect care intervention as any nursing activity.
False
T/F: During the implementation step of the nursing process, patient outcomes are identified.
False
Written plans, known as __________, detail the nursing activities to be executed in specific situations.
protocols
It is critical that every nursing intervention is supported by a sound scientific rationale, as demanded by ____________-based practice.
evidence
T/F: Carrying out a physician-initiated order is an example of an independent nursing action.
False
Interventions performed jointly or interdependently by nurses and other members of the health care team are called _____________ interventions.
collaborative
T/F: Delegation is the transfer of responsibility for the performance of an activity to another person while retaining accountability for the outcome.
True
